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  1. How could changes in diet explain changes in coronary heart disease mortality in Spain ? The Spanish paradox.

    Article - En anglais

    We review and compare trends in coronary heart disease (CHD) and stroke mortality in Spain from 1966 to 1990 and changes in food consumption at national and regional levels.

    Since 1976, a decrease in cardiovascular disease (CVD) mortality in males and females has been observed, and standardized CHD mortality rates have fallen.

    Stroke mortality decreased during the same period.

    Trends in food consumption show increases in intakes of meat, dairy products, fish, and fruit, but decreases in consumption of olive oil, sugar, and all foods rich in carbohydrates.

    Although fat and saturated fat intakes increased, these changes were not accompanied by an increase in CHD mortality rates.

    This paradoxical situation can be explained by expanded access to clinical care, increased consumption of fruit and fish, improved control of hypertension, and a reduction in cigarette smoking.

    Diet appears to have an important role in this paradox, but it may not be as critical as other factors.

    Nevertheless, we suggest dietary guidelines for prevention of CHD in Spain.

    Mots-clés Pascal : Article synthèse, Accident cérébrovasculaire, Cardiopathie coronaire, Mortalité, Surveillance sanitaire, Consommation alimentaire, Aliment, Coutume alimentaire, Evolution, Recommandation alimentaire, Congrès, Epidémiologie, Vaisseau sanguin pathologie, Appareil circulatoire pathologie, Cérébrovasculaire pathologie, Système nerveux pathologie, Encéphale pathologie, Système nerveux central pathologie, Comportement alimentaire, Bassin méditerranéen, Homme, Espagne, Europe, Paradoxe espagnol

    Mots-clés Pascal anglais : Review, Stroke, Coronary heart disease, Mortality, Sanitary surveillance, Food intake, Food, Food habit, Evolution, Dietary allowance, Congress, Epidemiology, Vascular disease, Cardiovascular disease, Cerebrovascular disease, Nervous system diseases, Cerebral disorder, Central nervous system disease, Feeding behavior, Mediterranean Basin, Human, Spain, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0379604

    Code Inist : 002B12A03. Création : 01/03/1996.