CHD mortality in Finland declined in the 1970s by 1.8% annually for men and 3.4% for women aged 35-64, paralleled by favorable changes in lifestyle, risk factors, and patient management.
Observational
A marked increase in the coronary heart disease (CHD) mortality of working-age men and women occurred in Finland from the 1950s until the 1960s. Around the year 1970, CHD mortality started to decline and this decline still continues. In the age group 35-64 years the average annual decline of CHD mortality in the 1970s was 1.8% for men and 3.4% for women. Limited data available on trends in CHD morbidity show that the decline in CHD mortality is accompanied by a decline in the incidence of non-fatal myocardial infarction. CHD mortality and incidence are higher in east Finland than in west Finland and this east-west difference has so far persisted during the declining trend. The decline in CHD mortality and incidence in the 1970s has been preceded and paralleled by changes into favourable direction in dietary fat consumption and population mean levels for serum cholesterol, prevalence of smoking among adult Finnish men, control of hypertension by antihypertensive drug therapy, and management of patients with symptomatic CHD. Both the changes in life-styles and CHD risk factor levels, as well as changes in the management of patients with CHD, appear to have been contributing to the decline in CHD mortality and incidence in Finland.
auml et al. (Tue,) conducted a observational in Coronary heart disease. Population-level changes in lifestyle, risk factors, and patient management was evaluated on Annual decline of CHD mortality in the 1970s. CHD mortality in Finland declined in the 1970s by 1.8% annually for men and 3.4% for women aged 35-64, paralleled by favorable changes in lifestyle, risk factors, and patient management.
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