Ueshima H, Okayama A, Kita Y, Choudhury S R
Department of Health Science, Shiga University of Medical Science.
Nihon Rinsho. 1997 Aug;55(8):2028-33.
In 1960, stroke mortality in Japan was the highest among industrialized countries, while CHD mortality was the lowest. Stroke mortality for men and women aged 30-69 years, however, declined by 80% during the 1965-90 years and CHD mortality also declined during the same period. Among risk factors, trends in blood pressure level and the prevalence of hypertension were very compatible with those in stroke mortality. Serum total cholesterol level has increased remarkably, however, CHD mortality has not increased. This may be explained by the decline in population blood pressure level and the prevalence of hypertension, and decreased smoking rate.
1960年,日本的中风死亡率在工业化国家中最高,而冠心病死亡率则最低。然而,1965年至1990年期间,30至69岁男性和女性的中风死亡率下降了80%,同期冠心病死亡率也有所下降。在风险因素中,血压水平趋势和高血压患病率与中风死亡率趋势非常吻合。然而,血清总胆固醇水平显著上升,冠心病死亡率却没有上升。这可能是由于人群血压水平和高血压患病率下降以及吸烟率降低所致。