Skip header and navigation

Refine By

18 records – page 1 of 2.

Hypertension programme of the North Karelia Project.

https://arctichealth.org/en/permalink/ahliterature251565
Source
Scand J Soc Med. 1976;4(2):67-70
Publication Type
Article
Date
1976
Author
J. Tuomilehto
P. Puska
A. Nissinen
Source
Scand J Soc Med. 1976;4(2):67-70
Date
1976
Language
English
Publication Type
Article
Keywords
Allied Health Personnel - education
Evaluation Studies as Topic
Female
Finland
Follow-Up Studies
Health education
Humans
Hypertension - prevention & control - therapy
Male
Abstract
The present article describes the background and principles of a programme for community control of hypertension, which is part of the North Karelia project--a comprehensive community programme for the control of cardiovascular diseases. The hypertension programme also forms part of an international co-operative study by WHO. The programme consists of a community intervention integrated with the service structure. The methods used include health education of the public, education of health service personnel, organization of a service for the spreading of information and also for screening, treatment and follow-up. Every hypertensive person in the community is registered in the hypertension register and checked on annually. The evaluation is made mainly on baseline and terminal survey data from the intervention area and a reference area, the hypertension register, a myocardial infarction register and a stroke register in the intervention area.
PubMed ID
959785 View in PubMed
Less detail

Dietary changes in the North Karelia Project (1972-1982).

https://arctichealth.org/en/permalink/ahliterature233348
Source
Prev Med. 1988 Mar;17(2):183-93
Publication Type
Article
Date
Mar-1988
Author
P. Pietinen
A. Nissinen
E. Vartiainen
A. Tuomilehto
U. Uusitalo
A. Ketola
S. Moisio
P. Puska
Author Affiliation
National Public Health Institute, Department of Epidemiology, Helsinki, Finland.
Source
Prev Med. 1988 Mar;17(2):183-93
Date
Mar-1988
Language
English
Publication Type
Article
Keywords
Adult
Analysis of Variance
Cardiovascular Diseases - prevention & control
Cholesterol - blood
Dietary Fats - therapeutic use
Eating
Educational Status
Female
Finland
Food Habits
Humans
Male
Middle Aged
Nutritional Sciences - education
Occupations
Abstract
The North Karelia Project is a community-based program to reduce the high cardiovascular disease rates in the province of North Karelia in eastern Finland. Dietary changes aimed at reducing serum cholesterol levels were among the main objectives. The evaluation of the program was based on examinations of independent cross-sectional population samples in 1972, 1977, and 1982 in North Karelia and in a matched reference area. A questionnaire was used to measure changes in dietary habits during the program. A major shift from whole to low-fat milk took place in both areas as well as a reduction in the amount of butter used on bread. The net reduction in North Karelia (difference in change compared with the reference area) in the intake of saturated fatty acids from milk and fat spreads used on bread was 20% in men and 14% in women. This reduction was similar in different age, education, and occupational groups suggesting that the dietary intervention had reached the whole community. The validity of the reported dietary changes was confirmed by parallel changes in serum cholesterol levels.
PubMed ID
3420071 View in PubMed
Less detail

Implementation of a hypertension control program in the county of North Karelia, Finland.

