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The realisation of a European health information system--time to get the politicians involved

Date

Source

26.03.2014

Rosenkotter, N., Brand, H., McKee, M., Riley, N., Verma, A.,...



Cold-related cardiorespiratory symptoms among subjects with and without hypertension: the National FINRISK Study 2002

Date

Source

26.03.2014

Ikaheimo, T. M., Lehtinen, T., Antikainen, R., Jokelainen, J...


Background: Exposure to cold weather increases blood pressure (BP) and may aggravate the symptoms and influence the prognosis of subjects with a diagnosis of hypertension. We tested the hypothesis that subjects with hypertension alone or in combination with another cardiovascular disease (CVD) experience cold-related cardiorespiratory symptoms more commonly than persons without hypertension. This information is relevant for proper treatment and could serve as an indicator for predicting wintertime morbidity and mortality. Methods: A self-administered questionnaire inquiring of cold-related symptoms was obtained from 6591 men and women aged 25–74 yrs of the FINRISK Study 2002 population. BP was measured in association with clinical examinations. Symptom prevalence was compared between subjects with diagnosed hypertensive disease with (n = 395) or without (n = 764) another CVD, untreated diagnosed hypertension (n = 1308), measured high BP (n = 1070) and a reference group (n = 2728) with normal BP. Results: Hypertension in combination with another CVD was associated with increased cold-related dyspnoea (men: adjusted odds ratio 3.94, 95% confidence interval 2.57–6.02)/women: 4.41, 2.84–6.86), cough (2.64, 1.62–4.32/4.26, 2.60–6.99), wheezing (2.51, 1.42–4.43/;3.73, 2.08–6.69), mucus excretion (1.90, 1.24–2.91/2.53, 1.54–4.16), chest pain (22.5, 9.81–51.7/17.7, 8.37–37.5) and arrhythmias (43.4, 8.91–211/8.99, 3.99–20.2), compared with the reference group. Both diagnosed treated hypertension and untreated hypertension and measured high BP resulted in increased cardiorespiratory symptoms during the cold season. Conclusion: Hypertension alone and together with another CVD is strongly associated with cold-related cardiorespiratory symptoms. As these symptoms may predict adverse health events, hypertensive patients need customized care and advice on how to cope with cold weather.


European Public Health News * President's column * EUPHA office column * Message from the WHO Regional Director for Europe: Better health for Europe * Message from the EU Commissioner: 'What is new in our fight against cancer?' * Seventh European Public Health Conference--'Mind the gap: reducing inequalities in health and health care'

Date

Source

26.03.2014

Paget, D. Z., Ricciardi, W., Paget, D. Z., Jakab, Z., Borg, ...



Anthropometric measures in relation to risk of heart failure hospitalization: a Swedish population-based cohort study

Date

Source

26.03.2014

Borne, Y., Hedblad, B., Essen, B., Engstrom, G.


Background: It is unclear which anthropometric measure is most useful for assessment of the cardiovascular risk. We investigated the association between different anthropometric measures and risk of heart failure (HF) hospitalization. Methods: BMI, waist–hip ratio (WHR), waist circumference (WC), body fat percentage (BF%), weight and height were measured among 26 653 subjects (aged 45–73 years) without history of myocardial infarction (MI), stroke or HF from the Malmö Diet and Cancer cohort at baseline in 1991–96. Incidence of HF hospitalizations was monitored during a mean follow-up of 15 years. Results: Seven hundred and twenty-seven subjects were hospitalized with HF as primary diagnosis, of whom 157 had an MI before or concurrent with the HF. After adjustment for potential confounding factors, the hazard ratios of HF hospitalization (fourth vs. first sex-specific quartile) were 1.80 (95% CI: 1.45–2.24) for BMI, 1.87 (1.50–2.34) for WC, 1.77 (1.43–2.19) for WHR, 1.35 (1.09–1.68) for BF%, 1.93 (1.57–2.39) for weight and 1.18 (0.96–1.44) for height. Significant interactions between BMI and WC and WHR, respectively, were observed, and the joint exposure of high BMI and high WC or high WHR further increased the risk. The results were similar in secondary analyses, i.e. excluding incident HF with previous MI during the follow-up. Conclusion: Our results support the view that raised BMI, WC, WHR or BF% increases the risk of HF hospitalization. The joint exposure of high BMI and high WHR or high WC further increased the risk in an additive way.


