Cited by 241Cardiovascular Health and Risk FactorsHealth Promotion and Cardiovascular PreventionDiabetes, Cardiovascular Risks, and Lipoproteins

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Changes in population cholesterol concentrations and other cardiovascular risk factor levels after five years of the non-communicable disease intervention programme in Mauritius

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Dowse, Gary K, Gareeboo, Hassam, Alberti, K George M M, Zimmet, Paul, Tuomilehto, Jaakko, Purran, Anil, Fareed, Djamil, Chitsono, Pierrot, Collins, Veronica R, Hemraj, Farojdeo·1995·BMJ

DOI 10.1136/bmj.311.7015.1255PMC PMC2551180

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Abstract

Objective : To study changes in the prevalence of risk factors for cardiovascular disease after a five year population-wide intervention programme promoting a healthy lifestyle in a developing country. Design : Cross sectional cluster surveys in 1987 and 1992. Methodology included a two hour 75 g oral glucose tolerance test, measurement of body mass index, waist:hip ratio, basal lipid concentrations, and blood pressure; and a lifestyle questionnaire. Setting : Mauritius, in the Indian Ocean. Subjects : All adults aged 25-74 years residing in geographically defined clusters. Main outcome measures : Age standardised prevalence of categorical disease and risk factor conditions and mean levels and frequency distributions of continuous variables. Results : Response rates were 86.2% (5080/5892) in 1987 and 89.5% (5162/5770) in 1992. Significant decreases were found in the prevalence of hypertension (15.0% to 12.1% in men and 12.4% to 10.9% in women); cigarette smoking (58.2% to 47.2% and 6.9% to 3.7% respectively); and heavy alcohol consumption (38.2% to 14.4% and 2.6% to 0.6% respectively). Moderate leisure physical activity increased from 16.9% to 22.1% in men and from 1.3% to 2.7% in women. Mean population serum total cholesterol concentration fell appreciably from 5.5 mmol/l to 4.7 mmol/l (P<0.001). The prevalence of overweight or obesity increased, and the rates of glucose intolerance changed little. The population frequency distributions of blood pressure, serum lipid concentration, and a composite risk factor score shifted advantageously. Conclusions : Lifestyle intervention projects can be implemented and have positive effects in developing countries. A pronounced improvement in the population lipid profile in Mauritius was probably related to a change in the saturated fat content of a widely used cooking oil.

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- STATISTICAL PACKAGE FOR SOCIAL SCIENCES
Reddy, M. V. (2014) · Apple Academic Press eBooks · doi:10.1201/b17560-26 · Cited by 12,121
World Development Report 1990.
Todaro, M. P., & Bank, W. (1990) · Population and Development Review · doi:10.2307/1972979 · Cited by 1,752
Statistical Methods in Medical Research
Lachenbruch, P. A., & Armitage, P. (1972) · Technometrics · doi:10.2307/1266938 · Cited by 1,728
Comparison of effects of dietary saturated, monounsaturated, and polyunsaturated fatty acids on plasma lipids and lipoproteins in man.
Mattson, F. H., & Grundy, S. M. (1985) · Journal of Lipid Research · doi:10.1016/s0022-2275(20)34389-3 · Cited by 1,354
Prevalence of Diabetes and Impaired Glucose Tolerance and Plasma Glucose Levels in U.S. Population Aged 20–74 Yr
Harris, M. I., Hadden, W. C., Knowler, W. C., & Bennett, P. H. (1987) · Diabetes · doi:10.2337/diab.36.4.523 · Cited by 1,096
Effect of dietary stearic acid on plasma cholesterol and lipoprotein levels
Bonanome, A., & Grundy, S. M. (1988) · New England Journal of Medicine · doi:10.1056/nejm198805123181905 · Cited by 915
Trends in cardiovascular disease mortality in industrialized countries since 1950.
Uemura, K., & Pisa, Z. (1988) · PubMed · Cited by 463
The Community-Based Strategy to Prevent Coronary Heart Disease: Conclusions from the Ten Years of the North Karelia Project
Puska, P., Nissinen, A. M., Tuomilehto, J. O., Salonen, J. T., Koskela, K., McAlister, A. L., Kottke, T. E., Maccoby, N., & Farquhar, J. W. (1985) · Annual Review of Public Health · doi:10.1146/annurev.pu.06.050185.001051 · Cited by 461
Self-citation
Prevalence of diabetes and impaired glucose tolerance and plasma glucose levels in U.S. population aged 20-74 yr
Harris, M. I., Hadden, W. C., Knowler, W. C., et al. (1987) · Diabetes · doi:10.2337/diabetes.36.4.523 · Cited by 288
Twenty-Year Trends in Coronary Risk Factors in North Karelia and in Other Areas of Finland
Vartiainen, E. A., Puska, P., Jousilahti, P., KORHONEN, H. J., Tuomilehto, J. O., & Nissinen, A. M. (1994) · International Journal of Epidemiology · doi:10.1093/ije/23.3.495 · Cited by 271
Self-citation

