Part III. Can we turn back the clock or modify the adverse dynamics? Programme and policy issues: Influencing public nutrition for non-communicable disease prevention: From community intervention to national programme - Experiences from Finland

Public Health Nutrition

Volumn 5, Issue 1 A, 2002, Pages 245-251

  Pekka, Puska ^a   Pirjo, Pietinen ^a,b   Ulla, Uusitalo ^a,c  

^a WORLD HEALTH ORGANIZATION   (Switzerland)

^b NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

^c Department of Obstetrics Gynecology   (United States)

Author keywords

Diet; Intervention; Non communicable disease; Policy planning; Prevention; Public nutrition

Indexed keywords

CHOLESTEROL;

ARTICLE; BLOOD PRESSURE; CHOLESTEROL BLOOD LEVEL; COMMUNICABLE DISEASE; COMMUNITY CARE; COST; DEVELOPING COUNTRY; FAT INTAKE; FINLAND; HEALTH CARE POLICY; HEALTH PROGRAM; HUMAN; INDUSTRIALIZATION; ISCHEMIC HEART DISEASE; LIFESTYLE; MORTALITY; PHYSICAL ACTIVITY; POPULATION DYNAMICS; PRIORITY JOURNAL; PROPHYLAXIS; RURAL AREA; SOCIOECONOMICS; TOBACCO; CARDIOVASCULAR DISEASE; CHRONIC DISEASE; DIET; FEMALE; HEALTH PROMOTION; MALE; PUBLIC HEALTH; RISK FACTOR;

NICOTIANA TABACUM;

CARDIOVASCULAR DISEASES; CHRONIC DISEASE; COMMUNITY HEALTH SERVICES; DIET; FEMALE; FINLAND; HEALTH PROMOTION; HEALTH TRANSITION; HUMANS; MALE; NATIONAL HEALTH PROGRAMS; NUTRITION POLICY; RISK FACTORS;

EID: 0036463442     PISSN: 13689800     EISSN: None     Source Type: Journal    
DOI: 10.1079/PHN2001300     Document Type: Article

References (35)

