Mortality patterns in Southern Adriatic islands of Croatia: a registry-based study

Rehberg, Joshua; Stipčić, Ana; Ćorić, Tanja; Kolčić, Ivana; Polašek, Ozren

doi:10.3325/cmj.2018.59.118

Cited by 7 publications

(5 citation statements)

References 17 publications

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“…Unfortunately, this departure from the traditional Mediterranean diet in the population of Dalmatia represents potentially invaluable losses in the domains of population health, environmental sustainability, local economy and cultural heritage preservation [67]. Population health might be on the line already, given that the recent generations of the Adriatic islanders have lost their advantage in life expectancy at birth compared to the mainland population, possibly due to diminishing adherence to the Mediterranean diet and traditional lifestyle [68].…”

Section: Discussionmentioning

confidence: 99%

The Association between Salt Taste Perception, Mediterranean Diet and Metabolic Syndrome: A Cross-Sectional Study

et al. 2020

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Metabolic syndrome (MetS) is a widespread disorder and an important public health challenge. The purpose of this study was to identify the association between salt taste perception, Mediterranean diet and MetS. This cross-sectional study included 2798 subjects from the general population of Dalmatia, Croatia. MetS was determined using the Joint Interim Statement definition, and Mediterranean diet compliance was estimated using Mediterranean Diet Serving Score. Salt taste perception was assessed by threshold and suprathreshold testing (intensity and hedonic perception). Logistic regression was used in the analysis, adjusting for important confounding factors. As many as 44% of subjects had MetS, with elevated waist circumference as the most common component (77%). Higher salt taste sensitivity (lower threshold) was associated with several positive outcomes: lower odds of MetS (OR = 0.69; 95% CI 0.52–0.92), lower odds for elevated waist circumference (0.47; 0.27–0.82), elevated fasting glucose or diabetes (0.65; 0.45–0.94), and reduced HDL cholesterol (0.59; 0.42–0.84), compared to the higher threshold group. Subjects with lower salt taste threshold were more likely to consume more fruit, and less likely to adhere to olive oil and white meat guidelines, but without a difference in the overall Mediterranean diet compliance. Salt taste intensity perception was not associated with any of the investigated outcomes, while salty solution liking was associated with MetS (OR = 1.85, CI 95% 1.02–3.35). This study identified an association between salt taste perception and MetS and gave a new insight into taste perception, nutrition, and possible health outcomes.

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Section: Discussionmentioning

confidence: 99%

The Association between Salt Taste Perception, Mediterranean Diet and Metabolic Syndrome: A Cross-Sectional Study

et al. 2020

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“…There is a paucity of studies investigating the trend in adherence to the MD in Croatia. In general, based on geographical location and cultural heritage, the population of the Adriatic region of Croatia is adherent to the MD and the Mediterranean lifestyle [46]. Additionally, Croatia was one of the countries that supported in the inclusion of MD on the UNESCO's Representative List of the Intangible Cultural Heritage of Humanity [47].…”

Section: Introductionmentioning

confidence: 99%

The Role of Socioeconomic Status in Adherence to the Mediterranean Diet and Body Mass Index Change: A Follow-Up Study in the General Population of Southern Croatia

et al. 2021

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The Mediterranean diet (MD) is one of the most healthful dietary patterns, beneficial for humans and the environment. However, the MD has recently exhibited a declining trend, especially in younger and less affluent people. This study investigated the association between socioeconomic indicators and adherence to the MD in 4671 adult subjects from Dalmatia, Croatia (age range 18–98 years; 61.9% were women). Additionally, in the follow-up we examined the change in adherence to the MD and in BMI (subsample, N = 1342; 62.5% were women; mean follow-up time of 5.8 years). The adherence to the MD was based on the Mediterranean Diet Serving Score (range 0–24 points, cut-off value ≥ 14 points), with a prevalence in the overall sample of 28.5%. Higher odds of adherence to the MD were recorded in women, older subjects, and those with higher level of objective material status, while it was less likely in the period after economic crisis of 2007–2008. Additionally, we detected no change in adherence to the MD in the follow-up subsample (−8.5%, p = 0.056), but there was an increase in BMI (+6.5%, p < 0.001). We recorded an increase in adherence for nuts (+127.5%), sweets (+112.6%), red meat (+56.4%), and wine (+50.0%), unlike the reduction in adherence for vegetables (−35.1%), fish (−23.4%), white meat (−11.6%), cereals (−10.9%), and dairy products (−9.6%). Similar results were obtained across all quartiles of objective material status. Over time, the absolute change in the MD score was positively associated with female gender, age, higher education, and moderate physical activity, but it was negatively associated with adherence to the MD at baseline. BMI change was positively associated with female gender, and negatively with initial BMI, initial adherence to the MD, and MD change. Our findings point towards a less than ideal adherence to the MD in the general population of southern Croatia, and identify important characteristics associated with adherence change over time, informing necessary interventions aimed at increasing MD uptake.

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“…Struktura izdataka u tekućoj zdravstvenoj potrošnji prema pojedinoj funkciji zdravstvene zaštite (svi financijeri) u Hrvatskoj (2011Hrvatskoj ( . -2018 Izvor: HZJZ, 2019., 2018., 2016., 2015., 2013 Izdvajanjem od 2% do 3% za prevenciju u ukupnoj tekućoj zdravstvenoj potrošnji, Hrvatska je u skladu s prosječnim izdvajanjem za prevenciju u Europskoj uniji (EUROSTAT, 2020. ), no kada se gledaju podaci o izdvajanjima za prevenciju prema glavi stanovnika, kada je prosjek za Europsku uniju iznosio 82 eura, Hrvatska se nalazila na 19. mjestu sa 27 eura po glavi stanovnika (EUROSTAT, 2020.)…”

Section: Zdravlje Kao Ulaganje U Ljudski Kapitalunclassified

Koncept socijalnih investicija u zdravstvenom sustavu

Šimunković

Babić

2023

ASW

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Focusing on human capital, social investments provide an answer to the social challenges facing social development in recent decades. In the context of human capital, investing in health has multiple channels of influence especially if it is present from an early age: a person will stay active longer, be more productive and contribute to the economy and society. The paper aims to gain an insight into the extent to which Croatia’s health policy is in line with the concept of social investment presented through the European Commission’s document Investing in Health, which builds on the basic document on social investment: Towards Social Investment for Growth and Cohesion. For this purpose, the analysis of strategic health policy documents and the comparative analysis of data on investments in the health system from both the Eurostat database and domestic data sources are used. There is also a detailed comparative analysis of (in) equality of access to health services in Croatia in the EU context, and of the importance of individual components of health care from the perspective of social investment. It is noticed that the Croatian health policy follows the idea of social investment described in the document Investing in Health with certain shortcomings, but there is a shift towards overcoming some shortcomings such as, for example, a serious lack of evaluation in the implementation of certain measures and programs adopted. Key words: health investment, social investments, human capital, health policy

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Mortality patterns in Southern Adriatic islands of Croatia: a registry-based study

Cited by 7 publications

References 17 publications

The Association between Salt Taste Perception, Mediterranean Diet and Metabolic Syndrome: A Cross-Sectional Study

The Association between Salt Taste Perception, Mediterranean Diet and Metabolic Syndrome: A Cross-Sectional Study

The Role of Socioeconomic Status in Adherence to the Mediterranean Diet and Body Mass Index Change: A Follow-Up Study in the General Population of Southern Croatia

Koncept socijalnih investicija u zdravstvenom sustavu

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