Background
To compare the effectiveness between conventional (face-to-face) and online public health approaches focused on mental health, self-efficacy of health management and quality of life of ...older adults.
Design and methods
Participants will be 65+ residents of the city of Rijeka and the wider urban area and will be divided into three groups. The first group consists of participants who will be included in the conventional (face-to-face) form of public health intervention, the second group consists of participants who will be involved in online public health intervention and the third group consists of participants from the control group. A total of 450 participants will participate in a pretest-posttest non-equivalent groups design research, with 150 participants per group. A series of questionnaires will be administered to evaluate effect of the interventions on mental health, self-efficacy of health management and quality of life. Results of this research will provide insight into the effectiveness of the electronic way of implementing chronic disease self-management interventions compared to conventional (face-to-face) which can be useful to policy makers and public authorities in the organization and implementation of health policies.
Expected impact of the study for public health: This research will contribute to the definition, implementation and adaptation of future public health interventions related to mental health, selfefficacy of health management and quality of life in the context of various epidemiological situations such as the current one caused by the COVID-19 pandemic.
Overview of Iodine Intake Vasiljev, Vanja; Subotić, Alen; Marinović Glavić, Mihaela ...
Southeastern European medical journal (Online),
04/2022, Letnik:
6, Številka:
1
Journal Article
Recenzirano
Odprti dostop
Iodine is an essential element for human health. Food is the primary source of iodine, but the iodine content of local foods depends on the iodine content of the soil. Therefore, a low iodine ...concentration in soil and water results in plants and animals with low iodine content. Numerous effects of iodine deficiency on growth and development are known as iodine deficiency disorders. Iodine deficiency has been identified as the most common cause of brain damage in the world and is linked to its effects on infant and child growth and development. Supplementation of table salt with iodine was introduced in the 20th century. Croatia was one of the first countries to introduce the supplementation of table salt with potassium iodide at a concentration of 10 mg/kg in 1953 and 25 mg/kg in 1993. In 2003, the Croatian population reached iodine sufficiency, but given the excessive salt intake (11.6 g/day) and additional sources of iodine in the diet, the question arises, are we consuming too much iodine? This article gives a short overview of iodine intake.
Aim: Falling can have serious consequences for older persons, but fear of falling is also a current problem. The aim of the study is to assess the incidence of falls and fear of falling among older ...adults, as well as to study the connection of falls and fear of falling with functional ability, body mass index (BMI) and age.Methods: The participants of this study are older persons ( > 60 years) who live in the city of Rijeka, are mobile and have no symptoms of dementia. The relationship between falls, fear of falling, body mass index (BMI) and functional ability was measured using various indicators. Assessment of physical functioning and pain relief was made using the COOP/WONCA questionnaire. Falls and fear of falling were assessed using questions with different response options.Results: The results of the study showed that participants who reported experiencing fear of falling (FoF) had a higher BMI (p = 0.018) and did not feel physically healthy (70%). Participants who lived with a partner reported experiencing FoF at a lower rate (36.4%). The most frequently reported functional problems were visual problems (46.2%) and walking difficulties (40.0%).Conclusions: A large percentage of older persons struggle with the effects of aging, which include various health problems that can increase the risk of falling and FoF. Prescription of physical activity and engaging in it could improve functional ability and have an important effect on healthy aging. This could be the starting point from which key stakeholders can plan different types of public health interventions, prescribing physical activity to maintain functional ability that enables well-being in old age.
