[Assessment of interventions conducted in the program Southern Poland Epidemiological Survey in adults with high hypercholesterolemia].
In 1997 the Southern Poland Epidemiological Survey trial was conducted, the largest primary prevention action in Poland, which comprised 50,111 subjects. In this trial subjects with total cholesterol over 300 mg% were identified. After two years period these subjects were contacted to assess the kind and effectiveness of their action to reduce hypercholesterolemia and other CAD risk factors. The role of general practitioner was also addressed. The aim of the present study was to assess the influence of primary prevention on the following parameters: intensity and frequency of risk factors occurrence, rate of individual risk of coronary heart disease in the study group and the assessment of influence of primary care physician action on risk factors reduction in the study population. 1090 persons were invited into the study. 293 (27%) of them came to the hospital for further investigation. After exclusion of patients in whom CAD was already present in 1997, a group of 263 patients was analyzed. The study group was divided in three parts: non-compliant to the primary prophylaxis recommend alians (52 pers.), performing the primary prophylaxis recommendations on their own (113 pers.), and performing the recommendations under supervision of the general practitioner (89 pers.). Blood pressure, smoking, weight reduction, physical activity improvement and lowering of the total cholesterol were analyzed. The risk of CAD in 1997 in 1999 was evaluated according to the risk score. In the group following the recommendations unders medical supervision significant CAD risk reduction, lowest CAD risk in 1999, highest ratio of smoking quitting, tendency to physical activity improvement, highest weight reduction (especially in people with visceral obesity), and the lowering of total cholesterol level were observed. In the group following the recommendations without medical supervision significant level of smoking quitting and weight reduction were observed. In this group total cholesterol level and CAD risk were unchanged. On the basis of these results following conclusions were formed: 1) Prevention action caused smoking quitting, body mass reduction, total cholesterol reduction and tendency to improved physical activity. 2) Prevention action caused only minor personal CAD risk reduction. 3) General practitioner activity lowered CAD incidence risk. 4) Education of people at risk, general practitioners and the entire population on avoiding coronary artery disease is necessary.
Pawłowski
Tomasz
T
III Klinika i Katedra Kardiologii Sl. AM w Katowicach.
Kozakiewicz
Krystyna
K
Tendera
Michał
M
D000328:Adult; D002391:Catchment Area, Health; D015897:Comorbidity; D005260:Female; D006293:Health Promotion; D006801:Humans; D006937:Hypercholesterolemia / Q000453:epidemiology* / Q000517:prevention & control*; D006973:Hypertension / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009765:Obesity / Q000453:epidemiology; D011044:Poland / Q000453:epidemiology; D015397:Program Evaluation; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology