Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction
Aims: The authors describe the occurrence of diabetes and obesity in the population of Northern Sweden and the role of diabetes in cardiovascular disease. Methods: Four surveys of the population aged 25 to 64 years were undertaken during a 14-year time span. Stroke events in subjects 35 - 74 years d...
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Online Access: | http://dx.doi.org/10.1080/14034950310001360 https://journals.sagepub.com/doi/pdf/10.1080/14034950310001360 |
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crsagepubl:10.1080/14034950310001360 2024-10-13T14:09:47+00:00 Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction Eliasson, Mats Lindahl, Bernt Lundberg, Vivan Stegmayr, Birgitta 2003 http://dx.doi.org/10.1080/14034950310001360 https://journals.sagepub.com/doi/pdf/10.1080/14034950310001360 en eng SAGE Publications https://journals.sagepub.com/page/policies/text-and-data-mining-license Scandinavian Journal of Public Health volume 31, issue 61_suppl, page 70-77 ISSN 1403-4948 1651-1905 journal-article 2003 crsagepubl https://doi.org/10.1080/14034950310001360 2024-10-01T04:08:10Z Aims: The authors describe the occurrence of diabetes and obesity in the population of Northern Sweden and the role of diabetes in cardiovascular disease. Methods: Four surveys of the population aged 25 to 64 years were undertaken during a 14-year time span. Stroke events in subjects 35 - 74 years during 1985 - 92 and myocardial infarction in subjects 25 - 64 years 1989 - 93 were registered. Results: The prevalence of diagnosed diabetes was 3.1 and 2.0% in men and women, respectively, and 2.6 and 2.7% for previously undiagnosed diabetes. During the 13-year observation period, BMI increased 0.96 kg/m2 in men and 0.87 in women. The proportion of subjects with obesity (BMI≥30) increased from 10.3% to 14.6% in men and from 12.5% to 15.7% in women. Hip circumference increased substantially more than waist circumference, leading to a decreasing waits-to-hip ratio (WHR). The relative risk for stroke or myocardial infarction was four to six times higher in a person with diabetes than in those without diabetes. The 28-day case fatality for myocardial infarction, but not for stroke, was significantly higher in both men and women with diabetes. Population-attributable risk for diabetes and stroke was 18% in men and 22% in women and for myocardial infarction it was 11% in men and 17% in women. Conclusion: Obesity is becoming more common, although of a more distal than central distribution. The burden of diabetes in cardiovascular diseases in Northern Sweden is high. Article in Journal/Newspaper Northern Sweden SAGE Publications Scandinavian Journal of Public Health 31 61_suppl 70 77 |
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Aims: The authors describe the occurrence of diabetes and obesity in the population of Northern Sweden and the role of diabetes in cardiovascular disease. Methods: Four surveys of the population aged 25 to 64 years were undertaken during a 14-year time span. Stroke events in subjects 35 - 74 years during 1985 - 92 and myocardial infarction in subjects 25 - 64 years 1989 - 93 were registered. Results: The prevalence of diagnosed diabetes was 3.1 and 2.0% in men and women, respectively, and 2.6 and 2.7% for previously undiagnosed diabetes. During the 13-year observation period, BMI increased 0.96 kg/m2 in men and 0.87 in women. The proportion of subjects with obesity (BMI≥30) increased from 10.3% to 14.6% in men and from 12.5% to 15.7% in women. Hip circumference increased substantially more than waist circumference, leading to a decreasing waits-to-hip ratio (WHR). The relative risk for stroke or myocardial infarction was four to six times higher in a person with diabetes than in those without diabetes. The 28-day case fatality for myocardial infarction, but not for stroke, was significantly higher in both men and women with diabetes. Population-attributable risk for diabetes and stroke was 18% in men and 22% in women and for myocardial infarction it was 11% in men and 17% in women. Conclusion: Obesity is becoming more common, although of a more distal than central distribution. The burden of diabetes in cardiovascular diseases in Northern Sweden is high. |
format |
Article in Journal/Newspaper |
author |
Eliasson, Mats Lindahl, Bernt Lundberg, Vivan Stegmayr, Birgitta |
spellingShingle |
Eliasson, Mats Lindahl, Bernt Lundberg, Vivan Stegmayr, Birgitta Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction |
author_facet |
Eliasson, Mats Lindahl, Bernt Lundberg, Vivan Stegmayr, Birgitta |
author_sort |
Eliasson, Mats |
title |
Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction |
title_short |
Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction |
title_full |
Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction |
title_fullStr |
Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction |
title_full_unstemmed |
Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction |
title_sort |
diabetes and obesity in northern sweden: occurrence and risk factors for stroke and myocardial infarction |
publisher |
SAGE Publications |
publishDate |
2003 |
url |
http://dx.doi.org/10.1080/14034950310001360 https://journals.sagepub.com/doi/pdf/10.1080/14034950310001360 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Scandinavian Journal of Public Health volume 31, issue 61_suppl, page 70-77 ISSN 1403-4948 1651-1905 |
op_rights |
https://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1080/14034950310001360 |
container_title |
Scandinavian Journal of Public Health |
container_volume |
31 |
container_issue |
61_suppl |
container_start_page |
70 |
op_container_end_page |
77 |
_version_ |
1812816847410561024 |