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North Karelia Project « Heart Attack Prevention
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Kuopio was selected as the control area due to its relative similarity to North Karelia. The project was called a quasi- experimental community-based CVD demonstrated program and the cohort and community were followed through Five years later a cross-sectional survey was carried out in both study areas using methods similar to those employed in the baseline survey. The sample for this second survey consisted of those between the ages of 30 and 64 years.
Additional cross sectional population surveys were carried out every 5 years in , , , and The and surveys were expanded to additional areas of Finland to assess the effectiveness of a country-wide chronic disease prevention program. In , portions of southwestern Finland were added to the survey sample, then in , the Helsinki metropolitan area was added, and in the northern province of Oulu was surveyed.
Similar to earlier surveys, an independent random sample was drawn from existing population registers. A comprehensive questionnaire was sent to the homes of the surveyed sample asking questions about socioeconomic status, medical history, smoking, diet, alcohol consumption, physical activity and attempts to change these lifestyle behaviors , and psychosocial factors.
At the clinic examination, height, weight, skinfold thicknesses, blood pressure, and serum cholesterol were measured. Information was given to the general public of the education province about practical means to modify coronary risk factors by mass and local media; by systematically integrating the program into existing services; by training volunteers and community leaders in the practical tasks of the program; and through population-wide environmental changes e.
An important focus of the overall program was to reduce population serum cholesterol levels through dietary change because of the presumed role in the high CVD rates of Finland. This was accomplished through widespread reductions in saturated fat intake and concomitant increases in the consumption of vegetables and polyunsaturated fats.
- CINDI-Health-Monitor-Survey-in-Republic_of_Macedonia, !
- Countrywide Integrated Noncommunicable Diseases Intervention Programme.
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The intervention was originally designed to be implemented throughout the community for 5 years but the program was gradually expanded to include the prevention of other non-communicable diseases. At baseline, the prevalence of CHD risk factors was high. The aim of CINDI program is to improve health by reducing mortality and morbidity from the major non-communicable diseases cardiovascular, cancer, injuries, chronic respiratory diseases and others through integrated collaborative interventions that prevent diseases and promote health.
Burden of Cardiovascular Disease in Colombia
For each country, the program is of national importance, as is realized in demonstration zones, and for the development is responsible the relevant Ministry of Health. The target group is the population of working age , including groups at high risk for certain diseases. It also includes a child component — students , teachers, and parents.
CINDI approves disease prevention through the existing health structure, with the active participation of the society and individuals.