Analyses of data from the first National Health Examination Survey undertaken from 1984-1986 within the framework of the German Cardiovascular Prevention Study, show the following risk factor prevalences in 25-69 year-old men and women: overweight (BMI males: greater than 25, females greater than 24) or obese (BMI greater than 30): men 65.0%, women 57.6%; total serum cholesterol (less than 5.17 mmol/dl): men 73.7%, women 74.0%; normal blood pressure (according to JNC definitions): men 45.0%, women 59.1%; hypertension according to WHO criteria: men 26.0%, women 21.1%; controlled hypertensives (WHO criteria): men 19.9%, women 33.9%; current smoking: men 40.8%, women 26.1%. For most of the cardiovascular risk factors there is a clear negative association between prevalence and length of school education. Three myocardial infarction (MI) registries (WHO MONICA Project) are operating in the Federal Republic of Germany. Incidence and case-fatality data are within comparable ranges. Coronary heart disease (CHD) mortality has been relatively stable in both sexes from 1970 to 1986 with a minor peak in 1976 and a slight downward trend since then. A study of the reliability of coding procedures in West German state statistical offices revealed major disagreements so that trends derived from national mortality data as aggregate data of the federal states might be spurious. An ecological correlation of regional smoking prevalences (1978) and regional CHD mortality rates (1977-9) showed significant coefficients in men, but not in women.

译文

:对1984-1986年在德国心血管预防研究框架内进行的首次国家健康检查调查的数据进行的分析显示,在25-69岁的男性和女性中,以下危险因素患病率:超重(BMI男性:大于25,女性(24岁以上)或肥胖(BMI大于30):男性65.0%,女性57.6%;血清总胆固醇(低于5.17 mmol / dl):男性73.7%,女性74.0%;正常血压(根据JNC定义):男性45.0%,女性59.1%;根据WHO标准,高血压:男性26.0%,女性21.1%;控制性高血压(WHO标准):男性19.9%,女性33.9%;目前吸烟:男性40.8%,女性26.1%。对于大多数心血管疾病危险因素,患病率与受教育年限之间存在明显的负相关关系。德意志联邦共和国正在运营三个心肌梗塞(MI)注册表(WHO MONICA项目)。发病率和病死率数据在可比较的范围内。从1970年到1986年,男女的冠心病(CHD)死亡率一直相对稳定,1976年出现轻微高峰,此后略有下降。对西德州统计局的编码程序的可靠性进行的研究表明,存在重大分歧,因此,由国家死亡率数据(作为联邦州的汇总数据)得出的趋势可能是虚假的。区域吸烟率(1978年)和区域冠心病死亡率(1977-9年)之间的生态相关性在男性中表现出显着的系数,而在女性中却没有。

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