Changes in population cholesterol concentrations and other cardiovascular risk factor levels after five years of the non-communicable disease intervention programme in Mauritius

Dowse, Gary K.; Gareeboo, H.; Alberti, K. G. M. M.; Zimmet, Paul; Tuomilehto, Jaakko; Purran, A.; Fareed, D.; Chitson, Pierrot; Collins, Veronica

doi:10.1136/bmj.311.7015.1255

Cited by 196 publications

(151 citation statements)

References 25 publications

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“…31,32 Such a population-wide intervention programme has been successfully implemented in Mauritius. 33 People of African origin often display more sodium sensitivity than non-Africans. Therefore, a modest reduction in sodium intake could considerably reduce BP and cardiovascular morbidity.…”

Section: Journal Of Human Hypertensionmentioning

confidence: 99%

Blood pressure patterns and cardiovascular risk factors in rural and urban Gambian communities

et al. 2000

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Hypertension is emerging as an important public health problem in sub-Saharan Africa. We studied blood pressure (BP) patterns, hypertension and other cardiovascular risk factors in a rural and an urban area of The Gambia. A total of 5389 adults (у15 years) were selected by cluster sampling in the capital Banjul and a rural area around Farafenni. A questionnaire was completed, BP, pulse rate, height and weight were recorded. Glucose was measured 2 h after a 75 g glucose load among participants у35 years (n ‫؍‬ 2301); total cholesterol, triglycerides, creatinine and uric acid were measured among a stratified subsample (n ‫؍‬ 1075). A total of 7.1% of the study participants had a BP у160/95 mm Hg; 18.4% of them had a BP у140/90 mm Hg. BP was significantly higher in the urban area. BP increased with age in both sexes in both areas. Increasing age was the major independent risk factor for hypertension. Related cardiovascular risk factors (obesity, diabetes and

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Section: Journal Of Human Hypertensionmentioning

confidence: 99%

Blood pressure patterns and cardiovascular risk factors in rural and urban Gambian communities

et al. 2000

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“…The success of such comprehensive programmes has been demonstrated in the varied settings of developed, as well as developing, countries 31,32 . In addition, populations at high risk need strategies and services for early detection and effective control of risk.…”

Section: Public Health Responsesmentioning

confidence: 99%

Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action

Reddy

2002

Public Health Nutr.

252

167

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The global burden of disease due to cardiovascular diseases (CVDs) is escalating, principally due to a sharp rise in the developing countries which are experiencing rapid health transition. Contributory causes include: demographic shifts with altered population age profiles; lifestyle changes due to recent urbanisation, delayed industrialisation and overpowering globalisation; probable effects of foetal undernutrition on adult susceptibility to vascular disease and possible gene -environment interactions influencing ethnic diversity. Altered diets and diminished physical activity are critical factors contributing to the acceleration of CVD epidemics, along with tobacco use. The pace of health transition, however, varies across developing regions with consequent variations in the relative burdens of the dominant CVDs. A comprehensive public health response must integrate policies and programmes that effectively impact on the multiple determinants of these diseases and provide protection over the life span through primordial, primary and secondary prevention. Populations as well as individuals at risk must be protected through initiatives that espouse and enable nutrition-based preventive strategies to protect and promote cardiovascular health. An empowered community, an enlightened policy and an energetic coalition of health professionals must ensure that development is not accompanied by distorted nutrition and disordered health.

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“…Given the projected epidemic of diabetes in China [5], such a potentially cost-effective intervention is of great importance. We have also recently shown that a similar community-based lifestyle approach in Mauritius could reduce some of the key risk factors for Type II diabetes and CVD such as eating behaviour, sedentariness, serum lipids and cigarette smoking [149,150].…”

Section: Primary Prevention Of Type II Diabetesmentioning

confidence: 99%

Diabetes epidemiology as a tool to trigger diabetes research and care

1999

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Changes in population cholesterol concentrations and other cardiovascular risk factor levels after five years of the non-communicable disease intervention programme in Mauritius

Abstract: Lifestyle intervention projects can be implemented and have positive effects in developing countries. A pronounced improvement in the population lipid profile in Mauritius was probably related to a change in the saturated fat content of a widely used cooking oil.

Cited by 196 publications

References 25 publications

Blood pressure patterns and cardiovascular risk factors in rural and urban Gambian communities

Blood pressure patterns and cardiovascular risk factors in rural and urban Gambian communities

Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action

Diabetes epidemiology as a tool to trigger diabetes research and care

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