Implementation Of Healthy Lifestyle Research Articles

Outcomes of codesign workshops to create a digital resource that builds skills for student nurses in ASsessing cardiovascular risk, MOtivating change, and SUStaining healthier lifestyles: ASMOSUS

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Burdett Trust for Nursing. Background Student nurses are the workforce of the future, but cardiovascular (CV) risk factors are highly prevalent across this group, despite ‘Health Promotion’ being a component of nursing curricula. This theory-practice gap diminishes student nurses’ personal health and their capacity to influence the adoption of cardioprotective lifestyles by others. Purpose To conduct co-design workshops with undergraduate nursing students to create a user-friendly intervention that improves their knowledge and skills regarding CV risk management and healthy lifestyle implementation. Methods The co-design process comprised two steps: Step 1 (Design): Undergraduate nursing students (n=6) across two Universities in the UK agreed to participate in two virtual workshops, with each lasting approximately three hours and facilitated by members of the research team. Figure 1 displays the structure of each workshop. Step 2 (Prototype development): Information obtained in Step 1 was consolidated and used by the multidisciplinary research team (academics, students, and registered nurses) to draft, refine and re-draft content and structure for the intervention, which were subsequently sent to expert digital resource designers for prototype development. Results The co-design process resulted in development of a website that is ‘open for all’ (i.e., to enable users to complete different parts during different times and on different devices). The students identified the following topics as essential educational content: 1. Lifestyle behaviours and CV risk; 2. CV risk assessment; and 3. Motivational interviewing (see Figure 2). Students discussed their busy schedules (study and placement) and expressed a requirement for the information across these topics to be presented in an easily accessible format (i.e., short, comprehensible descriptions), to improve understanding and adherence. Moreover, students wanted the intervention to incorporate animations, quizzes, and simulated scenarios to facilitate enjoyable, interactive learning. In terms of intervention delivery, the consensus across students was for the beforementioned educational topics to be delivered via self-directed learning for one week (approximately 30 minutes to complete), followed by a group-work activity at a tutor-led, in-person workshop (approximately 90 minutes), which involves applying knowledge gained about CV risk assessment and motivational interviewing to simulated scenarios whilst receiving tailored guidance from the tutor. Conclusion Through co-creation, this study has developed a prototype educational intervention that is tailored to the requirements of nursing students for improving the core skills underpinning effective CV risk management and healthy lifestyle implementation. This work will progress to user testing and refinement prior to large-scale evaluation of acceptability and effectiveness.Fig 1.Structure of WorkshopsFig 2.Educational Content of Resource

Possibilities of achieving target levels of arterial pressure and atherogenic lipids in patients with arterial hypertension with obesity at the outpatient stage (results of a 12-week follow-up)

The aim: To study the possibility of achieving target levels of blood pressure (BP) and atherogenic lipids’ levels in patients with arterial hypertension with abdominal obesity (AO) using combined antihypertensive and lipid‑lowering therapy against the background of recommendations for lifestyle correction at the outpatient stage.
 Materials and methods. The study involved 54 patients with AH of 2 and 3 degrees with AO of I — II degrees, who were examined in the polyclinic of the GI «L. T. Malaya Therapy National Institute of the NAMS of Ukraine». The investigated group included 30 (56 %) men and 24 (44 %) women, aged 47 to 59 years (the mean age — (50.6 ± 5.2) years). All patients underwent general clinical laboratory and instrumental examinations. After the initial examination, all patients were prescribed a three‑component fixed combination (FC) of antihypertensive drugs: an angiotensin‑converting enzyme inhibitor (ACE inhibitor) perindopril, a thiazide‑like diuretic (TPD) indapamide and a long‑acting dihydropyridine calcium channel blocker (CCB) amlodipine in optimal daily doses, considering blood pressure levels. Atorvastatin was administered as a lipid‑lowering drug in a daily dose, defined depending on the initial blood levels of low‑density lipoprotein cholesterol (LDL cholesterol). Achievement of the target levels of blood pressure and LDL‑cholesterol was assessed after 6 and 12 weeks of the study. Doses of antihypertensive drugs and atorvastatin were adjusted during the study.
 Results. It has been established that 6 weeks of treatment of AH patients with AO in outpatient settings with the use of three‑component fixed combination of antihypertensive drugs (ACE inhibitors, TPD and CCBs of the dihydropyridine series) and statins’ lipid‑lowering therapy against the background of recommendations for lifestyle correction, resulted in the achievement of the target “office” BP levels of in only 57 % of patients and target levels of LDL‑cholesterol in only 32 %. Insufficient efficacy of antihypertensive therapy in the examined patients was associated with a greater severity of obesity, increased heart rate (HR) and a higher incidence of left ventricular hypertrophy (LVH), while the low efficacy of statin therapy was primarily associated with the low therapy compliance. The addition of nebivolol, cardioselective beta‑adrenoblocker (BAB) with a vasodilatory effect, to the fixed combination of ACE inhibitors, TPD and BCC significantly increased the effectiveness of antihypertensive therapy. At the same time, intensification of statin therapy did not result in the significant increase of the frequency of achieving target levels of LDL cholesterol in the blood.
 Conclusions. The standard three‑component fixed combination of antihypertensive drugs in combination with medium‑dose statin therapy and recommendations for the normalization of lifestyle was not enough effective in a significant part of AH patients with AO at the outpatient stage, which indicates the need for timely correction of drug therapy and implementation of healthy lifestyle.

