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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
PHA Vision 2012
The PHA shall be a leading
organization of cardiovascular
specialists in the
Asia Pacific region in the
prevention and management
of cardiovascular diseases.
PHA Mission 2012
The PHA is an organization of
cardiovascular specialists and lay
members that ensures
accessible, affordable and quality
cardiovascular education and care
for every Filipino.
Heart disease can be a silent,
crippling and fatal traitor.
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)
CAUSE
NO.
RATE
1. Diarrheas
845.526
1085.0
2. Bronchitis/Bronchiolitis
694,836
891.7
3. Pneumonias
652,585
837.4
4. Influenza
499,887
641.5
5. Hypertension
318,521
408.7
6. TB Respiratory
110,841
142.2
7. Diseases of the Heart
47,040
60.4
8. Malaria
40,543
52.0
9. Measles
24,494
31.4
10. Chickenpox
24,359
31.3
Ten Leading Causes of Mortality by Sex/Number, Rate/100,000
Population & Percentage, Philippines, 2000 (DOH Database)
Cause
Male
Female
Total
Number
Rate
% of
Total
Deaths
1. Diseases of the heart
34,356
26,061
60,417
79.1
16.5
2. Diseases of the vascular system
27,197
21,074
48,271
63.2
13.2
3. Malignant Neoplasm
19,597
16,817
36,414
47.7
9.9
4. Pneumonia
16,549
16,088
32,637
42.7
8.9
5. Accidents
26,009
6,346
32,355
42.4
8.8
6. Tuberculosis, all forms
18,590
8,967
27,557
36.1
7.5
7. Chronic obstructive pulmonary diseases
and allied conditions
10,770
5,134
15,904
20.8
4.3
8. Certain conditions originating in the
perinatal period
9,083
6,015
15,098
19.8
4.1
9. Diabetes Mellitus
5,147
5,600
10,747
14.1
2.9
10. Nephritis, nephritic syndrome and
nephrosis
4,642
3,321
7,963
10.4
2.2
Nearly 30% of all deaths
in the Philippines are due
to cardiovascular causes.
th
6
NNHES
2003-2004
6th NNHES 2003-2004
• 6th NNHeS Survey
• Overview of
nutrition-related
and lifestyle
diseases and risk
factors
• Adults >20 yrs
• Collaboration with
14 medical
societies, FNRI and
DOH
Prevalence of various risk
factors
%
40
35
30
25
20
15
10
5
0
34.8
24.9
17.4
8.5
4.6
es
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)
25
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
Proportion of Adults with at least One
Risk Factor for Atherosclerosis
Age
Overall
% (SE)
Males
% (SE)
Females
% (SE)
20-29
83.3 (1%)
83.4 (2%)
83.3 (2%)
30-39
90.3 (1%)
88.9 (2%)
92.2 (2%)
40-49
94.9 (1%)
93.9 (1%)
96.1 (1%)
50-59
94.7 (1%)
92.9 (2%)
96.1 (1%)
60-69
95.2 (1%)
93.1 (1%)
96.8 (1%)
70 & over
95.6 (1%)
92.4 (1%)
97.8 (1%)
Total
90.3 (1%)
88.9 (1%)
91.8 (1%)
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
MAIN Conclusions
1. 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.
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.
Mag HL (Healthy Lifestyle Tayo) Coalition
•
•
•
•
•
•
•
•
•
•
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)
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: 4060% 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)