The Role of Nutrition in The Role of Nutrition in Prevention of Cardiovascular Prevention of Cardiovascular

Diseases Diseases

JG Fodor, MD, PhD, FRCPCProfessor of Medicine

Head of ResearchUniversity of Ottawa Heart Institute

OttawaCANADA

Standard Death Rate, All Causes, Standard Death Rate, All Causes, All Ages, per 100,000All Ages, per 100,000

CountryCountry Standard Death RateStandard Death Rate

SlovakiaSlovakia 990990

HungaryHungary 11241124

AustriaAustria 658658

Source: WHO/ Europe, HFA Database, January 2002.

Austria-Hungary-Slovakia BP Austria-Hungary-Slovakia BP StudyStudy

AustriaAustria HungaryHungary SlovakiaSlovakia

PopulationPopulation 8 million8 million 9.9 million9.9 million 5.4 million5.4 million

Life ExpectancyLife Expectancy 78 yrs78 yrs 71 yrs71 yrs 73 yrs73 yrs

Gross National Gross National income (per capita)income (per capita)

$25.220 $25.220 (US)(US)

$4, 740 (US)$4, 740 (US) $3,700 (US)$3,700 (US)

Standard Death Rate, Ischaemic Heart Standard Death Rate, Ischaemic Heart Disease, All Ages,/100,000 Disease, All Ages,/100,000 (year2000)(year2000)

0

50

100

150

200

250

300

Year 2000

AustriaCzech RepublicSlovakiaHungary

Source: WHO/Europe database, January2002

Population Determinants of Population Determinants of HealthHealth

Nutrition

Behaviour

Hygiene

Socioeconomic factors

Cultural factors

Psychosocial Aspects (stress)

Percent of total energy derived from proteins

0

2

4

6

8

10

12

Pe

rce

nt

(%)

1999

Hungary

Slovakia

Austria

Source: WHO/ Europe, HFA Database, January 2002.

Types of fat consumption per capita Types of fat consumption per capita (kg/l)(kg/l)

0

1

2

3

4

5

6

7

Fa

t co

nsum

ptio

n pe

r ca

pita

(kg

/l)

1999

Hungary

Slovakia

Oils Yellow Fat

Source: GfK-USM Ukrainian Surveys & Market Research

Per capita consumption of sugar Per capita consumption of sugar (kg- raw value)(kg- raw value)

Source: Sugar Year Book 1997, International Sugar Organization 1997.

0

10

20

30

40

50

60

Sug

ar

cons

umpt

ion

(kg)

1997

Hungary

Slovakia

Average amount of fruit & Average amount of fruit & vegetables vegetables

derived/ person /yearderived/ person /year

150

160

170

180

190

200

210

Am

oun

t/ p

ers

on/

ye

ar

(kg)

1999

Slovakia

Hungary

Austria

Source: WHO/ Europe, HFA Database, January 2002.

““Knowing is not enough;Knowing is not enough;we must apply.we must apply.

Willing is not enough;Willing is not enough;we must do.”we must do.”

Johann Wolfgang von Goethe

Heart Healthy Nutrition in Heart Healthy Nutrition in Slovakia Project (HHNP)Slovakia Project (HHNP)

Objectives:

•Raise the issue of healthy nutrition as public agenda

•Reduce the consumption of saturated fat and refined carbohydrates

•Increase consumption of vegetables, fruit and soluble fibers

Heart Healthy Nutrition in Heart Healthy Nutrition in Slovakia Project (HHNP)Slovakia Project (HHNP)

Supported by the Canadian International Development Agency (CIDA)

200-2002

Coordination between University of Ottawa Heart Institute and Ministry of Health, Slovakia

Results of the HHN ProjectResults of the HHN Project

Established communication and coalition Established communication and coalition between the scientific community, health between the scientific community, health professionals, food industry and professionals, food industry and governmentgovernment

Raised the issue of heart healthy nutrition as Raised the issue of heart healthy nutrition as a public agendaa public agenda

Use of the “logo” is in progressUse of the “logo” is in progress

HHNPHHNPUnexpected BonusUnexpected Bonus

•Close cooperation between Canada and Slovak Republic in scientific research

HOPE TOO

DREAM

ON TARGET

Austria-Hungary-Slovakia Blood Pressure Study

HHNPHHNPUnexpected BonusUnexpected Bonus

Learning from each other- Good friends, for life!