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Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Trends in major risk factors and mortality from main non-communicable diseases in Lithuania, 1985–2013

Authors: Abdonas Tamosiunas, Jurate Klumbiene, Janina Petkeviciene, Ricardas Radisauskas, Olga Vikhireva, Dalia Luksiene, Dalia Virviciute

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

This study aimed to assess the trends in the prevalence and levels of risk factors and mortality from main non-communicable diseases in the Lithuanian population aged 45–64 years during 1985 to 2013.

Methods

Data from four general population surveys conducted between 1985 and 2008 were used. All these surveys were carried out in Kaunas city and five randomly selected municipalities of Lithuania. Risk factors measured at each survey included regular smoking, overweight, obesity, arterial hypertension, and high levels of blood lipids. In total, data of 10,719 subjects (4,965 men and 5,754 women) aged 45–64 were analysed. Trends in standardized all-cause mortality and mortality from cardiovascular disease (CVD), coronary heart disease (CHD), and malignant neoplasms were estimated for both sexes by joinpoint regression analysis.

Results

In 1985–2013, some favourable trends were observed in the age-standardized mean levels and prevalence of risk factors and mortality from main non-communicable diseases in the Lithuanian middle-aged population. The mean values of blood lipids (with the exception of triglycerides) and the prevalence of dyslipidemias declined. In women, mean levels of systolic blood pressure and body mass index decreased, while in men, the levels of these factors increased. The prevalence of arterial hypertension and obesity increased in men. The proportion of obese women decreased. Smoking prevalence increased in both men and women. From 2007 to 2008, significant downward trends, which were steeper in women than in men, were observed in all-cause, CVD, and CHD mortality.

