Correlation between physical activity and the quality of life of older people

Cilj je istraživanja ispitati povezanost tjelesne aktivnosti kvalitete života starijih osoba. Ispitanici su pokretni građani starije životne dobi od 70 do 90 godina (N = 100). Rezultati su dobiveni na temelju ispunjenog Indeksa osobne kvalitete života. Ispitanici su podijeljeni u dvije skupine s obzirom na učestalost bavljenja tjelesnom aktivnošću. U skupinu aktivnih svrstani su oni koje se bave tri ili više puta tjedno nekom od tjelesnih aktivnosti dulje od 30 minuta (N = 56), a u skupinu neaktivnih oni koji nisu tjelesno aktivni (N = 44). Utvrđena je niska, ali značajna pozitivna korelacija učestalosti bavljenja tjelesnom aktivnošću i kvalitete života na domeni zdravlja (r = 0,202; p < 0,05) i kvalitete života na domeni uspješnosti (r = 0,198; p < 0,05). Slijedeći preporuke Svjetske zdravstvene organizacije i rezultate niza istraživanja te dijela rezultata i ovog istraživanja koje ukazuje na znatnu povezanost učestalosti tjelesne aktivnosti i domene zdravlja kvalitete života, stalna tjelesna aktivnost mora biti neizostavna mjera primarne prevencije zaštite zdravlja starijih osoba, iako rezultati ovog istraživanje ne ukazuju na statistički značajnu povezanost tjelesne aktivnosti i ukupne kvalitete života.The aim of the study was to investigate the correlation between the physical activity and quality of life of older people. Respondents were movable, older citizens of 70-90 years (N=100). Results were obtained on the basis of the completed Quality of Life Index. Participans were divided into two groups considering the frequency of physical activities. In the \u27active\u27 group were participants who participated in some sort of physical activity two or three times a week for more than 30 minutes (n=56), and a group of inactive people included participants who were not physically active (n=44). There was a low but significant positive correlation frequency of doing physical activity and quality of life in the domain of health (r=0.202;p<0.05) and quality of life in the domain of perfomance (r=0.198;p<0.05). In keeping with the recommendations of the World health Organization, a number of research results, and the results of this research, which suggests an important connection between the frequency of physical activity and health domain of quality of life, constant physical activity must be an essential measure of primary health prevention of older people, although the results of this study do not indicate a statistically significant correlation between physical activity and overall quality of life

The influence of physical activity on asymptomatic hypertension

Prospektivnom studijom rađenom 2009. godine pokušalo se utvrditi prevalenciju asimptomatske hipertenzije i utjecaj tjelesne aktivnosti na novootkrivene hipertenzije među slučajno odabranim uzorkom pučanstva na području općine Posušje. Ukupno je bilo 2000 spitanika kojima se mjerio arterijski tlak, te su oni ukoliko je tlak bio povišen, razvrstani u tri stupnja: blagu, srednju ili tešku asimptomatsku hipertenziju. Ona je otkrivena u 532 osobe ili 26,6% ispitanih. Statistički značajna razlika uočena je kod ispitanika koji su u svoje slobodno vrijeme bili tjelesno aktivni, jer se kod njih rjeđe dijagnosticirala asimptomatska hipertenzija.The prospective study carried out in 2009 tried to establish the prevalence of asymptomatic hypertension and the influence of physical activity on newly discovered hypertensions among randomly chosen examples of inhabitants in Posušje municipality area. A total of 2,000 examinees had their blood pressure measured, and if high blood pressure was established, they were divided into three groups: low, medium and high asymptomatic hypertension. It was found in 532 people or 26.6% of examinees. A statistically significant difference was seen in examinees that were physically active in their spare time, for asymptomatic hypertension was not diagnosed with these examinees

RISK FACTORS OF ASYMPTOMATIC HYPERTENSION ON THE TERRITORY OF POSUŠJE MUNICIPALITY (BOSNIA AND HERZEGOVINA)

