scholarly journals Prescribing a Healthy Lifestyle Polypill With High Therapeutic Efficacy in Many Shapes and Sizes

2015 ◽  
Vol 11 (6) ◽  
pp. 476-478 ◽  
Author(s):  
Ross Arena ◽  
Carl J. Lavie ◽  
Marco Guazzi
Keyword(s):  
Therapeutic Efficacy ◽  
Healthy Lifestyle ◽  
European Heart Journal ◽  
Communicable Disease ◽  
Cardiovascular Prevention ◽  
Heart Association ◽  
Policy Statement ◽  
Unhealthy Lifestyle ◽  
Healthcare Model ◽  
Non Communicable Disease

The paradigm allowing for a lifestyle immersed in unhealthy behaviors to perpetuate to a point where a non-communicable disease (NCD) is eminent or manifests, and then initiating health care interventions, is deeply flawed, results in poor outcomes, and is unsustainable. This paradigm describes the current predominant healthcare model in many countries around the world and has resulted in the continual increase in unhealthy lifestyle patterns that have led to the global NCD epidemic. It is now broadly recognized that rapid integration of a new healthcare model, one heavily focused on primordial and primary NCD prevention, is needed. Being physically active, eating healthy and nutritious foods, not smoking and minimizing second-hand exposure, and maintaining an appropriate body weight are central to this new prevention model. Combined, these four characteristics can be viewed as the key ingredients for the “healthy lifestyle polypill”. Recently, the American Heart Association (AHA), European Society of Cardiology (ESC), European Association for Cardiovascular Prevention and Rehabilitation (EACPR), and American College of Preventive Medicine (ACPM) came together to publish, in both the Mayo Clinic Proceedings and European Heart Journal, a policy statement entitled “Healthy Lifestyle Interventions to Combat Non-Communicable Disease: A Novel Non-Hierarchical Connectivity Model for Key Stakeholders”. We hope the AHA-ESC-EACPR-ACPM healthy lifestyle policy statement prompts a massive increase in production of the healthy lifestyle polypill. Regulatory approval is not needed to start manufacturing and distributing this medication. The polypill can take many forms and have differing ingredients and dosages while still maintaining high therapeutic efficacy.

Abstract 5008: Lifestyle Practices in Adults 65 Years and Older and 7-Year Follow-up Mortality: The Chicago Heart Association Detection Project in Industry Study (CHA)

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Thanh Huyen T Vu ◽  
Daniel B Garside ◽  
Martha L Daviglus
Keyword(s):  
Healthy Lifestyle ◽  
Heavy Drinking ◽  
Heart Association ◽  
Older Age ◽  
Unhealthy Lifestyle ◽  
Industry Study ◽  
Hazard Ratios ◽  
Lifestyle Practices ◽  
All Cause Mortality

Background and Objective : Prospective data on combined effects of lifestyle practices (smoking, heavy drinking, and physical inactivity) in older age on mortality are limited. We examine the combined impact of lifestyle behaviors in adults 65 years and older on CVD, non-CVD, cancer, and all-cause mortality after 7 years of follow-up. Methods : In 1996, a health survey was mailed to all surviving participants, ages 65–102, from the Chicago Heart Association Detection Project in Industry Study. The response rate was 60% and the sample included 4,200 male and 3,288 female respondents. Unhealthy lifestyle (un-HL) practices were classified into three groups as having two or more , one , or none of the following three un-HL factors (current smoking or stopped smoking only within the past 10 years; heavy drinking ->15 g/day for women or >30 g/day for men; and infrequent exercise). Vital status was ascertained through 2003 via the National Death Index. Results : With adjustment for age, race, education, marital status, living arrangement, and BMI, the hazards of CVD, non-CVD, cancer, and all-cause mortality were highest among men and women who had two or more un-HL factors and lowest among those who had healthy lifestyle. For example, in men, compared to those with none un-HL factors, the hazard ratios (95%CIs) of all-cause death for those with two or more and one un-HL factors were 2.10 (1.73–2.46) and 1.56 (1.36–1.77), respectively. Associations were attenuated somewhat but remained strongly significant with further adjustment for comorbidities (see table ). Conclusion : Having no unhealthy lifestyle factors in older age is associated with a lower risk for CVD, non-CVD, cancer, and all-cause death. These results should encourage healthy lifestyle practices in elderly people to decrease mortality and promote longevity. Adjusted* Hazard Ratios (95% CIs) for CVD, Non-CVD, Cancer, and All-Cause Death by Number of Unhealthy Lifestyle Factors in 1996 and Gender

scholarly journals Peningkatan Pemahaman Risiko Penyakit Tidak Menular pada Remaja melalui Deteksi Dini dengan Pemeriksaan Komposisi Tubuh di SMK PGRI 2 Surakarta (Increased Understanding of the Risk of Non-Communicable Diseases in Adolescents through Early Detection by Examination of Body Composition in SMK PGRI 2 Surakarta)

