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ON THE BEHAVIOR HABITS OF HUMAN AS RISK FACTORS IN THE EVENT / DEVELOPMENT OF ACUTE MYOCARDIAL INFARCTION AMONG THE POPULATION OF LVIV REGION

ON THE BEHAVIOR HABITS OF HUMAN   AS RISK FACTORS IN THE EVENT / DEVELOPMENT OF ACUTE MYOCARDIAL  INFARCTION AMONG THE POPULATION OF LVIV REGION
Василь Рудень, доктор медицинских наук, профессор

Львовский Национальный медицинский университет им. Д. Галицкого, Украина

Участник первенства: Национальное первенство по научной аналитике - "Украина";

Открытое Европейско-Азиатское первенство по научной аналитике;

UDC: 616.127-005.8-036.11-038:616.89-008.48

 

Materials and methods of scientific work.  Research done on a selective statistical aggregate among respondents from the number of in patients with a cute myocardial infarction (AMI) (n=374, p<0,05) in medical institutions of Lviv region according to the processed program “The impact of the main controlled risk factors in the event of acute myocardial infarction”, with the use of medical and statistical methods taking into account the system principles and calculation of the obtained data using computer programs „Miсrosoft Office Excel 2016”.

Results and discussion. There were determined 10 harmful behavioral habits in patients with AMI among them: excessive consumption of Na⁺- containing products (94,4±1,2%); insufficient consumption of fruits and vegetables indaily ration (94,1±0,5%); АP> 140/90 mm Hg (80,5±0,5%); sedentary lifestyle (71,1±0,4%); presence of cholesterol in blood > 5,5 mmol/L(65,8±0,4%); body mass index > 25,0 kg/m2 (57,2±0,4%); abuse of psycho-emotional balance (50,0±0,4%); excessive consumption of alcoholic beverages (47,6±0,4%); smoking tobacco (46,5±0,3%) and blood sugar > 5,5 mmol/L(25,4±2,2%).

It was proved that harmful behavioral habits to health dominated among women with AMI only in two positions (АP> 140/90 mm Hg and abuse of psycho-emotional balance), while among men these habits prevailing in the rest of the eight bad habits, whereas the age characteristic of these habits certified their division into two groups according to the fixed value М=10,0%: the most important (value > М=10,0%) the possible impact on health and significant in eventual connection (value < М=10,0%).

Conclusion. There were determined 10 harmful behavioral habits to heal thin cohort of patients with AMI (n=374, p<0,05) as elements of healthy lifestyle, which should be regarded aspossible cause-effect relationsintheevent/ development of given pathology andbasis for implementation of preventive technologies inactivity of physicians of primary level of medical care regarding formation of bases of healthy lifestyle and minimization of pathology [І.21].

Keywords: Health, healthy lifestyle, harmful behavioral habits, patient, acute myocardial infarction, cause-effect relation, prevention, physician of primary level.

 

Topicality. Despite the achievements in the diagnosis and treatment of acute myocardial infarction (AMI) in Ukraine  [І.21], this pathology is still dominated in a state of cardiovascular system morbidity and disability of the most active part of the population, as well as the mortalityamong working-age residents [1, 9], whereas financial costs for treatment and rehabilitation of given category of patients [І.21] reach large amounts of money [6,7].

Finding ways to reduce levels of morbidity and mortality of population due to AMI in developed countries aimedat reducing the event of new cases, which are directly associated with minimizing the prevalence of current major behavioral risk factors in probable event/development of AMI among the population and particular person [2,3,5,8], although a significant improvement of the quality of early diagnosis and treatment of given category of patients plays relevant role in all of this [11].

Establishing the presence of human behavioral risk factors inprobable event/development ofAMIandtheirage and gender peculiarities direction paves the way for implementation of preventive technologies in the activities ofdoctors of primary level of medical care, which is the most effective and the least financially costly mean in reducing the AMI morbidity among population andconsequently ‒ reduction of mortality from this disease [І.21] [4], which makes this research important in its own content.

Aim of the study. The scientific substantiation of presence ofharmful behavioral habitsfor health of patients with AMI concerning the possible event/development of this pathology[І.21].

Material and methods of scientificresearchThe scientific work is done on a selective statistical aggregate among the respondents out of the number of hospitalized patients with AMI (n=374, p<0,05) in medical institutions of Lviv region according to theprocessed program «The impact of the basic controlled risk factors, taking into account recommendations of European cardiologistsin the event of acute myocardial infarction», including recommendations of European cardiologists [10]. It is used an amnestic, statistical, mathematical, graphical methods of research, as well as methods of questioning and copying of necessary data out of Inpatient medical card (о. f. № 003/о) taking into account the system principles. The obtained statistical data are summarized and processed on a personal computer by using programs «Microsoft Office Eхcel 2010».

