Northern Sweden MONItoring of trends and determinants in CArdiovascular disease (MONICA)
Networks
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Datasets
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Variables
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The Northern Sweden MONICA Study is a cohort within Northern Sweden Health and Disease Study (NSHDS). It started with the WHO MONICA Study in 1985. The purpose was to monitor trends in mortality and morbidity in cardiovascular disease and relate them to trends in risk factors. Since 1985 over 21,000 strictly validated stroke events and 19,000 myocardial infarctions have been included in two registers. During the same period, eight population based surveys have been taking place, the latest in 2022. The participation rates have been 47-81%. Subjects donated samples to Biobanken norr.
- Start Year
- 1986
Visit NSHDS-MONICA
| Investigators | Contacts |
|---|---|
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Design
- Study design
- Cohort
- Follow Up
- Population surveys have been performed in 1986, 1990, 1994, 1999, 2004, 2009, 2014 and 2022. In 1999, all people invited to any of the three previous population surveys were re-invited for follow-up
- Supplementary Information
- The Northern Sweden MONICA Project has collected repeated cross-sectional as well as longitudinal data.
Marker Paper
Späth F et al. Cohort Profile: The Northern Sweden Health and Disease Study (NSHDS). Int J Epidemiol. 2024 Dec 16;54(1):dyaf004
PUBMED 39899988
Recruitment
- Recruitment Target
-
- Individuals
Number of Participants
- Number of Participants
- 13,800
- Number of Participants with Biological Samples
- Supplementary Information
Access
Availability of data and biosamples
| Possible Access to Data | |
| Possible Access to Biosamples | |
| Other |
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Timeline
Populations
The population is composed of adults aged 25 to 64 years old who were living in
Norrbotten and Västerbotten county in 1986.
Selection Criteria
- Minimum age
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25
- Maximum age
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64
- Newborns
- Twins
- Countries
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- Sweden
- Territory
- Västerbotten and Norrbotten counties
- Ethnic Origin
-
- Health Status
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Recruitment
- Sources of recruitment
-
- General population
- General Population
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- Selected sample
- Supplementary Information
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A stratified randomized selection procedure by age and sex (250 persons in each sex/10-year age stratum) was used to recruit participants.
Number of Participants
- Number of Participants
- 1,625
- Number of Participants with Biological Samples
Data Collection Events
| # | Name | Description | Start | End |
|---|---|---|---|---|
| 0 |
NSHDS-MONICA - Cohort 1 - Baseline
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Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family ... | 1986-01 | 1986-04 |
| 1 |
NSHDS-MONICA - Cohort 1 - Follow-up
|
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family ... | 1999-01 | 1999-04 |
The population is composed of adults aged 25 to 64 years old who were living in
Norrbotten and Västerbotten county in 1990.
Selection Criteria
- Minimum age
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25
- Maximum age
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64
- Newborns
- Twins
- Countries
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- Sweden
- Territory
- Västerbotten and Norrbotten counties
- Ethnic Origin
-
- Health Status
-
Recruitment
- Sources of recruitment
-
- General population
- General Population
-
- Selected sample
- Supplementary Information
-
A stratified randomized selection procedure by age and sex (250 persons in each sex/10-year age stratum) was used to recruit participants.
Number of Participants
- Number of Participants
- 1,583
- Number of Participants with Biological Samples
Data Collection Events
| # | Name | Description | Start | End |
|---|---|---|---|---|
| 0 |
NSHDS-MONICA - Cohort 2 - Baseline
|
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family ... | 1990-01 | 1990-04 |
| 1 |
NSHDS-MONICA - Cohort 2 - Follow-up
|
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family ... | 1999-01 | 1999-04 |
The population is composed of adults aged 25 to 74 years old who were living in
Norrbotten and Västerbotten county in 1994.
Selection Criteria
- Minimum age
-
25
- Maximum age
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74
- Newborns
- Twins
- Countries
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- Sweden
- Territory
- Västerbotten and Norrbotten counties
- Ethnic Origin
-
- Health Status
-
Recruitment
- Sources of recruitment
-
- General population
- General Population
-
- Selected sample
- Supplementary Information
-
A stratified randomized selection procedure by age and sex (250 persons in each sex/10-year age stratum) was used to recruit participants.