2020 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Aryanti Setyaningsih ◽  
Nastitie Cinintya Nurzihan
Keyword(s):  
Body Composition ◽  
Health Education ◽  
Early Detection ◽  
Healthy Lifestyle ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
Health Group ◽  
Obesity Hypertension ◽  
Non Communicable Disease

Abstrak Remaja merupakan kelompok kesehatan prima namun rentan karena mengalami perubahan perilaku berisiko sehingga akan menentukan status kesehatan pada saat dewasa. Salah satu permasalahan kesehatan yang meningkat pada remaja adalah meningkatnya penyakit tidak menular pada remaja, misalnya obesitas, hipertensi, diabetes dan hiperkolesterolemia. Remaja perlu mendapatkan pemaparan mengenai penyakit tidak menular perlu diberikan kepada remaja guna meningkatkan kesadaran dan pemahaman remaja mengenai risiko, dampak, dan deteksi dini penyakit tidak menular pada remaja. Oleh karena itu, perlu diberikan pendidikan kesehatan sebagai dasar penerapan hidup sehat dan cara deteksi dini yang dapat dilakukan oleh remaja guna pencegahan penyakit tidak menular pada remaja. Kegiatan ini dilaksanakan di di SMK 2 PGRI Surakarta yang dilakukan selama 2 hari pada Bulan Juli 2019. Metode kegiatan adalah pendidikan kesehatan dan pemeriksaan komposisi tubuh dengan pengukuran indeks massa tubuh. Tiga puluh dua siswa mengikuti kegiatan ini. Hasil evaluasi menunjukkan peningkatan pengetahuan penyakit tidak menular dan kemampuan siswa dalam memahami status gizi mereka melalui pengukuran komposisi tubuh sebagai bagian dari deteksi dini penyakit tidak menular. Dengan demikian, dapat disimpulkan bahwa terdapat peningkatan pengetahuan dan kesadaran peserta kegiatan dalam melakukan pencegahan terhadap penyakit tidak menular remaja. �Kata kunci: Deteksi Dini; Pendidikan Kesehatan; Pengetahuan; PTM; Remaja�Abstract Adolescents are a prime health group but are vulnerable because they experience changes in risky behavior that will determine their health status as adults. One of the increasing health problems in adolescents is the increase in non-communicable diseases in adolescents, such as obesity, hypertension, diabetes, and hypercholesterolemia. Adolescents need to get exposure to non-communicable diseases to increase awareness and understanding of the risks, impacts, and early detection of non-communicable diseases in adolescents. Therefore, it is necessary to provide health education as a basis for implementing a healthy lifestyle and early detection that can be done by adolescents to prevent non-communicable diseases in adolescents. This activity was carried out at SMK 2 PGRI Surakarta which was conducted for 2 days in July 2019. The method of the activity was health education and examination of body composition by measuring body mass index. Thirty-two students participated in this activity. Evaluation results show an increase in knowledge of non-communicable diseases and the ability of students to understand their nutritional status through measurement of body composition as part of early detection of non-communicable diseases. Thus, it can be concluded that there is an increase in the knowledge and awareness of participant activities in the prevention of adolescent non-communicable diseases.�Keywords: Early Detection; Health Education; Knowledge; Non-Communicable Disease; Adolescent

Is health coaching the next panacea in healthcare reform?

2021 ◽  
Vol 32 (8) ◽  
pp. 323-326
Author(s):  
Catherine Best
Keyword(s):  
Chronic Disease ◽  
Healthcare Reform ◽  
Healthy Lifestyle ◽  
Communicable Disease ◽  
Essential Element ◽  
Health Coaching ◽  
Health Conditions ◽  
The Impact ◽  
Non Communicable Disease

Health coaching aims to empower patients to self-manage their long-term health conditions. Catherine Best explores the effect health coaching can have on patients and the shifts that are required to deliver it Non-communicable diseases now account for the vast majority of deaths globally. It is recognised that personalised care is key to managing non-communicable disease and health coaching is considered an essential element. Health coaching is a developing field of practice that encourages patients to adopt healthy lifestyle behaviours that can avert the impact of chronic disease. This article explores the effect health coaching can have on patients and the shifts that are required to deliver it.

scholarly journals Enablers and inhibitors of the implementation of the Casalud Model, a Mexican innovative healthcare model for non-communicable disease prevention and control

