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Müller P, Herzog M, Duderstadt Y, Kunz M, Lechner K, Meyer F, Schmeißer A, Meißler S, Ahrens D, Neumann K, Mattern H, Speck O, Behme D, Dunay IR, Seeland U, Schreiber S, Braun-Dullaeus R. [Cardiovascular prevention in Saxony-Anhalt : Necessity and new perspectives]. INNERE MEDIZIN (HEIDELBERG, GERMANY) 2024; 65:1137-1146. [PMID: 39387861 PMCID: PMC11543705 DOI: 10.1007/s00108-024-01789-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/23/2024] [Indexed: 10/12/2024]
Abstract
Cardiovascular risk factors (high blood pressure, smoking, overweight, type 2 diabetes, dyslipidemia, physical inactivity) substantially rise with increasing age, particularly after middle age, whereby women are affected to a much greater extent. In the population of Saxony-Anhalt the prevalence of cardiovascular risk factors is clearly increased and the population structure in Saxony-Anhalt is particularly characterized by a high average age as well as high morbidity and mortality rates due to cardiovascular diseases. Saxony-Anhalt therefore provides a model character for the demographic development in Europe. This review article discusses strategies for the implementation of target group-specific cardiovascular preventive strategies in the Federal State of Saxony-Anhalt with special consideration of age and sex. When preventive medicine facilities are established and innovative treatment possibilities for patients with cardiovascular risks are created, prevention should also become available in rural areas.
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Affiliation(s)
- Patrick Müller
- Universitätsklinik für Kardiologie und Angiologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Leipziger Str. 44, 39120, Magdeburg, Deutschland.
- Deutsches Zentrum für Psychische Gesundheit (DZPG), Magdeburg, Deutschland.
- Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Magdeburg, Deutschland.
- Center for Intervention and Research on adaptive and maladaptive brain Circuits underlying mental health (C-I-R-C), Magdeburg, Deutschland.
| | - Maximilian Herzog
- Universitätsklinik für Kardiologie und Angiologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Leipziger Str. 44, 39120, Magdeburg, Deutschland
| | - Yves Duderstadt
- Universitätsklinik für Kardiologie und Angiologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Leipziger Str. 44, 39120, Magdeburg, Deutschland
| | - Matthias Kunz
- Universitätsklinik für Kardiologie und Angiologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Leipziger Str. 44, 39120, Magdeburg, Deutschland
| | - Katharina Lechner
- Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technische Universität, München, Deutschland
- DZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, München, Deutschland
| | - Frank Meyer
- Universitätsklinik für Allgemein‑, Viszeral‑, Gefäß- und Transplantationschirurgie, Medizinische Fakultät, Otto-von-Guericke-Universität, Magdeburg, Deutschland
| | | | - Saskia Meißler
- Universitätsklinik für Kardiologie und Angiologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Leipziger Str. 44, 39120, Magdeburg, Deutschland
| | - Dörte Ahrens
- Universitätsklinik für Kardiologie und Angiologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Leipziger Str. 44, 39120, Magdeburg, Deutschland
| | - Katja Neumann
- Universitätsklinik für Neurologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Magdeburg, Deutschland
| | - Hendrik Mattern
- Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Magdeburg, Deutschland
- Biomedical Magnetic Resonance, Faculty of Natural Sciences, Otto-von-Guericke University, Magdeburg, Deutschland
- Center for Behavioral Brain Sciences (CBBS), Magdeburg, Deutschland
| | - Oliver Speck
- Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Magdeburg, Deutschland
- Biomedical Magnetic Resonance, Faculty of Natural Sciences, Otto-von-Guericke University, Magdeburg, Deutschland
- Center for Behavioral Brain Sciences (CBBS), Magdeburg, Deutschland
- Institut für Physik, Fakultät für Naturwissenschaften, Otto-von-Guericke- Universität, Magdeburg, Deutschland
| | - Daniel Behme
- Universitätsklinik für Neuroradiologie, Otto-von-Guericke-Universität, Magdeburg, Deutschland
| | - Ildiko Rita Dunay
- Deutsches Zentrum für Psychische Gesundheit (DZPG), Magdeburg, Deutschland
- Institut für Inflammation und Neurodegeneration, Otto-von-Guericke-Universität, Magdeburg, Deutschland
| | - Ute Seeland
- Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité - Universitätsmedizin, Berlin, Deutschland
- Zentrum für Innere Medizin, Sektion Geschlechtersensible Medizin und Prävention, Medizinische Fakultät, Otto-von-Guericke-Universität, Magdeburg, Deutschland
| | - Stefanie Schreiber
- Deutsches Zentrum für Psychische Gesundheit (DZPG), Magdeburg, Deutschland
- Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Magdeburg, Deutschland
- Universitätsklinik für Neurologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Magdeburg, Deutschland
- Center for Behavioral Brain Sciences (CBBS), Magdeburg, Deutschland
| | - Rüdiger Braun-Dullaeus
- Universitätsklinik für Kardiologie und Angiologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Leipziger Str. 44, 39120, Magdeburg, Deutschland
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Makhmudova U, Aboyans V. EJPC @ a glance: focus issue on exercise, physical activity, and sports cardiology. Eur J Prev Cardiol 2024; 31:1437-1440. [PMID: 39166729 DOI: 10.1093/eurjpc/zwae244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/23/2024]
Affiliation(s)
- Umidakhon Makhmudova
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Hindenburgdamm 30, Berlin 12203, Germany
- Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Friede Springer Cardiovascular Prevention Center @Charité, Hindenburgdamm 30, Berlin 12203, Germany
| | - Victor Aboyans
- Department of Cardiology, Dupuytren University Hospital, 2, Martin Luther King avenue, Limoges 87042, France
- EpiMaCT, Inserm 1094 & IRD 270, Limoges University, 2, ave Marcland, Limoges, France
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Barbosa AR, Pais S, Marreiros A, Correia M. Impact of a Mediterranean-Inspired Diet on Cardiovascular Disease Risk Factors: A Randomized Clinical Trial. Nutrients 2024; 16:2443. [PMID: 39125324 PMCID: PMC11314620 DOI: 10.3390/nu16152443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Revised: 07/15/2024] [Accepted: 07/18/2024] [Indexed: 08/12/2024] Open
Abstract
Cardiovascular diseases (CVDs) are the leading cause of death worldwide. This study focused on evaluating the impact of a Mediterranean-type diet combined with physical exercise on CVD risk factors of high-risk individuals. A randomized clinical trial (RCT) recruited individuals (≥50 years old) with no history of acute myocardial infarction, but with high CVD risk criteria according to the SCORE2/SCORE2 OP. Anthropometric and biochemical parameters were assessed at baseline and after 12 weeks of diet and exercise intervention. Participants were randomly assigned into 3 groups: no intervention group (Group 1a), physical exercise group (Group 1b), and physical exercise (±2 h/week) plus diet group (Group 2). Briefly, the dietary intervention was based on the principles of an isocaloric Mediterranean diet (MD), with seven main meals/week centered on plant-based foods (legumes and pulses). The combined effect of exercise and the diet showed significant decrease in WC (p = 0.002), BST (p < 0.001), visceral fat (p < 0.001), and TG (p = 0.029), compared with control groups. The intervention significantly increased legume intake (p < 0.001), as well as adherence to the MD, which associates with WC decrease (p = 0.024) and visceral fat (p = 0.017). A combined intervention of exercise and diet should be endorsed as an efficient modifier of cardiometabolic parameters.
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Affiliation(s)
- Ana Rita Barbosa
- Comprehensive Health Research Centre—CHRC, Universidade de Évora, Colégio Luís António Verney, Gab:269-a, Rua Romão Ramalho 59, 7002-554 Évora, Portugal
- Algarve Biomedical Center Research Institute, Universidade do Algarve, FMCB Ed. Campus de Gambelas, 8005-139 Faro, Portugal
| | - Sandra Pais
- Comprehensive Health Research Centre—CHRC, Universidade de Évora, Colégio Luís António Verney, Gab:269-a, Rua Romão Ramalho 59, 7002-554 Évora, Portugal
| | - Ana Marreiros
- Algarve Biomedical Center Research Institute, Universidade do Algarve, FMCB Ed. Campus de Gambelas, 8005-139 Faro, Portugal
- Faculty of Medicine and Biomedical Sciences, Universidade do Algarve, FMCB Ed. Campus de Gambelas, 8005-139 Faro, Portugal
| | - Marta Correia
- CBQF—Centro de Biotecnologia e Química Fina—Laboratório Associado, Escola Superior de Biotecnologia, Universidade Católica Portuguesa, Rua Diogo Botelho 1327, 4169-005 Porto, Portugal
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