INTEGRATION OF PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL COMPONENTS IN THE IMPLEMENTATION OF A HEALTHY LIFESTYLE OF MODERN HIGH SCHOOLCHILDREN

In the article deals with the theoretical approaches to the formation of positive motivation for a healthy lifestyle of modern schoolchildren in the realities of today. The article shows the significance of the fact that in recent years the attention of scientists to the study of the issues of healthy lifestyle implementation has intensified, its qualified propaganda in the mass media is being carried out. Nevertheless, it has been established that the problem of improving the health of the younger generation remains unsolved. Sociological research has shown that 90 per cent of schoolchildren have health problems, more than 50 per cent have inadequate physical training, and almost 60 per cent have a low level of physical development. It has been established that only 38 per cent of pupils take up regular physical exercise, 55 per cent do it occasionally and over 6 per cent do no physical exercise at all. Topicality of the research is also due to the fact that the number of diseases among high schoolchildren increased, a sharp decline in their physical activity and physical performance. The research and analysis of these negative phenomena have shown that the causes of this condition should be sought in the system of school education, in the identification of those factors of educational activities that lead to overstrain of the pupils’ bodies and do not create the right conditions to meet their needs for a healthy lifestyle. The purpose of the research was to analyze the main structural components of a healthy lifestyle and give proof of their implementation among modern high schoolchildren. The results of the analysis provide strong evidence that a healthy lifestyle is simultaneously a pedagogical, spiritual and social category, it covers different aspects of the life of schoolchildren, ensuring the development of their physiological, social and mental functions in a dynamic unity. It has been clarified that the attitude towards a healthy lifestyle does not emerge by schoolchildren on its own, but develops as a result of pedagogical influence aimed at forming by them a positive attitude towards a healthy lifestyle. The solution of this problem at the comprehensive schools is mainly trusted to the teachers and medical staff. Quite often, however, both doctors and teachers are not fully prepared to promote the benefits of a healthy lifestyle and do not always set a positive example in this regard. It is therefore fair to assume that one of the important points in forming positive motivation to lead a healthy lifestyle is to understand the essence of a healthy lifestyle, which consists in disclosure its main structural elements. It was established that a healthy lifestyle is a value phenomenon that integrates at least four components – physical, psychical (mental), social (public) and spiritual. In real life, all four components – soial, spiritual, physical, physical – are transformed into the organization of motion activity, prevention of bad habits, in the fulfilment of the requirements of sanitation, hygiene and hardening, in the mode of education, work and rest, in the nutrition regime, in the organization of sleep, in the culture of communication, in the culture of sexual behavior, in the psychophysiological regulation of the organism. It has been proved that all the components act simultaneously and their influence determines the general state of human health as a value complex of the phenomenon.

