Changes in total serum cholesterol and other risk factors for cardiovascular disease in Japan 1980-1989.
Changes in total serum cholesterol and other risk factors for cardiovascular disease in Japan 1980-1989.
复制标题
1980-1989 年日本血清总胆固醇和其他心血管疾病危险因素的变化。
DOI：
10.1093/ije/22.6.1038
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发表时间：
1993
影响因子：
7.7
通讯作者：
M. Yamakawa
中科院分区：
文献类型：
--
作者：
A. Okayama;H. Ueshima;M. Marmot;M. Nakamura;Y. Kita;M. Yamakawa
为了监测日本近期饮食和心血管疾病(CVD)危险因素的变化，鉴于冠心病发病率的下降，对1980年和1989年在同一人群中进行的两次全国性健康调查与年度国民营养调查进行了比较。1980-1989年间，男性经年龄调整的总胆固醇水平从4.84升至5.22，女性从4.91升至5.24摩尔/L。年龄调整后的高胆固醇血症患病率男性从15.8%上升到29.4%，女性从18.4%上升到30.6%。男性和女性的血压都有所下降。男性吸烟率从64.7%下降到58.7%，而女性吸烟率保持在较低水平(从10.1%下降到9.9%)。血清总胆固醇水平的大幅上升并不能解释最近日本冠心病死亡率下降的原因。这可能在一定程度上与血压水平的下降有关。
To monitor recent changes in Japan in diet and risk factors for cardiovascular disease (CVD), in the light of the decline on coronary heart disease, total serum cholesterol levels and other risk factors were compared between two nationwide health surveys in 1980 and 1989 conducted in the same population as the annual National Nutrition Surveys. Between 1980 and 1989, age-adjusted total serum cholesterol levels increased from 4.84 to 5.22 for men and from 4.91 to 5.24 mmol/l for women. Prevalence of age-adjusted hypercholesterolaemia of > or = 5.68 mmol/l (220 mg/dl) increased from 15.8% to 29.4% for men and from 18.4% to 30.6% for women. Decline in blood pressure was observed for both sexes. Prevalence of smoking decreased from 64.7% to 58.7% in men while prevalence in women remained low (from 10.1 to 9.9%). Considerable increases in total serum cholesterol levels do not offer an explanation of the recent decline in mortality from coronary heart disease in Japan. This may, in part, be related to a decline in blood pressure levels.