Change in risk factors for coronary heart disease during 10 years of a community intervention programme (North Karelia project).

BMJ - Tập 287 Số 6408 - Trang 1840-1844 - 1983
Pekka Puska1,2,3,4,5,6,7, J T Salonen1,2,3,4,5,6,7, Anne Nissinen1,2,3,4,5,6,7, Jaakko Tuomilehto1,2,3,4,5,6,7, Erkki Vartiainen1,2,3,4,5,6,7, H. Korhonen1,2,3,4,5,6,7, Antti Tanskanen1,2,3,4,5,6,7, Päivi Rönnqvist1,2,3,4,5,6,7, K Koskela1,2,3,4,5,6,7, Jussi K. Huttunen1,2,3,4,5,6,7
1 KAJ KOSKELA,
2AULIKKI NISSINEN, MD, NT, senior researcher, co-principal investigator of North Karelia project
3National Public Health Institute, Department of Epidemiology, Mannerheimintie 166, 00280 Helsinki 28, Finland
4co-principal investigator of North Karelia project JAAKKO TUOMILEHTO, MD, MPOLSC, consultant, co
5director of the North Karelia project, director of department of epidemiology
6igator of North Karelia project ANTTI TANSKANEN, MD, acting professor National Board of Health, Office of Health Education, Box 224, 00531 Helsinki
7professor University of Kuopio, Research Institute of Public Health, Box 138, 70101 Kuopio 10, Finland

Tóm tắt

Từ khóa


Tài liệu tham khảo

I Keys A. Coronary heart disease in seven countries. American Heart Association Monograph 1970;No 29.

Pisa Z, Uemura K. Trends of mortality from ischaemic heart disease and other cardiovascular diseases in 27 countries, 1968-77. World Health Stat Q 1982;35:11-47.

Puska P. Regional differences in CVD mortality in Finland. Suomen Laakdrilehti 1972;27:3193-6. (In Finnish.)

Puska P, Mustaniemi H. Incidence and presentation of myocardial infarction in North Karelia, Finland. Acta Med Scand 1975;197:211-6.

Puska P. The North Karelia project: an attempt at community prevention of cardiovascular disease. WHO Chron 1973;27:55-8.

Puska P, Tuomilehto J, Salonen J, et al. The North Karelia project: evaluation of a comprehensive community programme for control of cardiovascular diseases in 1972-77 in North Karelia, Finland. Copenhagen: WHO, 1981.

Tuomilehto J, Puska P, Virtamo J, Salonen J, Koskela K. The levels of the major risk indicators of cardiovascular diseases in Eastern Finland prior to a community-based intervention programme (the North Karelia project). Acta Cardiol 1979;34:359-74.

McAlister A, Puska P, Salonen JT, Tuomilehto J, Koskela K. Theory and action for health promotion. Illustrations from the North Karelia project. Am 7 Public Health 1982;72:43-50.

Puska P, Tuomilehto J, Salonen JT, et al. Changes in coronary risk factors during comprehensive five-year community programme to control cardiovascular diseases (North Karelia project). Br Med _J 1979;ii: 1173-8.

Salonen JT, Puska P, Kottke TE, Tuomilehto J. Changes in smoking, serum cholesterol and blood pressure levels during a community-based cardiovascular disease prevention programme: the North Karelia project. Am Epidemiol 1981;114:81-94.

Salonen JT, Puska P, Kottke TE, Tuomilehto J, Nissinen A. The decline in coronary mortality in North Karelia in 1969-79-a cross-area analysis. Br MedJ 1983;286:1857-60. '3 World Health Organisation. Proposal for the multinational monitoring of trends and determinants in cardiovascular disease and protocol (MONICA project). Geneva: WHO (EHO/MNC/82.1) 14 Campbell DT, Stanley JC. Experimental and quasi-experimental designs for research. Chicago: Rand McNally and Co, 1963.

Farquhar JW. The community-based model of life style intervention trials. Am J Epidemiol 1978; 108:103-1 1.

Puska P, McAlister A, Pekkola J, Koskela K. Television in health promotion. Evaluation of a national programme in Finland. Int J Health Educ 1981;24:2-14.

Tuomilehto J, Puska P, Virtamo J, Neittaanmaki L, Koskela K. Coronary risk factors and socioeconomic status in eastern Finland. Prev Med 1978; 7:539-49.

Multiple Risk Factor Intervention Trial Research Group. Multiple risk factor intervention trial. Risk factor changes and mortality results. JAMA 1982;248:1465-77. '9 Rose G, Tunstall-Pedoe HD, Heller RF. UK heart disease prevention project: incidence and mortality results. Lancet 1983;i:1062-6.

Kornitzer M, De Backer G, Dramaix M, et al. Belgian heart disease prevention project: incidence and mortality results. Lancet 1983;i: 1066-70.

Hjerman I, Velve Byre K, Holme I, Leren P. Effect of diet and smoking intervention on the incidence of coronary heart disease. Report from the Oslo study group of a randomized trial in healthy men. Lancet 1981; ii:1303-10.

(Accepted 3 October 1983)