Penerapan PHBS Dan Protokol Kesehatan Dalam Waspada Menghadapi Gelombang Ketiga Covid-19 Di Fasilitas Olahraga Kota Bandung

IMPLEMENTATION OF HEALTHY LIFESTYLE AND HEALTH PROTOCOL IN AWARENESS OF THE THIRD WAVE OF COVID-19 IN BANDUNG CITY SPORTS FACILITIES. Various limitations and lack of understanding in implementing PHBS and strict procedures have become problems in the community. For example, the provision of masks for orphanages that are only waiting for donations from donors, the neglect of health procedures and the lack of public concern for the implementation of PHBS in community sports facilities, cause the need for motivation to be creative and productive while still paying attention and implementing health care programs. The purpose of these efforts is to increase knowledge about health so that later they can carry out health procedures correctly and also increase good and correct PHBS behavior. The method used is educating the application of a clean and healthy lifestyle (PHBS) and health protokols through counseling, making YouTube videos that are registered as intellectual property, providing supporting facilities and information and education communication in collaboration with health promotion officers of UPT Puskesmas Cipadung. The results showed that this activity was frequently needed by partners and really useful, seen from the increase in participants' understanding of the material presented and the implementation of health protokols in the sports facility environment.

HEALTH PROTOCOLS AND HEALTHY LIFESTYLE SUGGESTIONS DURING COVID-19 IN INDONESIAN MINISTRY OF HEALTH’S KOMIK SEHAT: A PRAGMATIC APPROACH

The government has enforced much socialization on health protocols and healthy lifestyle implementation during Covid-19, one of them through social media by presenting comics featuring utterances of characters. Accordingly, this research explains the utterances of comic characters that represent suggestions for implementing health protocols and healthy lifestyles during Covid-19. The objective of this study is to explain the strategy of delivering comic character messages that suggest health protocols and healthy lifestyles implementation. The data used in this paper are 38 Comics strips uploaded by the Indonesian Ministry of Health in their Instagram account entitled Komik Sehat. The results showed that of the 212 illocutionary speech acts, only 40.57% of utterances conveyed messages implementation of health protocols suggestions, and 6.6% of utterances conveyed messages implementation of healthy lifestyle suggestions. Therefore, the strategy of delivering messages on recommended health protocols and healthy lifestyles through stories in Healthy Comics is not effectively carried out by the Ministry of Health of the Republic of Indonesia.

Preface

First and foremost, it is our great pleasure to welcome all of our distinguished forum guest and invited speakers, presenters, and participants of the 4th International Conference on Agriculture and Life Sciences 2020 (ICALS 2020). The world are now facing the COVID-19 pandemic that threatens human health and disrupting other aspects of human life. A new life order that called as “New Normal” has been introduced to the public to limit COVID-19 infection during the day life activities. One important things to do during new normal is the implementation of healthy lifestyle that can be achieved by the consumption of healthy and nutritious food. The industrial crops are thought to have an important role in the provision of healthy food or health supplements. Based on this issue, the ICALS 2020 was designed as a place to facilitate the exchange ideas on the use of industrial plants to support public health with the main theme “Retouching Strategy for Exploring Potency of Industrial Crops for Health in Adapting to the New Normal Era”.The ICALS 2020 was held on 6-8 October 2020 in Faculty of Agriculture University of Jember, Indonesia. This conference is co-organized by Faculty of Agriculture University of Jember, Graduate Program University of Jember, Implementation Programs Unit of Islamic Development Bank University of Jember, and Center of Excellence on Crop Industrial Biotechnology (PUI-PT-BioTIn). However, due to the prohibition by Indonesian government to organize activities that attract many participants during COVID-19 pandemic, the all activities of ICALS 2020 must be held in the virtual format instead to be postponed.The plenary session of conferences had presented two keynote speakers from the University of Jember and from the Ministry of Agriculture, Republic of Indonesia with 40 minutes for lecture for each. The guest and invited speakers from South Korea, Japan, Belgium, Germany, and Indonesia have been participated in this conference to share their knowledge and expertise on 30 minutes of presentation. The ICALS 2020 was remotely attended by 1262 participants from academician, researchers, students, farmers, private business, and governments from total 8 countries (Indonesia, Malaysia, India, Australia, Japan, Belgium, Germany, South Korea) and 13 provinces in Indonesia (East Java, Central Java, Jogjakarta, West Java, South Sumatra, North Sumatra, West Sumatra, South Sulawesi, South East Sulawesi, North Sulawesi, Bali, West Nusa Tenggara, and Papua). Among this number, 160 participants disseminated their scientific result related to this conference topic. This virtual conference was successfully delivered using Zoom application and discussion sessions were conducted by means of the presenters answering questions that were raised through the chat menu.List of Comittees are available in this pdf.

