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Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Physical activity and cardiovascular risk factors in a 40- to 42-year-old rural Norwegian population from 1975–2010: repeated cross-sectional surveys

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

Geographical differences in cardiovascular diseases (CVD) have been observed among Norwegian counties. Better long-term health status and higher physical activity (PA) levels have been documented in the county of Sogn & Fjordane compared with other counties. However, recent trends in CVD risk factors have not been documented. The aim of this study was to investigate the secular trends in leisure time physical activity (LTPA) and other CVD risk factors over a 35-year period in a rural population of 40- to 42-year-olds in western Norway and to compare these trends with national trends.

Methods

Data from eight cross-sectional studies from 1975–2010 (n = 375,682) were obtained from questionnaires and physical examinations and were analyzed using mixed model regression analyses.

Results

Decreasing trends were observed for sedentary behavior (for women), moderate PA, smoking, systolic blood pressure (SBP), diastolic blood pressure (DBP), high-density lipoprotein (HDL-c) and total cholesterol (TC), whereas increasing trends were observed for body mass index (BMI), triglycerides (TG), light PA, vigorous PA and sedentary behavior for men. Compared to the national trends, the trends in the 40-42-year-olds from Sogn & Fjordane were more beneficial in terms of TG, HDL-c and BMI but less beneficial in terms of SBP and DBP.

