scholarly journals Heart disease as a permanent problem

2021 ◽  
Vol 10 (2) ◽  
pp. 68-75
Author(s):  
T.V. Mostepan ◽  
O.G. Shekera ◽  
V.V. Horachuk ◽  
M.M. Dolzhenko

Background. Chronic noncommunicable diseases remain actual for a long time due to their impact on life expectancy and health of the world's population. Heart diseases as representatives of chronic non-infectious diseases are extremely actual. They remain the leading cause of disability and premature death for humankind. The purpose of the study: to analyze the incidence and mortality of the population from heart diseases in certain developed countries of the world, European countries, in particular in Ukraine, the risk factors that cause them, and to determine possible directions of preventive and rehabilitation strategies to improve the epidemic situation in Ukraine. Materials and methods. Data from meta-analyzes and systematic reviews from academic databases; data from state and health care statistics; methods: bibliosemantic, comparative, medical and statistical analysis, generalization. Results. It was found that the number of years lived by mankind with disabilities increased by 4.5 % over 10 years due to heart diseases. It is shown that the level of morbidity and mortality is significantly higher in the countries of Central and Eastern Europe, in particular, in Ukraine, in comparison with Sweden, Great Britain, Canada, the USA and Western European countries. It was revealed that the highest levels of mortality caused by risk factors for the population of all these countries and regions are associated with High Blood Pressure, nutrition, High Blood Cholesterol, however, in terms of values, they significantly prevail in the countries of Eastern Europe, in particular, in Ukraine, with an increase over 2009 – 2019 due to High Blood Pressure – from 494.88 to 536.51 per 100 thousand people, nutrition – from 397.29 to 430.66 per 100 thousand people, High Blood Cholesterol – from 345.98 to 373.13 per 100 thousand people. The population and personal strategies for the prevention of heart diseases and rehabilitation of patients depending on the clinical condition in Ukraine have been substantiated. Conclusions. The impact of heart diseases on the population health is constantly increasing. It confirms the permanence of the problem and requires constant attention and effective measures from the governments of countries and health systems.

Author(s):  
Lilian Messias Sampaio Brito ◽  
Luis Paulo Gomes Mascarenhas ◽  
Deise Cristiane Moser ◽  
Ana Cláudia Kapp Titski ◽  
Monica Nunes Lima Cat ◽  
...  

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n6p678 The aim of this study was to investigate the impact of physical activity (PA) and cardiorespiratory fitness (CRF) levels on the prevalence of overweight and high blood pressure levels in adolescents. In this observational, cross-sectional study, 614 boys aged 10-14 years were assessed for height, body mass, body mass index (BMI), waist circumference (WC) and blood pressure (BP). CRF was assessed using a run test (Léger Test) and subjects were then grouped according to their CRF level. PA level was assessed through a questionnaire (The Three Day Physical Activity Recall) and classified into two groups, namely > 300 minutes of PA/week and < 300 minutes of PA/week. Maturational stage was evaluated according to the development of pubic hair (self-assessment) as proposed by Tanner. We used statistical descriptive analysis, univariate and multivariate analyses in the total participants and subjects were divided by age. Fifty percent of the sample performed < 300 minutes of PA/week and 67.6% had unsatisfactory CRF levels. There was a higher prevalence of unsatisfactory CRF levels among subjects with altered BMI (overweight), WC (abdominal obesity) or BP (high blood pressure) for all age groups. PA history, however, did not show any significance. A total of 31% of participants were overweight, 24.8% had abdominal obesity and 15.4% had increased BP. Unsatisfactory CRF levels were found to be a better predictor for the diagnosis of cardiovascular diseases (CV) risk factors than PA history, regardless of age group. 


Author(s):  
Suzanne K Robinson ◽  
Celia J Rodd ◽  
Daniel L Metzger ◽  
Atul K Sharma

