RESEARCH PAPER
Factors determining health behaviours of the 50+ population with cardiovascular diseases
 
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1
Jan Grodek State Vocational Academy, Sanok, Poland
2
State University of Applied Sciences, Kalisz, Poland
3
Department of Social and Preventive Medicine, Medical University, Łódź, Poland
CORRESPONDING AUTHOR
Izabela Gąska   

Jan Grodek State Vocational Academy in Sanok, Mickiewicza 21, 38-500, Sanok, Poland
 
Ann Agric Environ Med. 2020;27(1):99–105
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The biggest threat to life are cardiovascular diseases which are a serious problem in Poland, Europe, and worldwide. Therefore, it has become important to have proper health behaviours which significantly eliminate the occurrence and development of cardiovascular diseases.

Objective:
The main aim of this study is to present factors that determine health behaviours of the 50+ population with cardiovascular diseases.

Material and methods:
The study was carried out among 411 individuals aged over 50 with cardiovascular diseases. The method used was a diagnostic survey. The study involved an authors’ survey questionnaire and the Inventory of Health-Related Behaviours (IHB). A detailed statistical analysis was carried out in the R programme, version 3.5.1.

Results:
The most common disease in the study group was coronary heart disease – 63.75%. The majority of respondents showed (via Inventory of Health-Related Behaviour [IHB]) that the level of their health behaviours was moderate – 41.12%; the highest level of health behaviours in the study group were related to health practices, while a slightly lower level was observed in the area of positive mental attitude. Statistical significance was also found between the level of intensity of health behaviours and age, gender, BMI, place of residence, education, professional activity and marital status of the respondents.

Conclusions:
Anti-health behaviours were predominant among the respondents; significant demographic and social factors determining health behaviour were determined, such as age and gender; a high level of health behaviours was found in the group of women with higher education and correct body mass, living in cities and married.

 
REFERENCES (39)
1.
Aaron K, Sanders P. Role of dietary salt and potassium intake in cardiovascular health and disease: a review of the evidence. Mayo Clin Proc. 2013; 88(2): 987–995. doi: 10.1016/j.mayocp.2013.06.005.
 
2.
Bąk-Sosnowska M, Skrzypulec-Plinta V. Health behaviors, health definitions, sense of coherence, and general practitioners’ attitudes towards obesity and diagnosing obesity in patients. Arch Med Sci. 2017; 13(3): 433–440. doi: 10.5114/aoms.2016.58145.
 
3.
Kozieł D, Naszydłowska E, Trawczyńska M, Czerwiak G. Zachowania zdrowotne młodzieży – kierunek działania dla edukacji zdrowotnej [Health behaviors of young people – the course of action for health education]. Zdr Publ. 2013; 113(3–4): 280–284 (in Polish).
 
4.
Roth G, Forozanfar M, Moran A. Demographic and epidemiologic divers of global cardiovascular mortality. N Engl J Med. 2015; 372: 1333–1341. doi: 10.1056/NEJMoa1406656.
 
5.
Kotseva K, Wood D, De Bacquer B. Euroaspire IV: a European Society of Cardiology survey on the lifestyle, risk factor and therapeutic management of coronary patients from 24 European countries. Eur J Prev Cardiol. 2016; 23(6): 636–648. doi: 10.1177/2047487315569401.
 
6.
Sytuacja demograficzna osób starszych i konsekwencje starzenia się ludności Polski w świetle prognozy na lata 2014–2050 [The demographic situation of the elderly and the consequences of ageing in the population of Poland in the light of the forecast for the years 2014–2050], Warszawa, 2014, p. 3. https://stat.gov.pl/obszary-te... (accessed on 27.06.2019) (in Polish).
 
7.
Deluga A, Kosicka B, Dobrowolska B, Chrzan-Rodak P, Jurek K, Wrońska J, et al. Lifestyle of the elderly living in rural and urban areas measured by the Fantastic Life Inventory. Ann Agric Environ Med. 2018; 25(3): 562–567. doi: https://doi.org/10.26444/aaem/....
 
8.
Zdrojewski T. Choroby układu krążenia i ich prewencja u osób w wieku starszym [Diseases of the circulatory system and their prevention in the elderly]. 2nd edition. Wydawnictwo Naukowe Scholar Warszawa, 2014.p.43–54 (in Polish).
 
9.
Selivanova A, Cramm JM. The relationship between healthy behaviours and health outcomes among older adults in Russia. BMC Public Health 2014; 14: 1183. doi:10.1186/1471-2458-14-1183.
 
10.
He Z, Cheng Z, Shao T, Liu Ch, Shao P, Bishwajit G, Feng D, Feng Z. Factors influencing health knowledge and behaviors among the elderly in rural China. Int J Environ Res Public Health. 2016; 13: 975. doi:10.3390/ijerph13100975.
 