Conclusions

Over a 35-year-period, this study indicates that the LTPA level has been relatively stable in the county of Sogn & Fjordane. Upward trends were observed in light and vigorous PA, whereas a downward trend was observed in moderate PA. For sedentary behavior, an upward trend was observed in men, whereas a downward trend was observed in women. For smoking, BP and cholesterol decreasing trends were found, but increasing trends were observed in BMI and TG. Compared with the national data, the trends in Sogn & Fjordane were more beneficial for TG, HDL-c and BMI but less beneficial for BP.
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Literature
1.
go back to reference Bjartveit K, Foss OP, Gjervig T, Lund-Larsen PG: The cardiovascular disease study in Norwegian counties. Background and organization. Acta Med Scand Suppl. 1979, 634: 1-70.PubMed Bjartveit K, Foss OP, Gjervig T, Lund-Larsen PG: The cardiovascular disease study in Norwegian counties. Background and organization. Acta Med Scand Suppl. 1979, 634: 1-70.PubMed
5.
go back to reference Wøien G, Øyen O, Graff-Iversen S: 22 years of cardiovascular surveys in Norwegian counties. Is the development in risk factors satisfactory?. Nor J Epidemiol. 1997, 7: 255-266. Wøien G, Øyen O, Graff-Iversen S: 22 years of cardiovascular surveys in Norwegian counties. Is the development in risk factors satisfactory?. Nor J Epidemiol. 1997, 7: 255-266.
6.
go back to reference Anderssen SA, Engeland A, Sogaard AJ, Nystad W, Graff-Iversen S, Holme I: Changes in physical activity behavior and the development of body mass index during the last 30 years in Norway. Scand J Med Sci Sports. 2008, 18: 309-317. 10.1111/j.1600-0838.2007.00645.x.CrossRefPubMed Anderssen SA, Engeland A, Sogaard AJ, Nystad W, Graff-Iversen S, Holme I: Changes in physical activity behavior and the development of body mass index during the last 30 years in Norway. Scand J Med Sci Sports. 2008, 18: 309-317. 10.1111/j.1600-0838.2007.00645.x.CrossRefPubMed
7.
go back to reference Borodulin K, Laatikainen T, Juolevi A, Jousilahti P: Thirty-year trends of physical activity in relation to age, calendar time and birth cohort in Finnish adults. Eur J Public Health. 2008, 18: 339-344. 10.1093/eurpub/ckm092.CrossRefPubMed Borodulin K, Laatikainen T, Juolevi A, Jousilahti P: Thirty-year trends of physical activity in relation to age, calendar time and birth cohort in Finnish adults. Eur J Public Health. 2008, 18: 339-344. 10.1093/eurpub/ckm092.CrossRefPubMed
8.
go back to reference Bauman A, Armstrong T, Davies J, Owen N, Brown W, Bellew B, Vita P: Trends in physical activity participation and the impact of integrated campaigns among Australian adults, 1997–99. Aust N Z J Public Health. 2003, 27: 76-79. 10.1111/j.1467-842X.2003.tb00384.x.CrossRefPubMed Bauman A, Armstrong T, Davies J, Owen N, Brown W, Bellew B, Vita P: Trends in physical activity participation and the impact of integrated campaigns among Australian adults, 1997–99. Aust N Z J Public Health. 2003, 27: 76-79. 10.1111/j.1467-842X.2003.tb00384.x.CrossRefPubMed
9.
go back to reference Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U: Lancet physical activity series working G: global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012, 380: 247-257. 10.1016/S0140-6736(12)60646-1.CrossRefPubMed Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U: Lancet physical activity series working G: global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012, 380: 247-257. 10.1016/S0140-6736(12)60646-1.CrossRefPubMed
10.
go back to reference Jenum AK, Graff-Iversen S, Selmer R, Sogaard AJ: [Risk factors for cardiovascular disease and diabetes through three decades]. Tidsskr Nor Laegeforen. 2007, 127: 2532-2536.PubMed Jenum AK, Graff-Iversen S, Selmer R, Sogaard AJ: [Risk factors for cardiovascular disease and diabetes through three decades]. Tidsskr Nor Laegeforen. 2007, 127: 2532-2536.PubMed
11.
go back to reference Meyer HE, Tverdal A: Development of body weight in the Norwegian population. Prostaglandins Leukot Essent Fat Acids. 2005, 73: 3-7. 10.1016/j.plefa.2005.04.003.CrossRef Meyer HE, Tverdal A: Development of body weight in the Norwegian population. Prostaglandins Leukot Essent Fat Acids. 2005, 73: 3-7. 10.1016/j.plefa.2005.04.003.CrossRef
12.
go back to reference Midthjell KLCMY, Langhammer A, Krogstad S, Holmen TL, Hveem K, Colaguri S, Holmen J: Trends in overweight and obesity over 22 years in a large adult population: the HUNT Study, Norway. Clin Obes. 2013, 3: 12-20. 10.1111/cob.12009.CrossRefPubMedPubMedCentral Midthjell KLCMY, Langhammer A, Krogstad S, Holmen TL, Hveem K, Colaguri S, Holmen J: Trends in overweight and obesity over 22 years in a large adult population: the HUNT Study, Norway. Clin Obes. 2013, 3: 12-20. 10.1111/cob.12009.CrossRefPubMedPubMedCentral
