Saratov JOURNAL of Medical and Scientific Research

Medico-social performance of health centers to identify risk factors for major chronic non-communicable diseases

Year: 2019, volume 15 Issue: №1 Pages: 77-82
Heading: Health Service Organization Article type: Original article
Authors: Krasnikova N.V., Shemetova G.N., Kazban O.G., Кап А.О., Savinov T.Kh.

Objective: to study the frequency of occurrence of risk factors for cardiovascular disease among the working population of Saratov and to analyze the effectiveness of measures to promote a healthy lifestyle in the district health Center. Material and methods. The study was conducted on the basis of thehealth Center of the Saratov city polyclinic №17. For 2013-2017 surveyed 50301 patient of working age. The plan of the survey included the collection of anamnesis to identify risk factors for cardiovascular disease, physical examination with the implementation of anthropometry (determination of growth, calculation of body mass index), measurement of blood pressure, determination of total cholesterol and glucose in capillary blood. The total risk of fatal cardiovascular complications was assessed on the SCORE scale. Portable peripheral Doppler analyzer Smart Dop 30 EX with automatic measurement of systolic blood pressure and calculation of ankle-brachial index was used for angiological screening. Results: The most common risk factors were poor nutrition and physical activity, hypercholesterolemia, hyperglycemia, overweight and obesity. A decrease in the number of smokers since 2013 by more than 1.5 times: from 12.9 to 7.5%. The incidence of hypertension increased from 29.1 to 41.7%. Conclusion. It was found that more than 70% of patients who applied had risk factors for major chronic noncommunicable diseases. Overweight and obesity, irrational nutrition, low physical activity were detected in more than 50% of cases; hypercholesterolemia was determined in 45% of cases, hyperglycemia in 25%. Over the past 5 years, the incidence of hypertension among patients of working age has increased, primarily due to improved detection. It is important to carry out preventive programs, starting with students and young people, to inform citizens and motivate them to lead a healthy lifestyle.

Keywords: -

1 Starodubov VI, Nikolaev DV, Korostyleva KA. About the quality of preventive screening data in health centers and the way to increase the effectiveness of budget expenditures. Analytical Bulletin 2015; (44): 43
2 Shemetova GN, Krasnikova NV, Gubanova GV, et al. Priorities of preventive work in cardiovascular pathology among people of working age. Saratov, 2011; 216 p.
3 Boytsov SA, Chuchalin AG. Primary and secondary prevention of cardiovascular diseases.
4 Order of the Health Ministry of the Russian Federation No.597n dated August 19, 2009 "On the organization of the health centers activities to promote a healthy lifestyle among citizens of the Russian Federation, including reducing alcohol and tobacco consumption". Moscow, 2009
5 Healthcare of Russia. Moscow, 2017; 21 p. Russian (Здравоохранение России: стат. сб. М., 2017; 21 с.
6 Order of the Health Ministry of the Russian Federation No.152n dated March 16, 2011 "On measures aimed at promoting a healthy lifestyle among citizens of the Russian Federation, including reducing alcohol and tobacco consumption". Moscow, 2011
7 Order of the Health Ministry of the Russian Federation No. 1074n of September 26, 2011 "On Amending the Order of the Ministry of Health and Social Development of the Russian Federation of August 19, 2009 No.597n". Registered in the Ministry of Justice of the Russian Federation on November 17, 2011 Registration No.22330. Moscow, 2011
8 Perova NV, Metelskaya VA, Pokrovskaya MS. New in international systems for determining the total risk of cardiovascular diseases for use in clinical practice Moscow, 2014; 10 p.
9 Muromtseva GA, Kontsevaya AV, Konstantinova VV The prevalence of risk factors for non-communicable diseases in the Russian population in 2012-2013: Results of the ESSE-RF study
10 Boytsov SA, Samorodskaya IV Factors affecting mortality and life expectancy. Analytical Bulletin 2015; (44): 33 Russian

2019_1_077-082.pdf951.35 KB

No votes yet