Conclusions

Despite the favourable changes in some risk factors and mortality rates, the prevalence of risk factors and mortality from main non-communicable diseases in Lithuania are still high. This indicates the importance of the ongoing primary and secondary prevention and optimal treatment of these diseases.
Literature
1.
World Health Organization (WHO). Health for all database (European region), www.euro.who.int./en/data-and-evidence/databases/european-health-for-all-database-hfa-db. Accessed 30 May 2016.
2.
Jasilionis D, Smailyte G, Vincerzevskiene I, Shkolnikov VM. Educational differentials in cancer mortality and avoidable deaths in Lithuania, 2001-2009: a census-linked study. Int J Public Health. 2015;60(8):919–26. doi:10.​1007/​s00038-015-0745-0.CrossRefPubMed
3.
Bernotiene G, Radisauskas R, Tamosiunas A, Milasauskiene Z. Trends in out-of-hospital ischemic heart disease mortality for the 25-64 year old population of Kaunas, Lithuania, based on data from the 1988-2012 Ischemic Heart Disease Registry. Scand J Public Health. 2015;43:648–56.CrossRefPubMed
4.
Strand BH, Steingrímsdóttir ÓA, Grøholt EK, Ariansen I, Graff-Iversen S, Næss Ø. Trends in educational inequalities in cause specific mortality in Norway from 1960 to 2010: a turning point for educational inequalities in cause specific mortality of Norwegian men after the millennium? BMC Public Health. 2014;14:1208. doi:10.​1186/​1471-2458-14-1208.CrossRefPubMedPubMedCentral
5.
Kabir Z, Perry IJ, Critchley J, O’Flaherty M, Capewell S, Bennett K. Modelling coronary heart disease mortality declines in the Republic of Ireland, 1985-2006. Int J Cardiol. 2013;168:2462–7.CrossRefPubMed
6.
7.
Hashim D, Boffetta P, La Vecchia C, Rota M, Bertuccio P, Malvezzi M, et al. The global decrease in cancer mortality: trends and disparities. Ann Oncol. 2016;27:926–33.CrossRefPubMed
8.
World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization Press; 2009.
9.
10.
Wijeysundera HC, Machado M, Farahati F, Wang X, Witteman W, van der Velde G, et al. Association of temporal trends in risk factors and treatment uptake with coronary heart disease mortality, 1994-2005. JAMA. 2010;303:1841–7.CrossRefPubMed
11.
Karimi P, Islami F, Anandasabapathy S, Freedman ND, Kamangar F. Gastric cancer: descriptive epidemiology, risk factors, screening, and prevention. Cancer Epidemiol Biomarkers Prev. 2014;23:700–13.CrossRefPubMedPubMedCentral
12.
Cooper R, Cutler J, Desvigne-Nickens P, Fortmann SP, Friedman L, Havlik R, et al. Trends and disparities in coronary heart disease, stroke, and other cardiovascular diseases in the United States: findings of the national conference on cardiovascular disease prevention. Circulation. 2000;102:3137–47.CrossRefPubMed
13.
14.
15.
Reklaitiene R, Janilionis V, Noreika M, Tamosiūnas A, Virviciūte D, Sopagiene D. Effects of age, period and cohort on stroke mortality among a middle-aged Lithuanian urban population from 1980 to 2004. Scand J Public Health. 2008;36:573–9.CrossRefPubMed
16.
Grabauskas V, Klumbiene J, Petkeviciene J, Sakyte E, Kriaucioniene V, Veryga A. Health behaviour among Lithuanian adult population, 2014. Kaunas: Lithuanian University of Health Sciences Press; 2015.
17.
Kalediene R, Prochorskas R, Sauliune S. Socio-economic mortality inequalities in Lithuania during 2001-2009: the record linkage study. Public Health. 2015;129:1645–51.CrossRefPubMed
18.
Kalediene R, Macijauskiene J. Mortality of older adults in the context of socioeconomic transition and health reform in Lithuania. Gerontology. 2013;59:213–9.CrossRefPubMed
19.
Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren M, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur Heart J. 2012;33:1635–701.CrossRefPubMed
20.
Joinpoint Regression Program, Version 4.2.0 - April 2015; Statistical Methodology and Applications Branch, Surveillance Research Program, National Cancer Institute. Joinpoint regression program. http://​surveillance.​cancer.​gov/​joinpoint/​.​ Accessed 30 May 2016.
21.
Danaei G, Finucane MM, Lin JK, Singh GM, Paciorek CJ, Cowan MJ, et al. 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;377:568–77.CrossRefPubMed
22.
23.
Guo F, He D, Zhang W, Walton RG. Trends in prevalence, awareness, management, and control of hypertension among United States adults, 1999 to 2010. J Am Coll Cardiol. 2012;60:599–606.CrossRefPubMed
24.
25.
