生活中危害健康的因素专家讲座

SamilifestyleandhealthEpidemiologicalStudiesinNorthernSweden第1页CollaboratorsBethanyvanGuelpen(mainsupervisor)AnnaWinkvist(supervisor)PerSjölander(supervisor)PerLenner(supervisor)http://高压油管金属软管液压接头第2页Sami–theindigenouspeopleofnorthernScandinavia…Total:50000–75000

Sweden:15000–20000Norway:30000–50000Finland:4000–5000Russia:2000(governmentestimates,Swedishdatabasedonreindeerherding,Norwegiandatabasedonselfidentification)第3页TraditionalSamilifestyleboiledcoffeereindeer/gamemeatwildfishlowfibreintakehighproteinintakehighphysicalactivityNilsenetal1999,Håglin1999

”NotfiskeiLuebnejaur”byPeterRodhe第4页Cardiovasculardiseaseriskpattern(+)increasedrisk(-)decreasedrisk(-)(-) ”NäyhäandJärvälin1998”(0)(-) ”Tverdal1997”(+)(+) ”Hassleretal2023” ”Sjölanderetal2023” ”TynesandHaroldsen2023””Kalvmärkning”byEvaConradzon第5页CancerriskpatternFigure1.DatafromHassleretal2023第6页HypothesisTherearespecifictraditionalSamilifestyleelementswhich,independentofethnicity,areassociatedwithalteredriskpatternsforcancerandcardiovasculardisease.第7页Strategy–samidietscore第8页Studypopulation2.TheVilhelminaSamiStudy1.PopulationbaseddatafromVästerbotten3.InterviewsVIPMammaryMONICA

NSHDS第9页Datadesign:TheVIP-questionnaireBackgroundinformationExperiencedhealthQualityoflifeSocialnetworkWorksituationPhysicalactivityTobaccoandalcoholhabitsDiet第10页Datadesign:Frequencies第11页Datadesign:Amounts第12页2.TheVilhelminaSamiStudy170diet&lifestyleVIP-questionnairesfromreindeerherdingSamihouseholdsSami-VIP,~600persons”Thebullock”byPeterRodhe第13页3.Interviews–primarystrategy10-20persons>65yearsoldwomenandmenpresentand/orformertraditionalSamilifestyleHowwouldyouhaveansweredthedietandactivityvariablesofthetheVIP-questionnaire,whenyouwereyoung?”Ancestors”byPeterRodhe第14页TestinterviewSamiwoman,68yearsold,raisedbyhernon-samigrandparentswhoweresettlersincentralLappland:1.dietandlifestyleasachild?-activity2.dietandlifestyleatage30-40years?-assimilation

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-goodbehaviorbias3.dietandlifestyleofhergrandmother?第15页Testinterviewresult:asettler-Samilifestyle

Milk,flour,whitebread,sugar,Boiledcoffee,porridge,fish(lakeandcoastal),hare,elk,reindeer,horse,beef,pork,soup,wildberries,-struggleforsurvivalabarreloflingon第16页NewInterviewStrategyIHowwouldyourparentshaveansweredthedietandactivityvariablesofthetheVIP-questionnaire,whentheywere30-40yearsold?IIHowwouldyouhaveansweredtheVIP-questions,whenyouwere30–40yearsold?第17页Interviewplanning10–20ForestandmountainSamiinTärna,Sorsele,Malå(andArvidsjaur)=Västerbottencounty.RecordingandtranscribingtheinterviewsAdditionaldata(validityproblemoftheVIP-questionnaire)Otherkindsoffullgrainequivalents?第18页ResearchplanCoffee(filteredandboiled)andcardiovasculardiseaseCoffee(filteredandboiled)andcancerConstructionofaSamiDietScoreSamiDietScoreandcancerSamiDietScoreandcardiovasculardisease第19页Ethicalaspectsdatasecurityintegrityethnicityqualityassuranceli