Management of Polycystic Ovary Syndrome in Women by Implementing a Healthy Lifestyle and Effective Diet: A Review

Polycystic ovary syndrome (PCOS) is an endocrine disorder characterized by conditions such as anovulation, androgen excess, infertility, insulin resistance, depression and amenorrhea. Women with genetic predisposition are at a higher risk of being affected by it. Other environmental factors like sedentary lifestyle, unhealthy eating habits, lack of exercise, obesity has often been seen to trigger the onset of this condition. Due to the increased unhealthy lifestyle more number of women is being diagnosed with PCOS each year. There are also other health risks due to PCOS like impaired glucose tolerance, type 2 diabetes, dyslipidaemia, abdominal obesity, hypertension and cardiovascular diseases. Although, there is no permanent cure for PCOS but it can be treated with pharmacotherapy along with implementation of healthy lifestyle and proper diet. If PCOS is diagnosed early and managed properly then the associated reproductive, metabolic, and cardiovascular abnormalities can be effectively managed or previewed [1]. In this review article some research work has been discussed where implementing a healthy lifestyle and diet has shown to deal with PCOS problems. The effect of consumption of myoinositol, low glycemic index diet and omega 3 fatty acids on PCOS has been emphasised. PCOS is becoming an increasing cause of concern as mostly women in the reproductive age group is affected by it. Many teenage girls in their puberty also gets PCOS. PCOS is known to bring about anxiety and depression in patients. With the other conditions associated with it like excess facial hair growth, overweight, infertility: the anxiety and depression might get enhanced. PCOS may affect the quality of life of individuals if it is not dealt with early on.

Initiation and maintenance of behaviour change to support memory and brain health in older adults: A randomized controlled trial

ABSTRACT The implementation of healthy lifestyle and memory behaviours has the potential to mitigate the impact of age-related memory changes on the lives of older adults. The objective of this study was to examine whether a 10–hour multi-component memory intervention improves the initiation and maintenance of targeted, adaptive behaviour changes. Sixty-seven cognitively-normal, community-dwelling older adults, age 50–91 (72% female) participated in a randomized controlled trial with outcomes assessed at baseline, post-intervention, and six-week follow-up. Participants were allocated to a five-week, in-person, facilitator-led group intervention (n = 34) versus treatment as usual (n = 33). The intervention was associated with significant changes in participant-reported primary outcomes, including increased initiation and maintenance of health-promoting lifestyle behaviours (personal health responsibility, stress management, physical activity, and nutrition) and use of evidence-based behavioural memory strategies in everyday situations. Individualized goals were attained in both the intervention and control conditions. Secondary outcomes replicated prior findings (increased knowledge and improved memory-related confidence, affect, and self-rated ability), but were null with respect to benefits on general health and well-being. Group interventions that target positive adaptation to age-related cognitive decline via behaviour change are a promising avenue to enhance the health and wellness of our aging population. Trial registration ClinicalTrials.gov identifier: NCT02087137.

Factors influencing the implementation of ‘Four Pillars of Balanced Nutrition’ in a Retired Health Cadre Program for the elderly in BTPN Salatiga

Elderly people are at risk in overnutrition or undernutrition, and thus leading to cause multiple diseases. Responding to this, ‘Four Pillars of Balanced Nutrition’ is recommended to promote health status, particularly in Integrated Service Post for Retired People (Posyandu lansia). However, there is limited evidence regarding factors influencing the implementation of ‘Four Pillars of Balanced Nutrition’. Retired Health Cadre is a BTPN bank-funded program which provides similar facilities to regular Integrated Service Post with several adjustments including time, services and the usage of peer counseling. Therefore, this cross sectional study was aimed to investigate the correlation of the frequency of participant attendance, gender, education level and income of elderly people in Retired Health Cadre Program to implement ‘Four Pillars of Balanced Nutrition’. This research was conducted in BTPN Salatiga branch offices with forty-four participants aged 60-74 years, enrolled by consecutive sampling method. Data collected include general characteristics, single 24-hour recall, level of physical activity and questionnaire of implementation clean and healthy lifestyle. The participants' weight and height were measured to calculate BMI. Statistical analysis included univariate analysis, bivariate analysis using chi-square and multivariate analysis using logistic regression. Bivariate analysis showed no correlation between the program attendance frequency with Dietary Diversity Score (DDS) (p=0.1000), physical activity (p=0.383), clean and healthy lifestyle implementation (p=0.357) and nutrition status (p=0.068). However, the multivariate analysis showed that the level of education affects food diversity more than the frequency of attendance (p=0.019) and frequency of attendance is the factor that affects nutritional status most (p=0.037) compared to others. In conclusion, there was no correlation between participant attendance frequency toward dietary diversity, physical activity, clean and healthy lifestyle implementation and nutrition status among elderly participants of Retired Health Cadre Program in BTPN Salatiga. However, dietary diversity was affected by education level while the nutrition status was affected by the frequency of attending.