1. Murray CJL, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 1997; 349; 1269-76.
2. World Health Organization (WHO). Diet, Nutrition, and the Prevention of Chronic Diseases. Report of a WHO Study Group. Technical Report Series 797. Geneva: WHO, 1990.
3. Michaud CM, Murray CJL, Bloom BR. Burden of disease - implications for future research. JAMA 2001; 285: 535-9.
4. Tuomilehto J, Lindström J, Eriksson J, Valle TT, Hämäläinen H, Ilanne-Parikka P, Keinänen-Kiukaanmäki S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N. Engl. J. Med. 2001; 344: 1343-50.
5. Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, Willett WC. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N. Engl. J. Med. 2001; 345: 790-7.
6. McCullough ML, Feskanish D, Rimm EB, Giovannucci EL, Ascherio A, Variyam JN, Spiegelman D, Stampfer MJ, Willett WC. Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in men. Am. J. Clin. Nutr. 2000; 72: 1223-31.
7. McCullough ML, Feskanish D, Stampfer MJ, Rosner BA, Hu FB, Hunter DJ, Variyam JN, Colditz GA, Willett WC. Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in women. Am. J. Clin. Nutr. 2000; 72: 1214-22.
8. Drewnowski A, Popkin BM. The nutrition transition: new trends in the global diet. Nutr. Rev. 1997; 55: 31-43.
9. Sobal J, Stunkard AJ. Socioeconomic status and obesity: a review of the literature. Psychol. Bull. 1989; 105: 260-75.
10. Sobal J. Food system globalization, eating transformations, and nutrition transitions. In: Grew R, ed. Food in Global History. Boulder, CO: Westview Press, 1999; 171-93.
11. Ramalingaswami V. Diseases of affluence. World Health 1992; (Nov-Dec): 24.
12. Puska P, Vartiainen E, Tuomilehto J, Salomaa V, Nissinen A. Changes in premature deaths in Finland: successful long-term prevention of cardiovascular diseases. Bull. World Health Org. 1998; 76: 419-25.
13. Ovcarov V, Bystrova V. Present trends in mortality in the age group 35-64 in selected developed countries between 1950-73. World Health Stat. Quart. 1978; 31: 208.
14. Pietinen P, Lahti-Koski M, Vartiainen E, Puska P. Nutrition and cardiovascular disease in Finland since the early 1970s: a success story. J. Nutr. Health Aging 2001; 5: 150-9.
15. Puska P, Tuomilehto J, Salonen J, Nissinen A, Virtamo J, Björkqvist S, Koskela K, Neittaanmäki L, Takalo L, Kottke TE, Mäki J, Sipilä P, Varvikko P. The North Karelia Project: Evaluation of a Comprehensive Community Programme for Control of Cardiovascular Diseases in North Karelia, Finland 1972-1977. Copenhagen: World Health Organization European Office, 1981.
16. Puska P, Tuomilehto J, Nissinen A, Vartiainen E, eds. The North Karelia Project. 20 Year Results and Experiences. Helsinki: University Press, 1995.
17. Pietinen P, Vartiainen E. Dietary changes. In: Puska P, Tuomilehto J, Nissinen A, Vartiainen E, eds. The North Karelia Project. 20 Year Results and Experiences. Helsinki: University Press, 1995; 107-17.
18. Karvonen MJ, Punsar S. Sodium excretion and blood pressure of west and east Finns. Acta Med. Scand. 1977; 202: 501-7.
19. Puska P. Nutrition and mortality: the Finnish experience. Acta Cardiol. 2000; 55: 213-20.
20. National Public Health Institute (KTL). Nutrition in Finland. KTL Publication. Helsinki: KTL, 1999.
21. Hasunen K, Pekkarinen M, Koskinen E, Seppänen R, Beckström LA. The Food Consumption and Nutrient Intake in Finland from 1969 to 1972. Report B8/1998. Helsinki: Social Insurance Institution, 1998 [in Finnish with an English summary].
22. Pietinen P, Uusitalo U, Vartiainen E, Tuomilehto J. Dietary survey of the FINMONICA project in 1982. Acta Med. Scand. Suppl. 1988; 728: 169-77.
23. Pietinen P, Vartiainen E, Seppänen R, Aro A, Puska P. Changes in diet, in Finland from 1972-1992; impact on coronary heart disease. Prev. Med. 1996; 25: 243-50.
24. Helakorpi S, Puska P. Health behaviour changes in North Karelia. In: Puska P, Tuomilehto J, Nissinen A, Vartiainen E, eds. The North Karelia Project. 20 Year Results and Experiences. Helsinki: University Press, 1995; 141-56.
25. Helakorpi S, Uutela A, Prättälä R, Puska P. Health Behaviour Among Finnish Adult Population. Publication B10/1998. Helsinki: National Public Health Institute, 1998.
26. Vartiainen E, Jousilahti P, Alfthan G, Sundvall J, Pietinen P, Puska P. Cardiovascular risk factor changes in Finland, 1972-1997. Int. J. Epidemiol. 2000; 29: 49-56.
27. Vartiainen E, Puska P, Pekkanen J, Tuomilehto J, Jousilahti P. Changes in risk factors explain changes in mortality from ischaemic heart disease in Finland. Br. Med. J. 1994; 309: 23-7.
28. Puska P. Development of public policy on the prevention and control of elevated blood cholesterol. Cardiovascular Risk Factors 1996; 6: 203-10.
29. Nissinen A, Pietinen P, Tuomilehto J, Tanskanen A, Moisio S, Puska P. Experiments with dietary intervention in hypertension control - implementation of the North Karelia Salt project. Magnesium 1982; 1: 232-40.
30. Tuomilehto J, Puska P, Tanskanen A, Karppanen H, Pietinen P, Nissinen A, Enlund H, Ruotsalainen P. A community-based intervention study on the feasibility and effects of the reduction in salt intake in North Karelia. Acta Cardiol. 1981; 36: 83-104.
31. Puska P, Isokääntä M, Korpelainen V, Vartiainen E. Village competition as an innovative method for lowering population cholesterol. Eur. Heart J. 1999; 1(Suppl. S): S64-S72.
32. Kuusipalo J, Mikkola M, Moisio S, Puska P. The East Finland berry and vegetable project: a health-related structural intervention programme. Health Promotion 1986; 1: 385-91.
33. Miettinen TA, Puska P, Gylling H, Vanhanen H, Vartiainen E. Reduction of serum cholesterol with sitostanol-ester margarine in a mildly hypercholesterolemic population. N. Engl. J. Med. 1995; 333: 1308-12.
34. Dowse GK, Gareeboo H, Alberti KGMM, Zimmet P, Tuomilehto J, Purran A, Fareed D, Chitson P, Collins VR, Hemraj F. Changes in population cholesterol concentrations and other cardiovascular risk factor levels after five years of the non-communicable disease intervention programme in Mauritius. Br. Med. J. 1995; 311: 1255-9.
35. Uusitalo U, Feskens FJM, Tuomilehto J, Dowse G, Haw U, Fareed D, Hemraj F, Gareeboo H, Alberti KGMM, Zimmet P. Fall in total cholesterol concentration over five years in association with changes in fatty acid composition of cooking oil in Mauritius: cross sectional survey. Br. Med. J. 1996; 313: 1044-6.