P6222Changes in main CVD risk factors in Finland 1992–2017
Abstract Background Systematic monitoring of cardiovascular disease (CVD) risk factors started in eastern Finland already in the 1970s as part of the North Karelia Project. Later on risk factor monitoring was extended to other parts of the country. Purpose In this study we report the trends of main...
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2019
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Online Access: | http://dx.doi.org/10.1093/eurheartj/ehz746.0826 http://academic.oup.com/eurheartj/article-pdf/40/Supplement_1/ehz746.0826/30204933/ehz746.0826.pdf |
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croxfordunivpr:10.1093/eurheartj/ehz746.0826 2023-05-15T17:00:10+02:00 P6222Changes in main CVD risk factors in Finland 1992–2017 Jousilahti, P Laatikainen, T Harkanen, T Borodulin, K Harald, K Koskinen, S Mannisto, S Peltonen, M Sundvall, J Valsta, L Vartiainen, E 2019 http://dx.doi.org/10.1093/eurheartj/ehz746.0826 http://academic.oup.com/eurheartj/article-pdf/40/Supplement_1/ehz746.0826/30204933/ehz746.0826.pdf en eng Oxford University Press (OUP) https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model European Heart Journal volume 40, issue Supplement_1 ISSN 0195-668X 1522-9645 Cardiology and Cardiovascular Medicine journal-article 2019 croxfordunivpr https://doi.org/10.1093/eurheartj/ehz746.0826 2022-04-15T06:16:07Z Abstract Background Systematic monitoring of cardiovascular disease (CVD) risk factors started in eastern Finland already in the 1970s as part of the North Karelia Project. Later on risk factor monitoring was extended to other parts of the country. Purpose In this study we report the trends of main CVD risk factors in Finland from 1992 to 2017. Methods Study population consists of a population-based random sample of 31 402 men and women aged 25–64 years who participated in the FINRISK Studies from 1992 to 2012, and in the FinHealth Study in 2017. Data collection was done every five years. Participation rate decreased from 76% in 1992 to 56% in 2017. Study protocol included self-reported questionnaire data on smoking and other health behavior, measurements of height, weight and blood pressure, and venous blood sample for laboratory analysis. Blood pressure was measured two times, and the average of the measurements was calculated, total serum cholesterol was analyzed using enzymatic method, and LDL cholesterol was calculated using Friedewald formula. Results Smoking prevalence, mean blood pressure and total and LDL cholesterol levels declined markedly during the 25 year follow up but BMI, waist circumference and prevalence of obesity increased (table). CVD risk factor change from 1992 to 2017 Risk factor Men 1992 Men 2017 p value Women 1992 Women 2017 p value Smoking (%) 36.7 20.6 <0.001 25.9 16.5 <0.001 SBP (mmHg) 136.6 131.2 <0.001 130.3 124.5 <0.001 DBP (mmHg) 82.7 81.6 <0.001 78.6 77.8 <0.001 Chol (mmol/L) 5.66 5.17 <0.001 5.42 5.18 <0.001 LDL chol (mmol/L) 3.54 3.16 <0.001 3.26 3.03 <0.001 BMI (kg/m2) 26.2 27.2 <0.001 25.1 26.4 <0.001 WC (cm) 92.8 96.1 <0.001 79.2 86.2 <0.001 Obesity (%) 15.7 23.2 <0.001 14.8 22.7 <0.001 Conclusions The levels of main traditional CVD risk factors have markedly decreased among the Finnish population during the last 25 years but in the same time, obesity has become a major public health challenge. Article in Journal/Newspaper karelia* Oxford University Press (via Crossref) European Heart Journal 40 Supplement_1 |
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Open Polar |
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Oxford University Press (via Crossref) |
op_collection_id |
croxfordunivpr |
language |
English |
topic |
