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. 1998 Jul;52(7):425–432. doi: 10.1136/jech.52.7.425

Cardiovascular risk during early adult life. Risk markers among participants in "Live for Life" health promotion programme in Sweden

L G Persson, K Lindstrom, H Lingfors, C Bengtsson, L Lissner
PMCID: PMC1756739  PMID: 9799876

Abstract

STUDY OBJECTIVE: To study differences in cardiovascular lifestyle risk factors and biological risk markers in early adult life, with special attention to age and sex differences. Lifestyle cardiovascular risk factors included dietary habits, physical inactivity, smoking, alcohol habits, psychosocial strain, and mental stress. Biological risk markers included anthropometric variables, arterial blood pressure, and serum cholesterol concentration. DESIGN: A combined individual and community based preventive programme, including health examinations. SETTING: All communities in the County of Skaraborg in south western Sweden. PARTICIPANTS: Altogether 12,982 men and women aged 30 or 35 years who underwent health examinations over seven years. MAIN RESULTS: In both sexes, biological risk markers studied were worse in 35 year old subjects than in 30 year olds. Furthermore, a larger proportion of men aged 35 years were smokers and were physically inactive compared with 30 year old men. However, dietary habits were better in both sexes in the upper age group. At both ages there were also significant differences between men and women. Women, compared with men, had better dietary habits and lower alcohol consumption but smoked more and experienced greater mental stress and psychosocial strain. All biological risk markers were worse in men than in women at both ages studied. During the observation period, some improvement of the health profile of the participants was observed, indicating a beneficial effect of the intervention programme. CONCLUSIONS: The results indicate that the risk of cardiovascular disease, as assessed from studying lifestyle and biological risk markers, increases early in life, suggesting that preventive measures should start early.

 

