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[心血管筛查]

[Cardiovascular screening].

作者信息

Pellizzari Barbara, Siddu Andrea, Ferro Antonio, Colonna Manuela, Mantovani William, Valsecchi Massimo, Marensi Lorenzo, Moro Alessandro, Brusaferro Silvio, Cinquetti Sandro

机构信息

Coordinamento regionale per la prevenzione e il controllo delle malattie (CCMR-Veneto).

出版信息

Epidemiol Prev. 2014 Nov-Dec;38(6 Suppl 2):73-7.

PMID:25759348
Abstract

OBJECTIVE

To evaluate, through active call, lifestyles of an asymptomatic population in order to identify hyperglycaemic subjects and/or high-blood pressure sufferers to dispatch to their GP to perform suitable checking, and subjects to invite to a cardiovascular disease prevention programme because of their lifestyles.

SETTING AND PARTICIPANTS

Between April 2011 and March 2013, all healthy residents in 6 Local Health Authorities of Regione Veneto aged 45-59 years were invited to join a cardiovascular disease prevention programme.

DESIGN

All participants were evaluated through an administered lifestyle questionnaire. Parameters such as blood pressure (BP), glycemia, waist circumference and body mass index were collected and recorded. Participants also received counseling, informational materials on lifestyle and were invited to individual or group health promotion initiatives in relation to personal risk factors.

RESULTS

Among the invited, 60.84%(10,346/17,004) adhered. Subjects without risks factors were 23.95%. Subjects with lifestyle risk factors but normal BP and glycemia were 56.59%, while those with altered values for BP and glycemia were 13.9%. The 5.55% of the respondents was not eligible for the study.

CONCLUSIONS

The results confirmthat a preventive programme based on the citizens active call by the Department of prevention could be an effective tool to identify asymptomatic individuals with unknown hypertension and/or hyperglycaemia and to offer lifestyle interventions to lower the risk of cardiovascular diseases. Since the results were positive, the the Regional Veneto Centre for Disease Prevention and Control (CCMR - Veneto) presented a similar project to the Ministry of Health, involving 12 Italian Regions.

摘要

目的

通过主动电话访问评估无症状人群的生活方式,以识别血糖升高的受试者和/或高血压患者,将其转介给他们的家庭医生进行适当检查,并因生活方式因素邀请受试者参加心血管疾病预防计划。

背景与参与者

2011年4月至2013年3月期间,邀请了威尼托大区6个地方卫生当局中所有年龄在45 - 59岁的健康居民参加心血管疾病预防计划。

设计

通过发放生活方式问卷对所有参与者进行评估。收集并记录血压(BP)、血糖、腰围和体重指数等参数。参与者还接受了咨询、关于生活方式的信息材料,并被邀请参加与个人风险因素相关的个人或团体健康促进活动。

结果

在受邀者中,60.84%(10346/17004)参与。无风险因素的受试者占23.95%。有生活方式风险因素但血压和血糖正常的受试者占56.59%,而血压和血糖值异常的受试者占13.9%。5.55%的受访者不符合研究条件。

结论

结果证实,由预防部门主动联系公民开展的预防计划可能是识别患有未知高血压和/或高血糖的无症状个体,并提供生活方式干预以降低心血管疾病风险的有效工具。由于结果是积极的,威尼托大区疾病预防与控制中心(CCMR - 威尼托)向卫生部提交了一个类似项目,涉及意大利的12个大区。

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