https://arctichealth.org/en/permalink/ahliterature244059
Source
Public Health Rep. 1981 Nov-Dec;96(6):503-13
Publication Type
Article
Author
A. Nissinen
J. Tuomilehto
J. Elo
J T Salonen
P. Puska
Source
Public Health Rep. 1981 Nov-Dec;96(6):503-13
Language
English
Publication Type
Article
Keywords
Adult
Evaluation Studies as Topic
Female
Finland
Follow-Up Studies
Goals
Health education
Health Occupations - education
Humans
Hypertension - prevention & control
Male
Mass Screening
Middle Aged
Public health nursing
Registries
Abstract
A hypertension control program was established as part of the more comprehensive North Karelia Project. This project was started in 1972 in response to a petition from the population of North Karelia, a county in Finland, asking for national assistance to reduce the exceptionally high cardiovascular disease mortality and morbidity in the area. The North Karelia Project was carried out from 1972 to 1977.The hypertension control program was implemented mainly in local health centers by physicians and public health nurses, who followed guidelines issued by the project staff and worked under its supervision.Although the target population for the North Karelia Project was the entire population of North Karelia, the project focused on middle-aged men. The hypertension subprogram was introduced in steps. Its objectives included the training of health personnel, establishment of an information system in the county to educate people about hypertension, and organization of the detection, treatment, and followup of hypertensives. A hypertension dispensary was established in each of the 12 health centers in the county. Continuous training of the local public health nurses and physicians faciliated integration of the hypertension program into the operations of the health centers.A central hypertension register and the hypertension control clinics at the health centers were the essential tools in the systematic followup of hypertensives. Some 17,000 hypertensives were on the register by the end of the 5-year project.The main aim in providing health education about hypertension, as well as in treating hypertension itself, was to prevent severe cardiovascular diseases as a whole. Therefore the hypertension control program was integrated into the comprehensive cardiovascular disease control program, and hypertensives received advice concerning smoking and dietary changes as well as about high blood pressure.A survey of health care personnel in North Karelia and in a reference area showed that the care of hypertensives was more systematic in North Karelia and that its health care personnel were more satisfied with the cardiovascular disease care that was provided.
Notes
Cites: Scand J Soc Med. 1976;4(2):67-70959785
Cites: Am J Med. 1972 May;52(5):653-635027555
Cites: Lancet. 1978 Jan 7;1(8054):1-574494
Cites: JAMA. 1976 May 24;235(21):2299-306946622
Cites: WHO Chron. 1973 Feb;27(2):55-84695971
Cites: Lancet. 1980 Oct 25;2(8200):900-46107554
Cites: Br Med J. 1979 Nov 10;2(6199):1173-8519351
Cites: Public Health. 1979 May;93(3):143-52451123
PubMed ID
7302104 View in PubMed
Less detail

[10 years of the ischemic heart disease prevention project in northern Karelia].

https://arctichealth.org/en/permalink/ahliterature239026
Source
Cas Lek Cesk. 1985 Mar 29;124(13):385-9
Publication Type
Article
Date
Mar-29-1985

Dimensions of health behaviour among the 65-74-year-old population in eastern Finland.

https://arctichealth.org/en/permalink/ahliterature232830
Source
Funct Neurol. 1988 Jul-Sep;3(3):309-25
Publication Type
Article
Author
S L Kivelä
A. Nissinen
P. Puska
Author Affiliation
University of Tampere, Department of Public Health, Finland.
Source
Funct Neurol. 1988 Jul-Sep;3(3):309-25
Language
English
Publication Type
Article
Keywords
Aging - physiology
Animals
Diet
Educational Status
Female
Finland
Health Behavior
Humans
Male
Marriage
Middle Aged
Smoking
Abstract
Correlations between individual health habits, dimensions of health behaviour and differences in health habits between nonsmokers, ex-smokers and smokers were studied in a 65-74-year-old population in eastern Finland. The results showed the cumulative character of many positive health habits. High health knowledge was associated with positive health habits. The health habits of smokers were less positive than those of nonsmokers or ex-smokers. Factor analysis showed the health behaviour to be multidimensional in character. There were differences in the dimensions of health behaviour between men and women.
PubMed ID
3192106 View in PubMed
Less detail

[Fat consumption of first-grade students in elementary school. Quality and quantity of fats used at home and at school].

https://arctichealth.org/en/permalink/ahliterature222185
Source
Hoitotiede. 1993;5(2):50-5
Publication Type
Article
Date
1993
Author
P. Laitinen
A. Nissinen
M. Myllykangas
Source
Hoitotiede. 1993;5(2):50-5
Date
1993
Language
Finnish
Publication Type
Article
Keywords
Child
Child Nutritional Physiological Phenomena
Diet Surveys
Dietary Fats
Female
Finland
Humans
Male
Nutritional Sciences - education
Questionnaires
Abstract
The aim of the study was to study the fat consumption of first grade pupils in elementary school, especially the quality and quantity of the fats used both at home and at school. The data were collected in the year 1990 by questionnaires sent to the parents and by interviewing the children. The study population consisted of all the first grade pupils (N = 54) in an elementary school in the town of Varkaus. According to our findings there is a need for individual nutrition education. The families ought to pay attention to decreasing saturated fats and to increasing oils and vegetables, fruits and berries in their diet.
PubMed ID
8333997 View in PubMed
Less detail

[Epidemiology of hypertension risks: of no consequence to the German Federal Republic? (author's transl)].