Results and discussion. The analysis of the obtained results convincingly demonstrate (graph 1), that harmful habits for health in the investigated cohort of patients [І.21] as elements of a healthy lifestyle, vary in importance by 3.7 times.

 

However, the most significant by valueis such habit as excessive daily consumption of Na⁺-containing products with food (94,4±1,2%; n=353/374), while the least significant behavioral factor is determined blood sugar level >5,5 mmol/L(25,4±2,2%; n=95/374), which should be regarded as extremes of the range difference (the first and tenth place ranking) in numerical row of ten established behavioral determinants with the possible negative impact on the health status of patients with AMI.

It was proved that these condestimated position by value 94,1±0,5% (n=352/374) investigated gave insufficient daily consumption of fruits and vegetables in the diet, and the presence of diagnosed АТ >140/90 mm Hg showed 80,5±0,5% (n=301/374) respondents in this cohort of patients, which had the third  position.

The fourth place among the studied behavioral risk factors among patients with acute heart attack [І.21] byvalue71,1±0,4% (n=266/374) respondents chose their own sedentary lifestyle, and the presence of cholesterol level >5,5 mmol/Lis found in 65,8±0,4% (n=2246/374)investigated persons, whereas body mass index >25,0 kg/m2 is defined in 57,2±0,4% (n=214/374) patients with this pathology [І.21], so it is fifth and sixth places in this rating.

In the investigated cohort of patients [І.21] such harmful habits in healthy lifestyle as: psychological stress (50,0±0,4%; n=187/374); excessive alcohol consumption (47,6±0,4%; n=178/374) and smoking tobacco(46,5±0,3%; n=174/374) share the seventh, eighth and ninth ratingplace.

The gender features ofestablished harmful behavioral habits inpatients with AMI certifiedthe data ingraph 2.

 

It should be refered to their advantage, according to the indexes of visibility, only by two positions among female patients (n=132/374) compared to male patients with this pathology [І.21], namely: АТ > 140/90 mm Hg per7,1% (84,1±0,8%; n=111/132) versus 78,5±0,6%; n=190/242) and abuse of psycho-emotional balance – by  4,6% (51,5±0,6%; n=68/132) versus 49,2±0,4%; n=119/242), whereas among male patients cohort (242/374) are established the parameters of health-threatening habits are  higher by visibility index in eight of their testimonies, than among investigated women.

It is proved that (in patients out of the number of men with AMI (97,9±0,6%; n=237/242) excessive consumption of Na⁺-containing products food with, prevails in 11,3% in patients outofthe number of men with AMI (97,9±0,6%; n=237/242) is excessive consumption of food with Na⁺- containing products, than among females of this cohort of research (87,9±0,8%; n=116/132), whereas priority by value of numerical expression amongmen with acute heart attack [І.21], behavioral determinats such as: inadequate consumption of fruits and vegetables  ‒ by 16,8%  (99,2±0,6%; n=240/242 versus 84,9±0,8%; n=112/132 among women); hypodynamia ‒by12,3% ‒(74,0±0,6%; n=179/242 versus 65,9±0,7%; n=87/132); cholesterol level > 5,5 mmol/L– by 11,0% ‒(68,2±0,5%; n=165/242 versus 61,4±0,7%; n=81/132); overweight > 25,0 kg/m2 ‒by7,5% ‒(58,7±0,5%; n=142/242 versus 54,6±0,6%; n=72/132).

The gender-sensitive possible harmful behavioral habits to health ofpatients with AMI shouldinclude thedifferences in the availability of such unhealthy habit for the organism as: excessive alcohol consumption, excessive alcohol consumption byvisibility coefficient is more than66,4% and is 55,4±0,4% (n=134/242) cases compared with the index 33,3±0,5% (n=44/132) among female patients, while the difference ofsmoking tobacco is 93,4% (69,4±0,5%; n=168/242 ‒among male patients versus 4,6±0,2%; n=6/132 ‒among women). 

The results of age structure of availability of behavioral determinants amongpatients with AMI (graph 3) demonstrate that the average value of each studied behavioral  harmful habit in this cohort of patients [І.21] in all age groups is M=10,0±0,5% cases, which should be regarded as a constant value for further age characteristics.

