| 1. |
- Nafziger, AN, et al.
(författare)
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High obesity incidence in northern Sweden: how will Sweden look by 2009?
- 2006
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Ingår i: European Journal of Epidemiology. - : Springer Science and Business Media LLC. - 0393-2990 .- 1573-7284. ; 21:5, s. 377-382
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Tidskriftsartikel (refereegranskat)abstract
- The study objective was to evaluate the incidence of overweight and obesity in two rural areas of Sweden and the U.S. Previously collected data were used from 1990 to 1999 Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) studies in northern Sweden. Health censuses of adults in Otsego County, New York were collected in 1989 and 1999. Adults aged 25-64 year in 1989 with reports from both surveys were included. The 10-year change in body mass index (BMI), overweight (BMI 25-29.9 kg/m2) and obesity (BMI>or=30) were obtained from panel studies. Incidences of overweight and obesity were calculated and compared between countries. The 10-year incidence of obesity was 120/1000 in Sweden and 173/1000 in the U.S. (p<0.001 for difference between countries). In 1999, prevalence of obesity rose to 18.4% (Sweden) and 32.3% (U.S.). Cumulative distribution curves show that the BMI distribution in Sweden during 1999 is nearly identical to the U.S. during 1989. The obese proportions of these rural populations increased from 1989 to 1999. Sweden's obesity epidemic has a progression similar to that of the U.S., implying that by 2009, the prevalence of obesity in rural northern Sweden may mimic that present in rural New York during 1999. Attention should be paid to the increased obesity rates in rural areas.
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| 2. |
- Rautio, Aslak, et al.
(författare)
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Favourable trends in the incidence and outcome ofmyocardial infarction in nondiabetic, but not in diabetic, subjects : findings from the MONICA myocardial infarctionregistry in northern Sweden in 1989–2000
- 2005
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Ingår i: Journal of Internal Medicine. - : Wiley. - 0954-6820 .- 1365-2796. ; 258:4, s. 369-377
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of this study was to comparetime trends in incidence, case fatality and mortalitydue to myocardial infarction (MI) in patients with orwithout diabetes.Methods: This study was based on the Northe rnSweden MONICA Project MI registry with a targetpopulation of about 200 000 inhabitants in the agegroup 35–64 years in the two northernmostcounties of Sweden. During 1989–2000, 6254patients who had had an MI according to MONICAcriteria were included in this study: 4569 patientshad a first MI and 1685 had a recurrent MI. Sixteenper cent of the men and 20% of the women had haddiabetes mellitus diagnosed prior the MI.Results: Over the 12-year period, there was adeclining trend in incidence and case fatality infirst MI. Also, the event rates (first ever andrecurrent MI) decline d in men without diabetes. Inwomen without diabetes favourable time trendswere seen in first ever MI, recurrent MI and in casefatality. There were no favourable time trends forany of these outcomes in patients with diabetes.Conclusion: In nondiabetic subjects belo w the age of65, the inc idence of, and case-fatality in, MIdeclined. This led to a decreased mortality over the12-year period. These favourable trends over timewere not observed in diabetic subjects.Keywords: acute myocardial infarction, diabetesmellitus, incidence, mortali ty, time trends
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| 3. |
- Södergren, Anna, 1977-, et al.
(författare)
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Increased incidence of and impaired prognosis after acute myocardial infarction among patients with seropositive rheumatoid arthritis.
- 2007
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Ingår i: Annals of the Rheumatic Diseases. - : BMJ Publishing Group Ltd & European League Against Rheumatism. - 0003-4967 .- 1468-2060. ; 66:2, s. 263-266
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To examine the incidence and outcome of acute myocardial infarction (AMI) in patients with rheumatoid arthritis compared with the general population, and to examine whether care and treatment of an AMI differs between patients and controls. Methods: The Multinational Monitoring of Trends and Determinants of Cardiovascular Disease register for northern Sweden was used to compare those incidences of AMI in a cohort of patients with rheumatoid arthritis with that in the general population. 35 patients with rheumatoid arthritis who had also experienced an AMI were identified. For each patient with rheumatoid arthritis, three controls with a history of AMI but without rheumatoid arthritis were randomly selected from the same register, and matched for age, sex and year of the AMI for evaluation of case fatality and potential differences in treatment of AMI. Results: The standardised incidence ratio for AMI was 2.9 in patients with rheumatoid arthritis compared with the general population (p<0.05). During the first 10 years after an AMI, patients with rheumatoid arthritis had a higher overall case fatality compared with controls (hazard ratio (HR) 1.67, 95% confidence interval (CI) 1.02 to 2.71). Survival time was decreased in the rheumatoid arthritis group compared with controls despite the same care and treatment. Conclusion: Both the incidence of and case fatality after an AMI were higher among patients with rheumatoid arthritis than among the general population. The results emphasise the necessity of optimising the preventive, diagnostic and caring strategies for AMI in rheumatoid arthritis.
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