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  Česky / Czech version Hygiena, 48, 2003, No. 3, p. 153 - 162
 
Modifying Risk Factors in Prevention of Cardiovascular Disease 
Hromadová D. 

Okresní nemocnice, Vsetín,ředitel MUDr. Martin Metelka
 


Summary:

       The presented work was dealing with the chosen modifying risk factors of cardiovascular diseases and with discovering the influence of non-pharmacological intervention on changes of these factors. This work trended to find the influence of non-pharmacological intervention founded on the aimed individual counselling supposing to the change of dietary habits and to increase the physical activity in the group of healthy adults – women with the level of the tota L-cholesterol repeatedly > 5.45 mmol/l, with the level of triglycerids repeatedly > 2.3 mmol/l and the value of blood pressure 140/90 mm Hg and more. The substance of this work was the whole primarily prophylactic check-up and the following interventionof thewomeninVsetín regionbythemethodsof primary prophylaxis in the group of women with the proved low risk of the development of cardiovascular disease and by the methods of secondary prophylaxis in the group of people with the high risk of cardiovascular diseases who were resistent to non-pharmacological intervention. The aimed group was formed by 144 above – average motivated women with high sense of responsibility and interest in their health. The treatment itself included the detailed anamnesis and questionnaire valuation of the lifestyle factors by the special complex of questionnaires and by clinic measurement of chosen indices. The intervention trended to the improvement of dietary habits and to the increase of recreation sporting activity. The statistics was in the calculation of differences among the values measured at entry, control and output check-ups in the annual intervals. The finding differences were evaluated by pair t-test and significantly expressed by 95% interval of reliability. If comparing values at the beginning and after 2 years at the rate of individual parameters we have found statistically outstanding differences p < 0.01 (Wilcoxon’s test).

        Key words: risk factors – cardiovascular diseases
       

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