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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1991-12-13
pubmed:abstractText
This study from Oppland county, Norway, examines risk factor changes in three regions with different mortality time trends among middle-aged males, for ischaemic heart disease, including sudden, unexpected death (IHD/SUD). The study is partly based on vital statistics and on results from two health screening surveys conducted in 1976-78 and in 1981-83. Regional data for the following risk factors are considered: serum cholesterol, systolic blood pressure, body weight and prevalence of smoking. Risk factor data are from the group of men aged 40-49 years in 1976-78. Changes in risk factor levels from 1976-78 to 1981-83 did not differ substantially between regions with widely different mortality time trends. The north-western, rural part of Oppland county experienced 80% IHD/SUD-mortality increase (95% confidence interval 35%-124%) from 1966-70 to 1981-85, among males aged 40-59. The mean serum cholesterol level dropped by 1.7% (P less than 0.001) from 1976-78 to 1981-83, and the prevalence of smoking was also reduced in this region. The north-western rural region experienced a slightly more pronounced increase in mean body weight and in mean systolic blood pressure, compared to the remaining two regions of Oppland county, where the changes in IHD/SUD mortality were not statistically significant. This study has demonstrated that changes in main risk factors are not necessarily accompanied by contemporary IHD/SUD-mortality changes in the same direction. The explanation could be long time-lags before risk factors affect mortality levels. The results could also indicate the presence of other important risk factors, not evenly distributed between the regions.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0277-9536
pubmed:author
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
423-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1991
pubmed:articleTitle
Risk factor changes and mortality changes: a regional perspective on ischaemic heart disease in Norway 1966-85.
pubmed:affiliation
Department of Geography, University of Trondheim, Dragvoll, Norway.
pubmed:publicationType
Journal Article