Number of Participants
- Number of Participants
- 1,921
- Number of Participants with Biological Samples
Data Collection Events
| # | Name | Description | Start | End |
|---|---|---|---|---|
| 0 |
NSHDS-MONICA - Cohort 3 - Baseline
|
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family ... | 1994-01 | 1994-04 |
| 1 |
NSHDS-MONICA - Cohort 3 - Follow-up
|
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family ... | 1999-01 | 1999-04 |
The population is composed of adults aged 25 to 74 years old who were living in
Norrbotten and Västerbotten county in 1999.
Selection Criteria
- Minimum age
-
25
- Maximum age
-
74
- Newborns
- Twins
- Countries
-
- Sweden
- Territory
- Västerbotten and Norrbotten counties
- Ethnic Origin
-
- Health Status
-
Recruitment
- Sources of recruitment
-
- General population
- General Population
-
- Selected sample
- Supplementary Information
-
A stratified randomized selection procedure by age and sex (250 persons in each sex/10-year age stratum) was used to recruit participants.
Number of Participants
- Number of Participants
- 1,823
- Number of Participants with Biological Samples
Data Collection Event
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family structure, social network, and migration was also collected. Additionally, participants self-assessed their health and were questioned about heredity for cardiovascular disease and diabetes, current presence of disease, and drug consumption. Diabetes and previous myocardial infarction or stroke was self-reported.
Anthropometric measurements were performed by specially trained nurses using the same standardized methods in all surveys. Blood pressure was measured twice in a sitting position, after a 5-minute rest, and the mean value was recorded.
Blood samples were drawn after at least a 4 hour fast and cholesterol level was measured.
Linkage between national registries of cause of death and admissions to hospital was performed.
- Start Date
-
1999-01
- End Date
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1999-04
- Data sources
-
- Questionnaires
- Physical measures
- Biosamples
- Administrative databases
- Data sources - Biosamples
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- Blood
- Data sources - Administrative databases
-
- Health databases
- Vital statistics databases
The population is composed of adults aged 25 to 74 years old who were living in
Norrbotten and Västerbotten county in 2004.
Selection Criteria
- Minimum age
-
25
- Maximum age
-
74
- Newborns
- Twins
- Countries
-
- Sweden
- Territory
- Västerbotten and Norrbotten counties
- Ethnic Origin
-
- Health Status
-
Recruitment
- Sources of recruitment
-
- General population
- General Population
-
- Selected sample
- Supplementary Information
-
A stratified randomized selection procedure by age and sex (250 persons in each sex/10-year age stratum) was used to recruit participants.
Number of Participants
- Number of Participants
- 1,905
- Number of Participants with Biological Samples
Data Collection Event
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family structure, social network, and migration was also collected. Additionally, participants self-assessed their health and were questioned about heredity for cardiovascular disease and diabetes, current presence of disease, and drug consumption. Diabetes and previous myocardial infarction or stroke was self-reported.
Anthropometric measurements were performed by specially trained nurses using the same standardized methods in all surveys. Blood pressure was measured twice in a sitting position, after a 5-minute rest, and the mean value was recorded.
Blood samples were drawn after at least a 4 hour fast and cholesterol level was measured.
Linkage between national registries of cause of death and admissions to hospital was performed.
- Start Date
-
2004-01
- End Date
-
2004-04
- Data sources
-
- Questionnaires
- Physical measures
- Biosamples
- Administrative databases
- Data sources - Biosamples
-
- Blood
- Data sources - Administrative databases
-
- Health databases
- Vital statistics databases
The population is composed of adults aged 25 to 74 years old who were living in
Norrbotten and Västerbotten county in 2009.
Selection Criteria
- Minimum age
-
25
- Maximum age
-
74
- Newborns
- Twins
- Countries
-
- Sweden
- Territory
- Västerbotten and Norrbotten counties
- Ethnic Origin
-
- Health Status
-
Recruitment
- Sources of recruitment
-
- General population
- General Population
-
- Selected sample
- Supplementary Information
-
A stratified randomized selection procedure by age and sex (250 persons in each sex/10-year age stratum) was used to recruit participants.
Number of Participants
- Number of Participants
- 1,729
- Number of Participants with Biological Samples
Data Collection Event
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family structure, social network, and migration was also collected. Additionally, participants self-assessed their health and were questioned about heredity for cardiovascular disease and diabetes, current presence of disease, and drug consumption. Diabetes and previous myocardial infarction or stroke was self-reported.
Anthropometric measurements were performed by specially trained nurses using the same standardized methods in all surveys. Blood pressure was measured twice in a sitting position, after a 5-minute rest, and the mean value was recorded.
