PHA Healthy Lifestyle Advocacy

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PHA Healthy Lifestyle Advocacy
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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

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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
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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.

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Heart disease can be a silent, crippling and
fatal traitor.
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Heart disease can be a silent, crippling
expensive and fatal traitor.
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  TEN LEADING CAUSES OF MORBIDITY  No.
Rate/100,000 Population PHILIPPINES, 2001
(DOH Database)
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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.
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6th NNHES2003-2004
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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

National Nutrition and Health Survey 2003 - 2004
NNHeS
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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. 43103-115,
May-June, 2005
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Proportion of Adults with at least One Risk
Factor for Atherosclerosis
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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

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MAIN Conclusions
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The Concept of the Risk Factor

• Predisposing situation, condition, trait
• Increases the likelihood of the medical condition

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Major Risk Factors for Coronary Heart
Disease

• Smoking
• Diabetes
• Hypertension
• Cholesterol
• Age
• Obesity
• Physical Inactivity

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Comprehensive Healthy Lifestyle Advocacy and
Health Promotion Campaign in the Prevention
of Cardiovascular Diseases and Related Chronic
Diseases
PHA Newsbriefs Nov 2001-Feb 2002
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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.

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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)

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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

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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 Filipinos)

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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

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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 (of calories, cholesterol trans-FA by substituting grains and PUFA from
  fish, vegetables, legumes and nuts

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Dietary Guidelines

• Limit salt intake (
• Limit alcohol intake (drink/day in women) among those who drink

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Smoking

• Clear, strong and persuasive manner in advising
  cessation
• Referral to special programs or pharmacotherapy
• Avoidance of second-hand smoke

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Blood pressure control

• Goal
• failure is present

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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

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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

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Help us spread the word
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• The Philippine College of Physicians wishes to
  acknowledge the following for their invaluable
  contribution in the preparation of this module
• Philippine Heart Association (PHA)