https://arctichealth.org/en/permalink/ahliterature244009
Source
MMW Munch Med Wochenschr. 1981 Nov 20;123(47):1775-9
Publication Type
Article
Date
Nov-20-1981
Author
A. Füller
U. Keil
A. Nissinen
U. Laaser
Source
MMW Munch Med Wochenschr. 1981 Nov 20;123(47):1775-9
Date
Nov-20-1981
Language
German
Publication Type
Article
Keywords
Adult
Female
Germany, West
Health education
Health Policy
Health Priorities
Humans
Hypertension - epidemiology - prevention & control
Male
Middle Aged
Risk
Abstract
A widely based epidemiologic research on hypertension has led to successful action programs abroad: e.g. the incidence of hypertension fell by about 50% in North Karelia, Finland, and in the USA the life expectancy rose by 1.5 years. Against the background of international scientific agreement both the Conference for Security and Cooperation in Europe and the World Health Organization have awarded hypertension the highest priority for European cooperation. In the Federal Republic there is a great backlog; the responsible politicians are called upon to set a new course.
PubMed ID
6796851 View in PubMed
Less detail

Familial aggregation of serum total cholesterol: a population-based family study in eastern Finland.

https://arctichealth.org/en/permalink/ahliterature196690
Source
Prev Med. 2000 Nov;31(5):603-7
Publication Type
Article
Date
Nov-2000
Author
R M Fuentes
I L Notkola
S. Shemeikka
J. Tuomilehto
A. Nissinen
Author Affiliation
Department of Public Health and General Practice, University of Kuopio, Finland. ricardo.fuentes@messi.uku.fi
Source
Prev Med. 2000 Nov;31(5):603-7
Date
Nov-2000
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Body mass index
Cholesterol - blood
Educational Status
Family Health
Female
Finland
Humans
Hypercholesterolemia - genetics
Male
Myocardial Infarction - genetics
Abstract
The Finnish population has a high risk of coronary heart disease, which is associated to a high population level of serum total cholesterol (CHOL) already evident at early ages. The study investigated the familial aggregation of CHOL in a sample of families with young offspring from eastern Finland.
Fifteen-year-old offspring were examined during 1996-1997 and their biological parents were examined during 1993-1994. A total of 224 children were invited and 184 families participated, of which 123 were included in the analysis with complete data. The main outcome measure was the CHOL (millimoles per liter).
Significant positive familial correlations of CHOL were found for the pairs of mother/offspring (r = 0.35, P or =5 mmol/L (OR = 3.26, 95% CI = 1.2-8.9, n = 111).
The study confirmed the familial aggregation of CHOL. The consistent CHOL association between the mother and the offspring may indicate the key role of the mother for the primary prevention of hypercholesterolemia.
PubMed ID
11071842 View in PubMed
Less detail

[20-year experience with the North Karelia Project. Preventive activities yield results].

https://arctichealth.org/en/permalink/ahliterature219246
Source
Nord Med. 1994;109(2):54-5
Publication Type
Article
Date
1994
Author
P. Puska
E. Vartiainen
J. Tuomilehto
A. Nissinen
Author Affiliation
Avd för epidemiologi och hälsofrämjande, Folkhälsoinstitutet, Helsingfors.
Source
Nord Med. 1994;109(2):54-5
Date
1994
Language
Swedish
Publication Type
Article
Keywords
Adult
Cardiovascular Diseases - mortality - prevention & control
Finland - epidemiology
Health education
Humans
Life Style
Male
Middle Aged
Neoplasms - mortality - prevention & control
PubMed ID
8121789 View in PubMed
Less detail

Costs and benefits of community programmes for the control of hypertension.

https://arctichealth.org/en/permalink/ahliterature222693
Source
J Hum Hypertens. 1992 Dec;6(6):473-9
Publication Type
Article
Date
Dec-1992
Author
A. Nissinen
J. Tuomilehto
H. Enlund
T E Kottke
Author Affiliation
Department of Community Health and General Practice, University of Kuopio, Finland.
Source
J Hum Hypertens. 1992 Dec;6(6):473-9
Date
Dec-1992
Language
English
Publication Type
Article
Keywords
Community Health Services - economics
Cost-Benefit Analysis
Female
Finland - epidemiology
Health Care Costs
Health education
Humans
Hypertension - economics - epidemiology - prevention & control
Male
PubMed ID
1296012 View in PubMed
Less detail

18 records – page 1 of 2.