13.
go back to reference Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, Singh GM, Gutierrez HR, Lu Y, Bahalim AN, Farzadfar F, Riley LM, Ezzati M: National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011, 377: 557-567. 10.1016/S0140-6736(10)62037-5.CrossRefPubMedPubMedCentral Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, Singh GM, Gutierrez HR, Lu Y, Bahalim AN, Farzadfar F, Riley LM, Ezzati M: National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011, 377: 557-567. 10.1016/S0140-6736(10)62037-5.CrossRefPubMedPubMedCentral
14.
go back to reference Danaei G, Finucane MM, Lin JK, Singh GM, Paciorek CJ, Cowan MJ, Farzadfar F, Stevens GA, Lim SS, Riley LM, Ezzati M: National, regional, and global trends in systolic blood pressure since 1980: systematic analysis of health examination surveys and epidemiological studies with 786 country-years and 5.4 million participants. Lancet. 2011, 377: 568-577. 10.1016/S0140-6736(10)62036-3.CrossRefPubMed Danaei G, Finucane MM, Lin JK, Singh GM, Paciorek CJ, Cowan MJ, Farzadfar F, Stevens GA, Lim SS, Riley LM, Ezzati M: National, regional, and global trends in systolic blood pressure since 1980: systematic analysis of health examination surveys and epidemiological studies with 786 country-years and 5.4 million participants. Lancet. 2011, 377: 568-577. 10.1016/S0140-6736(10)62036-3.CrossRefPubMed
15.
go back to reference Farzadfar F, Finucane MM, Danaei G, Pelizzari PM, Cowan MJ, Paciorek CJ, Singh GM, Lin JK, Stevens GA, Riley LM, Ezzati M: National, regional, and global trends in serum total cholesterol since 1980: systematic analysis of health examination surveys and epidemiological studies with 321 country-years and 3.0 million participants. Lancet. 2011, 377: 578-586. 10.1016/S0140-6736(10)62038-7.CrossRefPubMed Farzadfar F, Finucane MM, Danaei G, Pelizzari PM, Cowan MJ, Paciorek CJ, Singh GM, Lin JK, Stevens GA, Riley LM, Ezzati M: National, regional, and global trends in serum total cholesterol since 1980: systematic analysis of health examination surveys and epidemiological studies with 321 country-years and 3.0 million participants. Lancet. 2011, 377: 578-586. 10.1016/S0140-6736(10)62038-7.CrossRefPubMed
16.
go back to reference Hansen BH, Kolle E, Dyrstad SM, Holme I, Anderssen SA: Accelerometer-determined physical activity in adults and older people. Med Sci Sports Exerc. 2011, 44: 266-272.CrossRef Hansen BH, Kolle E, Dyrstad SM, Holme I, Anderssen SA: Accelerometer-determined physical activity in adults and older people. Med Sci Sports Exerc. 2011, 44: 266-272.CrossRef
17.
go back to reference Solbraa AK, Mamen A, Resaland GK, Steene-Johannessen J, Ylvisåker E, Holme IM, Anderssen SA: Level of physical activity, cardiorespiratory fitness and cardiovascular disease risk factors in a rural adult population in Sogn og Fjordane. Nor J Epidemiol. 2011, 20: 179-188.CrossRef Solbraa AK, Mamen A, Resaland GK, Steene-Johannessen J, Ylvisåker E, Holme IM, Anderssen SA: Level of physical activity, cardiorespiratory fitness and cardiovascular disease risk factors in a rural adult population in Sogn og Fjordane. Nor J Epidemiol. 2011, 20: 179-188.CrossRef
18.
go back to reference Saltin B, Grimsby G: Physiological analysis of middle-aged and old former athletes. Circulation. 1968, 38: 1104-1115. 10.1161/01.CIR.38.6.1104.CrossRefPubMed Saltin B, Grimsby G: Physiological analysis of middle-aged and old former athletes. Circulation. 1968, 38: 1104-1115. 10.1161/01.CIR.38.6.1104.CrossRefPubMed
19.
go back to reference Wilhelmsen L, Tibblin G, Aurell M, Bjure J, Ekstrom-Jodal B, Grimby G: Physical activity, physical fitness and risk of myocardial infarction. Adv Cardiol. 1976, 18: 217-230.CrossRefPubMed Wilhelmsen L, Tibblin G, Aurell M, Bjure J, Ekstrom-Jodal B, Grimby G: Physical activity, physical fitness and risk of myocardial infarction. Adv Cardiol. 1976, 18: 217-230.CrossRefPubMed
21.
go back to reference Bjartveit K, Wøien G: Cardiovascular disease risk factors in Norway - Results from surveys in 18 counties. 1997, Oslo: National Health Screening Services Bjartveit K, Wøien G: Cardiovascular disease risk factors in Norway - Results from surveys in 18 counties. 1997, Oslo: National Health Screening Services
22.
