Cambiamenti a livello di popolazione per promuovere la salute cardiovascolare

Translated title of the contribution: Changes at the population level to promote cardiovascular health

Torben Jorgensen, Simon Capewell, Eva Prescott, Steven Allender, Susana Sans, Tomasz Zdrojewski, Dirk De Bacquer, Johan De Sutter, Oscar H. Franco, Susanne Logstrup, Massimo Volpe, Sofie Malyutina, Pedro Marques-Vidal, Zeljko Reiner, Grethe S. Tell, W. M Monique Verschuren, Diego Vanuzzo

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Cardiovascular diseases (CVD) cause 1.8 million premature (<75 years) death annually in Europe. The majority of these deaths are preventable with the most efficient and cost-effective approach being on the population level. The aim of this position paper is to assist authorities in selecting the most adequate management strategies to prevent CVD. Design and methods. Experts reviewed and summarized the published evidence on the major modifiable CVD risk factors: food, physical inactivity, smoking, and alcohol. Population-based preventive strategies focus on fiscal measures (e.g. taxation), national and regional policies (e.g. smoke-free legislation), and environmental changes (e.g. availability of alcohol). Results. Food is a complex area, but several strategies can be effective in increasing fruit and vegetables and lowering intake of salt, saturated fat, trans-fats, and free sugars. Tobacco and alcohol can be regulated mainly by fiscal measures and national policies, but local availability also plays a role. Changes in national policies and the built environment will integrate physical activity into daily life. Conclusion. Societal changes and commercial influences have led to the present unhealthy environment, in which default option in lifestyle increases CVD risk. A challenge for both central and local authorities is, therefore, to ensure healthier defaults. This position paper summarizes the evidence and recommends a number of structural strategies at international, national, and regional levels that in combination can substantially reduce CVD.

Translated title of the contributionChanges at the population level to promote cardiovascular health
Original languageItalian
Pages (from-to)393-403
Number of pages11
JournalGiornale Italiano di Cardiologia
Volume14
Issue number5
Publication statusPublished - May 2013

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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