11/26/2022 0 Comments The year one challenge workout journalGlobalisation, migration, socio-economic changes and unemployment may have influences. Societal changes may affect the CVD epidemic in different ways. Lifestyle, behaviour, socio-economic issues This can be achieved by aiming for a non-smoking generation of adolescents who keep physically active throughout life and preventing the development of overweight and obesity. Therefore, more should be invested in the earliest possible prevention of CVD from childhood onwards, in the prevention of the development of an increased total CVD risk. Prevention of premature CVD mortality and of disability adjusted life years (DALYs) is great but could be associated with an increase in the prevalence of CVD in the elderly and in the very old, with an epidemic of end-stage CVD such as chronic heart failure, renal insufficiency and vascular dementia with all its consequences in terms of more need for care than for cure and of increasing healthcare costs. It could also well be that prevention of CVD in the present generation of adults is to a certain extent only a postponement of events or a reduction of the case fatality rate rather than a complete prevention. However, the epidemic is still very dynamic in different parts of the world and changes may again occur in the wrong direction it was recently reported that the rate of decline in CVD mortality has decelerated in the USA and was absent in young adults in Norway. The majority of the reduction in CVD mortality rates is attributable to preventive efforts more than to changes in care. That decline has occurred in most European countries, commencing earlier in some compared to others. After an alarming rise in the mortality from atherothrombotic cardiovascular disease (CVD) in the 1950s in most industrialised countries, the CVD epidemic levelled off and an impressive decline started.
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