[Integral approach to the prevention of major chronic non-infectious diseases].

The essence and the necessity of an integral approach to prevention of major chronic noncommunicable diseases (CNCD) is described proceeding from the example of the integral CNCD prevention programme in one of Moscow districts. The aims and basic directions of preventive activities are demonstrated along with possible ways of integrating medical services with various district nonmedical institutions. The findings of the sample study of the adult population (25-64 years) of the district are provided.

[Determining the "critical" level of body mass index in dietary preventive programs].

The screening of 709 subjects of both sexes, aged from 16 to 64 years, representing samples from unorganized population was conducted to determine the critical level of body mass index as a criterion for current preventive dietary measures. Anthropometric studies were made, standard questionnaire was used to detect chest pains, ECG at rest was recorded in 12 standard leads using the Minnesota Code. Glucose level in the capillary blood was estimated with the use of "Glucoscot", the levels of cholesterol, triglycerides, HDL cholesterol in the blood serum was assayed in AA-2 ("Technicon").

Medical efficacy of a cooperative prevention programme of arterial hypertension.

The study included 43,197 men aged 40-54 years, of whom 23,378 were in the intervention group and 19,819 in the comparison group; the number of man-years of follow-up totalled for the whole group 177,703. The study proved the efficacy of active, predominantly secondary prevention of arterial hypertension (AH), carried out in men aged 40-54 years over a period of 3-5 years in 12 centres within the framework of the cooperative programme. In comparison with the control group, the following changes were registered in the intervention group: 1) overall mortality decreased by 17.

[Preventive activities of a district physician-internist].

The results of prophylactic examination of a district population were compared with medical documents. Information on 85.7% of patients with CHD, 70.