title: Physical activity and cardiovascular risk factors in a 40- to 42-year-old rural Norwegian population from 1975-2010: repeated cross-sectional surveys.
abstract: BACKGROUND
  Geographical differences in cardiovascular diseases (CVD) have been observed among Norwegian counties. Better long-term health status and higher physical activity (PA) levels have been documented in the county of Sogn & Fjordane compared with other counties. However, recent trends in CVD risk factors have not been documented. The aim of this study was to investigate the secular trends in leisure time physical activity (LTPA) and other CVD risk factors over a 35-year period in a rural population of 40- to 42-year-olds in western Norway and to compare these trends with national trends.
  
  
  METHODS
  Data from eight cross-sectional studies from 1975-2010 (n = 375,682) were obtained from questionnaires and physical examinations and were analyzed using mixed model regression analyses.
  
  
  RESULTS
  Decreasing trends were observed for sedentary behavior (for women), moderate PA, smoking, systolic blood pressure (SBP), diastolic blood pressure (DBP), high-density lipoprotein (HDL-c) and total cholesterol (TC), whereas increasing trends were observed for body mass index (BMI), triglycerides (TG), light PA, vigorous PA and sedentary behavior for men. Compared to the national trends, the trends in the 40-42-year-olds from Sogn & Fjordane were more beneficial in terms of TG, HDL-c and BMI but less beneficial in terms of SBP and DBP.
  
  
  CONCLUSIONS
  Over a 35-year-period, this study indicates that the LTPA level has been relatively stable in the county of Sogn & Fjordane. Upward trends were observed in light and vigorous PA, whereas a downward trend was observed in moderate PA. For sedentary behavior, an upward trend was observed in men, whereas a downward trend was observed in women. For smoking, BP and cholesterol decreasing trends were found, but increasing trends were observed in BMI and TG. Compared with the national data, the trends in Sogn & Fjordane were more beneficial for TG, HDL-c and BMI but less beneficial for BP.
authors.affiliation: Faculty of Teacher Education and Sport, Sogn & Fjordane University College, P,O, Box 133, 6851 Sogndal, Norway. ane.solbraa@hisf.no.
authors.forename: Ane Kristiansen
authors.initials: AK
authors.lastname: Solbraa
authors.forename: Ingar Morten
authors.initials: IM
authors.lastname: Holme
authors.forename: Sidsel
authors.initials: S
authors.lastname: Graff-Iversen
authors.forename: Geir Kåre
authors.initials: GK
authors.lastname: Resaland
authors.forename: Eivind
authors.initials: E
authors.lastname: Aadland
authors.forename: Sigmund Alfred
authors.initials: SA
authors.lastname: Anderssen
mesh_terms: D000328:Adult; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D009043:Motor Activity; D009664:Norway / Q000453:epidemiology; D012044:Regression Analysis; D012307:Risk Factors; D012424:Rural Population; D012907:Smoking / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014280:Triglycerides / Q000097:blood
chemical_list: D014280:Triglycerides; D002784:Cholesterol