High serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern Finland*
Abstract. Objectives . The mortality from coronary heart disease (CHD) is exceptionally low in northernmost Finland, the Sámi (formerly known as Lapp) area. To clarify the reasons for this, the levels of serum cholesterol, other classic risk factors, and major antioxidants, alpha‐tocopherol, retinol...
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crwiley:10.1111/j.1365-2796.1995.tb01139.x 2023-12-03T10:27:48+01:00 High serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern Finland* LUOMA, P. V. NÄYHÄ, S. SIKKILÄ, K. HASSI, J. 1995 http://dx.doi.org/10.1111/j.1365-2796.1995.tb01139.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1365-2796.1995.tb01139.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2796.1995.tb01139.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Internal Medicine volume 237, issue 1, page 49-54 ISSN 0954-6820 1365-2796 Internal Medicine journal-article 1995 crwiley https://doi.org/10.1111/j.1365-2796.1995.tb01139.x 2023-11-09T13:37:33Z Abstract. Objectives . The mortality from coronary heart disease (CHD) is exceptionally low in northernmost Finland, the Sámi (formerly known as Lapp) area. To clarify the reasons for this, the levels of serum cholesterol, other classic risk factors, and major antioxidants, alpha‐tocopherol, retinol, albumin and selenium were determined in males living in the low‐mortality area and in a reference area. Design . A health survey amongst reindeer herdsmen living in the three northernmost communes of Finland (the Sámi area) and in the six neighbouring communities to the south (the reference area). The mortality from CHD in the two areas was determined from death certificates issued during the period 1981–1990. Subjects . A total of 350 participants of the health survey, mean age 46 (SD 14) years. Results . The mortality from CHD was 17% lower in the Sámi area than in the reference area [95% confidence interval (CI) for the difference: 4–29]. Subjects living in the low‐mortality area showed higher serum‐lipid‐adjusted alpha‐tocopherol (18.4 vs. 16.1 μmol L −1 95% CI for difference: 0.7–3.9; P < 0.001), albumin (46.9 vs. 46.2 g L −1 0.2–1.3; P < 0.02), selenium (1.59 vs. 1.47 μmol L −1 0.02–0.22; P < 0.02), cholesterol (6.76 vs. 6.34 mmol L −1 0.12–0.72; P < 0.001) and LDL cholesterol (4.76 vs. 4.45 mmol L −1 0.05–0.57; P < 0.02) than those in the reference area. The HDL cholesterol: cholesterol ratio was lower in the Sámi area than in the reference area (0.20 vs. 0.21; –0.02–0.00; P < 0.04). The Sámis showed higher serum selenium than the Finns, Serum alpha‐tocopherol increased with the consumption of reindeer meat and serum selenium increased with fish consumption. Conclusions . Alpha‐tocopherol, albumin and selenium may play a role in the low mortality from CHD observed in northernmost Finland. The favourable serum antioxidant status in northerners may be credited to the local diet. Article in Journal/Newspaper Northern Finland Wiley Online Library (via Crossref) Journal of Internal Medicine 237 1 49 54 |
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Wiley Online Library (via Crossref) |
op_collection_id |
crwiley |
language |
English |
topic |
Internal Medicine |
spellingShingle |
Internal Medicine LUOMA, P. V. NÄYHÄ, S. SIKKILÄ, K. HASSI, J. High serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern Finland* |
topic_facet |
Internal Medicine |
description |
Abstract. Objectives . The mortality from coronary heart disease (CHD) is exceptionally low in northernmost Finland, the Sámi (formerly known as Lapp) area. To clarify the reasons for this, the levels of serum cholesterol, other classic risk factors, and major antioxidants, alpha‐tocopherol, retinol, albumin and selenium were determined in males living in the low‐mortality area and in a reference area. Design . A health survey amongst reindeer herdsmen living in the three northernmost communes of Finland (the Sámi area) and in the six neighbouring communities to the south (the reference area). The mortality from CHD in the two areas was determined from death certificates issued during the period 1981–1990. Subjects . A total of 350 participants of the health survey, mean age 46 (SD 14) years. Results . The mortality from CHD was 17% lower in the Sámi area than in the reference area [95% confidence interval (CI) for the difference: 4–29]. Subjects living in the low‐mortality area showed higher serum‐lipid‐adjusted alpha‐tocopherol (18.4 vs. 16.1 μmol L −1 95% CI for difference: 0.7–3.9; P < 0.001), albumin (46.9 vs. 46.2 g L −1 0.2–1.3; P < 0.02), selenium (1.59 vs. 1.47 μmol L −1 0.02–0.22; P < 0.02), cholesterol (6.76 vs. 6.34 mmol L −1 0.12–0.72; P < 0.001) and LDL cholesterol (4.76 vs. 4.45 mmol L −1 0.05–0.57; P < 0.02) than those in the reference area. The HDL cholesterol: cholesterol ratio was lower in the Sámi area than in the reference area (0.20 vs. 0.21; –0.02–0.00; P < 0.04). The Sámis showed higher serum selenium than the Finns, Serum alpha‐tocopherol increased with the consumption of reindeer meat and serum selenium increased with fish consumption. Conclusions . Alpha‐tocopherol, albumin and selenium may play a role in the low mortality from CHD observed in northernmost Finland. The favourable serum antioxidant status in northerners may be credited to the local diet. |
format |
Article in Journal/Newspaper |
author |
LUOMA, P. V. NÄYHÄ, S. SIKKILÄ, K. HASSI, J. |
author_facet |
LUOMA, P. V. NÄYHÄ, S. SIKKILÄ, K. HASSI, J. |
author_sort |
LUOMA, P. V. |
title |
High serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern Finland* |
title_short |
High serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern Finland* |
title_full |
High serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern Finland* |
title_fullStr |
High serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern Finland* |
title_full_unstemmed |
High serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern Finland* |
title_sort |
high serum alpha‐tocopherol, albumin, selenium and cholesterol, and low mortality from coronary heart disease in northern finland* |
publisher |
Wiley |
publishDate |
1995 |
url |
http://dx.doi.org/10.1111/j.1365-2796.1995.tb01139.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1365-2796.1995.tb01139.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2796.1995.tb01139.x |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Journal of Internal Medicine volume 237, issue 1, page 49-54 ISSN 0954-6820 1365-2796 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/j.1365-2796.1995.tb01139.x |
container_title |
Journal of Internal Medicine |
container_volume |
237 |
container_issue |
1 |
container_start_page |
49 |
op_container_end_page |
54 |
_version_ |
1784277709258489856 |