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Temporal shifts in ...
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Long, Gráinne H.
(författare)
Temporal shifts in cardiovascular risk factor distribution
- Artikel/kapitelEngelska2014
Förlag, utgivningsår, omfång ...
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Elsevier,2014
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-84974
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-84974URI
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https://doi.org/10.1016/j.amepre.2013.10.011DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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BACKGROUND: Complementary strategies to shift risk factor population distributions and target high-risk individuals are required to reduce the burden of type 2 diabetes and cardiovascular disease (CVD).PURPOSE: To examine secular changes in glucose and CVD risk factors over 20 years during an individual and population-based CVD prevention program in Västerbotten County, Sweden.METHODS: Population-based health promotion intervention was conducted and annual invitation for individuals turning 40, 50, and 60 years to attend a health assessment, including an oral glucose tolerance test, biochemical measures, and a questionnaire. Data were collected between 1991 and 2010, analyzed in 2012 and available for 120,929 individuals. Linear regression modeling examined age-adjusted differences in CVD risk factor means over time. Data were direct-age-standardized to compare disease prevalence.RESULTS: Between 1991-1995 and 2006-2010, mean age-adjusted cholesterol (men=-0.53, 95% CI=-0.55, -0.50 mmol/L; women=-0.48, 95% CI=-0.50, -0.45 mmol/L) and systolic blood pressure declined (men=-3.06, 95% CI=-3.43, -2.70 mm Hg; women=-5.27, 95% CI=-5.64, -4.90 mm Hg), with corresponding decreases in the age-standardized prevalence of hypertension and hyperlipidemia. Mean age-adjusted 2-hour plasma glucose (men=0.19, 95% CI=0.15, 0.23 mmol/L; women=0.08, 95% CI=0.04, 0.11 mmol/L) and BMI increased (men=1.12, 95% CI=1.04, 1.21; women=0.65, 95% CI=0.55, 0.75), with increases in the age-standardized prevalence of diabetes and obesity.CONCLUSIONS: These data demonstrate the potential of combined individual- and population-based approaches to CVD risk factor control and highlight the need for additional strategies addressing hyperglycemia and obesity.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Simmons, Rebecca K.
(författare)
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Norberg, MargaretaUmeå universitet,Epidemiologi och global hälsa,Centrum för befolkningsstudier (CBS),Ageing and Living Conditions Programme,Arcum(Swepub:umu)mano0062
(författare)
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Wennberg, PatrikUmeå universitet,Allmänmedicin(Swepub:umu)pawe0002
(författare)
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Lindahl, BerntUmeå universitet,Yrkes- och miljömedicin(Swepub:umu)beli0020
(författare)
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Rolandsson, OlovUmeå universitet,Allmänmedicin(Swepub:umu)olro0005
(författare)
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Griffin, Simon J.
(författare)
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Weinehall, LarsUmeå universitet,Epidemiologi och global hälsa,Arcum(Swepub:umu)lawe0001
(författare)
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Umeå universitetEpidemiologi och global hälsa
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:American Journal of Preventive Medicine: Elsevier46:2, s. 112-1210749-37971873-2607
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