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PHA Healthy Lifestyle Advocacy . Philippine Heart Association (PHA). A non-stock, non-profit organization founded on March 26, 1952 Initial membership of 26 physicians 50 years ago Currently with a membership of 1,500 cardiologists nationwide.
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Philippine Heart Association (PHA) • A non-stock, non-profit • organization founded on March • 26, 1952 • Initial membership of 26 • physicians 50 years ago • Currently with a membership of • 1,500 cardiologists nationwide
The PHA shall be a leading organization of cardiovascular specialists in theAsia Pacific region in the prevention and management of cardiovascular diseases. PHA Vision 2012
PHA Mission 2012 The PHA is an organization of cardiovascular specialists and lay members that ensuresaccessible, affordable and quality cardiovascular education and care for every Filipino.
Heart disease can be a silent, crippling expensive and fatal traitor.
TEN LEADING CAUSES OF MORBIDITY No. & Rate/100,000 Population PHILIPPINES, 2001(DOH Database)
Ten Leading Causes of Mortality by Sex/Number, Rate/100,000 Population & Percentage, Philippines, 2000 (DOH Database) Nearly 30% of all deaths in the Philippines are due to cardiovascular causes.
6th NNHeS Survey Overview of nutrition-related and lifestyle diseases and risk factors Adults >20 yrs Collaboration with 14 medical societies, FNRI and DOH 6th NNHES 2003-2004 National Nutrition and Health Survey 2003 - 2004 NNHeS
% Prevalence of various risk factors Dans A. et al National Nutrition and Health Survey (NNHeS): Atherosclerosis-related Diseases and Risk Factors. Phil. J. Int. Med. 43:103-115, May-June, 2005
National Nutrition and Health Survey 2003 - 2004 NNHeS Proportion of Adults with at least One Risk Factor for Atherosclerosis
Prevalence of Risk Factors • 90% of adults surveyed (20 yrs and above) have at least one risk factor • With approximately 82 million Filipinos (54.4% 20 yrs and above), this translates to >44 million Filipinos
National Nutrition and Health Survey 2003 - 2004 NNHeS • Prevalence of disease obtained in percent. 2. 90% of adults have at least 1 risk factor. 3. Diabetes, Hypertension, hypercholesterolemia, Obesity and Smoking are enough to explain majority of CVD/CAD deaths in the country. 4. Smoking causes the most number of deaths. 5.We need a comprehensive multidisciplinary approach to prevention. MAIN Conclusions
The Concept of the Risk Factor • Predisposing situation, condition, trait • Increases the likelihood of the medical condition
Major Risk Factors for Coronary Heart Disease • Smoking • Diabetes • Hypertension • Cholesterol • Age • Obesity • Physical Inactivity
“Comprehensive Healthy Lifestyle Advocacy and Health Promotion Campaign in the Prevention of Cardiovascular Diseases and Related Chronic Diseases” PHA Newsbriefs Nov 2001-Feb 2002
“Mag – Healthy Lifestyle Tayo” The National Healthy Lifestyle Campaign • The National Healthy Lifestyle is a collaborative campaign project of the PHA, the Department of Health and the Healthy Lifestyle Coalition. • Mag-HL (Healthy Lifestyle) Tayo aims to underscore the need for Filipinos to practice healthier lifestyle. It also aims to raise the consciousness of policy makers to provide the Filipinos an environment supportive to healthy lifestyle practices.
Department of Health (DOH) Philippine Heart Association (PHA) Food Nutrition Research Institute, DOST (FNRI) Philippine Lipid Society (PLS) Philippine Society of Hypertension (PSH) Osteoporosis Society of the Phils (OSP) National Asthma Movement (NAM) Tobacco Free Philippines (TFP) Framework Convention Alliance on Tobacco Control of the Phils (FCAP) Stroke Society of the Philippines (SSP) Philippine Association for the Study of Overweight & Obesity (PASOO) UP College of Human Kinetics (UP-CHK) UP College of Nursing (UPN) Oversight Committee on Diabetes (OCD) Philippine Cancer Society (PCS) Philippine Diabetes Association (PDA) Nutritionist-Dietician Association of the Phils (NDAP) Philippine College of Chest Physicians (PCCP) Philippine Pediatric Society (PPS) Mag HL (Healthy Lifestyle Tayo) Coalition
Strategies to Address the CVD Menace • Lifestyle Modification • Smoking cessation • Weight reduction • Reduction of sodium intake • Consumption of fruits/vegetables • Moderation of alcohol intake • Exercise • Pharmacologic Management • Control of hypertension • Lipid-lowering • Diabetes control • Preventive drugs
Weight Management • Goal: achieve and maintain desirable BW (BMI 18.5-24.9 kg/m2) • When BMI is >25 kg/m2, waist circumference should be <35 inches in men, <31 inches in women (for Filipinos)
Physical Activity • At least 30 minutes of moderate-intensity exercise on most (and preferably) all days of the week • Moderate intensity: 40-60% of maximum capacity – brisk walk 15-20 min per mile
Dietary Guidelines • Advocate consumption of a variety of fruits, vegetables, grains, low fat or nonfat dairy products, fish, legumes, poultry and lean meat • Modify food choices to reduce saturated fat (<10% of calories, cholesterol <300 mgs/dl) and trans-FA by substituting grains and PUFA from fish, vegetables, legumes and nuts
Dietary Guidelines • Limit salt intake (<6 mg/day) • Limit alcohol intake (<2 drinks/day in men, <1 drink/day in women) among those who drink
Smoking • Clear, strong and persuasive manner in advising cessation • Referral to special programs or pharmacotherapy • Avoidance of second-hand smoke
Blood pressure control • Goal: <140/90 mm Hg • <130/85: if with renal insufficiency or heart failure is present • <130/80: if diabetes is present
Identified Priority Advocacy Activities • Quad-media campaign • Partnership with LGUs and other private organizations • Annual thematic advocacy events (Heart Month, World Heart Day) • Joint Declaration on Healthy Lifestyle and Healthy City • Healthy Lifestyle in schools • Healthy Heart Cookfest and book
5 – Point Advocacy Thrusts • Greater public awareness • Information dissemination • Maximum utilization of partnerships and alliances • Evaluation of resources and sources • Heighten the momentum of high impact programs
The Philippine College of Physicians wishes to acknowledge the following for their invaluable contribution in the preparation of this module Philippine Heart Association (PHA)