Arterijska hipertenzija je vode i čimbenik rizika smrtnosti. Cilj rada je utvrditi stopu otkrivene asimptomatske hipertenzije me u slučajno odabranim uzorkom pučanstva na podru ju općine Posušje u odnosu na stupanj (blagi, srednji i teški) hipertenzije i u odnosu na čimbenike rizika. Analizirani čimbenici rizika su: konzumacija zasićenih masnih kiselina, alkohola, duhanskih proizvoda i crne kave. Asimptomatska hipertenzija otkrivena je u 532 od ukupno 2000 osoba ili 26,60% ispitanih. U tih je osoba utvrđena statistički značajno veća konzumacija zasićenih masnih kiselina, alkohola, duhanskih proizvoda i crne kave u odnosu na ostale ispitanikeArterial hypertension is the leading mortality risk factor. The aim of the study was to assess the rate of asymptomatic hypertension detected in a randomly selected population sample in Posušje Municipality according to the grade of hypertension (mild, moderate or severe) and risk factors. The following risk factors were analyzed: intake of saturated fatty acids, alcohol, tobacco products and black coffee. Asymptomatic hypertension was detected in 532 of 2000 (26.60%) subjects included in the study. In comparison to the rest of the study sample, these 532 subjects reported a statistically signiicantly higher consumption of saturated fatty acids, alcohol, tobacco products and black coffe

Impact of nutrition on prevention of stroke

Several studies demonstrated the importance of nutrition, beneficial and preventive role of Mediterranean diet in the occurrence of cardiovascular diseases, chronic neurodegenerative diseases and neoplasms, obesity and diabetes. In randomized intervention trials,Mediterranean diet improved endothelial function and significantly reduced waist circumference, plasma glucose, serum insulin and homeostasis model assessment score in metabolic syndrome. Several studies support favorable effects of Mediterranean diet on plasma lipid profile: reduction of total and plasma LDL cholesterol levels, plasma triglyceride levels, and apo-B and VLDL concentrations, and an increase in plasma HDL cholesterol levels. This effect is associated with increased plasma antioxidant capacity, improved endothelial function, reduced insulin resistance, and reduced incidence of the metabolic syndrome. The beneficial impact of fish consumption on the risk of cardiovascular diseases is the result of synergistic effects of nutrients in fish. Fish is considered an excellent source of protein with low saturated fat, nutritious trace elements, long-chain ω-3 polyunsaturated fatty acids (LCn3PUFAs), and vitamins D and B. Fish consumption may be inversely associated with ischemic stroke but not with hemorrhagic stroke because of the potential antiplatelet aggregation property of LCn3PUFAs. Total stroke risk reduction was statistically significant for fish intake once per week, while the risk of strokewas lowered by 31% in individualswho ate fish 5 times or more per week. In the elderly, moderate consumption of tuna/other fish, but not fried fish, was associated with lower prevalence of subclinical infarcts and white matter abnormalities on MRI examination. Dietary intake of ω-3 fatty acids in a moderate-to-high range does not appear to be associated with reduced plaque, but is negatively associated with carotid artery intima-media thickness. Greater adherence to Mediterranean diet is associated with significant reduction in overall mortality, mortality from cardiovascular diseases and stroke, incidence of or mortality from cancer, and incidence of Parkinson’s disease and Alzheimer’s disease and mild cognitive impairment

PERCEPTION OF COMMUNICATION BETWEEN DOCTORS AND PATIENTS - ON-LINE RESEARCH AMONG DOCTORS IN CROATIA

Background: Different studies clearly show that doctor-patient relationship and communication are extremely important. They have a big influence on the outcome of medical treatment, but also on the cooperability, quality of life, safety of patients, teamwork, cultural sensitivity and fewer complaints to the doctor’s work. In this paper, we present results of our original research about attitudes of doctors and their perception related to the importance of communication between doctors and patients and personcentered approach. Subjects and methods: This cross-sectional study used a 28 items on-line survey to collect data from doctors in the period from 29 September 2015 till 23 November 2015 by using the Google forms. Total of 939 doctors from the entire Croatia responded. Results: Main results of the study suggest that doctors are aware of the importance of communication between doctors and patients and that education about communication skills was not appropriate during their study. Doctors have undoubtedly expressed their desire for further development and learning about a better communication between doctors and patients and they have showed in this research that they love their job. Conclusion: The research unambiguously speaks in favor of the need of the significant strengthening of this segment within the program of the School of Medicine and support the current changes in the medical curriculum at the School of medicine University of Zagre

RISK FACTORS OF ASYMPTOMATIC HYPERTENSION ON THE TERRITORY OF POSUŠJE MUNICIPALITY (BOSNIA AND HERZEGOVINA)

