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Trends in risk factors for coronary heart disease in the Netherlands

BACKGROUND: Favourable trends in risk factor levels in the general population may partly explain the decline in coronary heart disease (CHD) morbidity and mortality. Our aim was to present long-term national trends in established risk factors for CHD. METHODS: Data were obtained from five data sourc...

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Autores principales: Koopman, C., Vaartjes, I., Blokstra, A., Verschuren, W. M. M., Visser, M., Deeg, D. J. H., Bots, M. L., van Dis, I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992244/
https://www.ncbi.nlm.nih.gov/pubmed/27543113
http://dx.doi.org/10.1186/s12889-016-3526-7
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author Koopman, C.
Vaartjes, I.
Blokstra, A.
Verschuren, W. M. M.
Visser, M.
Deeg, D. J. H.
Bots, M. L.
van Dis, I.
author_facet Koopman, C.
Vaartjes, I.
Blokstra, A.
Verschuren, W. M. M.
Visser, M.
Deeg, D. J. H.
Bots, M. L.
van Dis, I.
author_sort Koopman, C.
collection PubMed
description BACKGROUND: Favourable trends in risk factor levels in the general population may partly explain the decline in coronary heart disease (CHD) morbidity and mortality. Our aim was to present long-term national trends in established risk factors for CHD. METHODS: Data were obtained from five data sources including several large scale population based surveys, cohort studies and general practitioner registers between 1988 and 2012. We applied linear regression models to age-standardized time trends to test for statistical significant trends. Analyses were stratified by sex and age (younger <65 and older ≥65 years adults). RESULTS: The results demonstrated favourable trends in smoking (except in older women) and physical activity (except in older men). Unfavourable trends were found for body mass index (BMI) and diabetes mellitus prevalence. Although systolic blood pressure (SBP) and total cholesterol trends were favourable for older persons, SBP and total cholesterol remained stable in younger persons. CONCLUSIONS: Four out of six risk factors for CHD showed a favourable or stable trend. The rise in diabetes mellitus and BMI is worrying with respect to CHD morbidity and mortality. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-016-3526-7) contains supplementary material, which is available to authorized users.
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spelling pubmed-49922442016-08-21 Trends in risk factors for coronary heart disease in the Netherlands Koopman, C. Vaartjes, I. Blokstra, A. Verschuren, W. M. M. Visser, M. Deeg, D. J. H. Bots, M. L. van Dis, I. BMC Public Health Research Article BACKGROUND: Favourable trends in risk factor levels in the general population may partly explain the decline in coronary heart disease (CHD) morbidity and mortality. Our aim was to present long-term national trends in established risk factors for CHD. METHODS: Data were obtained from five data sources including several large scale population based surveys, cohort studies and general practitioner registers between 1988 and 2012. We applied linear regression models to age-standardized time trends to test for statistical significant trends. Analyses were stratified by sex and age (younger <65 and older ≥65 years adults). RESULTS: The results demonstrated favourable trends in smoking (except in older women) and physical activity (except in older men). Unfavourable trends were found for body mass index (BMI) and diabetes mellitus prevalence. Although systolic blood pressure (SBP) and total cholesterol trends were favourable for older persons, SBP and total cholesterol remained stable in younger persons. CONCLUSIONS: Four out of six risk factors for CHD showed a favourable or stable trend. The rise in diabetes mellitus and BMI is worrying with respect to CHD morbidity and mortality. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-016-3526-7) contains supplementary material, which is available to authorized users. BioMed Central 2016-08-19 /pmc/articles/PMC4992244/ /pubmed/27543113 http://dx.doi.org/10.1186/s12889-016-3526-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Koopman, C.
Vaartjes, I.
Blokstra, A.
Verschuren, W. M. M.
Visser, M.
Deeg, D. J. H.
Bots, M. L.
van Dis, I.
Trends in risk factors for coronary heart disease in the Netherlands
title Trends in risk factors for coronary heart disease in the Netherlands
title_full Trends in risk factors for coronary heart disease in the Netherlands
title_fullStr Trends in risk factors for coronary heart disease in the Netherlands
title_full_unstemmed Trends in risk factors for coronary heart disease in the Netherlands
title_short Trends in risk factors for coronary heart disease in the Netherlands
title_sort trends in risk factors for coronary heart disease in the netherlands
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992244/
https://www.ncbi.nlm.nih.gov/pubmed/27543113
http://dx.doi.org/10.1186/s12889-016-3526-7
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