Áhættuþættir kransæðasjúkdóms meðal karla og kvenna á Íslandi: niðurstöður úr hóprannsókn Hjartaverndar 1967-1985
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Issue Date
2005-01-01
Metadata
Show full item recordOther Titles
Coronary risk factors among men and women in Iceland. Results from the Reykjavik Study 1967-1985. 1992Citation
Læknablaðið 2005, 91(1):107-14Abstract
The Reykjavík Study 1967-1985: Risk factors for coronary heart disease mortality have been investigated in a prospective study of 8001 randomly selected Icelandic men and 8468 women. The men were aged 34-64 and the women 34-76 at the time of their first examination. After followup from 2-17 years 1140 (14.2%) of the men and 537 (6.3%) of the women had died. Coronary heart disease accounted for 43% of the mortality among the men, cancer 27% and cerebrovascular disease 7%. This distribution is in contrast to what was found among the women. Coronary heart disease accounted for 19.4% of the mortality, cancer 42.3% while the relative contribution of cerebrovascular mortality was similar. The effects of various factors were assessed simultaneously with multivariate survival analysis using the Cox's proportional hazard model. Age, serum total cholesterol, triglycerides, smoking and systolic blood pressure were all significant independent risk factors for coronary heart disease mortality in both sexes. Fasting blood sugar was of borderline significance, reaching significance among men, but not among women. However, since the women have much lower risk of dying from coronary heart disease than the men the absolute risk associated with each of the risk factors is much lower in the women.Samband hinna ýmsu áhættuþátta og dánartíðni úr kransæðasjúkdómi var kannað í úrtaki 8001 karls og 8468 kvenna sem hafa komið að minnsta kosti einu sinni til skoðunar í framskyggndri hóprannsókn Hjartaverndar. Karlarnir voru á aldrinum 34-74 ára og konurnar 34-76 ára við fyrstu heimsókn í Hjartavernd. Í árslok 1985 hafði þessum hópi fólks verið fylgt í tvö til 17 ár. Þá höfðu 1140 (14,2%) karlmannanna og 537 (6,3%) kvennanna látist. Tíðni dánarorsaka var mjög ólík meðal kynjanna. Þannig stöfuðu 43% dauðsfalla karla af kransæðasjúkdómi, 27% af illkynja sjúkdómum og 7% af heilablóðfalli. Illkynja sjúkdómar voru algengasta dánarorsök kvenna (42,3%), kransæðasjúkdómar var orsök 19,4% dauðsfalla og 6,9% stöfuðu af heilablóðfalli. Sjálfstætt vægi hinna ýmsu áhættuþátta var metið með tölfræðilegri fjölþáttagreiningu Cox. Aldur, kólesteról og þríglýseríðar í sermi, reykingar og blóðþrýstingur (slagbil) voru tölfræðilega marktæk sem sjálfstæðir áhættuþættir kransæðadauða beggja kynja. Fastandi blóðsykur var marktækur áhættuþáttur meðal karla en ekki meðal kvenna. Hins vegar voru hvorki hlutfall líkamsþunga eða líkamshæðar, né fyrri saga um reykingar sjálfstæðir áhættuþættir kransæðadauða. Niðurstöður þessarar rannsóknar benda til þess að helstu áhættuþættir kransæðasjúkdóms séu nánast hinir sömu meðal íslenskra karla og kvenna. Hins vegar eru dánarlíkur kvenna úr kransæðasjúkdómi næstum fimmfaltlægri en dánarlíkur karla og er því viðbótarhætta sem tengist hverjum áhættuþætti mun lægri meðal kvenna en karla.
Description
Neðst á síðunni er að nálgast greinina í heild sinni með því að smella á hlekkinn View/OpenAdditional Links
http://www.laeknabladid.isCollections
Related articles
- Do lipids, blood pressure, diabetes, and smoking confer equal risk of myocardial infarction in women as in men? The Reykjavik Study.
- Authors: Jónsdóttir LS, Sigfússon N, Gudnason V, Sigvaldason H, Thorgeirsson G
- Issue date: 2002 Apr
- Influence of smoking combined with another risk factor on the risk of mortality from coronary heart disease and stroke: pooled analysis of 10 Japanese cohort studies.
- Authors: Nakamura K, Nakagawa H, Sakurai M, Murakami Y, Irie F, Fujiyoshi A, Okamura T, Miura K, Ueshima H, EPOCH-JAPAN Research Group.
- Issue date: 2012
- Decline in ischaemic heart disease in Iceland and change in risk factor levels.
- Authors: Sigfusson N, Sigvaldason H, Steingrimsdottir L, Gudmundsdottir II, Stefansdottir I, Thorsteinsson T, Sigurdsson G
- Issue date: 1991 Jun 8
- Mortality rates and risk factors for coronary disease in black as compared with white men and women.
- Authors: Keil JE, Sutherland SE, Knapp RG, Lackland DT, Gazes PC, Tyroler HA
- Issue date: 1993 Jul 8
- Stroke and coronary heart disease in treated hypertension -- a prospective cohort study over three decades.
- Authors: Almgren T, Persson B, Wilhelmsen L, Rosengren A, Andersson OK
- Issue date: 2005 Jun