Abstract Background We assess the impact of the 2017 American Academy of Pediatrics (AAP) guidelines on the prevalence of high blood pressure (BP) in generally healthy Canadian children and identify risk factors associated with high BP (elevated, stage 1, or stage 2 at a single visit). Methods A cohort of 7,387 children aged 6 to 18 years in the Canadian Health Measures Survey (CHMS, 2007 to 2015) had BPTru oscillometry with centiles and stages assigned using both the 2017 AAP guidelines and the 2004 Fourth Report from the National Institute of Health/National Heart Lung and Blood Institute (NIH/NHLBI). Results Although both shifted upwards significantly, mean population systolic BP and diastolic BP percentiles are now 24.2 (95% confidence interval: 23.3 to 25.2) and 46.4 (45.3 to 47.6). As a result, the population prevalence of high BP increased from 4.5% (3.9 to 5.2, NIH/NHLBI) to 5.8% (5.0 to 6.6, AAP), less than in US children measured by auscultation (14.2%, 13.4 to 15.0). Children with high BP were more likely to be overweight/obese, to be exposed to prenatal/household smoking, and to have hypertriglyceridemia, without differences in dietary salt, infant breastfeeding, neonatal hospitalizations, or exercise frequency. Conclusion The 2017 AAP guidelines increase the prevalence of high BP in Canadian children; Canadian prevalence appears lower than in the USA. This may reflect differences in measurement methods or in the prevalence of childhood overweight/obesity between countries, that is, 31.1% (28.9 to 33.3) versus 40.6% (39.5 to 42.0), respectively. Those with high BP were more likely to have other cardiac risk factors, including overweight/obesity, prenatal/household smoking exposure, and hypertriglyceridemia.


2009 ◽  
Vol 54 (S1) ◽  
pp. 94-99 ◽  
Author(s):  
Amy Z. Fan ◽  
Tara W. Strine ◽  
Shravani Reddy Muppidi ◽  
Kurt J. Greenlund ◽  
Janet B. Croft ◽  
...  

Author(s):  
Tormod Brenn

The 738 oldest men who participated in the first survey of the population-based Tromsø Study (Tromsø 1) in Norway in 1974 have now had the chance to reach the age of 90 years. The men were also invited to subsequent surveys (Tromsø 2–7, 1979–2016) and have been followed up for all-cause deaths. This study sought to investigate what could be learned from how these men have fared. The men were born in 1925–1928 and similar health-related data from questionnaires, physical examination, and blood samples are available for all surveys. Survival curves over various variable strata were applied to evaluate the impact of individual risk factors and combinations of risk factors on all-cause deaths. At the end of 2018, 118 (16.0%) of the men had reached 90 years of age. Smoking in 1974 was the strongest single risk factor associated with survival, with observed percentages of men reaching 90 years being 26.3, 25.7, and 10.8 for never, former, and current smokers, respectively. Significant effects on survival were also found for physical inactivity, low income, being unmarried, high blood pressure, and high cholesterol. For men with 0–4 of these risk factors, the percentages reaching 90 years were 33.3, 24.9, 12.4, 14.4, and 1.5, respectively. Quitting smoking and increasing physical activity before 55 years of age improved survival significantly. Men should refrain from smoking and increase their physical activity, especially those with low income, those who are unmarried, and those with high blood pressure and high cholesterol.


2018 ◽  
Vol 7 (3.3) ◽  
pp. 114 ◽  
Author(s):  
Satyanarayana Nimmala ◽  
Y Ramadevi ◽  
B Ashwin Kumar

Every tissue of human body needs energy and oxygen for its livelihood. In order to supply energy and oxygen, the heart pumps the blood around the body. When heart pushes the blood against the walls of arteries, it creates some pressure inside the arteries, called as blood pressure. If this pressure is more than the certain level we treat it as high blood pressure (HBP). Nowadays HBP is a silent killer of many across the globe. So here we proposed a new data-driven computational model to predict HBP. Blood Pressure (BP) may be elevated because of many changes such as physical and emotional. In the proposed model we have considered AAA++ (age, anger level, anxiety level, obesity (+), blood cholesterol (+)), for experimental analysis. Our model initially calculates the correlation coefficient (CC) between each risk factor and class label attribute. Then based on the impact of each risk factor value and CC, it assigns the corresponding weight to it. Then proposed model uses risk factor value and its weight to predict whether person becomes a victim of HBP or not. We have used real-time data set for experimental analysis. It consists of 1000 records, which are collected from Doctor C, a Medical Diagnostic center, Hyderabad, India. 


2020 ◽  
Vol 3 (1) ◽  
pp. 16-20
Author(s):  
Malika Kamalova ◽  
◽  
Nodir Khaydarov ◽  
Shavka Islamov ◽  

Stroke is the leading cause of death and disability in the world. Statistics from Uzbekistan show that over 60,000 new strokes occur each year. At the same time, more than 160 new cases occur daily in the country. In Tashkent alone, 25-30 cases of stroke occur every day. In Tashkent alone, 25-30 strokes areobserved daily [1,7]. The main risk factors for atherothromboembolic ischemic stroke are, high blood pressure, high blood cholesterol, smoking and diabetes; and the main risk factors for cardiogenic ischemic stroke are atrial fibrillation and coronary heartdisease. Strategies to reduce the frequency of strokes include the prevention of primary and secondary (repeated) stroke, as well as the rehabilitation period of patients. With a qualitative approach, the mortality and disability of patients is reduced


