Comparison of trends in cardiovascular risk factors between two regions with and without a community and primary care prevention programme

European Journal of Preventive Cardiology
Mats EliassonStefan Söderberg

Abstract

Background The effect of primary prevention of cardiovascular disease is debated. The Västerbotten Intervention Programme (VIP) is an individual and community-based public health programme that comprises the whole county of Västerbotten (VB). In the neighbouring county of Norrbotten (NB), no programmes have been implemented. Method Between 1994 and 2014, five surveys were performed in the two counties on persons aged 40 to 75 years within the Northern Sweden MONICA Study. The number of subjects participating was 6600 (75.4%). We compared time trends in risk factors between the two counties using regression models including age, county and year of survey. To test whether time trends differed between counties, the interaction between county and year was included in the models. Results Systolic blood pressure declined in both counties, and the decline was faster in Västerbotten than in Norrbotten ( p = 0.043 for interaction county*year). Diastolic blood pressure declined in VB but increased in NB ( p < 0.001). Cholesterol levels declined at a similar rate in both counties whereas body mass index increased in both counties. Fasting glucose decreased in VB ( p = 0.003) and increased in NB. The prevalence of regular smokers decreased...Continue Reading

References

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Mar 27, 2010·Global Health Action·Margareta NorbergLars Weinehall
Nov 16, 2013·PloS One·Josephine Y ChauHidde P van der Ploeg
Jan 21, 2014·American Journal of Preventive Medicine·Gráinne H LongLars Weinehall
Jul 19, 2017·European Journal of Preventive Cardiology·Marie ErikssonMats Eliasson
Aug 24, 2017·Diabetologia·Adina L FeldmanOlov Rolandsson

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Citations

Feb 20, 2019·European Journal of Preventive Cardiology·Violeta González-SalvadoAntonio Rodríguez-Núñez
Feb 15, 2019·European Journal of Preventive Cardiology·Margaret E Cupples
May 9, 2019·European Journal of Preventive Cardiology·Massimo F Piepoli
Aug 15, 2019·BMC Public Health·Yulia BlomstedtLars Weinehall
Jun 4, 2020·European Journal of Preventive Cardiology·Massimo F Piepoli
May 16, 2019·European Journal of Preventive Cardiology·Kaisla KomulainenLaura Pulkki-Råback
Oct 5, 2020·Archives of Cardiovascular Diseases·Jacques BlacherIsabelle Durand-Zaleski

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Software Mentioned

SPSS
MONICA
VIP

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