 

The most significant accordinglypossible negative impact on the health of patients with AMI byage groups should includ excessive salt consumption with food, that in the analyzed age groups is the most wide spread phenomenon amongall other possible factors (13,7±0,8%) and by correlation index by

+27% prevails average value and is within the parameters from15,4±9,9% (age group31-35 years) to 12,8±1,5% (age of patients 71 and> years).

The lack of fruits and vegetables in the daily diet of respondents is13,6%±0,7%, which prevails on+26,5% normalized constant and often occurs in patients with AMI at the age of 31-35 years(15,4±9,9%), while at the age of66-70 yearsthis habit confirm 12,6±1,4% respondents.

The boundary value of age parameters of blood cholesterol > 5,5 mmol/L among the investigated persons are within 15,4±9,9% (patients 31-35 years) and 13,0±1,3% events (patients 51-55 years and 61-65 years) andon average is 13,5±0,7% cases for each age group, confirming the advantages of the analyzed determinant +25,9  above the average value of all set harmful habits.

This group also includesthe presence of diagnosed АТ > 140/90 mm Hg, according to the obtained value 13,2±0,7%in all age groups with parameters 15,4±9,9% (31-35 years) and 10,6±2,9% episodes among investigated patients aged 36-40 years, thatis more+ 24.2%.

However, alcohol abuse (9,8±0,6%), violation of psycho-emotional balance (8,6±0,5%), sedentary lifestyle (8,4±0,5%), overweight > 25,0 kg/m2(8,3±0,5%), smoking tobacco (7,6±0,5%)and blood sugar level > 5,5 mmol/L(3,3±0,3%) – as probable risk factors on AMI among investigated patients are adequately lower by value of index data correlation to the value of fundamental constant for all behavioral habits (M=10,0±0,5%) by -2,0%; -14,0%; -16,0%; -17,0%; -24,0% and-67,0%.

These behavioral determinants, by value despite their isolated nature in analyzed age groups of investigated persons, included to group of important in the eventual causal relationship concerning the event/ development of AMI in this cohort of patients, it is not excluded the combined/reinforcing effect of each out of possible risk factors from selected previous group.

The special features in the age structure of existing harmful habitsto the health of investigated group of [І.21] include the age group 31-35 years, where these dentary lifestyle is absent and blood sugar level > 5,5 mmol/L, while respondents aged 41-45 years are not overweight by the body mass index > 25,0 kg/m2.

Conclusion. 10 harmful behavioral habits to health in a cohort of patients with AMI (n=374, p<0,05) are established, as elements of a healthy lifestyle, which should be regarded as probable causal relationship intheevent/development of the disease [І.21]and a base in the implementation of preventive technologies in the activity of physicians of primary level of medical care concerning laying the foundations of a healthy lifestyle amongpopulation and mechanism to minimize this pathology and its consequences [І.21].

 

References:

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Ваша оценка: Нет Средняя: 5.2 (5 голосов)
Комментарии: 7

Коколова Людмила Михайловна

Уважаемый Василий Владимирович, Очень интересно познакомиться с вашей статьей, изучение инфарктов, здорового питания, о вредных привычках и др. актуальна. В настоящее время как отмечается в работах исследователей ишемическая болезнь сердца помолодело в разы, показатели заболевания острым сердечным приступом высоки. Необходимо оказание медицинской помощи, повышение качества жизни, отказ от курение, алкоголя и др. несомненно будут способствовать привычкам к здоровому образу жизни, успехов в исследованиях Людмила Коколова

Химич Галина Захаровна

Уважаемый Василий Рудень! Актуальность проводимого Вами исследования несомненна. Установление наличия факторов риска человека в развитии ОИМ определяет траекторию для реализации профилактических технологий первичного уровня медицинской помощи для создания основ здорового образа жизни. С наилучшими пожеланиями успеха в Вашей работе. С уважением Химич Галина Захаровна.

