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

TY - JOUR

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

AU - Vinther, Johan Lerbech

AU - Jørgensen, Torben

AU - Borglykke, Anders

PY - 2013/10

Y1 - 2013/10

N2 - Introduction: The aim of this paper is 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. Di scussion: 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.

AB - Introduction: The aim of this paper is 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. Di scussion: 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.

M3 - Journal article

SN - 2245-1919

VL - 60

SP - 1

EP - 4

JO - Danish Medical Journal

JF - Danish Medical Journal

IS - 10

M1 - A4726

ER -