Frisoli TM, Schmieder RE, Grodzicki T, Messerli FH. Beyond salt: lifestyle modifications and blood pressure. Eur Heart J. 2011;32:3081–7.CrossRefPubMed
26.
Petkeviciene J, Klumbiene J, Simonyte S, Ceponiene I, Jureniene K, Kriaucioniene V, et al. Physical, behavioural and genetic predictors of adult hypertension: the findings of the Kaunas Cardiovascular Risk Cohort study. PLoS One. 2014;9:e109974.CrossRefPubMedPubMedCentral
27.
Wilson LM, Avila Tang E, Chander G, Hutton HE, Odelola OA, Elf JL, et al. Impact of tobacco control interventions on smoking initiation, cessation, and prevalence: a systematic review. J Environ Public Health. 2012;2012:961724.CrossRefPubMedPubMedCentral
28.
29.
30.
Silventoinen K, Sans S, Tolonen H, Monterde D, Kuulasmaa K, Kesteloot H, et al. Trends in obesity and energy supply in the WHO MONICA Project. Int J Obes. 2004;28:710–18.CrossRef
31.
Kriaucioniene V, Klumbiene J, Petkeviciene J, Sakyte E. Time trends in social differences in nutrition habits of a Lithuanian population: 1994-2010. BMC Public Health. 2012;12:218.CrossRefPubMedPubMedCentral
32.
Kriaucioniene V, Petkeviciene J, Klumbiene J, Sakyte E, Raskiliene A. Socio-demographic inequalities in overweight and obesity among Lithuanian adults: time trends from 1994 to 2014. Scand J Public Health. 2016;44:377–84.CrossRefPubMed
33.
Farzadfar F, Finucane MM, Danaei G, Pelizzari PM, Cowan MJ, Paciorek CJ, et al. 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;377:578–86.CrossRefPubMed
34.
Unal B, Critchley JA, Capewell S. Explaining the decline in coronary heart disease mortality in England and Wales between 1981 and 2000. Circulation. 2004;109:1101–7.CrossRefPubMed
35.
Redon J, Olsen MH, Cooper RS, Zurriaga O, Martinez-Beneito MA, Laurent S, et al. Stroke mortality and trends from 1990 to 2006 in 39 countries from Europe and Central Asia: implications for control of high blood pressure. Eur Heart J. 2011;32:1424–31.CrossRefPubMed
36.
Jousilahti P, Laatikainen T, Peltonen M, Borodulin K, Männistö S, Jula A, et al. Primary prevention and risk factor reduction in coronary heart disease mortality among working aged men and women in eastern Finland over 40 years: population based observational study. BMJ. 2016;352:i721.CrossRefPubMedPubMedCentral
37.
Nichols M, Townsend N, Scarborough P, Rayner M. Cardiovascular disease in Europe 2014: epidemiological update. Eur Heart J. 2014;35:2950–59.CrossRefPubMed
38.
Kalediene R, Petrauskiene J. Inequalities in mortality by education and socio-economic transition in Lithuania: equal opportunities? Public Health. 2005;119:808–15.CrossRefPubMed
39.
Leinsalu M, Stirbu I, Vagero D, Kalediene R, Kovacs K, Wojtyniak B, et al. Educational inequalities in mortality in four Eastern European countries: divergence in trends during the post-communist transition from 1990 to 2000. Int J Epidemiol. 2009;38:512–25.CrossRefPubMed
40.
Shkolnikov VM, Jasilionis D, Andreev VM, Jdanov DA, Stankuniene V, Ambrozaitiene D. Linked versus unlinked estimates of mortality and length of life by education and marital status: evidence from the first record linkage study in Lithuania. Soc Sci Med. 2007;64:1392–406.CrossRefPubMed
41.
Vandenheede H, Vikhireva O, Pikhart H, Kubinova R, Malyutina S, Pajak A, et al. Socioeconomic inequalities in all-cause mortality in the Czech Republic, Russia, Poland and Lithuania in the 2000s: findings from the HAPIEE Study. J Epidemiol Community Health. 2014;68:297–303.CrossRefPubMed
42.
Radisauskas R, Prochorskas R, Grabauskas V, Bernotiene G, Tamosiunas A, Veryga A. Recent heavy alcohol consumption at death certified as ischaemic heart disease: correcting mortality data from Kaunas (Lithuania). Alcohol Alcohol. 2011;46:614–19.CrossRefPubMed
43.
Grabauskas V, Prochorskas R, Veryga A. Associations between mortality and alcohol consumption in Lithuanian population. Medicina (Kaunas). 2009;45:1000–12 (In Lithuanian).
44.
Harper S, Lynch J, Smith GD. Social determinants and the decline of cardiovascular diseases: understanding the links. Annu Rev Public Health. 2011;32:39–69.CrossRefPubMed
Metadata
Title
Trends in major risk factors and mortality from main non-communicable diseases in Lithuania, 1985–2013
Authors
Abdonas Tamosiunas
Jurate Klumbiene
Janina Petkeviciene
Ricardas Radisauskas
Olga Vikhireva
Dalia Luksiene
Dalia Virviciute
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3387-0

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