The MONICA study is a WHO supported international multicenter study of risk factors for cardiovascular disease (Multinational MONItoring of trends and determinants in CArdiovascular disease), involving 38 populations in 21 different countries on four continents.
The study started in the beginning of the 1980s. The background was that younger persons have low risk factor levels (overweight, high blood pressure, high serum cholesterol), but the levels are increasing in higher ages. Several mechanisms are probably reasons for this. In Gothenburg a total of 4500 men and women were examined within the MONICA project in the ages 25-65. The surveys took place in 1985, 1990 and 1995.

Purpose:

To measure the trends in cardiovascular mortality and coronary heart disease and stroke morbidity and to assess the extent to which these trends are related to changes in known risk factors, daily living habits, health care, or major socioeconomic features measured at the same time in defined communities in different countries.

Data contains personal data

Language

Swedish

Method and outcome

Unit of analysis

Individual

Population

Women and men 25-64 years

Time Method

Longitudinal: Trend/Repeated cross-section

Sampling procedure

Probability: Stratified

Time period(s) investigated

1985 – 1995

Response rate/participation rate

1985:
Number of variables: 164
Number of individuals/objects: 1393
Response rate/participation rate: 71;

1990:
Number of variables: 327
Number of individuals/objects: 1574
Response rate/participation rate: 68;

1995:
Number of variables: 358
Number of individuals/objects: 1628
Response rate/participation rate: 64;

Data format / data structure

Numeric

Data collection

Data collection 1

Mode of collection: Self-administered questionnaire
Time period(s) for data collection: 1985-01 – 1985-12
Source of the data: Population group

Data collection 2

Mode of collection: Physical measurements and tests
Time period(s) for data collection: 1985-01 – 1985-12
Source of the data: Population group, Biological samples

Data collection 3

Mode of collection: Self-administered questionnaire
Time period(s) for data collection: 1990-01 – 1990-12
Source of the data: Population group

Data collection 1

Mode of collection: Self-administered questionnaire
Time period(s) for data collection: 1985-01 – 1985-12
Source of the data: Population group

Data collection 2

Mode of collection: Physical measurements and tests
Time period(s) for data collection: 1985-01 – 1985-12
Source of the data: Population group, Biological samples

Data collection 3

Mode of collection: Self-administered questionnaire
Time period(s) for data collection: 1990-01 – 1990-12
Source of the data: Population group

Data collection 4

Mode of collection: Physical measurements and tests
Time period(s) for data collection: 1990-01 – 1990-01
Source of the data: Population group, Biological samples

Data collection 5

Mode of collection: Physical measurements and tests
Time period(s) for data collection: 1995-01 – 1995-12
Source of the data: Population group, Biological samples

Data collection 6

Mode of collection: Self-administered questionnaire
Time period(s) for data collection: 1995-01 – 1995-12
Source of the data: Population group

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Language resources

Geographic coverage

Geographic spread

Geographic location: Sweden

Geographic description: The municipality of Gothenburg

Lowest geographic unit

Municipality

Administrative information

Responsible department/unit

Department of Emergency and Cardiovascular Medicine

Topic and keywords

Research area

Medical and health sciences (Standard för svensk indelning av forskningsämnen 2011)

Clinical medicine (Standard för svensk indelning av forskningsämnen 2011)

Cardiac and cardiovascular systems (Standard för svensk indelning av forskningsämnen 2011)

Health (CESSDA Topic Classification)

Keywords

Physical examination, Body composition, Dyspnea, Electrocardiography, Heart failure, Longitudinal studies, Exercise, Population surveillance, Radiography, Socioeconomic factors, Anemia, Glucose tolerance test, Arthritis, rheumatoid, Hormone replacement therapy, Risk factors, Middle aged, Overweight, Waist-hip ratio, Mortality, Myocardial infarction, Myocardial ischemia, Neoplasms, Stroke, Diet, Alcohol drinking, Medical history taking, Blood glucose, Bronchitis, chronic, Diabetes mellitus, Epidemiology, Obesity, Cardiovascular diseases, Health, Hypertension, Insulin, Coffee, Cholesterol, Coronary disease, Body height, Posture, Body weight, Angina pectoris, Mental health, Smoking, Disease, Morbidity, Delivery of health care, Triglycerides, Occupational exposure, Heredity, Swedish cohort consortium (scc), Cohorts.se

Publications

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Rosengren A, Dotevall A, Eriksson H, Wilhelmsen L. Optimal risk factors in the population: prognosis, prevalence, and secular trends; data from Goteborg population studies. Eur Heart J 2001;22:136-44.

Tunstall-Pedoe H, Kuulasmaa K, Amouyel P, Arveiler D, Rajakangas AM, Pajak A. Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents. Circulation. 1994 Jul;90(1):583-612.

Thorvaldsen P, Asplund K, Kuulasmaa K, Rajakangas AM, Schroll M. Stroke incidence, case fatality, and mortality in the WHO MONICA project. World Health Organization Monitoring Trends and Determinants in Cardiovascular Disease. Stroke. 1995 Mar;26(3):361-7.

Johansson S, Wilhelmsen L, Welin C, Eriksson H, Welin L, Rosengren A. Obesity, smoking and secular trends in cardiovascular risk factors in middle-aged women: data from population studies in Göteborg from 1980 to 2003. J Intern Med. 2010 Dec;268(6):594-603

Wilhelmsen L, Johansson S, Rosengren A, Wallin I, Dotevall A, Lappas G. Risk factors for cardiovascular disease during the period 1985-1995 in Göteborg, Sweden. The GOT-MONICA Project. J Intern Med. 1997 Sep;242(3):199-211.

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