Population-level changes to promote cardiovascular health

Jorgensen, Torben, Capewell, Simon, Prescott, Eva, Allender, Steven, Sans, Susana, Zdrojewski, Tomasz, De Bacquer, Dirk, de Sutter, Johan, Franco, Oscar H., Logstrup, Susanne, Volpe, Massimo, Malyutina, Sofie, Marques-Vidal, Pedro, Reiner, Zeljko, Tell, Grether S., Verschuren, Monique W. M. and Vanuzzo, Diego 2013, Population-level changes to promote cardiovascular health, European journal of preventive cardiology, vol. 20, no. 3, pp. 409-421, doi: 10.1177/2047487312441726.

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Title Population-level changes to promote cardiovascular health
Author(s) Jorgensen, Torben
Capewell, Simon
Prescott, Eva
Allender, StevenORCID iD for Allender, Steven orcid.org/0000-0002-4842-3294
Sans, Susana
Zdrojewski, Tomasz
De Bacquer, Dirk
de Sutter, Johan
Franco, Oscar H.
Logstrup, Susanne
Volpe, Massimo
Malyutina, Sofie
Marques-Vidal, Pedro
Reiner, Zeljko
Tell, Grether S.
Verschuren, Monique W. M.
Vanuzzo, Diego
Journal name European journal of preventive cardiology
Volume number 20
Issue number 3
Start page 409
End page 421
Total pages 13
Publisher Sage
Place of publication London, England
Publication date 2013-06
ISSN 2047-4873
Keyword(s) cardiovascular
structural strategies
public health
health promotion
Summary 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 structural strategies at international, national, and regional levels that in combination can substantially reduce CVD.
Notes Published online before print April 18, 2012
Language eng
DOI 10.1177/2047487312441726
Field of Research 110201 Cardiology (incl Cardiovascular Diseases)
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2012, Sage
Persistent URL http://hdl.handle.net/10536/DRO/DU:30045908

Document type: Journal Article
Collection: Population Health
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Created: Tue, 19 Jun 2012, 15:58:50 EST by Jane Moschetti

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