11.
Zanjani S, Tol A, Mohebbi B, Sadeghi R, Keramat Nouri Jalyani KN, Moradi A. Determinants of healthy lifestyle and its related factors among elderly people, J Educ Health Promot. 2015; 4: 103–115. doi:10.4103/2277-9531.171817.
 
12.
Cannon C, Blazing M, Giugliano R, McCagg B, White M, Theroux M, et al. Ezetimibe addend to statin therapy after coronary syndromes. New England J Med. 2015; 372(25): 2387–2397. doi: 10.1056/NEJMoa1410489.
 
13.
Cierniak-Piotrowska M, Marciniak G, Stańczak J. Statystyka zgonów i umieralności z powodu chorób układu krążenia [Statistics of deaths and mortality due to cardiovascular diseases] In: Strzelecki Z, Szymborski J, editors. Zachorowalność i umieralność na choroby układu krążenia a sytuacja demograficzna Polski [Morbidity and mortality of cardiovascular diseases and the demographic situation of Poland] Rządowa Rada Ludnościowa, Warszawa; 2015. p. 45–74 (in Polish).
 
14.
Ibanez B, James S, Agewall S, Antunes M, Bucciarelli-Ducci C, Bueno H. et al. 2017 ESC Guidelinesfor the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018; 39(2): 119–177. doi: 10.1093/eurheartj/ehx393.
 
15.
Blood Pressure Lowering treatment Trialists’Collaboration, Sunstrom J, Arima H. Blood pressure-lowering treatment based on cardiovascular risk: a meta-analysis of individual patient data. Lancet 2014; 384(3): 591–598. doi: 10.1371/journal.pmed.1002538.
 
16.
Kwok C, Pradhan A, Khan M. Bariatric burgery and its impast on cardiovascular disease and mortality: a systematic review and meta-analysis. Int J Cardiol. 2014; 173(1): 20–28. doi: 10.1016/j.ijcard.2014.02.026.
 
17.
Christopher P, Cannon MD, Michael A, Blazing MD, Robert P, Giugliano M D. Ezetimibe addend to statin therapy after acute coronary syndroms. N Engl J Med. 2015; 372: 2387–2397. doi: 10.1056/NEJMoa1410489.
 
18.
Muller M, Smulders M, de Leeuw P, Stehouwer C. Treatment of hypertension in the oldest old: a critical role for frailty? Hypertension 2014; 63(3): 433–441. doi: 10.1161/hypertensionaha.113.00911.
 
19.
Vlachopoulos C, Jackson G, Stefanadis C, Montorsi P. Erectile dysfunction in the cardiovascular patient. Eur Heart J 2013; 34(27): 2034–2046. doi: 10.1093/eurheartj/eht112.
 
20.
McConnachie A, Walker A, Robertson M. Long-term impact on healthcare resource utilization of statin treatment, and its cost effectiveness in the primary prevention of cardiovascular disease: a record linkage study. Eur Heart J. 2014; 35(5): 290–298. doi: 10.1093/eurheartj/eht232.
 
21.
Jankowski P, Gąsior M, Gierlotka M. Opieka koordynowana po zawale serca. Stanowisko Polskiego Towarzystwa Kardiologicznego oraz Agencji Oceny Technologii Medycznych i Taryfikacji [Care coordinated after myocardial infarction. Position of the Polish Cardiac Society and the Agency for the Evaluation of Medical Technology and Tariffs]. Kardiol Pol. 2016; 74(8): 800–811. doi: 10.5603/kp.2016.0118 (in Polish).
 
22.
Chomistek A, Chiuve S, Eliassene A, Mukamal K, Willet W, Rimm E, et al. Healthy lifestyle in the primordial prevention of cardiovascular disease among young women. J Am College Cardiol. 2015; 65(1): 43–51. doi: 10.1016/j.jacc.2014.10.024.
 
23.
Anderson L, Goodman R, Holtzman R, Northridge M. Aging in the United States: Opportunities and Challenges for Public Health. American J Pub Health. 2014; 102(3): 3, 354–363. doi: 10.2105/AJPH.2011.300617.
 
24.
Mossakowska M. Problemy zdrowotne osób w wieku podeszłym – wnioski z projektu PolSenior [Health problems of the elderly – conclusions from the PolSenior project]. 2nd edition. Wydawnictwo Naukowe Scholar Warszawa, 2013.P.54–78 (in Polish).
 
25.
Biernacka B, Pieniążek M, Pyć M, Dziewulska J. Ocena zachowań zdrowotnych i analiza zdrowia jako wartości w ocenie studentów Uniwersytetu Trzeciego Wieku Marii Curie Skłodowskiej w Lublinie [An assessment of health behaviors and the analysis of health as a value, as seen by the students of the University of the Third Age at the Maria Curie Sklodowska University in Lublin]. Zdrowie i Dobrostan. 2015; 2(30): 27–38 (in Polish).
 