2016 ◽  
Vol 14 (1) ◽  
Author(s):  
Roberto Tapia-Conyer ◽  
Rodrigo Saucedo-Martinez ◽  
Ricardo Mujica-Rosales ◽  
Hector Gallardo-Rincon ◽  
Paola Abril Campos-Rivera ◽  
...  
Keyword(s):  
Disease Prevention ◽  
Prevention And Control ◽  
Communicable Disease ◽  
Healthcare Model ◽  
And Control ◽  
Non Communicable Disease

scholarly journals DO DURATION OF STAY AND PARK VISITATION MATTER? AN EVALUATION OF PARK DISTANCE

2020 ◽  
Vol 18 (11) ◽  
Author(s):  
Nurhayati Abdul Malek ◽  
Amanina Nashar
Keyword(s):  
Length Of Stay ◽  
Healthy Lifestyle ◽  
Communicable Disease ◽  
Pearson Correlation ◽  
Physical Activities ◽  
Open Spaces ◽  
Active Lifestyle ◽  
Park Visitation ◽  
Drastic Increase ◽  
Non Communicable Disease

Among ways to keep up with healthy lifestyle include physical activities. Recent statistics by the Ministry of Health (2016) indicated a drastic increase in the prevalence of non-communicable disease from 1990 to 2016 and the number is expected to increase or remain high. In response to the issue, the Eleventh Malaysia Plan 2016-2020 was formulated to improve Malaysians’ wellbeing by providing ample open spaces to encourage an active lifestyle. This paper aims to investigate the association of proximity to neighbourhood park and its level of utilisation. 680 respondents were involved in the questionnaire survey conducted at 7 selected neighbourhood parks. The output of the Pearson Correlation evinced that proximity to neeighborhood parks was highly associated to the level of park utilisation. There was a strong and positive relationships between (i) park distance and numbers of visitations (r = 0.841,n = 680,p = 0.000< 0.01), (ii) park distance and length of stay (r = 0.803, n = 680, p = 0.000< 0.01), and (iii) number of visitations and length of stay (r = 0.644, n = 680,p = 0.000< 0.01). The results also indicated that that the longer the distance of the park from home, the longer the time spent at the park. Whereas, the shorter the distance of the park from home, the higher the utilisation of the park.

scholarly journals Analisis Tingkat Pemahaman Mahasiswa Fakultas Kedokteran Universitas Sebelas Maret Tentang Pentingnya Minum Air Putih Sebagai Upaya Pencegahan Penyakit Gagal Ginjal

2019 ◽  
Author(s):  
Nabiila Rifdaturrohiidah
Keyword(s):  
Kidney Failure ◽  
Healthy Lifestyle ◽  
Communicable Disease ◽  
Health Sector ◽  
Communicable Diseases ◽  
World Health ◽  
Non Communicable Diseases ◽  
Long Time ◽  
Special Concern ◽  
Non Communicable Disease

Non-communicable diseases begin to become special concern in the world health sector. Increased deaths cases due to non-communicable disease caused world health sector payying attention to non-communicable disease. Kidney failure is one of the non-communicable diseases that causes many deaths. Kidney failure does not occur instanly, this cases occur gradually. Kidney failure can occur at any age. Even adult people can also get kidney failure if they do not adopt a healthy lifestyle. Many factors can cause a person to get kidney failure. Lack of body fluid intake is one of the risk factors for kidney failure. The habit of drinking water in adolescents who are not good will aggravate the work of the kidneys so that in a long time it will cause damage to the kidneys. Each person needs at least two liters of water or about eight glasses of water to complete inteke of human bodies.

MO811HEALTHY LIFESTYLE SCORE AND MORTALITY IN PATIENTS ON HEMODIALYSIS: AN ANALYSIS OF THE DIET-HD STUDY

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Guobin Su ◽  
Valeria Saglimbene ◽  
Germaine Wong ◽  
Marinella Ruospo ◽  
Patrizia Natale ◽  
...  
Keyword(s):  
Cardiovascular Mortality ◽  
Cardiovascular Health ◽  
Healthy Lifestyle ◽  
Cox Model ◽  
Population Attributable Fraction ◽  
Cardiovascular Prevention ◽  
Heart Association ◽  
Obesity Paradox ◽  
Physically Active ◽  
All Cause Mortality

