caa a22 4500 397516754 CHVBK 20180308164621.0 cr unu---uuuuu 161202s1995 xx s 000 0 eng 10.1093/eurpub/5.1.50 doi (NATIONALLICENCE)oxford-10.1093/eurpub/5.1.50 Trends in ischaemic heart disease mortality and its determinants in Spain, 1940-1988 [Elektronische Daten] [JOSÉ RAMÓN BANEGAS, FERNANDO RODRÍGUEZ ARTALEJO, AUXILIADORA GRACIANI, RAMÓN HERNÁNDEZ VECINO, JUAN DEL REY CALERO] Trends of ischaemic heart disease (IHD) mortality and of many of their determinants in Spain from 1940-1988 resemble those of other Mediterranean countries and some Western countries with a lag of 10 years. Mortality from IHD Increased from 1955 to 1975 and then declined. This trend affected both sexes and almost all age groups. Tobacco smoking increased from 3.2 g per capita per day in 1940 to 8 g per capita per day in the mid-1970s and then levelled off. The prevalence of smoking has decreased in all ages among men but has Increased among women over the last 15 years. Since 1940 there has been a steady increase in the intake of meat and dairy products and a moderate rise of eggs, fish and sunflower oil. Consumption of olive oil has remained relatively constant. These trends have been translated into an increase of total lipid intake and of saturated, monounsaturated and polyunsaturated fatty acids and cholesterol over the period 1940-1988. The number of physicians, primary health care centres, cardiac function diagnostic facilities, heart operations and the consumption of cardiovascular drugs have also Increased since the mid- 1970s. The authors conclude that the reduction in smoking among men and the improvement of the health care system may have contributed to the decline in IHD mortality rates in Spain since 1975. © European Journal of Public Health ORIGINAL ARTICLES ON OTHER TOPICS nationallicence ischaemic heart disease nationallicence trends nationallicence smoking nationallicence cholesterol nationallicence blood pressure nationallicence health care nationallicence BANEGAS JOSÉ RAMÓN Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid Madrid, Spain aut ARTALEJO FERNANDO RODRÍGUEZ Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid Madrid, Spain aut GRACIANI AUXILIADORA Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid Madrid, Spain aut VECINO RAMÓN HERNÁNDEZ Ministry of Health, Autonomous Government of Castilla-León Valladolid, Spain aut CALERO JUAN DEL REY Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid Madrid, Spain aut The European Journal of Public Health Oxford University Press 5/1(1995), 50-55 1101-1262 5:1<50 1995 5 eurpub https://doi.org/10.1093/eurpub/5.1.50 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/eurpub/5.1.50 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- BANEGAS JOSÉ RAMÓN Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid Madrid, Spain aut NATIONALLICENCE 700 1- ARTALEJO FERNANDO RODRÍGUEZ Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid Madrid, Spain aut NATIONALLICENCE 700 1- GRACIANI AUXILIADORA Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid Madrid, Spain aut NATIONALLICENCE 700 1- VECINO RAMÓN HERNÁNDEZ Ministry of Health, Autonomous Government of Castilla-León Valladolid, Spain aut NATIONALLICENCE 700 1- CALERO JUAN DEL REY Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid Madrid, Spain aut NATIONALLICENCE 773 0- The European Journal of Public Health Oxford University Press 5/1(1995), 50-55 1101-1262 5:1<50 1995 5 eurpub Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford