Abstract:
:The role of dietary fat in human blood pressure control was studied among 84 middle-aged subjects (mainly couples) in two semirural communities in North Karelia, Finland. The families were randomly allocated into two groups that, after a baseline period of 2 weeks, changed their diet for a 12-week intervention period so that the proportion of energy derived from fats was similarly reduced in both groups, from 38 to 24%, but the polyunsaturated/saturated fatty acid (P/S) ratio was increased--from 0.2 to 0.9 in group I and to 0.4 in group II. After the intervention period, both groups switched back to their usual diet for a period of 5 weeks. During the intervention period, total serum cholesterol was reduced by 16% in group I and 14% in group II. Mean body weight and urinary sodium, potassium, calcium, and magnesium excretion changes were small or nonexistent. Mean systolic blood pressure decreased 4 mm Hg in group I (P less than 0.01) and 3 mm Hg in group II (P less than 0.01), and mean diastolic blood pressure decreased 5 mm Hg (P less than 0.001) and 4 mm Hg (P less than 0.01), respectively. The reductions were reversed during the switch-back period (P less than 0.01). These results confirm previous findings of the blood-pressure-reducing effect of a low-fat/high-P/S diet. Although a number of possible confounding factors can be ruled out, the dietary constituent accounting for the blood pressure change cannot be ascertained definitely. The results showed no significant further blood pressure reduction with more than a moderately increased P/S ratio when the saturated fat intake was markedly reduced.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Puska P,Iacono JM,Nissinen A,Vartiainen E,Dougherty R,Pietinen P,Leino U,Uusitalo U,Kuusi T,Kostiainen Edoi
10.1016/0091-7435(85)90078-7subject
Has Abstract,Author List Incompletepub_date
1985-09-01 00:00:00pages
573-84issue
5eissn
0091-7435issn
1096-0260journal_volume
14pub_type
临床试验,杂志文章,随机对照试验abstract::An international collaborative group examined the relation between asymptomatic hyperglycemia and coronary heart disease (CHD). After excluding clinically diagnosed diabetes and treated hypertensives, there were 48,912 men aged 35-64 in the study population. Post-load circulating glucose correlated with age, relative ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(83)90173-1
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Exposure to tobacco and alcohol advertising has been associated with adolescent substance use. However, it is not clear whether favorable reactions to advertising are an antecedent to or a consequence of substance use. This study investigated relationships between adolescents' levels of susceptibility to sub...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1074
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:Early detection of skin cancer is associated with improved prognosis. The American Cancer Society's current skin cancer screening (SCS) recommendation states that adults over the age of 40 should receive an annual skin examination conducted by a health professional. However, little is known about the psychos...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.01.017
更新日期:2004-06-01 00:00:00
abstract::The relationship between coffee consumption and serum cholesterol was examined in the comparison group of a case-control study of myocardial infarction involving 642 patients from various Italian regions who were hospitalized for diseases having no relationship to cardiovascular disease risk factors. Overall mean tota...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1993.1018
更新日期:1993-03-01 00:00:00
abstract::Studies of adult nutrition education and counseling for weight reduction, diabetes, cancer, low-fat diets, sodium-restricted diets, and renal diets are reviewed and synthesized. Nutrition education consists of three phases: assessment or problem diagnosis, intervention, and evaluation and monitoring. This article exam...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/0091-7435(85)90069-6
更新日期:1985-11-01 00:00:00
abstract:BACKGROUND:Factors associated with participation in breast and cervix cancer screening among elderly black women of low socioeconomic status were determined. METHODS:Data from a baseline cross-sectional random survey were used together with data on whether screening was subsequently completed or refused. The subjects ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1993.1002
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Studies of the relationship between dietary fat intake and serum lipids in young children have yielded inconclusive results. We studied this relationship in 108 Hispanic children ages 4-5 years. METHODS:Four 24-hr recalls approximately 3 months apart and two Willett semiquantitative food frequency questionn...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(91)90023-w
更新日期:1991-03-01 00:00:00
abstract:BACKGROUND:Walking is a widely used approach to increase physical activity levels in obese patients. In this paper, we investigate the precision and accuracy of an ankle-worn dual-axis accelerometer (Stepwatch) and investigate its potential application as a predictor of energy expenditure. METHODS:Twenty healthy subje...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2005.07.006
更新日期:2005-09-01 00:00:00
abstract::We summarize here the evidence from the 1960s and 1970s of exceptionally high risk of cardiovascular disease (CVD) in Finland. In parallel with voluntary and governmental prevention programs, the level of risk factors and CVD attack rates have shown dramatic improvement in the past 25 years, but the decline has slowed...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.1999.0403
更新日期:1999-12-01 00:00:00
abstract::The benefits of physical activity are established, however, increasing population physical activity levels remains a challenge. Participating in activities that are enjoyable and multidimensional, such as dancing, are associated with better adherence. However, the extent to which the general population participates in...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.11.005
更新日期:2018-01-01 00:00:00
abstract::OBJECTIVE.: The aim of the study was to explore opportunities for more effective interventions on lifestyle modifications among hypertensives. METHODS.: Using 2007 data from the Behavioral Risk Factor Surveillance System from the United States, we assessed the prevalence of various lifestyle behaviors and receipt of p...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.12.007
更新日期:2010-03-01 00:00:00
abstract::Pregnant women are vaccinated against influenza less frequently than other high-risk groups. To design effective vaccination strategies, we must understand how decisions regarding vaccination may vary by trimester and over vaccination campaigns. We used a Cox model indexed by calendar time to estimate the effect of ge...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.02.010
更新日期:2017-06-01 00:00:00
abstract::Immunization programs have been challenged by vaccine crises. Between 2013 and 2018, China has experienced three major vaccine scandals and crises, which has partly impaired Chinese public trust in domestically produced vaccines. This study aims to explore the associations between parental trust toward CDC-released cr...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2021.106423
更新日期:2021-01-10 00:00:00
abstract:OBJECTIVE:To determine what health behaviors patients choose to change in response to medical advice when they are given the potential net-present value (reduction in biological age) of modifying a behavior. METHODS:Baseline data for multiple health-risk behaviors that were recommended for change among 660 coronary an...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.ypmed.2007.09.007
更新日期:2008-03-01 00:00:00
abstract::Extracurricular sport has been a valued educational investment to promote both physical and mental health in children and adolescents. Few longitudinal studies have tested whether extracurricular sport is associated with inattentive/hyperactive symptoms. Using a prospective-longitudinal birth cohort of 758 girls and 7...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106256
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To determine the relationship between family child care home (FCCH) practices and characteristics, and objectively measured physical activity (PA) among children attending FCCHs. METHODS:FCCH practices and characteristics were assessed in 45 FCCHs in Oregon (USA) in 2010-2011 using the Nutrition and Physical...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.12.002
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:Many estimates of cancer screening are based on self-reported screening behavior. There is growing concern that self-reported screening measures may be less accurate among members of racial and ethnic minority groups. This would have considerable implications for research on racial and ethnic disparities in ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2008.11.014
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Nutrition education tailored to individual characteristics of people might be more effective than general nutrition education. Nowadays, the use of computers makes individualized feedback available for larger groups. METHODS:The impact of tailored nutrition information on changes in fat, vegetable, and frui...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.1996.0052
更新日期:1996-05-01 00:00:00
abstract::Asthma is a serious, chronic illness among U.S. children. Approximately 6% of all children under 18 years of age in the United States suffer from asthma--prevalence rates in our inner cities are even higher. The impact this disease has on children, their families, and society is profound and easily translatable into l...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1993.1051
更新日期:1993-07-01 00:00:00
abstract::The systematic review investigated the effectiveness of active travel (AT) interventions on physical activity and fitness in primary school children. The review assessed intervention effectiveness, design, complexity, and study quality. Searches were conducted in five databases on 30/08/2018. Studies with an AT interv...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析
doi:10.1016/j.ypmed.2019.03.030
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Underutilization of breast and cervical cancer screening has been observed in many ethnic groups and underserved populations. Effective community-based interventions are needed to eliminate disparities in screening rates and thus to improve prospects for survival. METHODS:The Breast and Cervical Cancer Inte...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1006/pmed.2001.0871
更新日期:2001-09-01 00:00:00
abstract::Although socioeconomic, behavioural, psychological, and biological factors have been individually linked to multimorbidity, data on the importance of these factors are limited. Our study aimed to determine the leading predictors for multimorbidity of chronic conditions in middle-aged Australian adults using machine le...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106260
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:The effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on the risk of breast cancer is unclear. We assessed the association in a hospital-based case-control study. METHODS:The cases (n = 6558) were compared with cancer controls (n = 3296) and noncancer controls admitted for trauma or acute infection (n...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1006/pmed.1999.0518
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Researchers have advocated mediational analysis for behavioral intervention studies to link the supporting theory used in an intervention with the mediating variables and with its ultimate success or failure. Few mediational analyses have been reported for school-based nutrition studies. The conduct of media...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.ypmed.2004.03.022
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Although several epidemiologic investigations have suggested a protective role of green tea against cardiovascular diseases and cancer, few studies examined how consumption of green tea was associated with intake of other dietary factors. METHODS:In the winters of 1989-1991, 880 men ages 40-49 years were ra...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1997.0194
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over. METHODS:Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwellin...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2001.0880
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:A large portion of the elderly population of the United States fails to receive an annual influenza vaccination. Minorities may receive disproportionately fewer vaccinations. The objectives of this study were to (a) estimate the levels of influenza vaccination among noninstitutionalized, U.S. citizens, 65 ye...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2001.0983
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND:Increasing regular physical activity in adults at elevated risk of cardiovascular disease is an important target for preventive medicine. This study evaluated demographic, social and cognitive predictors of self-reported changes in physical activity after 4 and 12 months in a randomized trial of behavioral c...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2000.0688
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:This paper estimates the rates of lifetime nonreceipt of influenza immunization among elderly and examines variations in the lifetime nonreceipt of immunization by gender, race and ethnic group, socioeconomic status, access to health care, and health status. METHODS:Cross-sectional, nationally representative...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.07.017
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Few studies have examined the long-term adherence to a yearlong exercise intervention among postmenopausal women. We examined the patterns of adherence to a yearlong exercise intervention and the influence of demographic, physiologic, and psychosocial variables on patterns of adherence among 173 sedentary, o...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.ypmed.2004.04.017
更新日期:2004-12-01 00:00:00