Abstract Background and Aims A healthy lifestyle promotes cardiovascular health and reduces cardiac-related mortality in the general population, but its benefits in patients treated with hemodialysis are uncertain. The aim of this study was to evaluate the association of a modified American Heart Association (AHA) healthy lifestyle score, and its individual components, with all-cause and cardiovascular mortality in a large multinational cohort of patients treated with long-term hemodialysis. Method Based on the AHA’s recommendations for cardiovascular prevention, a modified healthy lifestyle score was derived from non-smoking, being physically active, higher body mass index (BMI, obesity paradox of higher BMI being protective of death in dialysis patients), healthy diet, and well-controlled systolic blood pressure for participants in the DIET-HD study, a multinational cohort study of adults on hemodialysis. Hazard ratios (aHR) were estimated to evaluate the association between the healthy lifestyle score [low (0 -3 points) as the referent, medium (4-6), and high (7-10)] and cardiovascular and all-cause mortality by using cox model. Results 5483 out of 9757 (56%) patients with complete lifestyle data were followed for a median of 3.8 years (17450.9 person-years). There were 2,163 deaths, of which 826 cardiovascular-related. Compared with patients with a low lifestyle score (963, 18%), the aHRs (95%CI) for all-cause mortality among those with medium (3,621, 66%) and high (899, 16%) were 0.70 (0.63-0.78) and 0.57 (0.49-0.66), respectively. Cardiovascular death was 17% [aHR, 0.83 (0.68-0.99] and 30% (0.70, 0.55-0.90) lower in patients with medium and high lifestyle score, respectively. Results were consistent in stratified or complete-case analyses, and after excluding early deaths. Risk reductions were largely driven by being a non-smoker, physically active and having a higher BMI. 20% of deaths were attributed to a medium/low lifestyle score (population attributable fraction; 95% CI 12-28%). Conclusion A healthier lifestyle, especially non-smoking, regular physical activity, and a higher BMI, is dose-dependently associated with lower all-cause and cardiovascular mortality in hemodialysis patients.

scholarly journals FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN TEKANAN DARAH TINGGI PADA USIA PRODUKTIF DI KELURAHAN PILANGBANGO

2020 ◽  
Vol 7 (4) ◽  
pp. 178
Author(s):  
Agnes Candra Febrianita ◽  
Avicena Sakufa Marsanti ◽  
Retno Widiarini
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Family History ◽  
High Blood Pressure ◽  
Healthy Lifestyle ◽  
Communicable Disease ◽  
Chi Square ◽  
Chi Square Test ◽  
Non Communicable Disease

ABSTRAK Tekanan darah tinggi merupakan salah satu penyakit tidak menular yang menjadi penyebab kematian global dan diperkirakan telah meyebabkan 9,4 juta kematian. Prevalensi penyakit tekanan darah tinggi di Indonesia sering meningkat. Pada tahun 2018 prevalensi penyakit tekanan darah tinggi di Indonesia sebesar 34,1%. Tujuan penelitian ini adalah untuk membuktikan faktor-faktor risiko yang berpengaruh terhadap kejadian tekanan darah tinggi pada usia produktif dan mengukur besarnya pengaruh faktor risiko. Metode penelitian ini dengan menggunakan metode Case Control dengan jumlah sampel dalam penelitian ini adalah 102 orang dengan 51 kasus dan 51 kontrol. Data penelitian diperoleh melalui kuesioner dan observasi. Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan ada hubungan antara jenis kelamin (OR 3,484; 95% CI 1,522-7,972) riwayat keluarga (OR 9,840 ; 95% CI 3,934-24,616), indeks massa tubuh (OR 3,380; 95% CI 1,447-7,897), dan aktivitas fisik OR 3,720 ; 95% CI 1,632-8,479) dengan kejadian tekanan darah tinggi pada usia produktif di Kelurahan Pilangbango. Dari hasil penelitian tersebut faktor yang menjadi penyebab tekanan darah tinggi pada usia produktif di Kelurahan Pilangbango yaitu jenis kelamin, IMT, aktivitas fisik dan riwayat keluarga. Berdasarkan faktor risiko tersebut, diharapkan masyarakat usia produktif yang berada di kelurahan Pilangbango menerapakan gaya hidup sehat dan rutin memeriksakan tekanan darah ke fasilitas terdekat.ABSTRACTHigh blood pressure is a non-communicable disease that causes global death and is estimated to have caused 9.4 million deaths. The prevalence of high blood pressure in Indonesia often increases. In 2018 the prevalence of high blood pressure in Indonesia is 34.1%. The purpose of this study is to prove the risk factors that influence the incidence of high blood pressure in the productive age and measure the magnitude of the influence of risk factors. The type of this research is using Case Conrol method  with the number of samples in this study were 102 people with 51 cases and 51 controls. Research data was obtained through questionnaires and observations. Data analysis used Chi-Square test. The results showed that there was a relationship between gender (OR 3,484; 95% CI 1,522-7,972) family history (OR 9,840; 95% CI 3,934-24,616), body mass index (OR) OR 3,380; 95% CI 1,447-7,897), and physical activity OR 3,720; 95% CI 1,632-8,479) with the incidence of high blood pressure in the productive age in Pilangbango Village. From the results of the study, the factors that cause high blood pressure at productive age in Pilangbango Village are gender, BMI, physical activity and family history. From this risk factors, it is expect that people in Pilangbango Village adopt a healthy lifestyle and routinely check their blood pressure to the nearest facility.Kata Kunci: Tekanan Darah tinggi, Usia Produktif, Kelurahan Pilangbango

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