The social partnership in sphere of health care modernization

The article considers the role of interdepartmental cooperation in modernization of health sector at the regional level exemplified by Mari El Republic. Based on data of study monitoring, the dynamics of medical and demographic indicators are determined. Over the past five years, life expectancy increased, patient satisfaction with medical care increased. Its accessibility increased in rural areas. The primary health care is provided in 49 outpatient clinics and in 207 paramedic and midwifery centers, that meets the established standards. Against this background, the birth continues decreasing of birth rate and increasing of mortality because of diseases of blood circulation system and neoplasms. In order to more thoroughly study the state of health care and and taking into account requirements of the National Health Care Project, the sociological survey of two categories of respondents (patients and medical staff of the district hospital) was carried out. The indicators of demographic development are restrained by negative alterations in demographic structure of population, its aging and regressivity, decreasing of percentage of women of most active reproductive age and high mortality of men of able-bodied age. The social partnership of interested bodies and organizations involved in the reform and improvement of health care system can reduce severity of the above-mentioned problems. Statistical monitoring of implementation of requirements to accessibility and quality of medical care was carried out. The article presents original scheme of interaction between twelve ministries and departments of the Republic. The proposals of to improve quality and accessibility of medical care, the prestige of medical profession and implementation of healthy lifestyles are proposed.

Primary and Secondary Prevention of Cardiovascular Disease in the Era of the Coronavirus Pandemic.

No abstract available Keywords: COVID-19; cardiovascular diseases; primary prevention; secondary prevention.

Impact on social and communication processes in a colombian cancer entity

espanolLa entidad oncologica donde se realizo el estudio tiene como objetivo efectuar programas educativos de prevencion y deteccion temprana en temas relacionados con el cancer. En esta entidad, las areas Social y de Comunicaciones son fundamentales para lograr dicho objetivo, ya que desarrolla cada funcion entorno a la sociedad para asi potencializar estrategias que permitan la difusion a la comunidad y el acercamiento con familiares y pacientes, de tal manera que se promueve el intercambio de la informacion en temas de salud, prestandole mayor atencion al cuidado, proteccion y la implementacion de estilos de vida saludables. Dado lo anterior, se ha generado la necesidad de incorporar diferentes metodologias que permitan estandarizar los procesos que se llevan a cabo, midiendo el impacto y obteniendo como resultado oportunidades de mejora y eficacia.Para este caso de estudio, se utilizaron herramientas de tipo ingenieril, obteniendo un diagnostico inicial que parte desde la recoleccion de la informacion hasta la tabulacion de la misma, con respecto a lo anterior, se toman decisiones estableciendo riesgos, factores, actividades y procedimientos que requieren mayor atencion, no obstante, se realiza la respectiva documentacion, incluyendo anexos e instructivos que permite entender a fondo el procedimiento y llevar un control del mismo mediante el analisis de tiempos no estructurados de cada actividad, por otro lado, se logra mitigar las diferentes amenazas e impactos negativos que puede tener frente a los cambios realizados, ademas, una mayor organizacion y control del proceso, generando un sistema de medicion basado en indicadores que dara mayor soportey control a lo desarrollado con su respectivo seguimiento, para finalizar se realizo un estudio de impacto que determina la viabilidad del proyecto, de acuerdo a lo anterior se pudo contemplar que la estandarizacion cuenta con varios factores positivos que ayudan al funcionamiento y cumplimiento de los objetivos misionales de la entidad oncologica y se vera reflejada en la atencion a pacientes y apoyo a sus familiares, este proyecto respalda no solo la gestion documental sino la bonita labor que desarrolla. DOI: http://dx.doi.org/10.21017/rimci.2020.v7.n13.a79 EnglishOncological entities aim at training, prevention and education programs on cancer-related issues; the Social and Communications areas are fundamental to achieve this objective, since it exploits each function around society to thus potentiate strategies that can be dissemination, approach with family and patients, in such a way that the exchange of information on topics is promoted of health, paying greater attention to the care, protection and implementation of healthy lifestyles, given the above, the need to incorporate different methodologies that can standardize the processes that are carried out has been generated, resulting in opportunities for improvement and effectiveness. For this case study, use engineering tools obtaining an initial diagnosis, starting from the collection of information to the tabulation of the same, with respect to the above, making decisions establishing risks, factors, activities and procedures that diagnose more attention , however, the respective documentation is made, including annexes and instructions that allow a thorough understanding of the procedure and carry out a control of the same by analyzing unstructured times of each activity, on the other hand, it is possible to mitigate the different threats and negative impacts that may have to face the changes made, in addition, a larger organization and control of the process, generating a measurement system based on indicators that have greater support and control to what has been developed with their respective monitoring according to the stipulated to finalize an impact study was determined to determine the viability of the project or. DOI: http://dx.doi.org/10.21017/rimci.2020.v7.n13.a