go back to reference Tonstad S, Graff-Iversen S: Action levels for obesity treatment in 40 to 42-y-old men and women compared with action levels for prevention of coronary heart disease. Int J Obes Relat Metab Disord. 2001, 25: 1698-1704. 10.1038/sj.ijo.0801804.CrossRefPubMed Tonstad S, Graff-Iversen S: Action levels for obesity treatment in 40 to 42-y-old men and women compared with action levels for prevention of coronary heart disease. Int J Obes Relat Metab Disord. 2001, 25: 1698-1704. 10.1038/sj.ijo.0801804.CrossRefPubMed
23.
go back to reference Lund-Larsen PG: Blodtrykk målt med kvikksølvmanometer og med Dinamap under feltforhold - en sammenligning [Blood pressure measured with a sphygmomanometer and with Dinamap under field conditions – a comparison]. Nor J Epidemiol. 1997, 7: 235-241. Lund-Larsen PG: Blodtrykk målt med kvikksølvmanometer og med Dinamap under feltforhold - en sammenligning [Blood pressure measured with a sphygmomanometer and with Dinamap under field conditions – a comparison]. Nor J Epidemiol. 1997, 7: 235-241.
24.
go back to reference Tverdal A: Significant decline in blood pressure levels after 1996–fact or artefact?. Tidsskr Nor Laegeforen. 2001, 121: 1821-1825.PubMed Tverdal A: Significant decline in blood pressure levels after 1996–fact or artefact?. Tidsskr Nor Laegeforen. 2001, 121: 1821-1825.PubMed
25.
go back to reference Edvardsen E, Hansen BH, Holme IM, Dyrstad SM, Anderssen SA: Reference values for cardiorespiratory response and fitness on the treadmill in a 20-85-year-old population. Chest. 2013, 144: 241-248. 10.1378/chest.12-1458.CrossRefPubMed Edvardsen E, Hansen BH, Holme IM, Dyrstad SM, Anderssen SA: Reference values for cardiorespiratory response and fitness on the treadmill in a 20-85-year-old population. Chest. 2013, 144: 241-248. 10.1378/chest.12-1458.CrossRefPubMed
26.
go back to reference Selmer R, Lindman AS, Tverdal A, Pedersen JI, Njolstad I, Veierod MB: [Model for estimation of cardiovascular risk in Norway]. Tidsskr Nor Laegeforen. 2008, 128: 286-290.PubMed Selmer R, Lindman AS, Tverdal A, Pedersen JI, Njolstad I, Veierod MB: [Model for estimation of cardiovascular risk in Norway]. Tidsskr Nor Laegeforen. 2008, 128: 286-290.PubMed
27.
go back to reference Rose G: Sick individuals and sick populations. Int J Epidemiol. 2001, 30: 427-432. 10.1093/ije/30.3.427. discussion 433–424CrossRefPubMed Rose G: Sick individuals and sick populations. Int J Epidemiol. 2001, 30: 427-432. 10.1093/ije/30.3.427. discussion 433–424CrossRefPubMed
28.
go back to reference Graff-Iversen S, Skurtveit S, Nybo A, Ross GB: [Trends when it comes to occupational physical activity among Norwegians aged 40–42 years during the period 1974–94]. Tidsskr Nor Laegeforen. 2001, 121: 2584-2588.PubMed Graff-Iversen S, Skurtveit S, Nybo A, Ross GB: [Trends when it comes to occupational physical activity among Norwegians aged 40–42 years during the period 1974–94]. Tidsskr Nor Laegeforen. 2001, 121: 2584-2588.PubMed
29.
go back to reference Flegal KM, Carroll MD, Kit BK, Ogden CL: Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA. 2012, 307: 491-497. 10.1001/jama.2012.39.CrossRefPubMed Flegal KM, Carroll MD, Kit BK, Ogden CL: Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA. 2012, 307: 491-497. 10.1001/jama.2012.39.CrossRefPubMed
31.
go back to reference Aspenes ST, Nilsen TIL, Skaug E-A, Bertheussen GF, Ellingsen Ø, Vatten L, WislØFf U: Peak oxygen uptake and cardiovascular risk factors in 4631 healthy women and men. Med Sci Sports Exerc. 2011, 43: 1465-1473. 10.1249/MSS.0b013e31820ca81c.CrossRefPubMed Aspenes ST, Nilsen TIL, Skaug E-A, Bertheussen GF, Ellingsen Ø, Vatten L, WislØFf U: Peak oxygen uptake and cardiovascular risk factors in 4631 healthy women and men. Med Sci Sports Exerc. 2011, 43: 1465-1473. 10.1249/MSS.0b013e31820ca81c.CrossRefPubMed
32.
go back to reference Warren JM, Ekelund U, Besson H, Mezzani A, Geladas N, Vanhees L: Assessment of physical activity - a review of methodologies with reference to epidemiological research: a report of the exercise physiology section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010, 17: 127-139. 10.1097/HJR.0b013e32832ed875.CrossRefPubMed Warren JM, Ekelund U, Besson H, Mezzani A, Geladas N, Vanhees L: Assessment of physical activity - a review of methodologies with reference to epidemiological research: a report of the exercise physiology section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010, 17: 127-139. 10.1097/HJR.0b013e32832ed875.CrossRefPubMed
Metadata
Title
Physical activity and cardiovascular risk factors in a 40- to 42-year-old rural Norwegian population from 1975–2010: repeated cross-sectional surveys
Publication date
01-12-2014
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-569

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