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

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

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

Open access
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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  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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Metadata

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
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
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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