Arterijska hipertenzija je vode i čimbenik rizika smrtnosti. Cilj rada je utvrditi stopu otkrivene asimptomatske hipertenzije me u slučajno odabranim uzorkom pučanstva na podru ju općine Posušje u odnosu na stupanj (blagi, srednji i teški) hipertenzije i u odnosu na čimbenike rizika. Analizirani čimbenici rizika su: konzumacija zasićenih masnih kiselina, alkohola, duhanskih proizvoda i crne kave. Asimptomatska hipertenzija otkrivena je u 532 od ukupno 2000 osoba ili 26,60% ispitanih. U tih je osoba utvrđena statistički značajno veća konzumacija zasićenih masnih kiselina, alkohola, duhanskih proizvoda i crne kave u odnosu na ostale ispitanikeArterial hypertension is the leading mortality risk factor. The aim of the study was to assess the rate of asymptomatic hypertension detected in a randomly selected population sample in Posušje Municipality according to the grade of hypertension (mild, moderate or severe) and risk factors. The following risk factors were analyzed: intake of saturated fatty acids, alcohol, tobacco products and black coffee. Asymptomatic hypertension was detected in 532 of 2000 (26.60%) subjects included in the study. In comparison to the rest of the study sample, these 532 subjects reported a statistically signiicantly higher consumption of saturated fatty acids, alcohol, tobacco products and black coffe

PERCEPTION OF COMMUNICATION BETWEEN DOCTORS AND PATIENTS - ON-LINE RESEARCH AMONG DOCTORS IN CROATIA

Background: Different studies clearly show that doctor-patient relationship and communication are extremely important. They have a big influence on the outcome of medical treatment, but also on the cooperability, quality of life, safety of patients, teamwork, cultural sensitivity and fewer complaints to the doctor’s work. In this paper, we present results of our original research about attitudes of doctors and their perception related to the importance of communication between doctors and patients and personcentered approach. Subjects and methods: This cross-sectional study used a 28 items on-line survey to collect data from doctors in the period from 29 September 2015 till 23 November 2015 by using the Google forms. Total of 939 doctors from the entire Croatia responded. Results: Main results of the study suggest that doctors are aware of the importance of communication between doctors and patients and that education about communication skills was not appropriate during their study. Doctors have undoubtedly expressed their desire for further development and learning about a better communication between doctors and patients and they have showed in this research that they love their job. Conclusion: The research unambiguously speaks in favor of the need of the significant strengthening of this segment within the program of the School of Medicine and support the current changes in the medical curriculum at the School of medicine University of Zagre

Counseling on Cardiovascular Behavioral Risk Factors within the Healthcare System: the CroHort Study

Eliminating four behavioral risk factors (tobacco use, physical inactivity, unhealthy diet and harmful use of alcohol) could contribute to a decrease of up to 80% in burden of non-communicable diseases, including cardiovascular diseases. Primary healthcare providers have a unique position within the healthcare system, which allows them to actively contribute to the prevention of cardiovascular behavioral risk factors (CVBRFs) by providing individual counseling. The aim of this article is to show the change in frequency and the effects of counseling on CVBRFs by healthcare providers between two periods: up until 2003 and between 2003 and 2008. Results, obtained within the CroHort study, show a low frequency and undesired effects of counseling within the healthcare system in both studied periods. This points to a lack of consistency with which the healthcare system tackles prevention of behavioral risk factors for cardiovascular diseases

ASYMPTOMATIC HYPERTENSION IN URBAN AND RURAL POPULATION OF THE POSUŠJE COMMUNITY, BOSNIA & HERZEGOVINA

Cilj rada je utvrditi prevalenciju novootkrivene asimptomatske hipertenzije u slučajno odabranom uzorku pučanstva gradske i seoske regije na području općine Posušje te postoji li razlika između stanovnika gradskog i seoskog područja s obzirom na spol i dob. Istraživanje je provođeno na 2000 ispitanika kojima se mjerio krvni tlak. Povišeni krvni tlak otkriven je u 532 osobe (26,60 % ispitanih), prema visini kojeg su ispitanici razvrstani u tri stupnja hipertenzije: blaga, srednja i teška hipertenzija. Ispitivanje je pokazalo da nema statistički značajnih razlika u spolu i dobnim skupinama prema stupnjevima asimptomatske hipertenzije, te između gradske i seoske populacije općine Posušje.The aim of the study was to determine the prevalence of newly detected asymptomatic hypertension in a random sample of urban and rural population of the Posušje community, and to assess the possible age and sex differences between these two population groups. The study included 2000 subjects that underwent blood pressure measurement. Elevated blood pressure was detected in 532 (26.60%) subjects that were divided into three groups according to the level of hypertension: mild, moderate and severe hypertension. Study results showed that there were no statistically significant age or sex differences according to the levels of asymptomatic hypertension, or between the urban and rural populations of the Posušje community