Cardiology and Cardiovascular Medicine |
spellingShingle |
Cardiology and Cardiovascular Medicine Jousilahti, P Laatikainen, T Harkanen, T Borodulin, K Harald, K Koskinen, S Mannisto, S Peltonen, M Sundvall, J Valsta, L Vartiainen, E P6222Changes in main CVD risk factors in Finland 1992–2017 |
topic_facet |
Cardiology and Cardiovascular Medicine |
description |
Abstract Background Systematic monitoring of cardiovascular disease (CVD) risk factors started in eastern Finland already in the 1970s as part of the North Karelia Project. Later on risk factor monitoring was extended to other parts of the country. Purpose In this study we report the trends of main CVD risk factors in Finland from 1992 to 2017. Methods Study population consists of a population-based random sample of 31 402 men and women aged 25–64 years who participated in the FINRISK Studies from 1992 to 2012, and in the FinHealth Study in 2017. Data collection was done every five years. Participation rate decreased from 76% in 1992 to 56% in 2017. Study protocol included self-reported questionnaire data on smoking and other health behavior, measurements of height, weight and blood pressure, and venous blood sample for laboratory analysis. Blood pressure was measured two times, and the average of the measurements was calculated, total serum cholesterol was analyzed using enzymatic method, and LDL cholesterol was calculated using Friedewald formula. Results Smoking prevalence, mean blood pressure and total and LDL cholesterol levels declined markedly during the 25 year follow up but BMI, waist circumference and prevalence of obesity increased (table). CVD risk factor change from 1992 to 2017 Risk factor Men 1992 Men 2017 p value Women 1992 Women 2017 p value Smoking (%) 36.7 20.6 <0.001 25.9 16.5 <0.001 SBP (mmHg) 136.6 131.2 <0.001 130.3 124.5 <0.001 DBP (mmHg) 82.7 81.6 <0.001 78.6 77.8 <0.001 Chol (mmol/L) 5.66 5.17 <0.001 5.42 5.18 <0.001 LDL chol (mmol/L) 3.54 3.16 <0.001 3.26 3.03 <0.001 BMI (kg/m2) 26.2 27.2 <0.001 25.1 26.4 <0.001 WC (cm) 92.8 96.1 <0.001 79.2 86.2 <0.001 Obesity (%) 15.7 23.2 <0.001 14.8 22.7 <0.001 Conclusions The levels of main traditional CVD risk factors have markedly decreased among the Finnish population during the last 25 years but in the same time, obesity has become a major public health challenge. |
format |
Article in Journal/Newspaper |
author |
Jousilahti, P Laatikainen, T Harkanen, T Borodulin, K Harald, K Koskinen, S Mannisto, S Peltonen, M Sundvall, J Valsta, L Vartiainen, E |
author_facet |
Jousilahti, P Laatikainen, T Harkanen, T Borodulin, K Harald, K Koskinen, S Mannisto, S Peltonen, M Sundvall, J Valsta, L Vartiainen, E |
author_sort |
Jousilahti, P |
title |
P6222Changes in main CVD risk factors in Finland 1992–2017 |
title_short |
P6222Changes in main CVD risk factors in Finland 1992–2017 |
title_full |
P6222Changes in main CVD risk factors in Finland 1992–2017 |
title_fullStr |
P6222Changes in main CVD risk factors in Finland 1992–2017 |
title_full_unstemmed |
P6222Changes in main CVD risk factors in Finland 1992–2017 |
title_sort |
p6222changes in main cvd risk factors in finland 1992–2017 |
publisher |
Oxford University Press (OUP) |
publishDate |
2019 |
url |
http://dx.doi.org/10.1093/eurheartj/ehz746.0826 http://academic.oup.com/eurheartj/article-pdf/40/Supplement_1/ehz746.0826/30204933/ehz746.0826.pdf |
genre |
karelia* |
genre_facet |
karelia* |
op_source |
European Heart Journal volume 40, issue Supplement_1 ISSN 0195-668X 1522-9645 |
op_rights |
https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
op_doi |
https://doi.org/10.1093/eurheartj/ehz746.0826 |
container_title |
European Heart Journal |
container_volume |
40 |
container_issue |
Supplement_1 |
_version_ |
1766052792608227328 |