Aspects of healthcare efficiency in the framework of ensuring the longevity of the population and socio-demographic security of the region

The article considers modern demographic trends, in the conditions of medical care cost increasing and aging of the population. The expediency of studying aspects of health care efficiency is justified. The relationship and mutual influence of changes in the country’s economy and changes in the health care system are revealed. The problems of preserving the health of the population are considered comprehensively, taking into account the influence of environmental factors, behavioral factors and attitudes to human health, the effectiveness of public policy implementation and the effectiveness of the health system. An integrative model for evaluating the effectiveness of regional health care is proposed based on an integrated approach aimed at improving the population health and ensuring social and demographic security of the region. The integrative model is adapted on the example of the Sverdlovsk region. In dynamics for 2008-2018, improved medical and demographic indicators and high effects were achieved as a result of comprehensive measures to neutralize factors that have a negative impact on the health of the population, promotion and implementation of healthy lifestyle, strengthening state support for the industry, and the successful functioning of regional health care.

Actuar político para el control del cáncer en Colombia

El cáncer es un tema de interés en salud pública, debido al progresivo aumento del número de casos, los altos costos para los sistemas de salud y el número de muertes. Para controlarlo, no es suficiente con promover la salud, puesto que la implementación de estilos de vida saludables no solo requiere voluntad individual, sino también creación de políticas, leyes, programas, planes, entre otros, que favorezcan cambios de comportamiento en individuos hacia estos estilos, que además posicionen las opciones saludables como iniciativas atractivas que tomar. Colombia ha entendido el cáncer como tema de atención prioritaria y como tal estableció un marco normativo que busca su control desde la prevención y la detección temprana, pasando por el tratamiento integral hasta la rehabilitación e incorporación a la vida laboral. Esta revisión pretende hacer un acercamiento a la normatividad y reglamentación colombiana para el control del cáncer, registrando su evolución histórica y destacando sus posibles alcances e inconvenientes.

THE EMERGING TEACHERS’ COMPETENCE FOR IMPROVING HEALTHY LIFESTYLE AND FACTORS IMPACTING IT

This publication analyses and discusses the aspects of healthy lifestyle implementation competence in the personal life of students and future teachers, viewing it as a potential contribution to their professional career. The correlation of internal factors such as students' attitudes, knowledge, skills and abilities and influence of external factors of social environment are analysed as healthy lifestyle competence. The empirical study focuses on two priority healthy lifestyle components –physical activity and the development of healthy eating habits in relation to the conditions provided by a higher education microsystem formulating a proposal for improving the interaction of these factors. For achieving the research goal, emerging teachers have been surveyed using the methodology developed by Corbin et al. (2008). For statistical analysis of the research data, the SPSS 22.0 program was employed: a method of descriptive statistics, Kruskal-Wallis test, and Kendall's tau-b correlation test. The results of this study prove the differences in competence indicators in relation to the respondents’ age and chosen specialization, as well as show the lack of support from professional management and medical staff for implementation of a healthy lifestyle.

