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Assessing Population-Based Programs to Reduce Blood Cholesterol Level and Saturated Fats

Published online by Cambridge University Press:  10 March 2009

Erkki Vartiainen ,
Gregory Heath  and
Earl Ford
Erkki Vartiainen
Affiliation:
National Public Health InstituteFinland
Gregory Heath
Affiliation:
National Public Health InstituteFinland
Earl Ford
Affiliation:
Centers for Disease Control
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Abstract

This article reviews seven community-based programs for prevention of cardiovascular disease and their effects on blood cholesterol levels and saturated fat intake. In two programs, cholesterol levels were reduced more in the intervention area than in the reference area. In two other programs, cholesterol increased less in the intervention area than in the reference area. In one program, cholesterol levels initially fell in the intervention group and increased in the reference group; after the first 4 years, the levels also started to increase in the intervention group. The final two programs reduced cholesterol equally in both groups. Only two programs reported on the intake of saturated fats; in both, intake of saturated fat was reduced more in the intervention area than in the reference populations. In one program area, total intake of fat was reduced more than in the reference area. Published data do not allow us to draw conclusions regarding which components of the programs were most important. These studies show that the average blood cholesterol level can be affected in a general population.

Type
Special Section: Assessment Of Preventive Technologies
Information
International Journal of Technology Assessment in Health Care , Volume 7 , Issue 3 , Summer 1991 , pp. 315 - 326
Copyright
Copyright © Cambridge University Press 1991

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