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1、生活中危害健康的因素 Still waters run deep.流静水深流静水深,人静心深人静心深 Where there is life,there is hope。有生命必有希望。有生命必有希望CollaboratorslBethany van Guelpen(main supervisor)lAnna Winkvist(supervisor)lPer Sjlander(supervisor)lPer Lenner(supervisor)http:/ 高压油管 金属软管 液压接头 http:/ http:/Sami the indigenous people of northern Sc
2、andinaviaTotal:50 000 75 000 Sweden:15 000 20 000 Norway:30 000 50 000 Finland:4 000 5 000 Russia:2 000(government estimates,Swedish data based on reindeer herding,Norwegian data based on self identification)Traditional Sami lifestyle boiled coffee reindeer/game meatwild fishlow fibre intakehigh pro
3、tein intakehigh physical activityNilsen et al 1999,Hglin 1999”Notfiske i Luebnejaur”by Peter RodheCardiovascular disease risk pattern(+)increased risk(-)decreased risk(-)(-)”Nyh and Jrvlin 1998”(0)(-)”Tverdal 1997”(+)(+)”Hassler et al 2005”Sjlander et al 2007”Tynes and Haroldsen 2007”Kalvmrkning”by
4、Eva ConradzonCancer risk patternFigure 1.Data from Hassler et al 2001HypothesisThere are specific traditional Sami lifestyle elements which,independent of ethnicity,are associated with altered risk patterns for cancer and cardiovascular disease.Strategy sami diet scoreStudy population2.The Vilhelmin
5、aSami Study1.Population based data from Vsterbotten3.InterviewsVIP Mammary MONICA NSHDSData design:The VIP-questionnaireBackground informationExperienced healthQuality of lifeSocial networkWork situationPhysical activityTobacco and alcohol habitsDiet Data design:FrequenciesData design:Amounts2.The V
6、ilhelmina Sami Study170 diet&lifestyle VIP-questionnaires from reindeer herding Sami householdsSami-VIP,600 persons”The bullock”by Peter Rodhe3.Interviews primary strategy 10-20 persons 65 years old women and men present and/or former traditional Sami lifestyle How would you have answered the diet a
7、nd activity variables of the the VIP-questionnaire,when you were young?”Ancestors”by Peter RodheTest interviewSami woman,68 years old,raised by her non-sami grandparents who were settlers in central Lappland:1.diet and lifestyle as a child?-activity2.diet and lifestyle at age 30-40 years?-assimilati
8、on .-good behavior bias3.diet and lifestyle of her grandmother?Test interview result:a settler-Sami lifestyle Milk,flour,white bread,sugar,Boiled coffee,porridge,fish(lake and coastal),hare,elk,reindeer,horse,beef,pork,soup,wild berries,-struggle for survival a barrel of lingonNew Interview Strategy
9、IHow would your parents have answered the diet and activity variables of the the VIP-questionnaire,when they were 30-40 years old?IIHow would you have answered the VIP-questions,when you were 3040 years old?Interview planningl10 20 Forest and mountain Sami in Trna,Sorsele,Mal(and Arvidsjaur)=Vsterbo
10、tten county.lRecording and transcribing the interviewslAdditional data(validity problem of the VIP-questionnaire)Other kinds of full grain equivalents?Research planlCoffee(filtered and boiled)and cardiovascular diseaselCoffee(filtered and boiled)and cancerlConstruction of a Sami Diet ScorelSami Diet Score and cancerlSami Diet Score and cardiovascular diseaseEthical aspectsdata securityintegrityethnicityquality assurancelifestyle focuspublic benefitSignificance of the study from a HELGA perspectiveA low wholegrain lifestyle,a lifestyle in change”Konsert i ktan”by Eva Conradzon