Population-level changes to promote cardiovascular health
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 life style 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 structuralstrategies at international, national, and regional levels that in combination can substantially reduce CVD.
|Keywords||Cardiovascular, Health promotion, Population, Prevention, Public health, Structural strategies|
|Persistent URL||dx.doi.org/10.1177/2047487312441726, hdl.handle.net/1765/73368|
Jorgensen, T, Capewell, S, Prescott, E, Allender, S, Sans, S, Zdrojewski, T, … Vanuzzo, D. (2012). Population-level changes to promote cardiovascular health. Vnitrni Lekarstvi (Vol. 58, pp. 943–954). doi:10.1177/2047487312441726