Muntoni S, Stabilini L, Stabilini M, Muntoni S
Centre for Metabolic Diseases and Atherosclerosis, The ME.DI.CO. Association, Cagliari, Italy.
Eur J Epidemiol. 1999 Jan;15(1):29-34. doi: 10.1023/a:1007508227959.
The objective of this study was to evaluate the effects of the ATS-Sardegna Campaign on lifestyle and cardiovascular disease (CVD) risk factors in the Sardinian population. The Campaign was a community-based public health action programme funded by the Sardinian Government with a view to prevent CVD and promote healthy behaviour. It was also part of the Targeted Project FAT.MA. of the Italian National Research Council (CNR), with the main purpose of evaluating the effects of this public health initiative after a five-year intervention. The evaluation was effected with three parallel procedures: individual interviews with 1486 randomly chosen people; assessment of eating patterns through a food-frequency questionnaire; measurement of the mean levels of the major CVD risk factors in 1729 randomly chosen subjects (1044 in the calendar year 1992, and 685 in 1995, two and five years, respectively, after the beginning of the Campaign). Overall, we recorded a favourable trend in eating habits in both sexes; a significant decrease in LDL-cholesterol in males, and in systolic and diastolic blood pressure in both sexes; a non-significant decrease in prevalence of smokers among males and increase among females. The ATS-Sardegna Campaign was the first CVD prevention programme in Italy to have attained reduction in the risk profile of an entire region at the lowest ever borne cost.
本研究的目的是评估撒丁岛行动（ATS-Sardegna Campaign）对撒丁岛人群生活方式和心血管疾病（CVD）风险因素的影响。该行动是一项由撒丁岛政府资助的社区公共卫生行动计划，旨在预防心血管疾病并促进健康行为。它也是意大利国家研究委员会（CNR）的目标项目FAT.MA的一部分，主要目的是评估这项公共卫生倡议在经过五年干预后的效果。评估通过三个并行程序进行：对1486名随机选择的人员进行个人访谈；通过食物频率问卷评估饮食模式；测量1729名随机选择的受试者（1992年历年为1044名，1995年为685名，分别在行动开始后的两年和五年）中主要心血管疾病风险因素的平均水平。总体而言，我们记录到两性的饮食习惯都有良好趋势；男性低密度脂蛋白胆固醇显著降低，两性的收缩压和舒张压均显著降低；男性吸烟者患病率有非显著下降，女性则有所上升。撒丁岛行动是意大利首个以有史以来最低成本实现整个地区风险状况降低的心血管疾病预防计划。