Show all 31 references

Research works printed but not linked: 1

World Bank . World development report 1993. Investing in health: world development indicators. New York: Oxford University Press, 1993. · DOI · Paper page

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Capewell, S., Ford, E. S., Croft, J. B., Critchley, J. A., Greenlund, K. J., & Labarthe, D. R. (2010) · Bulletin of the World Health Organization · doi:10.2471/blt.08.057885 · Cited by 200
Noncommunicable diseases in sub-Saharan Africa: Where do they feature in the health research agenda?
Unwin, N. C., Setel, P., Rashid, S., Mugusi, F. M., Mbanya, J. C., Kitange, H. M., Hayes, L., Edwards, R., Aspray, T., & Alberti, K. G. M. M. (2001) · Europe PMC (PubMed Central) · doi:10.1590/s0042-96862001001000008 · Cited by 189
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Physical fitness and clustering of risk factors associated with the metabolic syndrome
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Self-citation
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“45 women declined, heavy alcohol use declined, mean serum cholesterol decreased, and there was increased physical activity (Dowse et al. 1995; Uusitalo et al. 1996).”
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“colleges and universities in 2010 (106).”
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A promoção da saúde e a prevenção integrada dos fatores de risco para doenças cardiovasculares
Ribeiro, A. G., Cotta, R. M. M., & Ribeiro, S. M. R. (2012) · Ciência & Saúde Coletiva · doi:10.1590/s1413-81232012000100002 · Cited by 84
Stroke in Ashanti region of Ghana.
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Self-citation
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Nyamdorj, R., Qiao, Q., Söderberg, S., Pitkäniemi, J. M., Zimmet, P., Shaw, J. E., Alberti, K. G. M. M., Pauvaday, V., Chitson, P., Kowlessur, S., et al. (2008) · Obesity · doi:10.1038/oby.2008.503 · Cited by 69
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Simmons, D. S., Voyle, J., Fou, F., Feo, S., & Leakehe, L. (2004) · Diabetic Medicine · doi:10.1111/j.1464-5491.2004.01020.x · Cited by 66
A nutrition and exercise intervention program for controlling weight in Samoan communities in New Zealand
Bell, A., Swinburn, B., Amosa, H., & Scragg, R. K. R. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801619 · Cited by 64
Capacity building for an integrated noncommunicable disease risk factor surveillance system in developing countries.
Armstrong, T. P., & Bonita, R. (2003) · PubMed · Cited by 65
Nutrition, Lipids, and Cardiovascular Disease
Kuller, L. H. (2006) · Nutrition Reviews · doi:10.1111/j.1753-4887.2006.tb00230.x · Cited by 61
“There was a substantial change in blood cholesterol level, decreasing by about 15% in Mauritius during the 5 years from 1987–1992.(74) There has also been a substantial decrease in CHD incidence within this population.”
Background
Factors associated with obesity in Indonesian adolescents
Collins, A. E., Pakiz, B., & Rock, C. L. (2008) · International Journal of Pediatric Obesity · doi:10.1080/17477160701520132 · Cited by 59
Knowledge regarding risk factors of hypertension among entry year students of a medical university
Shaikh, R. B., Mathew, E., Sreedharan, J., Muttappallymyalil, J., Sharbatti, S. A., & Basha, S. A. (2011) · Journal of Family and Community Medicine · doi:10.4103/2230-8229.90011 · Cited by 53
“Knowledge of the predisposing risk factors is vital in the modification of lifestyle behaviors conducive to optimal cardiovascular health.[24,25] Measuring and appropriately disseminating knowledge of the modifiable risk factors at an early age is an essential preventive educational approach.”
Cardiovascular disease trends in Nepal – An analysis of global burden of disease data 2017
Bhattarai, S., Aryal, A., Pyakurel, M., Bajracharya, S., Baral, P. P., Citrin, D., Cox, H., Dhimal, M., Fitzpatrick, A. L., Jha, A. K., et al. (2020) · IJC Heart & Vasculature · doi:10.1016/j.ijcha.2020.100602 · Cited by 60
Finding A Policy Solution To India’s Diabetes Epidemic
Siegel, K. R., Narayan, K. M. V., & Kinra, S. (2008) · Health Affairs · doi:10.1377/hlthaff.27.4.1077 · Cited by 51
“A successful model of such government intervention comes from Mauritius, where changes in government nutrition policies in the 1990s and education led to greater preference for healthier types of cooking oil among the population.(46) Healthier packaged and processed foods are possible through government intervention,…”
Background
Out of context? Translating evidence from the North Karelia project over place and time
McLaren, L., Ghali, L. M., Lorenzetti, D., & Rock, M. J. (2006) · Health Education Research · doi:10.1093/her/cyl097 · Cited by 47
Western Diseases: An Evolutionary Perspective
Pollard, T. M. (2008) · Durham Research Online (Durham University) · Cited by 48
Stroke Prevention in the Developing World
Feigin, V. L., & Krishnamurthi, R. (2011) · Stroke · doi:10.1161/strokeaha.110.596858 · Cited by 48
Cardiovascular disease in sub-Saharan Africa: a disaster waiting to happen.
van der Sande, M. A. B. (2003) · PubMed · Cited by 48
Knowledge of modifiable risk factors of Coronary Atherosclerotic Heart Disease (CASHD) among a sample in India
Saeed, O., Gupta, V., Dhawan, N., Streja, L., Shin, J. S., Ku, M., Bhoi, S. K., & Verma, S. (2009) · BMC International Health and Human Rights · doi:10.1186/1472-698x-9-2 · Cited by 47
“This grouping of knowledge levels was based on another study that had assessed knowledge of heart disease [7].”
Blood cholesterol level and prevalence of hypercholesterolaemia in developing countries: a review of population-based studies carried out from 1979 to 2002
Fuentes, R. M., Uusitalo, T., Puska, P., Tuomilehto, J. O., & Nissinen, A. M. (2003) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/01.hjr.0000085247.65733.4f · Cited by 46
