AGEV - Arbeitsgemeinschaft Ernährungsverhalten e.V.

Nutrition and lifestyle interventions in Finland:
Experiences with success stories and current challenges
Ritva Prättälä

The Finnish diet in the 1960s was characterized with a high intake of dairy fat, and mortality in coronary heart disease was highest in the world. Public health and nutritional problems were most obvious in the Northern and Eastern parts of the country, wherefore, a community based program for the prevention of cardiovascular disease through lifestyle and risk factor changes - the North Karelia project - was launched in 1972. Decrease in the CVD-mortality and the levels of risk factors in North Karelia and elsewhere in Finland since the 1970s can be considered a success story. The use of high fat milk products decreased, that of fruit and vegetables increased, and beneficial changes were observed also in regard to smoking and leisure time exercise. Concurrently, regional and socio-economic differences in fat intake and exercise decreased. On the other hand, alcohol consumption increased and overweight became a growing problem. Smoking and overweight are more common among the lower socio-economic groups, and in smoking the socio-economic gap has even widened. Structural changes in the Finnish society are associated with the beneficial development of public health. Standard of living and the general educational level have risen. Urbanization has continued - after joining the EU the rate has increased. These factors have created circumstances where the public interest in healthy lifestyle has increased and everybody has had better changes to follow recommendations given by the experts. The structural factors have, unfortunately, supported sedentary lifestyle and some negative changes, as well.

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