Need to combine individual strategies with population-level strategies in the prevention of coronary heart disease

Bidragets oversatte titel: Den individuelle tilgang til forebyggelse af hjertesygdom skal kobles med strukturelle forebyggelsesstrategier

Johan Lerbech Vinther, Torben Jørgensen (Medlem af forfattergruppering), Anders Borglykke (Medlem af forfattergruppering)

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Resumé

INTRODUCTION: The aim of this paper was to examine the relation between the distribution of risk, the distribution of coronary heart disease (CHD) events and the proportion who develop CHD according to risk.

MATERIAL AND METHODS: Baseline data from a cross-sectional study conducted in 1999-2001 comprising information on systolic blood pressure, low density lipoprotein cholesterol and a multifactor risk score, The Copenhagen Risk Score, were related to ten years of fatal and non-fatal events of CHD in 6,784 participants.

RESULTS: The results were unambiguous regarding all three examined parameters. They showed that the majority of all fatal and non-fatal events of CHD occur within the large group of the population which is at low or no risk of CHD.

DISCUSSION: The three determinants in relation to CHD events indicate that changing the risk of a whole population through widespread comprehensive societal policies may be more efficient than medical treatment and health counselling targeting persons already at high-risk, which will be of benefit for the individual persons only.

FUNDING: Funding was received from The Health Insurance Foundation (grant number 2010 B 131). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

OriginalsprogEngelsk
TidsskriftDanish Medical Journal
Vol/bind60
Udgave nummer10
Sider (fra-til)1-4
ISSN2245-1919
StatusUdgivet - 2013
Udgivet eksterntJa

Fingeraftryk

Population
Lipoprotein(a)
Manuscripts
LDL Cholesterol
Counseling
Cross-Sectional Studies
Health

Citer dette

Lerbech Vinther, Johan ; Jørgensen, Torben ; Borglykke, Anders. / Need to combine individual strategies with population-level strategies in the prevention of coronary heart disease. I: Danish Medical Journal. 2013 ; Bind 60, Nr. 10. s. 1-4.
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abstract = "INTRODUCTION: The aim of this paper was to examine the relation between the distribution of risk, the distribution of coronary heart disease (CHD) events and the proportion who develop CHD according to risk.MATERIAL AND METHODS: Baseline data from a cross-sectional study conducted in 1999-2001 comprising information on systolic blood pressure, low density lipoprotein cholesterol and a multifactor risk score, The Copenhagen Risk Score, were related to ten years of fatal and non-fatal events of CHD in 6,784 participants.RESULTS: The results were unambiguous regarding all three examined parameters. They showed that the majority of all fatal and non-fatal events of CHD occur within the large group of the population which is at low or no risk of CHD.DISCUSSION: The three determinants in relation to CHD events indicate that changing the risk of a whole population through widespread comprehensive societal policies may be more efficient than medical treatment and health counselling targeting persons already at high-risk, which will be of benefit for the individual persons only.FUNDING: Funding was received from The Health Insurance Foundation (grant number 2010 B 131). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.",
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Need to combine individual strategies with population-level strategies in the prevention of coronary heart disease. / Lerbech Vinther, Johan; Jørgensen, Torben (Medlem af forfattergruppering); Borglykke, Anders (Medlem af forfattergruppering).

I: Danish Medical Journal, Bind 60, Nr. 10, 2013, s. 1-4.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Need to combine individual strategies with population-level strategies in the prevention of coronary heart disease

AU - Lerbech Vinther, Johan

A2 - Jørgensen, Torben

A2 - Borglykke, Anders

PY - 2013

Y1 - 2013

N2 - INTRODUCTION: The aim of this paper was to examine the relation between the distribution of risk, the distribution of coronary heart disease (CHD) events and the proportion who develop CHD according to risk.MATERIAL AND METHODS: Baseline data from a cross-sectional study conducted in 1999-2001 comprising information on systolic blood pressure, low density lipoprotein cholesterol and a multifactor risk score, The Copenhagen Risk Score, were related to ten years of fatal and non-fatal events of CHD in 6,784 participants.RESULTS: The results were unambiguous regarding all three examined parameters. They showed that the majority of all fatal and non-fatal events of CHD occur within the large group of the population which is at low or no risk of CHD.DISCUSSION: The three determinants in relation to CHD events indicate that changing the risk of a whole population through widespread comprehensive societal policies may be more efficient than medical treatment and health counselling targeting persons already at high-risk, which will be of benefit for the individual persons only.FUNDING: Funding was received from The Health Insurance Foundation (grant number 2010 B 131). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

AB - INTRODUCTION: The aim of this paper was to examine the relation between the distribution of risk, the distribution of coronary heart disease (CHD) events and the proportion who develop CHD according to risk.MATERIAL AND METHODS: Baseline data from a cross-sectional study conducted in 1999-2001 comprising information on systolic blood pressure, low density lipoprotein cholesterol and a multifactor risk score, The Copenhagen Risk Score, were related to ten years of fatal and non-fatal events of CHD in 6,784 participants.RESULTS: The results were unambiguous regarding all three examined parameters. They showed that the majority of all fatal and non-fatal events of CHD occur within the large group of the population which is at low or no risk of CHD.DISCUSSION: The three determinants in relation to CHD events indicate that changing the risk of a whole population through widespread comprehensive societal policies may be more efficient than medical treatment and health counselling targeting persons already at high-risk, which will be of benefit for the individual persons only.FUNDING: Funding was received from The Health Insurance Foundation (grant number 2010 B 131). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

KW - Coronary Artery Disease

KW - Denmark

KW - Humans

KW - Prevalence

KW - Primary Prevention

KW - Risk Assessment

KW - Journal Article

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SP - 1

EP - 4

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 1603-9629

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