Affiliation:
1. Medical Faculty, Novi Sad
2. Academy of Medical Sciences, Serbian Medical Society, Belgrade
Abstract
Backround/Aim. From 1984 to 2004 the city of Novi Sad participated through
its Health Center ?Novi Sad? in the international Multinational MONItoring of
Trends and Determinants in CArdiovascular Disease (MONICA) project, as one of
the 38 research centers in 21 countries around the world. The aim of this
study was to determine frequency and changes of trends in leading risk
factors of coronary heart disease (CHD) and to analyze the previous trend of
movement of coronary event in women in Novi Sad during a 20- year period.
Methods. In 2004, the fourth survey within MONICA project was conducted in
the city of Novi Sad. The representative sample included 1,041 women between
the age of 25 and 74. The prevalence of risk factors in CHD such as smoking,
high blood pressure, elevated blood cholesterol, elevated blood glucose and
obesity was determined. Also, indicators of risk factors and rates of
coronary events in women were compared with the results from MONICA project
obtained in previous three screens, as well as with the results from other
research centres. ?2-test, linear trend and correlartion coefficient were
used in statistical analysis of results obtained. Results. It was observed
that during a 20-year period covered by the study, the prevalence of the
leading risk factors for the development of CHD in the surveyed women was
significantly increasing and in positive correlation with the values of
linear trend. Also, the increase of morbidity rates and mortality rates of
coronary event were in positive correlation. The decrease was only recorded
in the period from 1985-1989 (the implementation of the intervention
programme). Conclusion. Upon analysing the increase in prevalence of leading
risk factors of CHD and significant increase in the rates of coronary event,
we can conclude that health status of women in Novi Sad during a 20-year
period was deteriorating.
Publisher
National Library of Serbia
Subject
Pharmacology (medical),General Medicine