Pellizzar B, Cinquett S
Ann Ig. 2014 May-Jun;26(3 Suppl 1):65-71. doi: 10.7416/ai.2014.1999.
The cardiovascular diseases (CVD) are the most cause of death globally, and represent a problem of public health,both in terms of morbidity and disability. The Regional Centre for disease prevention and Control of Veneto Region (CCMR- Veneto) proposed a structured model operating in ways similar to cancer screening: active recall of healthy subjects, offers to intervene in selected subjects. Subjects of both gender aged between 45-59 years, after pre-evaluation/exclusion by the general practitioner, were recalled and evaluated by a trained health assistant using anthropometric measurements, screening blood pressure, fasting blood glucose, and evaluation of lifestyle. 17.000 subjects were invited to the project, with an adhesion of 61%. 56,5% of them present unhealthy lifestyles and normal blood values (lipids, glucose and blood pressure); 14% were detected new hyperglycemic and/or hypertensive and 24% have healthy lifestyles and normal blood values. Regarding to the lifestyles, it results that 31, 3% had a sedentary lifestyles, 20% smokes and 50% is overweight. The subjects with unhealthy lifestyles were invited from health assistant to participate, and counseled them on some initiatives to make changes, and reassessed after 6 months/1 year. The proposed model seems to be a good both because using previously tested structured models, and because it placed up front strategic actions of the Prevention Departments.