Physical Activity in Public Health Nutrition_presentation 2007

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MAIN ACTIVITIES ON HEALTH PROMOTIONMAIN ACTIVITIES ON HEALTH PROMOTIONTHROUGH NUTRITION AND PHYSICAL ACTIVITYTHROUGH NUTRITION AND PHYSICAL ACTIVITY

HEPA MACEDONIA, 2001 - 2007HEPA MACEDONIA, 2001 - 2007

President: SIMOVSKA VERA, MD., PhD.

spec. of sports medicine, subspec. of hygiene nutrition

www.cindi.makedonija.com


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H E P A M A C E D O N I A

HEPA Macedonia National Organization for the Promotion of Health through Nutritionand Physical Activity is established on 11 October 2005.

The aim was to develop the steps to implement national policy, startegy and

programme on the key health determinant, physical activity and nutrition in accordance to

the new EU Health Strategy (2007-2016).

In February 2006 HEPA Macedonia was accepted as temporary member by theSteering Committee of the WHO HEPA EUROPE until confirmation by the network at 2nd

Annual meeting on 14 June in Tampere, Finland. Also it,s is a member of the World Move

for Health network.

There is a need for quick action to implement this strategy associated with the

implementation of the WHO Resolution WHA 57.16 on Health Promotion and Healthy

Lifestyleand WHA 57.17 on Global Srategy on Diet, Physical Activity and Healthas well

as with the A/RES/58/5 on Sport as a means to promote Education, Health, Development

and Peace.


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IN TRANSITION 1991-2003

s There is a strong evidence for the Macedonian nutrition and

physical activity initiative/strategy and programme.

s

During last decade, statistic showed very bad publichealth situation.

s The major cause of death and disability are CVD, cancer,

diabetes, obesity and respiratory diseases.

s CVD with predominant CHD mortality is continuosly increasing up

to 57% of all deaths in 2002.


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Figure 1. Mortality rate from noncommunicable diseases inMacedonia for the period 1991-2001 up to 100.000 population

359.5

385.9

464.9 468.6

108.3 111.4129.5 140.5 142.6 150.3

458.7464.9

0

50

100

150

200

250

300

350

400

450

500

1991 1993 1995 1997 1999 2001

KVB

Cancer


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Map 1. Deaths by causes in Macedonia, 2000


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PUBLIC HEALTH APPROACHPUBLIC HEALTH APPROACH

RISK FACTOR IDENTIFICATION IN MACEDONIARISK FACTOR IDENTIFICATION IN MACEDONIA

s High important public health problem are high prevalence of biological

(morphfunctional), behavioural (lifestyle) and envoronmental risk factors

responsible for development of the leading NCD in Macedonia.

s 41.2% of Macedonian adult population was increasingly overweight and obese

in 1988 and the percentage was increased up to 58.3% in 2000 (fig. 3)

s High prevalence of other major biological risk factors such as high total serum

cholesterol, high blood presure and hyperglicaemia (fig. 5).

s The health of 64.5% of adult population was at risk from physical inactivity in

2002.

s PA are declined in 50% of school-age girls from 7-12 years old.

s Application of a standard questionnaire for PA such as IPAQ, periodically used

was never undertaken.

Assessment and comparison of socio-economic differences in PA levels and

food habits included level of education were never done.


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Figure 3. BMI Distribution in adult population in Skopjeduring the last 10 years (1990-2000)

75.8

14.9

9.3

65.5

15.918.6

58.8

18.623

41.6 41.5

16.8

0

10

20

30

40

50

60

70

80

1990 1995 1998 2000

BMI25-29.9

BMI>30

%


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Figure 5. Prevalence of riskfactors for CVD and other NCD in adult population from central region in Skopje (1990-1998)

28,2

75

2,5

23,4

18,2

12,5

3,7

35,235,9

18,215,8

28,8

23,8

14,2

0

20

40

60

80

T.Ch

ol>6

.5

T.Cho

l>6.5(

BMI>

25)

TG>2

.3(B

MI>

25)

Gly>

6.5

LDL>

4.5

HDL

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Physical Activity in Public Health Nutrition_presentation 2007