Marmot M G
Acta Med Scand Suppl. 1985;701:58-65. doi: 10.1111/j.0954-6820.1985.tb08890.x.
Coronary heart disease (CHD) mortality has decreased markedly in the U.S.A., Finland, Australia and other countries. Although the data are lacking, a decline in incidence is likely. Possible reasons include increased dietary consumption of essential fatty acids and decreased consumption of saturated fat and cholesterol, reduction in smoking, increased control of high blood pressure and increase in exercise. Not all countries fit this schema. Sweden has an increased CHD mortality which is not easily explained. Japan has had a continued decline in CHD mortality despite apparent increases in dietary fat. In the U.K., a decrease in CHD mortality began late, but there are encouraging signs both of changes in life style and of decreased mortality.
在美国、芬兰、澳大利亚和其他国家，冠心病（CHD）死亡率已显著下降。尽管缺乏相关数据，但发病率可能也在下降。可能的原因包括必需脂肪酸的膳食摄入量增加、饱和脂肪和胆固醇的摄入量减少、吸烟减少、高血压控制加强以及运动量增加。并非所有国家都符合这种模式。瑞典的冠心病死亡率上升，原因难以解释。尽管日本膳食脂肪摄入量明显增加，但其冠心病死亡率仍持续下降。在英国，冠心病死亡率下降开始得较晚，但在生活方式改变和死亡率降低方面都有令人鼓舞的迹象。
