In 2022 hypertensive disease was the second cause of death in Croatia. The crude prevalence of hypertension is increasing and still majority of hypertensive patients did not reach blood pressure and ...cholesterol goals Low awareness, and small number of treated and controlled patients point on poor adherence and even worse clinical inertia.PURPOSEIn 2022 hypertensive disease was the second cause of death in Croatia. The crude prevalence of hypertension is increasing and still majority of hypertensive patients did not reach blood pressure and cholesterol goals Low awareness, and small number of treated and controlled patients point on poor adherence and even worse clinical inertia.Croatian Hypertension League (CHL) has started the permanent public health action Hunting the Silent Killer aiming to increase health literacy. In 2023 we decided to intensify program with two missions - '70/26', and 'Do you know what is your number?' aiming to achieve target values in 70% and in 50% of patients treated for hypertension and dyslipidaemia, respectively, by 2026. For the health care workers, the program will primarily involve digital education, and 'School of Communication in Hypertension'. In the second arm of the program, we will advise patients and general population to visit our educational website with important and useful information on how to improve bad lifestyle, how to proper measure blood pressure, why is it important to sustain in taking drugs etc. In 2026, the CHL will organise field research to assess the success of programs using the same methodology as we used in previous EH-UH studies.MATERIALS AND METHODSCroatian Hypertension League (CHL) has started the permanent public health action Hunting the Silent Killer aiming to increase health literacy. In 2023 we decided to intensify program with two missions - '70/26', and 'Do you know what is your number?' aiming to achieve target values in 70% and in 50% of patients treated for hypertension and dyslipidaemia, respectively, by 2026. For the health care workers, the program will primarily involve digital education, and 'School of Communication in Hypertension'. In the second arm of the program, we will advise patients and general population to visit our educational website with important and useful information on how to improve bad lifestyle, how to proper measure blood pressure, why is it important to sustain in taking drugs etc. In 2026, the CHL will organise field research to assess the success of programs using the same methodology as we used in previous EH-UH studies.We will monitor and analyse trends in the management and control of patients treated for hypertension and dyslipidaemia. This will enable us to make an evidence-based conclusion how successful we were in increasing health literacy.CONCLUSIONWe will monitor and analyse trends in the management and control of patients treated for hypertension and dyslipidaemia. This will enable us to make an evidence-based conclusion how successful we were in increasing health literacy.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
The World Health Organization recommends adjusting salt intake as a part of the nine global targets to reduce premature mortality from non-communicable chronic diseases as a priority and the most ...cost-effective intervention. In 2006, the main aim of the Croatian Action on Salt and Health was to decrease salt intake by 16% because of its critical intake and consequences on human health. We have organized educative activities to increase awareness on salt harmfulness, define food categories of prime interest, collaborate with industries and determine salt intake (24 h urine sodium excretion). It was determined that the proportion of salt in ready-to-eat baked bread should not exceed 1.4%. In the period 2014-2022, salt in semi-white bread was reduced by 14%, 22% in bakery and 25% in the largest meat industry. Awareness of the harmfulness of salt on health increased from 65.3% in 2008 to 96.9% in 2023 and salt intake was reduced by 15.9-1.8 g/day (22.8% men, 11.7% women). In the last 18 years, a significant decrease in salt intake was achieved in Croatia, awareness of its harmfulness increased, collaboration with the food industry was established and regulatory documents were launched. However, salt intake is still very high, underlying the need for continuation of efforts and even stronger activities.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
6.
Čeka li nas epidemija moždanog udara? Kralj, Verica; Čukelj, Petra
Medicus (Zagreb, Croatia : 1992),
05/2022, Letnik:
31, Številka:
1 Moždani udar
Journal Article
Recenzirano
Odprti dostop
Moždani udar je drugi vodeći uzrok smrtnosti i na razini svijeta i u Hrvatskoj. U najrazvijenijim zemljama posljednjih desetljeća zabilježeno je značajno smanjenje smrtnosti od moždanog udara ...zahvaljujući boljoj prevenciji, dijagnostici i liječenju. I u Hrvatskoj je zadnjih 15-ak godina prisutan trend smanjenja smrtnosti od moždanog udara. Istovremeno se bilježi veća prevalencija osoba s preživjelim moždanim udarom zahvaljujući boljoj zdravstvenoj skrbi i boljem preživljenju bolesnika. Godine 2020. svijet je pogodila pandemija bolesti COVID-19, uzrokovana SARS-CoV-2 virusom, te postala fokusom cjelokupne svjetske zdravstvene i znanstvene zajednice, kao i svekolike javnosti. Pandemija je promijenila funkcioniranje praktički svih segmenata društva, a osobito zdravstvenog sustava, zbog reorganizacije i preraspodjele zdravstvenih resursa usmjerenih na suzbijanje bolesti COVID-19. Danas znamo kako starije osobe i osobe s kroničnim bolestima imaju veći rizik za nastanak težih kliničkih slika bolesti COVID-19 i povećan letalitet, a COVID-19 infekcija može povećati rizik za nastanak moždanog udara. Unatoč ovim povećanim rizicima u mnogim zemljama zapažen je manji broj liječenih bolesnika od moždanog udara, što može rezultirati neliječenim moždanim udarom, dugoročnim komplikacijama, invalidnošću, ali i mogućnosti porasta smrtnosti. Procjene studija provođenih prije pandemije predviđale su porast opterećenja moždanim udarom sljedećih 30 godina u većini zemalja. Dodajući tome i nepovoljan utjecaj COVID-19 pandemije, sigurno će moždani udar biti bolest od ogromnoga javnog zdravstvenog značaja u 21. stoljeću. Poznato je da je u većini slučajeva moždani udar moguće prevenirati, stoga postoji potreba za sveobuhvatnom strategijom suzbijanja te bolesti, od prevencije, liječenja, rehabilitacije, organizacije zdravstvene skrbi, epidemiološkog praćenja s epidemiološkim pokazateljima i pokazateljima kvalitete zdravstvene skrbi.
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