The selected indicators of health status of the Czech population – results of EHES study 2014
Authors:
K. Žejglicová; J. Kratěnová; M. Lustigová; N. Čapková; R. Kubínová
Authors‘ workplace:
Ústředí monitorování zdravotního stavu obyvatelstva ve vztahu k životnímu prostředí, Ředitelka: MUDr. Růžena Kubínová
; Státní zdravotní ústav v Praze
Published in:
Prakt. Lék. 2017; 97(3): 123-130
Category:
Of different specialties
Overview
Objective:
Main goal of the European Health Examination Survey (EHES) was to obtain actual and relevant information about the non-communicable diseases risk factors among the Czech middle-aged population.
Methods:
Respondents of the European Health Interview Survey (EHIS), which was realised in 2014 on the representative sample, were asked to participate in EHES survey. The health examination involved repeated measure of blood pressure, anthropometric measures and blood sample analysis including total cholesterol blood level, HDL-cholesterol blood level and glycated haemoglobin.
Results:
There were 1220 participants aged 25–64 years of EHES survey examined; the respondence rate was 32%. The dataset was divided into two age group categories; the younger ones aged 25–44 years (n = 537, 44%) and the older ones aged 45–64 years (n = 683, 56%). The prevalence of hypertension was found in 19% of younger age group (14% females and 26% males; p < 0.001) and in 54% of older age group (44% females and 69% males; p < 0.001). Anti-hypertensive drug treatment was used by 82% of younger ones and 96% of older ones, who had the hypertension anamneses. Prevalence of prehypertension was detected in 11% of younger and 23% of older age group, who reported in questionnaire normal blood pressure. The population mean of total blood cholesterol level was 5.1 mmol/l among young and 5.5 mmol/l among old. Normal total blood cholesterol level (below 5 mmol/l) was found in 1 out of 2 young adults and only in 1 out of 3 older adults. Prevalence of diabetes was found among 2.5% of young and 12% of old (16% males a 10% females; p = 0.032) and prediabetes among 15% of young and 40% of old. The fatal cardiovascular risk in the next ten years was defined in 45% of respondents aged 45–64 year (65% males and 32% females; p < 0.001).
Conclusions:
The results show the high prevalence of NCD risk factors among the Czech population. As these factors are largely modifiable, not only the health promotion is important, but also the detection and identification of existing but not diagnosed diseases, where the main role play GPs
Keywords:
health status – cardiovascular risk, Czech population, EHES 2014
Sources
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General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2017 Issue 3
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