Cardiovascular diseases, which are the leading cause of death in Croatia, are linked to the high prevalence of hypertension. Both are associated with high salt intake, which was determined almost two ...decades ago when Croatian Action on Salt and Health (CRASH) was launched. The main objective of the present study was to evaluate salt, potassium, and iodine intake using a single 24 h urine sample in a random sample of the adult Croatian population and to analyse trends in salt consumption after the CRASH was intensively started. Methods: In this study, we analysed data on 1067 adult participants (mean age 57.12 (SD 13.9), men 35%). Results: Mean salt and potassium intakes were 8.6 g/day (IQR 6.2–11.2) and 2.8 g/day (IQR 2.1–3.5), respectively, with a sodium-to-potassium ratio of 2.6 (IQR 1.8–3.3). We detected a decrease of 17.6% (2 g/day less) in salt consumption compared with our previous salt-mapping study. However, only 13.7% and 8.9% met the WHO salt and potassium recommended targets of 5 g/day and 3.5 g/day, respectively. Salt intake was higher, and potassium ingestion was lower, in rural vs. urban regions and in continental vs. Mediterranean parts of Croatia. Moderate to severe iodine insufficiency was determined in only 3% of the adult participants. Conclusion: In the last fifteen years, salt consumption has been significantly reduced in the Croatian adult population because of the intensive and broad CRASH program. However, salt intake is still too high, and potassium ingestion is too low. Salt reduction programs are the most cost-effective methods of cardiovascular disease prevention and merit greater consideration by the government and health policy makers.
Opće je prihvaćeno da je prekomjeran unos kuhinjske soli glavna odrednica koja pridonosi povećanju hipertenzije u populaciji, no veliki izazov predstavlja procjena dnevnog unosa kuhinjske soli. ...Prilikom određivanja dnevnog unosa soli koristi se „zlatni standard”, odnosno procjenjuje se unos kuhinjske soli u organizam iz 24–satnog urina. Metoda 24– satnog prikupljanja urina nerijetko opterećuje pojedince uključene u istraživanja, što dovodi do nepotpunih podataka i posljedično do isključivanja ispitanika iz istraživanja te se kao alternativa koristi analiza tzv. slučajnog uzorka urina. Iako je u člancima, analiziranim u ovom radu, predloženo nekoliko prediktivnih jednadžbi, rezultati sugeriraju da se vrijednosti natrija iz prediktivnih jednadžbi značajno razlikuju od izmjerenih 24–satnih vrijednosti te pouzdanost navedenih jednadžbi nije zadovoljavajuća. Zaključno, s obzirom na kontinuiran porast prevalencije kardiovaskularnih oboljenja, sve je veća potreba razvijanja adekvatne metode procjene 24–satnog urina u svrhu procjene dnevnog unosa kuhinjske soli u populaciji.
Uvod: Kvaliteta života osoba starije životne dobi, iako povezana s tjelesnim zdravljem i funkcioniranjem, ne mora izravno ovisiti o zdravstvenom stanju pojedinca i zato novija istraživanja procesa ...starenja naglašavaju pojam subjektivnog zdravlja. Cilj je ovog rada utvrditi kvalitetu života i samoprocjenu zdravlja osoba starijih od 75 godina na području gradova Rijeke i Rovinja.
Ispitanici i metode: Za potrebe istraživanja ispitano je 305 starijih osoba (184 žene i 121 muškarac) iz Rijeke (156) i Rovinja (149). Kao instrument je primijenjen anketni upitnik namijenjen istraživanjima koja se provode u okviru europskog projekta UHCE (Urban Health Centre Europe) za aktivno i zdravo starenje u gradu Rijeci.
Rezultati: Osobe starije od 75 godina na području Rijeke i Rovinja uglavnom su zadovoljne kvalitetom života te fizičke i emocionalne tegobe karakteristične za stariju dob ne ograničavaju njihovo svakodnevno ponašanje, socijalne aktivnosti i ne utječu na njihovo psihičko zdravlje.
Zaključak: Istraživanjem je utvrđeno da je kvaliteta života ispitanika zadovoljavajuća, no nedostaje im socijalne podrške, odnosno ljudi kojima mogu vjerovati i s kojima se osjećaju bliskima. Njihovo subjektivno zdravlje uglavnom je zadovoljavajuće, kako tjelesno tako i emocionalno, pa je ukupna ocjena kvalitete življenja pozitivna i ne razlikuje se znatno između onih koji žive u Rijeci, kao većoj gradskoj sredini, i Rovinju, kao manjoj urbanoj sredini.
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