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1.
Vopr Pitan ; 88(6): 45-51, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31860198

RESUMO

One of the main tasks in implementing the foundations of state policy in the field of a healthy lifestyle of the population is the formation of optimal nutritional status and the preservation of public health. In this regard, issues of a comprehensive self-assessment of health by the population are becoming particularly relevant. The aim of the research was to identify the degree of commitment of the population to a healthy lifestyle, including maintaining a balanced diet and the presence of physical activity, as well as the relationship between the respondents' lifestyle and the presence of non-communicable diseases. Material and methods. A random survey of the adult population of the Rybno-Slobodsky district of the Republic of Tatarstan has been conducted. In total, 2346 respondents aged 21 to 74 (women - 71.7%, people with higher education - 33.2%) took part in the survey. For this study, a questionnaire was developed to identify the attitude of the population to a healthy lifestyle (HLS), which included questions regarding the physical activity of respondents, their commitment to healthy eating and diet, the existence of pernicious habits (drinking, smoking), and the presence of noncommunicable diseases. In the framework of this article, two factors were analyzed: the population's commitment to a balanced diet and physical activity, as well as the relationship of these factors with the presence of non-communicable diseases among respondents. Results and discussion. Data analysis showed that 18.8% of women and 14.1% of men always adhere to healthy eating and proper diet. Women are more committed to healthy eating than men (p<0.001). Regularly (2-3 times a week), 21.4% of women and 18.1% of men are engaged in exercise (a sport or physical activity), that is only 20.6% of respondents (p<0.001). The percentage of people committed to healthy nutrition was almost equal, both in the group of those with and without cardiovascular diseases (CVD) (19.5 and 17.4%, respectively). Among people who regularly engage in physical activity and sports (2-3 times a week), 27.5% of respondents have CVD, while among those who do not engage in exercise, 64.2% of individuals have CVD (p<0.001). Among those who adhered to a balanced diet, gastrointestinal diseases were observed in 14.1% of the respondents, while among the respondents who did not adhere to healthy eating, gastrointestinal diseases were observed in 83.7% (p<0.001). Conclusion Among respondents who adhere to healthy eating and diet and physical activity, non-communicable diseases and stress are less common (according to the respondents' answers). The results of a self-assessment (questionnaire) of public health can be used to develop targeted program of treatment and preventive measures to build community commitment in the Rybno-Slobodsky district of the Republic of Tatarstan to healthy lifestyle.


Assuntos
Doenças Cardiovasculares/epidemiologia , Dieta Saudável , Comportamento Alimentar , Comportamentos Relacionados com a Saúde , Estilo de Vida , Inquéritos e Questionários , Adulto , Idoso , Doenças Cardiovasculares/prevenção & controle , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tartaristão/epidemiologia
2.
Eksp Klin Gastroenterol ; (5): 3-11, 2016.
Artigo em Russo | MEDLINE | ID: mdl-28614639

RESUMO

The authors provide information about the factors affecting the quality of medical care, recent changes in the regulatory framework in medical education and its development in Russia compared with developed countries. For healthcare leaders are described the risks for the implementation of these changes in public health practice, are given recommendations for leveling the risks and further improve the quality of medical care in the Russian Federation.


Assuntos
Acreditação , Atenção à Saúde/normas , Educação Médica Continuada/tendências , Pessoal de Saúde/educação , Ensino/tendências , Acreditação/normas , Acreditação/tendências , Educação Médica Continuada/legislação & jurisprudência , Educação Médica Continuada/métodos , Educação Médica Continuada/normas , Regulamentação Governamental , Desenvolvimento de Programas , Controle de Qualidade , Federação Russa
3.
Artigo em Russo | MEDLINE | ID: mdl-21032913

RESUMO

The article deals with the analysis of the volumes of financing of public guarantees program of free-of-charge medical care and its algorithm of its elaboration in foreign countries. In the advanced countries, the higher financing of public health permit to ensure factually overall population the full free-of-charge spectrum of up-to-date medical interventions as a "public guarantees pack". It includes the pharmaceuticals supply in outpatient conditions and in most cases the long-term care services. In economically advanced countries, the general trend is the transfer from fundamental principles ("everything needed") to the more transparent approaches in case of implementation of the guarantees to achieve the balance between actual financial resources and stated population guarantees.


Assuntos
Atenção à Saúde/economia , Países em Desenvolvimento/economia , Financiamento Governamental/economia , Política Pública , Humanos
4.
Vopr Pitan ; 79(2): 33-8, 2010.
Artigo em Russo | MEDLINE | ID: mdl-20560482

RESUMO

Nowadays Russia faces problems, which are specific for the majority of the developed countries with respect to demography and health status. They are: low birth rate, ageing of the population and increase in prevalence of chronic non-infectious diseases (arterial hypertension, heart attacks, cerebral strokes, type 2 diabetes, oncological diseases etc.). But unlike these countries, Russia has retained rather a high mortality rate and a small length of life. The article analyses factors, which influenced this process. The conclusions prove the fact that an "unhealthy" lifestyle plays the primer role in deteriorating the population health in the Russian Federation, including incompliance of healthy nutrition principles.


Assuntos
Longevidade , Estado Nutricional , Dinâmica Populacional , Saúde Pública , Doenças Cardiovasculares/mortalidade , Demografia , Diabetes Mellitus Tipo 2/mortalidade , Feminino , Humanos , Masculino , Neoplasias/mortalidade , Avaliação Nutricional , Prevalência , Fatores de Risco , Federação Russa/epidemiologia
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