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基尔肯尼健康项目中的心血管危险因素变化。一项社区健康促进计划。

Cardiovascular risk factor changes in the Kilkenny Health Project. A community health promotion programme.

作者信息

Shelley E, Daly L, Collins C, Christie M, Conroy R, Gibney M, Hickey N, Kelleher C, Kilcoyne D, Lee P

机构信息

Department of Epidemiology and Preventive Medicine, Royal College of Surgeons, Ireland.

出版信息

Eur Heart J. 1995 Jun;16(6):752-60. doi: 10.1093/oxfordjournals.eurheartj.a060993.

DOI:10.1093/oxfordjournals.eurheartj.a060993
PMID:7588918
Abstract

The Kilkenny Health Project was a community research and demonstration programme which aimed to reduce risk of cardiovascular disease in a county in the south-east of Ireland with a total population of approximately 70,000. The health promotion programme was carried out in Kilkenny from 1985 to 1992. Outcome evaluation was by means of population surveys of independent samples of men and women aged 35 to 64 years in Kilkenny (n approximately 800) and in the reference county (n approximately 600) in 1985/1986 and in 1990/1991. Survey methods for health behaviour questionnaires and risk factor measurements were similar to those of the WHO MONICA Project. Mean systolic blood pressure (SBP) declined significantly (P < 0.01) in men and women in both counties, from 144.0 by 5.4 mmHg and from 143.2 by 5.4 mmHg in men and from 139.5 by 7.7 mmHg and from 136.5 by 6.6 mmHg in women in the intervention and reference counties. The prevalence of hypertension declined from 23.1% by 2.8% and from 26.1% by 6.0% in men in the two counties. Prevalence declined from 24.1% by 6.2% (P < 0.05) in women in the intervention county but was unchanged, increasing by 0.5% from 17.5%, in women in the reference county. Mean serum total cholesterol declined from 6.04 mmol.l-1 by 0.09 mmol.l-1 and from 6.00 by 0.44 mmol.l-1 (P < 0.01) in men and from 6.01 by 0.36 (P < 0.01) and from 5.90 by 0.31 (P < 0.01) in women in the intervention and reference counties, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

基尔肯尼健康项目是一项社区研究与示范项目,旨在降低爱尔兰东南部一个总人口约7万的县的心血管疾病风险。该健康促进项目于1985年至1992年在基尔肯尼开展。通过对1985/1986年和1990/1991年基尔肯尼(约800人)和对照县(约600人)中35至64岁的男性和女性独立样本进行人口调查来进行结果评估。健康行为问卷和风险因素测量的调查方法与世界卫生组织莫尼卡项目的方法类似。两个县的男性和女性的平均收缩压(SBP)均显著下降(P<0.01),干预县男性从144.0 mmHg下降了5.4 mmHg,女性从139.5 mmHg下降了7.7 mmHg;对照县男性从143.2 mmHg下降了5.4 mmHg,女性从136.5 mmHg下降了6.6 mmHg。两个县男性高血压患病率分别从23.1%下降了2.8%和从26.1%下降了6.0%。干预县女性患病率从24.1%下降了6.2%(P<0.05),而对照县女性患病率未变,从17.5%上升了0.5%。干预县和对照县男性的平均血清总胆固醇分别从6.04 mmol·l-1下降了0.09 mmol·l-1和从6.00下降了0.44 mmol·l-1(P<0.01),女性分别从6.01下降了0.36(P<0.01)和从5.90下降了0.31(P<0.01)。(摘要截选至250词)

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