26.
Campos Tassini C, Ribeiro do Val G, da Silva Candido S, Kallás Bachur C. Assessment of the Lifestyle of University Students in the Healthcare Area Using the Fantastic Questionnaire. Int J Cardiovasc Sci. 2017; 30(2): 117–122. http://dx.doi.org/10.5935/2359....
 
27.
Prakash SJ, Bihari GS, Kumar SA. Lifestyle habits and diseases amongst rural geriatrics population. Int J Community Med Public Health. 2016; 3(4): 957–961. doi: http://dx.doi.org/10.18203/239....
 
28.
Cybulski M, Krajewska-Kulak E, Jamiolkowski J. Preferred health behaviors and quality of life of the elderly people in Poland. Clin Interv Aging. 2015; 10: 1555–1564. https://doi.org/10.2147/CIA.S9....
 
29.
Smoleń E, Gazdowicz L, Żyłka-Reut A. Zachowania zdrowotne osób starszych [Health behaviors of older people]. Piel XXI w. 2011; 3(36): 5–9 (in Polish).
 
30.
Sygit-Kowalkowska E, Sygit K, Sygit M. Emotional intelligence vs. Health behaviour in selected groups in late adulthood. Ann Agric Environ Med. 2015; 22(2): 338–343. doi: 10.5604/12321966.1152092.
 
31.
Chapman MJ, Ginsberg HN, Amarenco P, Andreotti F, Borén J, Catapano AL. at al. Triglyceride-rich lipoproteins and high-density lipoprotein cholesterol in patients at high risk of cardiovascular disease:evidence and guidance for management. Eur Heart J. 2011(11); 32: 1345–1361. doi: 10.1093/eurheartj/ehr112.
 
32.
Kulpa W. Zachowania prozdrowotne osób czterdziestoletnich w aspekcie poziomu wykształcenia [Health-related behaviors of forty-year-old people in terms of their level of education] W: Maksymiuk T, Bartkowiak L. editors. Badanie stanu zdrowia populacji i funkcjonowanie opieki zdrowotnej. Zagadnienia wybrane [Examination of the population’s health status and functioning of health care. Selected issues]. AM im. K. Marcinkiewicza w Poznaniu, Poznań; 2002. p. 57–64 (in Polish).
 
33.
Muszalik M, Zielińska-Więczkowska H, Kędziora-Kornatowska K, Kornatowski T. Ocena wybranych zachowań sprzyjających zdrowiu wśród osób starszych w oparciu o Inwentarz zachowań Zdrowotnych Juczyńskiego w aspekcie czynników socjo-demograficznych [Evaluation of selected behaviors conducive to health among older people based on the Inventory of Health behaviors of Juczyński in the aspect of socio-demographic factors]. Probl Hig Epidemiol. 2013; 94(3): 509–513 (in Polish).
 
34.
Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia [Tools for health promotion and psychology of health]. 2nd edition. Pracownia Testów Psychologicznych, Warszawa 2009, p. 110–116.
 
35.
Hinkle DE, Wiersma W, Jurs SG. Applied Statistics for the Behavioral Sciences. 5th ed. Boston, Houghton Mifflin; 2003.
 
36.
Cuchel M, Bruckert E, Ginsberg HN, Raal F, Santos R, Hegele R. et al. Homozygous familial hypercholesterolaemia, new insights and guidance for clinicians to improve detection and clinical management. A position paper from the Consensus Panel on Familial Hypercholesterolaemia of the European Atherosclerosis Society. Eur Heart J. 2014; 35(32): 2146–57. doi: 10.1093/eurheartj/ehu274.
 
37.
Minister Zdrowia Program Polityki Zdrowotnej „Program Profilaktyki i Leczenia Chorób Układu Sercowo-Naczyniowego POLKARD na lata 2017–2020” Ministerstwo Zdrowia, Warszawa 2017 [A Health Policy Program by the Minister of Health ‘POLKARD Cardiovascular Disease Prevention and Treatment Program 2017–2020’] (in Polish).
 
38.
Rozporządzenie Rady Ministrów z dnia 4 sierpnia 2016 r. w sprawie Narodowego Programu Zdrowia na lata 2016–2020 Dz.U. 2016 poz. 1492. [Regulation of the Council of Ministers of 4 August 2016 regarding the National Health Program for 2016–2020. Journal of Laws 2016, item 1492] (in Polish).
 
39.
Ustawa z dnia 11 września 2015 r. o zdrowiu publicznym Dz. U. z 2017 r. poz. 2237 [Public Health Act of 11 September 2015. Journal of Laws 2017, item 2237] (in Polish).
 
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