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Trends in blood lipid levels, blood pressure, alcohol and smoking habits from 1985 to 2002: results from INTERGENE and GOT-MONICA.

Journal article
Authors Christina Berg
Lauren Lissner
Nibia Aires
Georg Lappas
Kjell Torén
Lars Wilhelmsen
Annika Rosengren
Dag Thelle
Published in European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
Volume 12
Issue 2
Pages 115-25
ISSN 1741-8267
Publication year 2005
Published at Cardiovascular Institute
Department of Home Economics - 060701
Institute of Community Medicine
Pages 115-25
Language en
Keywords Adult, Age Distribution, Alcoholism, diagnosis, epidemiology, Cardiovascular Diseases, diagnosis, epidemiology, Comorbidity, Cross-Sectional Studies, Female, Humans, Hyperlipidemias, diagnosis, epidemiology, Hypertension, diagnosis, epidemiology, Logistic Models, Male, Middle Aged, Prevalence, Probability, Questionnaires, Risk Factors, Severity of Illness Index, Sex Distribution, Smoking, epidemiology, Survival Analysis, Sweden, epidemiology
Subject categories Dermatology and Venereal Diseases


BACKGROUND: Favourable trends in cardiovascular disease have been observed in Sweden. The aim of this study was to study secular trends in a variety of cardiovascular risk factors. METHODS: Total-, low-density (LDL) and high-density lipoprotein (HDL) serum cholesterol; serum triglycerides; systolic and diastolic blood pressure; self-reported smoking and alcohol consumption were studied in repeated cross-sectional surveys. Data from four population-based samples in Goteborg, Sweden were used-WHO MONICA project 1985, 1990 and 1995, and INTERGENE 2002. A total of 2931 females and 2691 males aged 25-64 consisting of 1021-1624 randomly selected subjects at each survey period participated. RESULTS: Serum cholesterol levels showed downward trends but the decline in both total- and LDL-cholesterol seems to be levelling off from 1995 and onwards. No significant changes were observed in serum triglyceride, HDL-serum cholesterol or blood pressure levels. The majority of the participants had higher total- and LDL-serum cholesterol levels than currently recommended. Antihypertensive medical treatment increased in women and the oldest men. The prevalence of smoking decreased from 39 to 25% in women and 35 to 20% in men respectively from 1985-2002. In contrast, the prevalence of subjects consuming strong beer and wine, respectively, at least once a week almost doubled from 1990-2002. CONCLUSIONS: Cardiovascular risk factor patterns change continuously and need to be monitored. The favourable trends in LDL-serum cholesterol and smoking in the Goteborg surveys were paralleled by less favourable trends in being overweight and alcohol consumption.

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