scholarly journals Blood pressure and long-term coronary heart disease mortality in the Seven Countries Study: implications for clinical practice and public health

2000 ◽  
Vol 21 (20) ◽  
pp. 1639-1642 ◽  
Author(s):  
P Van den Hoogen
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Clinical Practice ◽  
Coronary Heart Disease Mortality ◽  
Disease Mortality ◽  
Seven Countries Study

Coronary heart disease mortality trends during 50 years as explained by risk factor changes: The European cohorts of the Seven Countries Study

2019 ◽  
Vol 27 (9) ◽  
pp. 988-998 ◽  
Author(s):  
Alessandro Menotti ◽  
Paolo E Puddu ◽  
Daan Kromhout ◽  
Anthony Kafatos ◽  
Hanna Tolonen
Keyword(s):  
Blood Pressure ◽  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
Weibull Distribution ◽  
Serum Cholesterol ◽  
Coronary Heart Disease Mortality ◽  
Change Score ◽  
Disease Mortality ◽  
Seven Countries Study

Objectives The purpose of this study was to relate risk factor changes during decades with 50-year coronary heart disease mortality in European cohorts of middle-aged men of the Seven Countries Study. Material and methods In the 1950s–early 1960s, nine cohorts of 6518 men aged 40–59 years were examined in five European countries. Smoking habits, systolic blood pressure and serum cholesterol were measured at entry and five times during the next 35 years and a comprehensive Risk Factor Change Score was created. Coronary heart disease mortality data was collected during a 50-year follow-up, modelled by the Weibull distribution, whose shape (Weibull shape) was related to the Risk Factor Change Score by linear regression. Results The Risk Factor Change Score showed slight declines in the Finnish and Dutch cohorts, moderate or large increases in the other cohorts. These effects were related to a decrease of smoking habits in all cohorts, an increase of blood pressure in all cohorts except East Finland, a decrease of serum cholesterol in Finland and the Netherlands, whereas serum cholesterol increases were slight in Italy and large in Serbia and Greece. Weibull distribution shape for coronary heart disease mortality showed slight deceleration in one Finnish and the Dutch cohorts, large acceleration in the Serbian and Greek cohorts. The correlation coefficient of the Risk Factor Change Score versus Weibull shape for the nine cohorts was 0.78 ( R2 = 0.60; p = 0.0132). Conclusions Spontaneous long-term changes of major coronary risk factor levels were associated with changes in the same direction of coronary heart disease mortality risk modelled by the Weibull distribution, expressing a kind of ‘natural experiment’ with an outcome that matches those of controlled preventive trials.

Forty-years (1961–2001) of all-cause and coronary heart disease mortality and its determinants: the Corfu cohort from the Seven Countries Study

2003 ◽  
Vol 90 (1) ◽  
pp. 73-79 ◽  
Author(s):  
Demosthenes B. Panagiotakos ◽  
Christina Chrysohoou ◽  
Christos Pitsavos ◽  
Alessandro Menotti ◽  
Anastasios Dontas ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Coronary Heart Disease Mortality ◽  
Disease Mortality ◽  
Seven Countries Study
Sign in / Sign up

Export Citation Format

Share Document