The prevalence of risk factors of сardiovascular diseases in Ukraine
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Abstract
The article reviews the prevalence of cardiovascular diseases (CVD) related risk factors and the level of their control in Ukrainian population on the basis of information from population surveys and State Statistics Service of Ukraine. Factors having major impact on CVD development in Ukraine are hypertension, dyslipidemia, tobacco use, impaired glucose metabolism and type 2 diabetes mellitus, overweight and obesity, unhealthy diet, low level of physical activity and high level of anxiety. In 2015 the prevalence of hypertension in the Ukrainian population amounted to 29735.4 per 100 000, among the working age population – 18521.5 per 100 000, and the total number of smokers reached 6.2 million. Over past decades, some positive trends concerning Ukrainian population awareness of CVD risk factors may be noted. Tobacco use prevalence dropped from 25.6 % to 18.4 % within 2008–2015, there is a better control of hypertension, more physical activity, and more healthy nutrition. Physicians have been identified by The Ukraine national strategy for improving physical activity (2016) as the preferred source of information about physical activity and its impact on the risk of non-communicable diseases. Effective implementation of evidence-based strategies for CVD prevention require state engagement and adequate funding (budgetary allocations) in primary and secondary healthcare.
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Bankovska NV. Hygienic estimation of the actual nutrition of the adult population of Ukraine and scientific substantiation of ways of its optimization: Author's abstract. Dis ... Cand. Sciences К., 2008. Available from: http://librar.org.ua/sections_load.php?s=medicine&id=790&start=9. (in Ukr).
Hakman A, Medvid A, Moseichuk Yu, Muzhychok V. Analysis of the peculiarities of motivational priorities for the recreational and recreational activities of different groups of the population. Physical activity and quality of human life. Collection of Abstracts of the I International Scientific and Practical Conference, June 14-16.Lutsk–Svitiaz, 2017. S.7. (in Ukr).
Horbas IM. Epidemiological and medical and social aspects of arterial hypertension .Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Cardiology Journal] 2010;dod. 1:16–21. (in Ukr).
Horbas IM. Epidemiological situation of cardiovascular diseases in Ukraine: 30-year monitoring [Electronic resource]. Praktycheskaia anhyolohyia [Practical Angiology Journal] 2010;9:10. Available from: http://angiology.com.ua/ ua-issue-article-357. ( in Ukr)
Horbas IM, Smyrnova IP, Vakaliuk IP, Kaidashev IP, Kvasha OO, Sribna OV, Zaremba OV, Zaremba-Fedchyshyn OV. Epidemiological situation with arterial hypertension in the rural population of Ukraine. Liky Ukrainy Journal [Medications of Ukraine] 2013;7:88–91 (in Ukr).
Horbas IM. Dislipidemia: an epidemiological look. Praktychna anhiolohiia [Practical angiology] 2011; 1. Available from : http://angiology.com.ua/article/372.html . (in Ukr)
Horbas IM. Score SCORE in Clinical Practice: Benefits and Limitations. Arteryalnaia hypertenzyia [Arterial hypertension Journal] 2009;2(4). Available from: http://www.mif-ua.com/archive/article_print/8568. (in Ukr)
Horbas IM. The epidemiological situation of cardiovascular diseases in Ukraine: 30-year monitoring. Arteryalnaia hypertenzyia [Arterial hypertension Journal] 2009. Available from : https://angiology.com.ua/ua-issue-article-357 . (in Ukr)
Horbas IM. Risk factors for cardiovascular disease: obesity. Zdorovia Ukrainy [Health of Ukraine] 2009;4/1:66–67. Available from: http://health-ua.com/article/15410-faktori-riziku-sertcevosudinnih-zahvoryuvan-ozhirnnya. (in Ukr)
Horbas IM, Barna OM, Sakalosh VIu. Estimation of prevalence and control of risk factors of cardiovascular diseases among the population and doctors Liky Ukrainy Journal [Medications of Ukraine] 2010;1:4–9. (in Ukr)
Hulych MP, Koblianska AV. WHO Strategy for Preventing and Combating Non-Communicable Diseases: Current Aspects of the CINDI Program Implementation in Ukraine. ENVIRONMENT &HEALTH 2010;2:57–63. (in Ukr)
Hulchii MV, Zamolotova KO, Sokolova LK. Systemic control of glycosylated hemoglobin - a way to improve the treatment and quality of life of people with diabetes. Diabet. Ozhyrinnia. Metabolichnyi syndrom [Diabetes. Adiposity. Metabolic syndrome] 2014;4(ІІІ):91–98 (in Ukr).