Blood samples were drawn after at least a 4 hour fast and cholesterol level was measured.
Linkage between national registries of cause of death and admissions to hospital was performed.
- Start Date
-
2009-01
- End Date
-
2009-04
- Data sources
-
- Questionnaires
- Physical measures
- Biosamples
- Administrative databases
- Data sources - Biosamples
-
- Blood
- Data sources - Administrative databases
-
- Health databases
- Vital statistics databases
The population is composed of adults aged 25 to 74 years old who were living in
Norrbotten and Västerbotten county in 2014.
Selection Criteria
- Minimum age
-
25
- Maximum age
-
74
- Newborns
- Twins
- Countries
-
- Sweden
- Territory
- Västerbotten and Norrbotten counties
- Ethnic Origin
-
- Health Status
-
Recruitment
- Sources of recruitment
-
- General population
- General Population
-
- Selected sample
- Supplementary Information
-
A stratified randomized selection procedure by age and sex (250 persons in each sex/10-year age stratum) was used to recruit participants.
Number of Participants
- Number of Participants
- 1,575
- Number of Participants with Biological Samples
Data Collection Event
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family structure, social network, and migration was also collected. Additionally, participants self-assessed their health and were questioned about heredity for cardiovascular disease and diabetes, current presence of disease, and drug consumption. Diabetes and previous myocardial infarction or stroke was self-reported.
Anthropometric measurements were performed by specially trained nurses using the same standardized methods in all surveys. Blood pressure was measured twice in a sitting position, after a 5-minute rest, and the mean value was recorded.
Blood samples were drawn after at least a 4 hour fast and cholesterol level was measured.
Linkage between national registries of cause of death and admissions to hospital was performed.
- Start Date
-
2014-01
- End Date
-
2014-04
- Data sources
-
- Questionnaires
- Physical measures
- Biosamples
- Administrative databases
- Data sources - Biosamples
-
- Blood
- Data sources - Administrative databases
-
- Health databases
- Vital statistics databases
The population is composed of adults aged 25 to 74 years old who were living in Norrbotten and Västerbotten county in 2022.
Selection Criteria
- Minimum age
-
25
- Maximum age
-
74
- Newborns
- Twins
- Countries
-
- Sweden
- Territory
- Västerbotten and Norrbotten counties
- Ethnic Origin
-
- Health Status
-
Recruitment
- Sources of recruitment
-
- General population
- General Population
-
- Selected sample
- Supplementary Information
-
A stratified randomized selection procedure by age and sex (250 persons in each sex/10-year age stratum) was used to recruit participants.
Number of Participants
- Number of Participants
- 1,175
- Number of Participants with Biological Samples
Data Collection Event
Participants were surveyed about lifestyle factors such as their diet, tobacco habits, alcohol intake and physical activity. Information about their education level, occupation, employment, family structure, social network, and migration was also collected. Additionally, participants self-assessed their health and were questioned about heredity for cardiovascular disease and diabetes, current presence of disease, and drug consumption. Diabetes and previous myocardial infarction or stroke was self-reported.
Anthropometric measurements were performed by specially trained nurses using the same standardized methods in all surveys. Blood pressure was measured twice in a sitting position, after a 5-minute rest, and the mean value was recorded.
Blood samples were drawn after at least a 4 hour fast and cholesterol level was measured.
Linkage between national registries of cause of death and admissions to hospital was performed.
- Start Date
-
2022-01
- End Date
-
2022-04
- Data sources
-
- Questionnaires
- Physical measures
- Biosamples
- Administrative databases
- Data sources - Biosamples
-
- Blood
- Data sources - Administrative databases
-
- Health databases
- Vital statistics databases
Classifications
- Socio-demographic and economic characteristics
- Lifestyle and behaviours
- Birth, pregnancy and reproductive health history
- Perception of health, quality of life, development and functional limitations
- Diseases
- Symptoms and signs
- Medication and supplements
- Non-pharmacological interventions
- Health and community care services utilization
- Death
- Physical measures and assessments
- Laboratory measures
- Cognition, personality and psychological measures and assessments
- Life events, life plans, beliefs and values
- Preschool, school and work life
- Social environment and relationships
- Physical environment
- Administrative information
Socio-demographic and economic characteristics
Lifestyle and behaviours
Perception of health, quality of life, development and functional limitations
Diseases
Health and community care services utilization
Death
Physical measures and assessments
Laboratory measures
Social environment and relationships
Administrative information