International Journal of Public Health

, Volume 59, Issue 5, pp 769–778 | Cite as

Status of cardiovascular health in a transition European country: findings from a population-based cross-sectional study

  • Slavenka JankovićEmail author
  • Dragana Stojisavljević
  • Janko Janković
  • Miloš Erić
  • Jelena Marinković
Original Article



Our aim was to assess the prevalence of ideal cardiovascular health (CVH) in the adult population of Republic of Srpska (RS), Bosnia and Herzegovina, and its relationship with socio-demographic characteristics of participants.


We included 4,170 adults (mean age 50.2 years; 54 % women) from the National Health Survey performed from September to November 2010 in RS. Population prevalence of CVH health metrics (smoking, body mass index, physical activity, diet, cholesterol, blood pressure, and glucose) were estimated according to the American Heart Association criteria for “ideal”, “intermediate”, and “poor” levels.


Only 0.02 % participants had ideal (all 7 health metrics at ideal levels), 7.6 % intermediate, and 92.4 % poor (at least one metric at poor level) CVH. The fasting glucose was the most prevalent (75.9 %), whereas the healthy diet was the least prevalent (4.4 %) ideal CVH metric.


Our study indicates extremely low prevalence of ideal and high prevalence of poor CVH in the adult RS population. Such alarming results require urgent action. Comprehensive public health strategies and interventions must be developed to assist individuals and population in improving their CVH.


Cardiovascular health Cardiovascular disease Epidemiology Health behaviors Health factors 



The 2010 National Health Survey in Republic of Srpska was supported by the World Bank and Ministry of Health and Social Welfare of the Republic of Srpska. Funding for this analysis was obtained from the Ministry of Education, Science and Technological Development of the Republic of Serbia (Project No. 175025).


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Copyright information

© Swiss School of Public Health 2014

Authors and Affiliations

  • Slavenka Janković
    • 1
    Email author
  • Dragana Stojisavljević
    • 2
  • Janko Janković
    • 3
  • Miloš Erić
    • 4
  • Jelena Marinković
    • 5
  1. 1.Faculty of Medicine, Institute of EpidemiologyUniversity of BelgradeBelgradeSerbia
  2. 2.Institute of Public HealthBanja LukaRepublic of Srpska, Bosnia and Herzegovina
  3. 3.Faculty of Medicine, Institute of Social MedicineUniversity of BelgradeBelgradeSerbia
  4. 4.Faculty of Economics, Finance and AdministrationSingidunum UniversityBelgradeSerbia
  5. 5.Faculty of Medicine, Institute of Medical Statistics and InformaticsUniversity of BelgradeBelgradeSerbia

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