Diabetes and obesity in Northern Sweden: occurrence and risk factors for stroke and myocardial infarction
Autor: | Vivan Lundberg, Bernt Lindahl, Mats Eliasson, Birgitta Stegmayr |
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Rok vydání: | 2003 |
Předmět: |
Adult
Male medicine.medical_specialty Waist Myocardial Infarction 050109 social psychology Diabetes Complications 03 medical and health sciences Risk Factors Diabetes mellitus Internal medicine Case fatality rate Diabetes Mellitus Prevalence medicine Humans 0501 psychology and cognitive sciences Obesity Myocardial infarction Stroke Aged Sweden 030505 public health business.industry 05 social sciences Public Health Environmental and Occupational Health General Medicine Middle Aged medicine.disease Relative risk Physical therapy Myocardial infarction complications Female 0305 other medical science business |
Zdroj: | Scandinavian Journal of Public Health. 31:70-77 |
ISSN: | 1651-1905 1403-4948 |
Popis: | Aims: The authors describe the occurrence of diabetes and obesity in the population of Northern Sweden and the role of diabetes in cardiovascular disease. Methods: Four surveys of the population aged 25 to 64 years were undertaken during a 14-year time span. Stroke events in subjects 35 - 74 years during 1985 - 92 and myocardial infarction in subjects 25 - 64 years 1989 - 93 were registered. Results: The prevalence of diagnosed diabetes was 3.1 and 2.0% in men and women, respectively, and 2.6 and 2.7% for previously undiagnosed diabetes. During the 13-year observation period, BMI increased 0.96 kg/m2 in men and 0.87 in women. The proportion of subjects with obesity (BMI≥30) increased from 10.3% to 14.6% in men and from 12.5% to 15.7% in women. Hip circumference increased substantially more than waist circumference, leading to a decreasing waits-to-hip ratio (WHR). The relative risk for stroke or myocardial infarction was four to six times higher in a person with diabetes than in those without diabetes. The 28-day case fatality for myocardial infarction, but not for stroke, was significantly higher in both men and women with diabetes. Population-attributable risk for diabetes and stroke was 18% in men and 22% in women and for myocardial infarction it was 11% in men and 17% in women. Conclusion: Obesity is becoming more common, although of a more distal than central distribution. The burden of diabetes in cardiovascular diseases in Northern Sweden is high. |
Databáze: | OpenAIRE |
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