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Selected References

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  1. Breslow L., Enstrom J. E. Persistence of health habits and their relationship to mortality. Prev Med. 1980 Jul;9(4):469–483. doi: 10.1016/0091-7435(80)90042-0. [DOI] [PubMed] [Google Scholar]
  2. Christensen B. Characteristics of attenders and non-attenders at health examinations for ischaemic heart disease in general practice. Scand J Prim Health Care. 1995 Mar;13(1):26–31. doi: 10.3109/02813439508996731. [DOI] [PubMed] [Google Scholar]
  3. Doll R., Peto R., Wheatley K., Gray R., Sutherland I. Mortality in relation to smoking: 40 years' observations on male British doctors. BMJ. 1994 Oct 8;309(6959):901–911. doi: 10.1136/bmj.309.6959.901. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Huhtasaari F., Asplund K., Wester P. O. Cardiovascular risk factors in the Northern Sweden MONICA Study. Acta Med Scand. 1988;224(2):99–108. doi: 10.1111/j.0954-6820.1988.tb16746.x. [DOI] [PubMed] [Google Scholar]
  5. Jacobsen B. K., Thelle D. S. The Tromsø Heart Study: responders and non-responders to a health questionnaire, do they differ? Scand J Soc Med. 1988;16(2):101–104. doi: 10.1177/140349488801600207. [DOI] [PubMed] [Google Scholar]
  6. Lapidus L., Bengtsson C., Larsson B., Pennert K., Rybo E., Sjöström L. Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of participants in the population study of women in Gothenburg, Sweden. Br Med J (Clin Res Ed) 1984 Nov 10;289(6454):1257–1261. doi: 10.1136/bmj.289.6454.1257. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Larsson B., Svärdsudd K., Welin L., Wilhelmsen L., Björntorp P., Tibblin G. Abdominal adipose tissue distribution, obesity, and risk of cardiovascular disease and death: 13 year follow up of participants in the study of men born in 1913. Br Med J (Clin Res Ed) 1984 May 12;288(6428):1401–1404. doi: 10.1136/bmj.288.6428.1401. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Mann J. I., Lewis B., Shepherd J., Winder A. F., Fenster S., Rose L., Morgan B. Blood lipid concentrations and other cardiovascular risk factors: distribution, prevalence, and detection in Britain. Br Med J (Clin Res Ed) 1988 Jun 18;296(6638):1702–1706. doi: 10.1136/bmj.296.6638.1702. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Mayfield D., McLeod G., Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974 Oct;131(10):1121–1123. doi: 10.1176/ajp.131.10.1121. [DOI] [PubMed] [Google Scholar]
  10. Neaton J. D., Wentworth D. Serum cholesterol, blood pressure, cigarette smoking, and death from coronary heart disease. Overall findings and differences by age for 316,099 white men. Multiple Risk Factor Intervention Trial Research Group. Arch Intern Med. 1992 Jan;152(1):56–64. [PubMed] [Google Scholar]
  11. Ornish D., Brown S. E., Scherwitz L. W., Billings J. H., Armstrong W. T., Ports T. A., McLanahan S. M., Kirkeeide R. L., Brand R. J., Gould K. L. Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Lancet. 1990 Jul 21;336(8708):129–133. doi: 10.1016/0140-6736(90)91656-u. [DOI] [PubMed] [Google Scholar]
  12. PASSMORE R., DURNIN J. V. Human energy expenditure. Physiol Rev. 1955 Oct;35(4):801–840. doi: 10.1152/physrev.1955.35.4.801. [DOI] [PubMed] [Google Scholar]
  13. Persson L. G., Lindström K., Lingfors H., Bengtsson C. A study of men aged 33-42 in Habo, Sweden with special reference to cardiovascular risk factors. Design, health profile and characteristics of participants and non-participants. Scand J Soc Med. 1994 Dec;22(4):264–272. doi: 10.1177/140349489402200405. [DOI] [PubMed] [Google Scholar]
  14. Powell K. E., Thompson P. D., Caspersen C. J., Kendrick J. S. Physical activity and the incidence of coronary heart disease. Annu Rev Public Health. 1987;8:253–287. doi: 10.1146/annurev.pu.08.050187.001345. [DOI] [PubMed] [Google Scholar]
  15. Prentice A. M., Jebb S. A. Obesity in Britain: gluttony or sloth? BMJ. 1995 Aug 12;311(7002):437–439. doi: 10.1136/bmj.311.7002.437. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. ROSE G. A. The diagnosis of ischaemic heart pain and intermittent claudication in field surveys. Bull World Health Organ. 1962;27:645–658. [PMC free article] [PubMed] [Google Scholar]
  17. Saltin B., Grimby G. Physiological analysis of middle-aged and old former athletes. Comparison with still active athletes of the same ages. Circulation. 1968 Dec;38(6):1104–1115. doi: 10.1161/01.cir.38.6.1104. [DOI] [PubMed] [Google Scholar]
  18. Taylor H. L., Jacobs D. R., Jr, Schucker B., Knudsen J., Leon A. S., Debacker G. A questionnaire for the assessment of leisure time physical activities. J Chronic Dis. 1978;31(12):741–755. doi: 10.1016/0021-9681(78)90058-9. [DOI] [PubMed] [Google Scholar]
  19. Tunstall-Pedoe H., Kuulasmaa K., Amouyel P., Arveiler D., Rajakangas A. M., Pajak A. Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents. Circulation. 1994 Jul;90(1):583–612. doi: 10.1161/01.cir.90.1.583. [DOI] [PubMed] [Google Scholar]
  20. Waaler H. T. Height, weight and mortality. The Norwegian experience. Acta Med Scand Suppl. 1984;679:1–56. doi: 10.1111/j.0954-6820.1984.tb12901.x. [DOI] [PubMed] [Google Scholar]
  21. Walldius G., Jungner I. Lämpligt med två gränsvärden vid diagnostik och behandling av högt serumkolesterol. Lakartidningen. 1988 Nov 9;85(45):3835–3839. [PubMed] [Google Scholar]
  22. Waller D., Agass M., Mant D., Coulter A., Fuller A., Jones L. Health checks in general practice: another example of inverse care? BMJ. 1990 Apr 28;300(6732):1115–1118. doi: 10.1136/bmj.300.6732.1115. [DOI] [PMC free article] [PubMed] [Google Scholar]

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