Association of physical activity, waist circumference and body mass index with subjective health among Belgian adults

Date

Source

26.03.2014

Asztalos, M., Huybrechts, I., Temme, E., Van Oyen, H., Vande...


Background: The present study aimed to explore associations of physical activity (PA), waist circumference (WC) and body mass index (BMI) with subjective health in a nationally representative sample of Belgian adults. Methods: Data from the 2004 Belgian Food Consumption Survey were used. A face-to-face questionnaire about sociodemographic and socioeconomic characteristics, general health, subjective health, lifestyle and PA was completed. Weight and height were self-reported, and WC was measured in orthostatic position. PA was assessed by the short International PA Questionnaire. Results: In total, 3208 individuals (49.9% women) were included in the study. About 41.3% of the Belgian population did not meet the minimum recommendations for PA, whereas 24.8% of the population engaged in health-enhancing PA. In total, 29.5% of the population was overweight, 10.1% was obese and 33.2% of the population had an excessive WC. About 23.6% of the population rated their health as poor. Obese individuals were significantly less likely to report good subjective health than those with normal BMI [odds ratio (OR) = 0.538; 95% confidence interval (CI): 0.390–0.742]. This association was also identified for men and women separately. Further, both individuals who participated in health-enhancing PA and those who participated in recommended PA reported significantly better subjective health than insufficiently active individuals (OR = 2.533; 95% CI: 1.952–3.287 and OR = 1.543; 95% CI: 1.256–1.894, respectively). Conclusions: A strong association was found between PA and subjective health, and in addition, a significant negative association was found between BMI and subjective health. There was no relationship between WC and subjective health among Belgian adolescents and adults.


Suicides, hurricanes and economic crisis

Date

Source

26.03.2014

Librero, J., Segura, A., Beatriz, L.-V.



Not smoking is associated with lower risk of hypertension: results of the Olivetti Heart Study

Date

Source

26.03.2014

D'Elia, L., De Palma, D., Rossi, G., Strazzullo, V., Russo, ...


Background: Few epidemiological investigations evaluated the role of smoking cessation on blood pressure (BP), and the results are not univocal. Therefore, the aim of this study was to assess the effect of smoking cessation on the risk to develop hypertension (HPT) and on BP values. Methods: This longitudinal study, with a follow-up period of 8 years, included the participants of the Olivetti Heart Study. Participants were 430 untreated normotensive non-diabetic men with normal renal function, examined twice in 1994–95 and in 2002–04. The sample included current smokers (S, n = 212), former smokers (ES, n = 145) and never smokers (NS, n = 73) at baseline. Results: Basal body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly higher in ES than in S (ES vs. S; BMI: 27.0 ± 2.5 vs. 26.1 ± 2.9 kg/m2; P < 0.01; SBP/DBP: 121.2 ± 9.3/80.0 ± 5.8 vs. 19.1 ± 9.9/77.4 ± 6.7 mm Hg; P < 0.05; M ± SD). After 8 years of follow-up, BP changes () were significantly lower in ES than in S (SBP/DBP: 12.6 ± 13.4/7.9 ± 8.1 vs. 16.0 ± 14.9/10.3 ± 10.1 mm Hg; P < 0.05; M ± SD), also after adjustment for potential confounders. Moreover, at the last examination, the overall HPT prevalence was 33%, with lower values in ES than in S (25 vs. 38%, P = 0.01). After accounting for age, BP and BMI at baseline, and changes in smoking habit over the 8-year period, ES still had significant lower risk of HPT than S (odds ratio 0.30, 95% confidence interval 0.15–0.58; P < 0.01). Conclusions: In this sample of healthy men, smoking cessation was associated with lower BP increment and minor HPT risk, independently of potential confounders.


RE: The effect of the late 2000s financial crisis on suicides in Spain: an interrupted time-series analysis

Date

Source

26.03.2014

Lopez Bernal, J., Gasparrini, A., Artundo, C., McKee, M.



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