Self-citation
Prudent diet and preventive nutrition from pediatrics to geriatrics: current knowledge and practical recommendations.
Enas, E. A., Senthilkumar, A., Chennikkara, H., & Bjurlin, M. A. (2003) · PubMed · Cited by 47
Taxation of the fat content of foods for reducing their consumption and preventing obesity or other adverse health outcomes
Lhachimi, S. K., Pega, F., Heise, T. L., Fenton, C., Gartlehner, G., Griebler, U., Sommer, I., Bombana, M., & Katikireddi, S. V. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012415.pub2 · Cited by 45
Statins for all by the age of 50 years?
Ebrahim, S. B. J., & Casas, J. P. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60694-1 · Cited by 43
National programme on prevention and control of diabetes in India: Need to focus
Verma, R. K. (2012) · Australasian Medical Journal · doi:10.4066/amj.2012.1340 · Cited by 43
Small changes in United Kingdom cardiovascular risk factors could halve coronary heart disease mortality
Ünal, B., Critchley, J., & Capewell, S. (2005) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2004.09.015 · Cited by 43
Effectiveness of community-based comprehensive healthy lifestyle promotion on cardiovascular disease risk factors in a rural Vietnamese population: a quasi-experimental study
Nguyen, Q. N., Pham, S. T., Nguyen, V. L., Weinehall, L., Wall, S., Bonita, R., & Byass, P. (2012) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-12-56 · Cited by 47
“Similarly to limited experience from community interventions in developing countries [23-26], our study showed the short-term effect on some CVDRFs especially on BP, suggesting that lifestyle intervention can be successfully implemented in similar rural settings where the burden of hypertension is high but the awarene…”
Background
Distinct Ethnic Differences in Lipid Profiles across Glucose Categories
Zhang, L., Qiao, Q., Tuomilehto, J. O., Janus, E. D., Lam, T. H., Ramachandran, A., Mohan, V., Stehouwer, C. D. A., Dong, Y., Nakagami, T., et al. (2010) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2009-2348 · Cited by 41
Self-citation
How to Effectively Monitor and Evaluate NCD Programmes in India
Krishnan, A., Gupta, V., Ritvik, Nongkynrih, B., & Thakur, J. S. (2011) · Indian Journal of Community Medicine · doi:10.4103/0970-0218.94710 · Cited by 41
“75 mmol/l (1992),(1-6) Japan also uses outcome indicators based on health promotion (knowledge about the risk factors, e.”
Background
Increased awareness about diabetes and its complications in a whole city: effectiveness of the "prevention, awareness, counselling and evaluation" [PACE] Diabetes Project [PACE-6].
Somannavar, S., Lanthorn, H., Deepa, M., Pradeepa, R., Rema, M., & Mohan, V. (2008) · PubMed · Cited by 41
Occupational Status and Cardiovascular Disease Risk Factors in the Rapidly Developing, High-risk Population of Mauritius
Pereira, M. A., Kriska, A. M., Collins, V. R., Dowse, G. K., Tuomilehto, J. O., Alberti, K. G. M. M., Gareeboo, H., Hemraj, F., Purran, A., Fareed, D., et al. (1998) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009618 · Cited by 41
“All individuals between ages 25 and 74 years who were resident in one of 11 population clusters chosen for the 1987 survey (21), as well as an age-stratified (35-64 years) sample of individuals from three new clusters selected for location and predominant ethnicity, were eligible for the 1992 survey (23).”
BackgroundMethodSelf-citation
Population-level interventions for coronary heart disease prevention: what have we learned since the North Karelia project?
Papadakis, S., & Moroz, I. (2008) · Current Opinion in Cardiology · doi:10.1097/hco.0b013e32830c217e · Cited by 40
Serum uric acid and incident diabetes in Mauritian Indian and Creole populations
Nan, H., Qiao, Q., Söderberg, S., Pitkäniemi, J. M., Zimmet, P., Shaw, J. E., Alberti, K. G. M. M., Uusitalo, U. M., Pauvaday, V., Chitson, P., et al. (2008) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2008.01.002 · Cited by 40
Self-citation
Oportunidades program participation and body mass index, blood pressure, and self-reported health in Mexican adults.
Fernald, L. C. H., Hou, X., & Gertler, P. (2008) · PubMed Central · Cited by 39
Public Policy Approaches to the Prevention of Heart Disease and Stroke
Pearson, T. A. (2011) · Circulation · doi:10.1161/circulationaha.110.968743 · Cited by 38
The metabolic syndrome as a predictor of incident diabetes mellitus in Mauritius
Cameron, A. J., Zimmet, P., Söderberg, S., Alberti, K. G. M. M., Sicree, R. A., Tuomilehto, J. O., Chitson, P., & Shaw, J. E. (2007) · Diabetic Medicine · doi:10.1111/j.1464-5491.2007.02288.x · Cited by 37
Self-citation
Comparing primary prevention with secondary prevention to explain decreasing Coronary Heart Disease death rates in Ireland, 1985–2000
Kabir, Z., Bennett, K., Shelley, E., Ünal, B., Critchley, J., & Capewell, S. (2007) · BMC Public Health · doi:10.1186/1471-2458-7-117 · Cited by 36
“These falls almost certainly reflect a combination of factors: national policy, economics, health promotion and multisectoral collaboration, as well as advice to individuals [30,35,36].”
Do Leptin Levels Predict Weight Gain?—A 5‐Year Follow‐Up Study in Mauritius
Hodge, A. M., de Courten, M., Dowse, G. K., Zimmet, P., Collier, G. R., Gareeboo, H., Chitson, P., Fareed, D., Hemraj, F., Alberti, K. G. M. M., et al. (1998) · Obesity Research · doi:10.1002/j.1550-8528.1998.tb00358.x · Cited by 36
Self-citation
Increasing Physical Activity of High Intensity to Reduce the Prevalence of Chronic Diseases and Improve Public Health
Rehn, T. A., Winett, R. A., Wisløff, U., & Rognmo, Ø. (2013) · The Open Cardiovascular Medicine Journal · doi:10.2174/1874192401307010001 · Cited by 36

