Tomek-Roksandić Spomenka, Tomasović Mrcela Nada, Kovacić Luka, Sostar Zvonimir
Centar za gerontologiju, Zavod za javno zdravstvo Dr. Andrija Stampar, Referentni centar Ministarstva zdravstva i socijalne skrbi Hrvatske za zastitu zdravlja starijih osoba, Zagreb, Hrvtska.
Acta Med Croatica. 2010 May;64(2):151-7.
The measures of primary prevention of cardiovascular disease are focused on lifestyle modifications in order to reduce the incidence of hypertension. Hypertension is a preventable risk factor for the development of cardiovascular disease, which is the leading cause of mortality in the elderly in Croatia.
The aim of this paper is to present the share of circulatory system diseases in total hospitalization rate of the elderly. The aim is also to propose preventive public health interventions for elderly population to modify their dietary habits considering salt intake.
Gerontology analysis of the hospitalization rate includes data on geriatric patients from the City of Zagreb and Croatia as a whole for 2007, according to disease groups and prevalence. Databases of the National Institute of Public Health and Department of Gerontology, Dr. Andrija Stampar Institute of Public Health served as the source of data.
Salt reduction is considered as an efficient and widely applicable measure of lifestyle modification as a non-pharmacological intervention for hypertension in the elderly. The introduction of legal provisions on dietary standards for the elderly is proposed for implementation of appropriate and preventive diet for this population group.
Comparison of the rate of hospitalization of geriatric patients according to groups of diseases in the Zagreb area and Croatia in 2007 revealed the group of circulatory system diseases to be the leading cause of geriatric hospitalizations at the national level. Steering the health care planning and large-scale implementation of the program of preventive measures for the elderly with emphasis on salt intake reduction to up to 5 grams per day could reduce the prevalence of hypertension in elderly population and consecutively lower the incidence of their consequences.
心血管疾病的一级预防措施侧重于生活方式的改变,以降低高血压的发病率。高血压是心血管疾病发展的一个可预防的风险因素,而心血管疾病是克罗地亚老年人死亡的主要原因。
本文的目的是呈现循环系统疾病在老年人总住院率中所占的比例。目的还在于针对老年人群体,就其盐摄入量提出预防性公共卫生干预措施,以改变他们的饮食习惯。
住院率的老年医学分析包括2007年来自萨格勒布市和整个克罗地亚的老年患者数据,按疾病组和患病率进行统计。国家公共卫生研究所和老年医学部(安德里亚·斯坦帕尔公共卫生研究所)的数据库作为数据来源。
减少盐摄入被视为一种有效且广泛适用的生活方式改变措施,作为老年人高血压的非药物干预手段。建议引入针对老年人饮食标准的法律规定,以便为该人群实施适当的预防性饮食。
对2007年萨格勒布地区和克罗地亚老年患者按疾病组划分的住院率进行比较后发现,循环系统疾病组是全国范围内老年住院的主要原因。指导医疗保健规划并大规模实施针对老年人的预防措施计划,重点是将盐摄入量减少至每天5克,这可以降低老年人群体中高血压的患病率,并继而降低其后果的发生率。