Davydenko NV. Dynamics of nutritional and alimentary-dependent risk factors of cardiovascular diseases in the male population according to the data of 25-year monitoring. Problemy kharchuvannia [Nutrition Problems Journal] 2008;1(2):20–27. (in Ukr)
State Statistics Service of Ukraine. Self-assessment by the population of the health status and availability of certain types of medical care in 2015 (according to a sample household survey in October 2015). Kyiv, 2016. Available from: http://ukrstat.gov.ua/druk/publicat/kat_u/2016/zb/03/Zb_snsz15pdf.zip] . (in Ukr)
Report on the situation in the field of non-communicable diseases in the world. 2014. Achieving the nine global NCD targets, shared responsibility. WHO/NMH/NVI/15.1 (in Russ)
Directory of main indicators of activity of the endocrinology service of Ukraine for 2014. Endokrynolohiia. [Journal of Endocrinology] 2015; 1(20):38. (in Ukr)
Drozdova IV , Babets AA, Stepanova LH, Omelnytska LV. Incidence, prevalence and disability due to hypertension: approaches to analysis and prediction. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2017;1:85–93. (in Ukr)
Diachuk DD, Moroz HZ, Hidzynska IM, Kravchenko AM, Lasytsia TS, Dzizinska OO, Vovk KV. Local protocol for medical care for patients with arterial hypertension: experience in development and implementation at the outpatient clinic stage. Kyiv: NVP Interservis, 2015.141 p. (in Ukr)
History of the Institute of Cardiology. Available from: http://www.strazhesko.org.ua/history. (in Ukr).
Kvasha EA, Smyrnova YP, Horbas YM, Sribna OV. Cardiovascular risk profile of men living in the city: 35-year-old dynamics. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2016;6:90–96. (in Russ).
Kvasha OO, Smyrnova IP, Horbas IM, Sribna OV. Dynamics of the structure of the lipid factor of cardiovascular risk for 35 years in the urban population of men. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2016;2:54–60 (in Ukr).
Kvasha EA. Tobacco control: the need to consolidate the efforts of society and medical workers. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2016;1:54–59 (in Russ).
Kovalenko VM, Dolzhenko MN, Nesukai EH. Diachenko YaS, Nudchenko AO, Faradzh K. Gender features of cardiovascular risk factors in patients of Ukraine and Europe according to EUROASPIRE IV: general practice. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2016;3:15–23 (in Russ).
Kovalenko VN, Diachenko YaS, Nesukai EH, Dolzhenko MN, Nudchenko AO. Comparative characteristics of cardiovascular disease prevention in Ukraine and Europe according to the EUROASPIRE IV study: hospital line. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2015;4:17–24 (in Russ).
Kovalenko VM, Dorohoi AP. Cardiovascular diseases: medical and social significance and strategy of cardiology development in Ukraine. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology]. 2016;3:5–14 (in Ukr).
Kornatskyi VM, Diachenko LO, Mykhalchuk VM. Influence of psychosocial factors on health and quality of life of the population. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2017;2:106–113 (in Ukr).
Lutai MY, Parkhomenko AN, Lыsenko AF, Holykova YP, Steg PhG, Greenlow N, Ford I. International Register of CLARIFY patients with stable coronary heart disease in Ukraine: features, problems and prospects. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2013;3:13–21 (in Russ).
Lutai MY. Maintaining patients with ischemic heart disease and concomitant arterial hypertension in Ukraine. PRESTIGE research results. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2011;1:25–36 (in Russ).
Mitchenko OI, Mamedov MN, Kolesnyk TV. Modern profile of risk factors for cardiovascular diseases in the urban population of Ukraine. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2013;4:76–83 (in Russ).
Mitchenko OI, Mamedov MN, Kolesnyk TV, Dieiev AD, Romanov VIu, Illiushyna HIa. Features of the prevalence of cardiovascular risk factors in women, depending on the presence of menopause. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2015;4:96–102 (in Russ).
Mitchenko OI, Mamedov MN, Kolesnyk TV, Dieiev AD, Romanov VIu, Kulyk OIu, Shkroba AO. The prevalence of lipid metabolism disorders in the urban population of Ukraine, depending on the degree and type of obesity. Mezhdunarodnyy endokrinologicheskiy zhurnal [International Endocrinology Journal] 2015;5(69):13–18 (in Ukr).
On Approving and Implementation of Medical-Technological Documents on Standardization of Medical Aid in Type 2 Diabetes: The Order of the Ministry of Health of Ukraine dated December 21, 2012 № 1118 http: // www.moz.gov.ua/ua/portal/dn_20121221_1118.html (in Ukr).
On Approval of the Action Plan for 2017 on the Implementation of the National Strategy for Motor Rehabilitation in Ukraine until 2025 "Motor Activity - a Healthy Lifestyle - A Healthy Nation": Order of the Cabinet of Ministers of Ukraine dated September 8, 2016 No. 653-p.
http://zakon3.rada.gov.ua/laws/show/653-2016-%D1%80 (in Ukr).
On the National Strategy for Motor Rehabilitation in Ukraine up to 2025 "Motor activity - a healthy lifestyle - a healthy nation": Decree of the President of Ukraine No. 42/2016. http://www.president.gov.ua/documents/422016-19772 (in Ukr).
