Cardiovascular public health

12 important questions on Cardiovascular public health

Lalonde health model?

Health care system
Lifestyle
Genetic factors
Physical and social environment

Disadvantage of high risk approach?

Only tackeling beyond a certain threshold. most deaths can be in middle risk group

How to measure health?

prevalence of diseases
Mortality rate
Life expectancy
perceived health
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Strategies to improve public health?

1. Primary prevention - before disease
2. Sec. prevention - Early stage
3. Thirg prevention - treat disease

Seven country study?

CVD. Cholesterol/mortality. Difference between population.

Doetinchem cohort study?

Verloop risicofactoren. Current generation 15 years earlier obese. See what future will bring

Why more chronic disease in future?

Aging of population.

Public health and prevention?

PH targets whole population. Most deaths in middle risk group (bigger). As a doctor no target

Normal range and public health?

Normal values are what is average in society. But depends which community you take.

Life style and CVD?

Extreme different lifestyle (worst/best) -> 40% risk worst.
10 years -> 6% risk

Environmental changes CVD prevention?

- Smoking (decreased)
- Healthy diet (banning trans fatty acids)
- Salt -> hypertension
- Sugar

What type of diseases in future?

less smoke related. More obese related. DM2

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