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Lessons for Science from the Seven Countries Study pp 75–91Cite as

Recent Trends in Cardiovascular Disease and Risk Factors: Yugoslavia

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Summary

This paper presents trends from demographic and health statistics data of the former Yugoslavia (fYU) and recently of the Federal Republic of Yugoslavia (RYU). The war and economic depression in the last 3 years have dramatically increased rates of diseases, injuries and deaths. Until recently, from 1950 to 1991, there had been a steady increase of life expectancy for fYU. According to the 1992 World Health Statistics Annual, fYU, compared to the Seven Countries and Hungary, has now reached high rates of cardiovascular disease (CVD) deaths on the same order as in the USA, Italy, Greece, and the Netherlands, but lower than in Finland and in Hungary. However, in Vojvodina, the northern province of Serbia, CVD deaths were as frequent as in Hungary. Trends in CVD deaths increased in fYU between the 1960s and 1980, and then stabilized with a slight decline until 1990. However, according to the 1991–1992 data for Central Serbia and Vojvodina, rates for all-cause and CVD deaths are dramatically increasing. In fYU, RYU, and particularly in Central Serbia and Vojvodina, the proportional contributions of CVD deaths to all-cause deaths is greater than 50% in men and 60% in women. In the Serbian part of the Seven Countries Study, after 25 years of follow-up of men aged 40–59 at entry, the best survival was found for Belgrade University professors, although they died proportionally more from CVD. The highest age-adjusted 25-year mortality (among the highest in the Seven Countries Study) was observed in Zrenjanin, a town representative of Vojvodina. The Zrenjanin cohort was characterized by major increases of risk factors over the first 10 years, especially of serum cholesterol and blood pressure; these were real changes and not only due to aging.

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Authors
  1. Srecko I. Nedeljković
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  2. Miodrag Č. Ostojić
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  3. Milija R. Vukotić
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  4. Miodrag Z. Grujić
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Editor information

Editors and Affiliations

  1. Division of Epidemiology, School of Public Health, University of Minnesota, 55454, MN, USA

    Ancel Keys M.D. (Emeritus Professor) & Henry Blackburn M.D. (Mayo Professor of Public Health and Professor of Medicine) (Emeritus Professor) &  (Mayo Professor of Public Health and Professor of Medicine)

  2. The Third Department of Medicine, The Institute of Cardiovascular Diseases, Kurume University School of Medicine, 830, Kurume, Japan

    Hironori Toshima M.D. (Emeritus Professor) (Emeritus Professor)

  3. The Third Department of Medicine, Kurume University School of Medicine, 830, Kurume, Japan

    Yoshinori Koga M.D. (Associate Professor) (Associate Professor)

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© 1994 Springer-Verlag Tokyo

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Nedeljković, S.I., Ostojić, M.Č., Vukotić, M.R., Grujić, M.Z. (1994). Recent Trends in Cardiovascular Disease and Risk Factors: Yugoslavia. In: Keys, A., Toshima, H., Koga, Y., Blackburn, H. (eds) Lessons for Science from the Seven Countries Study. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68269-1_8

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  • DOI: https://doi.org/10.1007/978-4-431-68269-1_8

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68271-4

  • Online ISBN: 978-4-431-68269-1

  • eBook Packages: Springer Book Archive

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