Svishchenko YeP, Mishchenko LA. on behalf of doctors - participants of the study "Age of blood vessels". A new concept for evaluating cardiovascular risk by Framingham criteria is the determination of the age of the vessels. The first experience of using in the Ukrainian population of patients with arterial hypertension. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2015;5:95–103 (in Ukr).
Svishchenko YeP. Detection and Treatment of Arterial Hypertension in Ukraine: Reality and Prospects. Ukrainskyi kardiolohichnyi zhurnal [Ukrainian Journal of Cardiology] 2010;1:13–16 (in Ukr).
Sirenko YuM, Radchenko HD, Martsovenko IM. The difference in the rate of achievement of target blood pressure between separate regions of Ukraine. Arteryalnaia hypertenzyia [Arterial hypertension] 2009;5:13–23 (in Ukr).
Sirenko Yu M. Implementation of the Program for the Prevention and Treatment of Arterial Hypertension in Ukraine (1999-2007). Arteryalnaia hypertenzyia [Arterial hypertension] 2008;2:83–88 (in Ukr).
Sirenko YuM, Radchenko HD, Torbas OO. Medical inertia as an important factor in the effective treatment of arterial hypertension. Arteryalnaia hypertenzyia [Arterial hypertension] 2012;1(21). http://www.mif-ua.com/archive/article_print/26386 (in Ukr).
Smoliar VI. The state of actual nutrition of the population of independent Ukraine. Problemy kharchuvannia [Food problems ] 2012;1(2):5–9 (in Ukr).
Solovei A, Rymar O, Yaroshyk M , Sorokolit N. Current state and peculiarities of motor activity of teenagers in Ukraine and Poland. Physical activity and quality of human life // Collection of Abstracts of the I International Scientific and Practical Conference, Lutsk–Svitiaz, 14.06–16.06.2017:16 (in Ukr).
Statistical Yearbook of Ukraine.: State Statistics Committee of Ukraine, K.2011.95p. (in Ukr).
Tkachenko VI. Analysis of changes in the quality of diabetes care in the implementation of a unified clinical protocol for the provision of medical care to patients with type 2 diabetes mellitus. Mizhnarodnyi endokrynolohichnyi zhurnal [International Endocrinology Journal] 2015;2:122–131 (in Ukr).
Ustinov O V. Status and further development of the national cardiology service. Ukrainskyi medychnyi chasopys [Ukrainian Medical Journal] 2014;2(100):3–4 (in Ukr).
Ustinov O V. Quit smoking easily: earn a professional service to help smokers. Ukrainskyi medychnyi chasopys [Ukrainian Medical Journal] 2017;3:66 (in Ukr).
Ushkvarok LB, Lavrenko TA. The level of risk factors for cardiovascular diseases in the unorganized population of Kharkiv. Ukrainskyi terapevtychnyi zhurnal [Ukrainian Therapeutic Journal] 2008;3:52–56 (in Ukr).
Tsymbaliuk S . Physical activity and health of students of higher educational institutions of Ukraine. Physical activity and quality of human life. Collection of abstracts of the I International scientific-practical conference, 14.06-16.06. Lutsk–Svitiaz, 2017. P. 6 (in Ukr).
Diabetes mellitus for the period up to 2018: Draft Concept of the State Target Social Program http://www.moz.gov.ua/ua/portal/Pro_20140110_2.html. (in Ukr)
British Heart Foundation; Health Promotion and Economic Research Groups; Department of Public Health. University of Oxford, European cardiovascular disease statistics 2008. Available from: http://www.heartstats.org.
Global Action Plan for the Prevention and Control of NCDs 2013–2020. Available from: http://www.who.int/nmh/events/ncd_action_plan/en/.
Global Action Plan for the Prevention and Control of NCDs 2013–2020. Available from : http://www.who.int/nmh/events/ncd_action_plan/en/, 2016 European Guidelines on cardiovascular disease prevention in clinical practice, The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts). Eur. Heart J. 2016;37:2315–81. Available from: https://academic.oup.com/eurheartj/article-abstract/37/29/2315/1748952/2016-European-Guidelines-on-cardiovascular-disease
Global Action Plan for the Prevention and Control of NCDs 2013–2020. Available from: http://www.who.int/nmh/events/ncd_action_plan/en/.
Ministry of Health of Ukraine, Kiev International Institute of Sociology, World Health Organization Regional Office for Europe, National Academy of Medical Sciences of Ukraine, U.S. Centers for Disease Control and Prevention. Global Adult Tobacco Survey. Ukraine 2017. Executive Summary. Available from: http://www.euro.who.int/en/countries/ukraine/publications3/global-adult-tobacco-survey-ukraine-2017
Prevention of Coronary Heart Disease: Report of a WHO Expert Committee: WHO Technical Report Series 678. , Geneva: World Health Organization, 1982. Available from: http://whqlibdoc.who.int/trs/WHO_TRS_678.pdf.
Ukraine: 20% reduction in smokers since 2010. Available from: http://www.euro.who.int/en/countries/ukraine/news/news/2017/09/ukraine-20-reduction-in-smokers-since-2010/_recache.