THE DEVELOPMENT OF SOCIAL BELONGING AND CHANGES IN LIFESTYLE FOR WOMEN IN FITNESS: CASE STUDY

Fitness as a healthy lifestyle implementation helps to improve the social, mental and physical well-being components. Several scientists have indicated that there is a connection between social belonging and physical activity (PA) as the structural component of a healthy lifestyle (Walseth, 2006; Walseth & Fasting, 2004; Antonsich, 2010; Yuval-Davis, 2006; Anthias, 2006; Pinquart & Sorensen, 2001; Everard et. al., 2000). That is why the goal of the research is to develop and apply a social belonging promotion programme for women in fitness programme and to determine the changes in the lifestyle structural component health promoting PA. 10 women involved in fitness classes in small groups (2-4 people) participated in the case study, where in addition to PA social belonging promotion events were organized for all women together. In order to evaluate the structural components of social belonging and PA level and type, questionnaires adapted in Latvia and a semi-structured interview was used. Applying the social belonging promotion programme for women in fitness creates statistically significant changes in such structural components as sense of commitment (p<0.01), perception of interpersonal relations (p<0.01). By additionally promoting social belonging in fitness, women perceive the group better, are willing to spend more time with it; that, in turn, positively affects the willingness to be physically and socially active on a daily basis.

Resveratrol in primary and secondary prevention of cardiovascular disease: a dietary and clinical perspective

Primary prevention of cardiovascular disease (CVD) aims to avoid a first event in subjects that are at risk but have not yet been diagnosed with heart disease. Secondary prevention of CVD aims to avoid new events in patients with established heart disease. Both approaches involve clinical intervention and implementation of healthy lifestyles. The grape and wine polyphenol resveratrol (3,5,4'-trihydroxy-trans-stilbene) has shown cardioprotective benefits in humans. Most of these approaches deal with rather high doses and short follow-ups, and do not address the issue of long-term resveratrol consumption safety, especially in medicated individuals. Here, we review the trials conducted with resveratrol in patients at risk for or with established CVD, focusing on the two longest human clinical trials reported so far (1-year follow-up). We also discuss the expectations for resveratrol from a dietary and clinical perspective in relation to CVD. However, statistically significant changes in CVD-risk markers do not necessarily equal clinical significance in the daily care of patients.

OBESITY IS AN IMPORTANT DETERMINANT OF SYSTOLIC BLOOD PRESSURE IN YOUNG MEN BORN SMALL FOR GESTATION AGE

Vukovic Lela, I.; Laganovic, M.; Premuzic, V.; Karanovic, S.; Kuzmanic, D.; Vrcic Kirhmajer, M.; Banfic, Lj.; Fistrek, M.; Kos, J.; Jelakovic, B. Author Information

The Remission Clinic approach to halt the progression of kidney disease

Randomized multicenter studies in diabetic and nondiabetic patients with chronic proteinuric nephropathies have clearly demonstrated that renin-angiotensin system (RAS) inhibitors, such as angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) used alone or in combination, effectively retard renal disease progression. Proteinuria reduction, in addition to arterial blood pressure control, largely mediates the nephroprotective effect of RAS inhibitor therapy. Despite RAS inhibition, however, most patients with chronic kidney disease (CKD) progress to end-stage renal disease (ESRD). This highlights the importance of innovative therapies to halt or revert CKD progression in those at risk. Along this line, a multimodal strategy (Remission Clinic) targeting urinary proteins by dual RAS inhibition with ACE inhibitors and ARBs up-titrated to maximum tolerated doses, by intensified blood pressure control, amelioration of dyslipidemia by statins, smoking cessation and healthy lifestyle implementation was safely and effectively applied at our outpatient clinic to normalize urinary proteins and prevent renal function loss in patients otherwise predicted to rapidly progress to ESRD because of nephrotic-range proteinuria refractory to standard antihypertensive dosages of an ACE inhibitor. This approach achieved remission or regression of proteinuria and stabilized kidney function in most cases, and almost fully prevented progression to ESRD. Provided patients are closely monitored and treatment is cautiously up-titrated according to tolerability, this approach might be safely applied in day-by-day hospital practice. Effective prevention of ESRD would reduce costs of renal replacement therapy by dialysis or transplantation and would be life-saving where these are not available for all patients in need.