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Faktori rizika u pojavi cerebrovaskularnog insulta

dc.creatorPetrović, Gordana P.
dc.date.accessioned2021-04-20T12:05:19Z
dc.date.available2021-04-20T12:05:19Z
dc.date.issued2000
dc.identifier.issn0025-8105
dc.identifier.urihttp://rimi.imi.bg.ac.rs/handle/123456789/58
dc.description.abstractIntroduction. Nowadays stroke has a dominant place in the structure of neurological morbidity. According to data of the World Health Organization, stroke is the third highest cause of morbidity and mortality in the developed countries of the world, immediately following ischemic heart disease and malignant diseases. The appearance of the disease is influenced by many etiological factors, that is risk factors. Natural risk factors are: heredity, sex, age, geographical and climatic factors. Other diseases being risk factors include: hypertension, heart disease and diabetes. Bad habits as risk factors are: eating habits, obesity, smoking, alcoholism and physical and mental inactivity. The paper presents a review of risk factors, their categorization and the influence of each individual risk factor on the development of stroke. Heredity. Hereditary factors have a significant role in development of stroke and they may serve as a basis for determining the person's susceptibility to stroke in a certain period of life. Sex. It has been proved that persons of female sex in the period prior to menopause are less susceptible to atherosclerosis risk and its side effects - ischemic heart disease and stroke. It is due to the fact that in this period of life women have a higher concentration of high-density lipoproteins, which are known to protect blood vessels against atherosclerosis. Age. The incidence of stroke is higher at an older age, although nowdays there is evidence that younger people may develop the disease as well. Climatic factors. It has been noticed that the frequency and intensity of insult are connected with abrupt changes of the front (weather conditions with certain values of atmospheric factors). A high correlation between the frequency of cerebrovascular insult and abrupt change of the front is evident during spells of warm front in cold months and during spells of cold front in warm months. Moreover, changes during the circadian cycle are of utmost importance. Hypertension. Hypertension is one of the factors contributing to the development of cerebrovaskular insult, apart from heart diseases and diabetes. Heart diseases. The most frequent heart diseases correlating with stroke are: endocardial diseases, myocardial diseases in the form of chronic heart failure or heart attack, atrial fibrillation, hypertrophy of the left chamber and congestive heart failure. Diabetes mellitus. Diabetes as an associated risk factor correlates with stroke. Eating habits. A special emphasis is placed on nutrition as a risk factor in development of stroke. Inadequate nutrition contributing to the development of stroke is primarily nutrition which includes a high percentage of fats and leads to hyperlipoproteinemias. Therefore the basic principle in the nutrition of a patient with hyperlipoprotrinemias is to limit the overall intake of fats, to reduce the quantity of satureted fats and to increase the intake of unsatureted fatty acids. In order to prevent stroke it is recommended to consume sea fish, legumes rich in diet plant fibres, oats and corn cereals, wholegrain rice, fruit and vegetables rich in vitamins C and E. Obesity It has been proved that obesity or increase in body weight increases the risk of developing stroke by 1.4 to 2.5 times. Smoking. Smoking accelerates the process of atherosclerosis leading to the incidence of myocardial and brain stroke. In proportion to the length of smoking and the number of cigarettes, a relative risk of development of stroke goes from 2,4 to 6,1 for men and from 3 to 3,7 for -women. Alcohol drinking. A research performed by Finnish authors has shown that in chronic alcoholism the risk of developing stroke is twice as high in men and five times as high in women in relation to the general population. Alcohol reduces the regional cerebral flow by its toxic effect on the cerebral metabolism and thus induces vasospasm and hemoconcentration. Physical activity. Insufficient physical activity is a significant risk factor since it makes conditions leading to obesity, high blood pressure and hyperlipoproteinemias. Nowadays there is valid evidence that regular exercise reduces the risk of atherosclerosis and its consequence - stroke. Stress. Man as a social being forms his behavior towards the environment throughout his life, while he is exposed to numerous stress factors. The state of stress causes several metabolic changes in the organism, the most frequent of which are increased sugar level in blood and increased levels of hormones - adrenaline and nor adrenaline. Conclusion. It is certain that the existence of a few risk factors, the length of their presence and their intensity are closely associated with the probability of developing stroke.en
dc.description.abstractCerebrovaskularne bolesti danas zauzimaju dominantno mesto u strukturi neurološkog morbiditeta. Prema podacima Svetske zdravstvene organizacije, cerebrovaskularni insult treći je po redu uzrok morbiditeta i mortaliteta u razvijenim zemljama sveta, odmah posle ishemičnih oboljenja srca i malignih oboljenja. U nastanku bolesti učestvuje više etioloških činilaca, odnosno faktora rizika. U radu je dat prikaz faktora rizika, njihova kategorizacija i izvesnost uticaja svakog pojedinačnog faktora rizika za nastanak cerebrovaskulatnog insulta. Poseban akcenat dat je ishrani kao faktoru rizika u pojavi cerebrovaskularnog insulta. Sigurno je da postojanje više faktora rizika, dužina njihovog trajanja i izraženost same pojave, stoje u čvrstoj vezi sa verovatnoćom kasnije pojave cerebrovaskularnog insulta.sr
dc.publisherDruštvo lekara Vojvodine Srpskog lekarskog društva, Novi Sad
dc.rightsopenAccess
dc.sourceMedicinski pregled
dc.subjectrisk factorsen
dc.subjectcerebrovascular disorders + etiology + mortalityen
dc.subjecthereditary diseasesen
dc.subjectsexen
dc.subjectage factorsen
dc.subjectclimateen
dc.subjecthypertensionen
dc.subjectheart diseasesen
dc.subjectdiabetes mellitusen
dc.subjectfood habitsen
dc.subjectobesityen
dc.subjectsmokingen
dc.subjectstressen
dc.subjectalcohol drinkingen
dc.subjectfaktori rizikasr
dc.subjectcerebrovaskularni poremećaji + etiologija + mortalitetsr
dc.subjectnasledne bolestisr
dc.subjectPolsr
dc.subjectstarosni faktorisr
dc.subjectklimasr
dc.subjecthipertenzijasr
dc.subjectbolesti srcasr
dc.subjectdijabetes melitussr
dc.subjectnavike u ishranisr
dc.subjectgojaznostsr
dc.subjectpušenjesr
dc.subjectstressr
dc.subjectkonzumiranje alkoholasr
dc.titleRisk factors for development of strokeen
dc.titleFaktori rizika u pojavi cerebrovaskularnog insultasr
dc.typearticle
dc.rights.licenseARR
dc.citation.epage214
dc.citation.issue3-4
dc.citation.other53(3-4): 207-214
dc.citation.spage207
dc.citation.volume53
dc.identifier.pmid10965691
dc.identifier.rcubhttps://hdl.handle.net/21.15107/rcub_rimi_58
dc.identifier.scopus2-s2.0-0034149592
dc.type.versionpublishedVersion


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