Heller R F, Hayward D, Hobbs M S
Br Med J (Clin Res Ed). 1983 Jan 22;286(6361):260-2. doi: 10.1136/bmj.286.6361.260.
The rates of death from ischaemic heart disease in the United Kingdom in the years after 1968 were studied to establish whether any general trend had occurred. A decline in the rates began after 1973-4, was greatest in those aged 35-44 years, and occurred among both men and women and in each of the regions of England and in Wales and Scotland. Total dietary fat intake had started to fall about five years earlier, and this may provide part of the explanation. Changes in smoking habits also occurred but were more difficult to relate to the pattern of change in the death rates. If a general decline in ischaemic heart disease has begun in the United Kingdom a case may be made for close monitoring of changes in lifestyle and medical practice in different demographic groups to try to find the explanation.
对英国1968年后几年缺血性心脏病的死亡率进行了研究,以确定是否出现了任何总体趋势。1973 - 1974年后死亡率开始下降,在35 - 44岁人群中下降幅度最大,男性和女性以及英格兰、威尔士和苏格兰的每个地区均出现下降。总膳食脂肪摄入量大约在五年前就开始下降,这可能是部分原因。吸烟习惯也发生了变化,但更难与死亡率的变化模式联系起来。如果英国缺血性心脏病的总体发病率已经开始下降,那么就有理由密切监测不同人群生活方式和医疗实践的变化,以试图找到原因。