Huhtasaari F, Asplund K, Wester P O
Department of Internal Medicine, Kalix Hospital, Sweden.
Acta Med Scand. 1988;224(2):99-108. doi: 10.1111/j.0954-6820.1988.tb16746.x.
In the WHO MONICA Study, determinants and trends in cardiovascular disease are monitored during a 10-year period in 40 centers in 27 countries. The Northern Sweden MONICA Center is located furthest to the north of all participating centers. In this report, baseline data on cardiovascular risk factors are presented. In the first population screening, 1,625 of 2,000 (81%) invited individuals participated. Diastolic blood pressure greater than or equal to 90 mmHg was recorded in 19% and 9% were on drug treatment for hypertension. Median cholesterol level was 6.10 mmol/l and the frequency of hypercholesterolemia was high. A body mass index of greater than or equal to 30, indicating severe obesity, was observed in 9%, a lower proportion than in most other European populations. Among men, the total proportion of tobacco consumers was 49%, including 22% snuffers. Of the women, 31% were tobacco consumers, very few being snuffers. Women had, in general, a more favorable cardiovascular risk factor profile up to the age of 45. Thereafter, the two genders were similar. By international comparisons, the population in northern Sweden is characterized by high serum cholesterol levels, intermediate blood pressure levels, a relatively low prevalence of severe obesity and a high consumption of smokeless tobacco.
在世卫组织的莫尼卡研究中，对27个国家40个中心的心血管疾病决定因素和趋势进行了为期10年的监测。瑞典北部莫尼卡中心位于所有参与中心中最靠北的位置。在本报告中，给出了心血管危险因素的基线数据。在首次人群筛查中，2000名受邀者中有1625人（81%）参与。19%的人舒张压大于或等于90 mmHg，9%的人接受高血压药物治疗。胆固醇中位数水平为6.10 mmol/l，高胆固醇血症的发生率较高。体重指数大于或等于30（表明严重肥胖）的人占9%，这一比例低于大多数其他欧洲人群。在男性中，烟草消费者的总比例为49%，其中鼻烟使用者占22%。在女性中，31%是烟草消费者，鼻烟使用者很少。一般来说，45岁之前女性的心血管危险因素状况更有利。此后，两性情况相似。通过国际比较，瑞典北部人群的特点是血清胆固醇水平高、血压水平中等、严重肥胖患病率相对较低以及无烟烟草消费量高。