Рудень Василь Володимирович

Шановна Галина Захарівна! Дякую за увагу і оцінку нашої Доповіді! З повагою, проф Василь Рудень

Вашадзе Шорена Владимировна

Ваш доклад интересен, качество жизни — это физического, психологического, социального и эмоционального состояния пациента, оцениваемая исходя из его субъективного восприятии. Повышение качества жизни является целью лечения. Основным инструментом оценки качества жизни пациентов являются специально разработанные опросники. (общие и специализированные.) Среди общих наиболее распространены: EUROQOL, MOS SF-36, Quality fo Well-Being Index, Sickness Impact Profile, Nottingham Health Profile, Quality of Life Index. Использование вопросника было бы интересным во время исследования Желаю вам удачи . С уважением проф. Шорена вашадзе

Рудень Василь Володимирович

Шановна Шорена Володимирівна! Дякую Вам за увагу, оцінку до доповіді, а також і рекомендації щодо подальшого виконання даної теми дослідження. З повагою і вдячністю, проф Василь Рудень

Григоренко Любовь Викторовна

Dear Prof. Vasyl Ruden! Nice to meet you in such honorable event. Your report is impressive; statistical proceeding is significant, illustration is clear. At the result of your research was proved that 10 harmful behavioral habits to health in a cohort of patients with AMI (n=374, p<0,05) are established, as elements of a healthy lifestyle. What is your recommendations about diet of the following group of patients? Which diet is the best #10 by Pevzner, or Midetarian diet. In the majority of cases diet of your grops of patients should be corected. If they have high level of cholesterol in the blood, they need corection of the diet. Do you analyse the rations of nutrition these patients. Best regards from Hryhorenko Luibov

Рудень Василь Володимирович

Шановна Любов Вікторівна! Радий Вашій увазі до даної доповіді і її оцінку. В подальших планах дослідження ми обов'язково скористаємося Вашими порадами щодо вивчення реальності в харчуванні даної категорії хворих з метою мінімізації наявності високих параметрів холестиринну - як чинника ризику. З вдячністю та повагою, проф Василь Рудень
Комментарии: 7

Коколова Людмила Михайловна

Уважаемый Василий Владимирович, Очень интересно познакомиться с вашей статьей, изучение инфарктов, здорового питания, о вредных привычках и др. актуальна. В настоящее время как отмечается в работах исследователей ишемическая болезнь сердца помолодело в разы, показатели заболевания острым сердечным приступом высоки. Необходимо оказание медицинской помощи, повышение качества жизни, отказ от курение, алкоголя и др. несомненно будут способствовать привычкам к здоровому образу жизни, успехов в исследованиях Людмила Коколова

Химич Галина Захаровна

Уважаемый Василий Рудень! Актуальность проводимого Вами исследования несомненна. Установление наличия факторов риска человека в развитии ОИМ определяет траекторию для реализации профилактических технологий первичного уровня медицинской помощи для создания основ здорового образа жизни. С наилучшими пожеланиями успеха в Вашей работе. С уважением Химич Галина Захаровна.

Рудень Василь Володимирович

Шановна Галина Захарівна! Дякую за увагу і оцінку нашої Доповіді! З повагою, проф Василь Рудень

Вашадзе Шорена Владимировна

Ваш доклад интересен, качество жизни — это физического, психологического, социального и эмоционального состояния пациента, оцениваемая исходя из его субъективного восприятии. Повышение качества жизни является целью лечения. Основным инструментом оценки качества жизни пациентов являются специально разработанные опросники. (общие и специализированные.) Среди общих наиболее распространены: EUROQOL, MOS SF-36, Quality fo Well-Being Index, Sickness Impact Profile, Nottingham Health Profile, Quality of Life Index. Использование вопросника было бы интересным во время исследования Желаю вам удачи . С уважением проф. Шорена вашадзе

Рудень Василь Володимирович

Шановна Шорена Володимирівна! Дякую Вам за увагу, оцінку до доповіді, а також і рекомендації щодо подальшого виконання даної теми дослідження. З повагою і вдячністю, проф Василь Рудень

Григоренко Любовь Викторовна

Dear Prof. Vasyl Ruden! Nice to meet you in such honorable event. Your report is impressive; statistical proceeding is significant, illustration is clear. At the result of your research was proved that 10 harmful behavioral habits to health in a cohort of patients with AMI (n=374, p<0,05) are established, as elements of a healthy lifestyle. What is your recommendations about diet of the following group of patients? Which diet is the best #10 by Pevzner, or Midetarian diet. In the majority of cases diet of your grops of patients should be corected. If they have high level of cholesterol in the blood, they need corection of the diet. Do you analyse the rations of nutrition these patients. Best regards from Hryhorenko Luibov

Рудень Василь Володимирович

Шановна Любов Вікторівна! Радий Вашій увазі до даної доповіді і її оцінку. В подальших планах дослідження ми обов'язково скористаємося Вашими порадами щодо вивчення реальності в харчуванні даної категорії хворих з метою мінімізації наявності високих параметрів холестиринну - як чинника ризику. З вдячністю та повагою, проф Василь Рудень
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