Nüssel E
Abt. Klinische Sozialmedizin, Klinikum der Universität Heidelberg.
Zentralbl Hyg Umweltmed. 1991 Mar;191(2-3):333-46.
In industrialized countries life expectancy in the elderly is decreased mainly by degenerative cardiovascular diseases such as myocardial infarction and stroke. Nutrition, especially excessive intake of calories, unbalanced diets as well as abuse of alcohol and nicotine play an important role in cardiovascular mortality and morbidity just as these factors do in the pathogenesis of certain types of cancer. The National Health Survey 1984/86 in the FRG offers data on the prevalence of such risk factors as elevated body weight, elevated blood pressure, hypercholesterolaemia, cigarette smoking and alcohol consumption in different age groups. This knowledge provides the basis of modern primary health care and health education in order to limit diseases caused by unhealthy nutrition. In this respect the countrywide integrated programme for action called "7 against 7" is not just an important part of primary health care carried out by general practitioners but also an effective instrument in the fight against civilization diseases.
在工业化国家,老年人的预期寿命主要因退行性心血管疾病(如心肌梗死和中风)而缩短。营养,尤其是热量摄入过多、饮食不均衡以及酗酒和吸烟,在心血管疾病的死亡率和发病率中起着重要作用,就如同这些因素在某些类型癌症的发病机制中所起的作用一样。1984/86年联邦德国的国民健康调查提供了不同年龄组中诸如体重超标、血压升高、高胆固醇血症、吸烟和饮酒等危险因素的流行数据。这些知识为现代初级卫生保健和健康教育提供了基础,以便限制由不健康营养导致的疾病。在这方面,全国性的综合行动计划“7对7”不仅是全科医生开展的初级卫生保健的重要组成部分,也是对抗文明病的有效手段。