2020 ◽  
Vol 2 (1) ◽  
pp. 14-16
Author(s):  
Malika Kamalova ◽  
◽  
Nodir Khaidarov ◽  

Stroke is the leading cause of death and disability in the world.Statistics from Uzbekistan show that over 60,000 new strokes occur each year. At the same time, more than 160 new cases occur daily in the country. In Tashkent alone, 25-30 cases of stroke occur every day. In Tashkent alone, 25-30 strokes are observed daily [1].The main risk factors for atherothromboembolic ischemic stroke are, high blood pressure, high blood cholesterol, smoking and diabetes; and the main risk factors for cardiogenic ischemic stroke are atrial fibrillation and coronary heart disease.


Author(s):  
Seval H. Akgun ◽  
Rajasekharan K. Nayar

Knowledge about the burden of disease and injury alone is not sufficient for health improvement and for defining and evolving policies and strategies. In many low and middle income countries, the impacts of chronic diseases are increasing gradually each year. Anticipating, understanding and reducing the impact of chronic diseases on human health is of great importance. The aim of this paper was to assess the main risk factors in chronic diseases in a developing country and to identify the effects of individual risk factors on burden of disease by using comparative risk assessment methodology. The first BoD study in 2003 revealed that the high systolic blood pressure was ranked first and the prevention of high systolic blood pressure would prevent 108.468 of 430.459 deaths in Turkey. Smoking was at the second rank and prevention of smoking would prevent 54.699 deaths while control of cholesterol level within the normal limits would prevent 49.029 deaths. It is also indicated that adequate levels of physical activity would prevent 45.120 deaths and that consumption of the recommended amount of fruits and vegetables would prevent 38.734 deaths. In the 2013 study, smoking ranked first, followed by nutritional risks at the second rank followed by high BMI, high blood pressure and high sugar level respectively. Smoking, high blood pressure, obesity and tobacco use are the most important problems among the preventable deaths and disability in Turkey. It can be concluded that Turkey now resembles the pattern seen in developed countries and some developing countries with low mortality.  


Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Jaime E Hart ◽  
Jarvis T Chen ◽  
Robin C Puett ◽  
Jeff D Yanosky ◽  
Eric B Rimm ◽  
...  

Introduction: Chronic exposures to particulate matter (PM) have been associated with cardiovascular disease (CVD) morbidity and mortality. We examined the impact of long-term exposures to PM on the risk of incident coronary heart disease (CHD) and stroke among members of the nationwide all-male Health Professionals Follow-Up Study (HPFS) prospective cohort. Methods: HPFS members were followed biennially between 1986-2006 to obtain information on incident disease and to update information on CVD risk factors. Time-varying ambient PM 10 , PM 2.5-10 , and PM 2.5 for the previous 12 months were calculated from monthly predictions at the address level. Multivariate adjusted Cox proportional hazards models were used to estimate [HR (95%CI)] for the association between each fraction of PM and each outcome among 43,371 CVD-free members of the HPFS, adjusting for risk factors and other potential confounders. We also assessed effect modification by region of the country, BMI, smoking status, and comorbidities (hypercholesterolemia, high blood pressure, and diabetes). Sensitivity analyses were conducted restricting the population to men who provided residential (N=15,395), as opposed to work, addresses. Results: The mean (SD) levels of 12-month average PM 10 , PM 2.5-10 , and PM 2.5 were 20.7 (6.2), 8.4 (4.7) and 12.3 (3.4) μg/m 3 . In the full population, there was only modest evidence of increased risks of incident CHD or stroke with increasing PM exposures. Associations with stroke were modified by region, hypercholesterolemia, high blood pressure, and diabetes, with larger effects among those with comorbid conditions and in the Northeast and South. CHD, but not stroke, dose-responses were stronger among those who provided residential as opposed to work addresses; each 10 μg/m 3 increase, was associated with increases in overall CHD [1.10 (95%CI: 1.01-1.20), 1.09 (0.97-1.23), and 1.14 (0.98-1.32) for PM 10 , PM 2.5-10 , and PM 2.5 , respectively]. Conclusions: In this cohort of US men, PM exposures were only modestly associated with elevated risks of CHD and stroke. Comorbidities and region modified the associations with stroke, and residential ambient exposures were more associated with CHD than work ambient exposure.


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