Kalishina A M, Chazova L V, Shchepkin V V, Panfilova O A, Nazarkina L A
Vopr Pitan. 1991 Mar-Apr(2):22-7.
Males, aged from 40 to 59, were followed up during 5 years after a standard epidemiological investigation. Their mortality rate and incidence of new cases of myocardial infarction and cerebral stroke were studied against the background of active preventive program (group I), and during routine treatment (group II). Hinh prognostic importance of body mass value has been shown in respect to common mortality rate, mortality rate due to cardiovascular diseases, incidence of myocardial infarction and its lethal outcomes. Difficulties in the correction of nutrition habits in middle-age subjects for decreasing their body mass, and relations between the nutrition habits and body mass were noted. Regardless of the body mass growth degree, a tendency was observed to the lowering of common and cardiovascular disease-induced mortality rates. The incidence rate of myocardial infarction in patients with excessive body mass significantly decreased. Body mass correction has been recommended in subjects aged from 40 to 49 years with body mass index 29.
对年龄在40至59岁的男性进行了标准流行病学调查，并在之后的5年里进行随访。在积极预防计划背景下（第一组）以及常规治疗期间（第二组），研究了他们的死亡率、心肌梗死新发病例数和脑卒中发病率。已表明体重值对于总死亡率、心血管疾病所致死亡率、心肌梗死发病率及其致命后果具有重要的预后意义。注意到中年受试者在纠正营养习惯以减轻体重方面存在困难，以及营养习惯与体重之间的关系。无论体重增长程度如何，均观察到总死亡率和心血管疾病所致死亡率呈下降趋势。超重患者的心肌梗死发病率显著降低。建议体重指数为29的40至49岁受试者进行体重调整。