Authors: Dowse, G. K., Gareeboo, H., Alberti, K. G. M. M., Zimmet, P., Tuomilehto, J., Purran, A., Fareed, D., Chitsono, P., Collins, V. R., & Hemraj, F.
Affiliations: Ministry of Health and Quality of Life (MU)
Newcastle University (GB)
World Health Organization (CH)
Corresponding author: Dowse, Gary K
ORCID: Zimmet, Paul
Tuomilehto, Jaakko
Venue: BMJ
Publisher: BMJ
Published: 1995-11-11
Volume: 311
Issue: 7015
Pages: 1255-1259
ISSN: 0007-1447 (ISSN-L)
0959-8138
1468-5833
DOI: 10.1136/bmj.311.7015.1255
PMC: PMC2551180
OpenAlex: W1600657626
Cited by: 241
References: 31
Citations by year: 2025: 3 · 2024: 3 · 2023: 1 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 11 · 2015: 7 · 2014: 7 · 2013: 11 · 2012: 16
FWCI: 4.27
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
Locations: BMJ (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
Funders: National Institutes of Health (2r01dk025446-18)
National Institute of Diabetes and Digestive and Kidney Diseases (DK-25446)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: cardiovascular risk factors, non-communicable disease prevention, hypertension prevalence, cigarette smoking, alcohol consumption, physical activity, total cholesterol, serum lipids, obesity, impaired glucose tolerance, blood pressure, risk factor score, saturated fat, cooking oil, Mauritius
MeSH terms: Adult, Aged, Blood Pressure, Cardiovascular Diseases, Cholesterol, Cross-Sectional Studies, Female, Follow-Up Studies, Glucose Tolerance Test, Health Promotion, Humans, Hypertension, Life Style, Lipids, Male, Mauritius, Middle Aged, Obesity, Uric Acid, Body Mass Index

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Changes in population cholesterol concentrations and other cardiovascular risk factor levels after five years of the non-communicable disease intervention programme in Mauritius

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