NOVA Medical School | Faculdade de Ciências Médicas

Epidemiology of Chronic Degenerative Diseases




Cardiopneumology teaching area of ESSCVP



Teacher in charge

Roberto José Palma dos Reis

Teaching language

Portuguese / English


At the end of the program, students should know the relative importance of chronic and degenerative diseases in epidemiologic terms in several regions of the world, know the main chronic degenerative diseases in developed countries, be able to understand and design an epidemiologic study within these diseases and, finally, to be properly prepared to develop a screening and control program of a chronic and degenerative disease.



Subject matter

Major Public Health problems – Epidemiologic Transition

Death and Disability causes in Portugal and the World


Degenerative diseases that kill: emphasis for vascular and neoplasia diseases

Mortality from vascular and neoplasia disease


Degenerative diseases that disable: emphasis for rheumatic diseases

Extent of the problem. Types of rheumatic diseases.


Risk factors for vascular, neoplasia and rheumatic disease – epidemiologic definition of a risk factor. Univariate and multivariate assessment. Possibility to calculate the risk of an individual to develop a stroke.

Possibility to change the risk by intervening in the risk factors.


Prevention of vascular, neoplasia and rheumatic disease. Strategies of High-Risk and Population.


How to design an epidemiological study in the context of vascular, neoplasia and rheumatic diseases.

How to design a program for prevention and control of vascular, neoplasia and rheumatic diseases.


The Epidemiologic Transition: Changing Patterns of Mortality and Population Dynamics. Robert E. McKeown. Am J Lifestyle Med. 2009; 3(1 Suppl): 19S-26S.


Health in the European Union Trends and analysis. P Mladovsky, et al. Observatory Studies Series No 19 World Health Organization 2009, on behalf of the European Observatory on Health Systems and Policies


The epidemic of cardiovascular disease in the developing world: global implications Bernard J. Gersh1et al.

European Heart Journal (2010) 31, 642-648


Global status report on noncommunicable diseases 2010, A Alwan, et al. World Health Organization 2011.


The western diet and lifestyle and diseases of civilization. P Carrera-Bastos, et al. Research Reports in Clinical Cardiology 2011:2 15-35

Teaching method

Each teaching session will begin with a lecture, followed by a work period where students, divided in small groups, will reinforce aspects from the lecture, based in several scientific articles previously selected. At the end, the apprehended knowledge about each of the major themes will be summarized.

Students will be encouraged to develop a critical spirit and scientific curiosity.

Evaluation method

Evaluation will be continuous and will consist of the students participation in the sessions (50% of the final grade) and in the evaluation of a program designed by the students to control a chronic and degenerative disease accordingly to its personal and professional experience (remaining 50% of the final grade).