Showing papers by "Calle Bengtsson published in 2002"

A longitudinal study of the treatment of hot flushes: the population study of women in Gothenburg during a quarter of a century.

Abstract: ObjectiveTo describe the prevalence and treatment of hot flushes in premenopausal and postmenopausal women from the 1960s to the 1990s.DesignThis prospective study, based on a random sample of the total female population of 430,000 in Gothenburg, Sweden, was started in 1968, with follow-ups

Cholesterol and triglyceride concentration as risk factors for myocardial infarction and death in women, with special reference to influence of age.

Abstract: . Lindqvist P, Bengtsson C, Lissner L, Bjorkelund C (Department of Primary Health Care, Goteborg University, Gothenburg, Sweden). Cholesterol and triglyceride concentration as risk factors for myocardial infarction and death in women, with special reference to influence of age. J Intern Med 2002; 251: 484–489. Objective. To evaluate the importance of serum cholesterol and triglyceride concentrations as predictors of myocardial infarction and death in women of different ages. Design. Prospective observational study, initiated in 1968–69. Setting. Gothenburg, Sweden, with about 430 000 inhabitants. Subjects. A population-based sample of 1462 women aged 38, 46, 50, 54 and 60 years at start of the study, followed up for 24 years. Main outcome measures. Within each age group, myocardial infarction and death were predicted by serum cholesterol and triglyceride concentrations and smoking in a multivariate model. Results. In the total population only serum triglyceride concentration was a strong independent risk factor for both end-points studied. Serum triglyceride concentration measured in 38- and 46-year-old women had no predictive value with respect to 24-year incidence of myocardial infarction or death. In 50-, 54- and 60-year-old women, high serum triglyceride concentration consistently predicted myocardial infarction and total mortality. Serum cholesterol concentration, on the other hand, showed evidence of direct association for 24-year all-cause mortality in the younger premenopausal group. Serum cholesterol had no predictive value for myocardial infarction or mortality in the peri- and postmenopausal ages. Conclusions. There appears to be age-specificity in association between serum lipids and these end-points in women, serum cholesterol concentration being more important for younger women and serum triglyceride concentration more important for postmenopausal women as risk factors, observations which need further attention.

Women's sleep: longitudinal changes and secular trends in a 24-year perspective. Results of the population study of women in Gothenburg, Sweden.

Abstract: Department of Primary Health Care, Goteborg University, Goteborg, Sweden. cecilia.bjorkelund@allmed.gu.se STUDY OBJECTIVES: To present observational data on the frequency of sleep problems, sleep duration, and sleep medication in an urban female population. DESIGN: A prospective population study, initiated in 1968-69, with follow-ups in 1974-75, 1980-81, and 1992-93. SETTING: Goteborg, Sweden, with around 445,000 inhabitants. PARTICIPANTS: 1462 women born in 1908, 1914, 1918, 1922, 1930, and 205 women born in 1942 and 1954, a representative selection of women of the respective age in the general population. INTERVENTIONS: NA. MEASUREMENTS: Reported number of hours slept per night, sleep problems, use of sleeping pills, and sleep satisfaction. RESULTS: The frequency of sleep problems increased with age, as did consultations for sleep problems and the use of sleep medication, while no major differences in these parameters could be discerned in a 24-year secular trend analysis of 38- and 50-year-old women, except a lower sleeping pill use in 50-year-old women in 1992-93. An interesting finding was also that the significant reduction of the proportion of 38-year-old women sleeping more than 8 hours per night between 1968-69 and 1980-81 was not accompanied by a secular deterioration in sleep satisfaction in that age group. CONCLUSIONS: Sleep duration decreased by approximately 0.4 hours per night between the ages of 38 and 66. The frequency of sleep problems increased by around 30% between the ages of 38 and 84. The use of sleeping pills also increased, except in the 50-year-old cohort. PMID: 12489897 [PubMed - indexed for MEDLINE]

Time for a "vision zero" concerning premature death from ischaemic heart disease?

Abstract: Objective - To study the trend in premature mortality (before 75 years of age) from ischaemic heart disease (IHD) in a Swedish primary health care district compared to communities of similar demographic situation and all Sweden. Design - Mortality from IHD in men and women was compared between the community of Habo and other Swedish communities of similar size and all Sweden for the period 1984-96. Setting - The community of Habo in Sweden with about 9600 inhabitants. Intervention - Intensified efforts by the local primary health care organisation, in co-operation with the community, in respect of primary and secondary cardiovascular prevention since the beginning of the 1980s. Results - Mortality from IHD has decreased significantly both in Habo and in Sweden during these years. The decrease has been more prominent in Habo than in Sweden as a whole and other Swedish communities of similar demographic situation. Conclusion - With increased and purposeful efforts in primary and secondary prevention, in co-...

New Finnish Assistant Editor

Abstract: With the increasing number of manuscripts being sent to the Scandinavian Journal of Primary Health Care, the responsibility of the Assistant Editors is increasing too. As mentioned in the previous issue of the Journal, Irma Virjo is the new National Editor for Finland. The new Assistant Finnish National Editor is Heikki Luukinen (photo), Professor of primary health care in Oulu. We welcome Heikki Luukinen to our Editorial Board.

[Primary care can inspire patients to preventive self care: "Health profile" helps a patient analyze his or hers own risk factors].

Abstract: A method for preventive work to be used in primary health care is described. It is based on self-administration material dealing with lifestyle factors. This material is divided into eight separate subjects: smoking habits, alcohol use, diet, physical activity, psychological well being, mental stress, waist-hip ratio and quality of life. The purpose is to base the health profile on lifestyle factors rather than on biological risk markers. The method is meant to be cost-effective. The material has also a self instructive purpose and can be considered as an example of how to work with cognitive technique.