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January 1, 1989International Journal of Epidemiology

An intensified preventive programme in North Karelia was associated with a steeper decline in ischaemic heart disease mortality in the 1970s, which subsequently levelled off in the 1980s.

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Why the study?

Does an intensified population-level preventive program reduce ischaemic heart disease mortality?

Population

Middle-aged Finnish population, particularly men, in North Karelia and the rest of Finland

Comparison

Intensified preventive program vs Rest of Finland

Design

Cohort

Follow-up

1970s to 1980s

Key result

An intensified preventive programme in North Karelia was associated with a steeper decline in ischaemic heart disease mortality in the 1970s, which subsequently levelled off in the 1980s.

Authors

JTJaakko TuomilehtoPPPekka PuskaHKH. Korhonen

Discussion

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Member takes

Overview

May accelerate IHD mortality declines via intensified prevention; leaves open durability without sustained efforts.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

Does an intensified population-level preventive program reduce ischaemic heart disease mortality?

P
Population
Finnish population assessed for trends in ischaemic heart disease mortality and risk factors from the 1970s to the 1980s.
E
Exposure
Intensified preventive program (started in North Karelia in 1972)
C
Comparator
Rest of Finland
O
Outcome
Ischaemic heart disease (IHD) mortalityhard clinical

Intensified population-level preventive programs can accelerate declines in IHD mortality, but sustained efforts are required to prevent stagnation in risk factor improvements.

Cite This Study

Tuomilehto et al. (1989) conducted an observational in Ischaemic heart disease. Intensified preventive programme vs. Rest of Finland was evaluated on Ischaemic heart disease mortality. An intensified preventive programme in North Karelia was associated with a steeper decline in ischaemic heart disease mortality in the 1970s, which subsequently levelled off in the 1980s.

synapsesocial.com/papers/6aa00918516c2ec66e7c7369https://doi.org/10.1093/ije/18.3_supplement_1.s109
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