Joint Programming Initiative

More Years, Better Lives

The Potential and Challenges of Demographic Change

50-year-old men in Gothenburg - men of 1913
50-åringar I Göteborg: 1913 års män

Topic
Health and Performance
Relevance for this Topic
Country Sweden
URL
More Topics

Governance

Contact information

Lars Wilhelmsen / Department of Emergency and Cardiovascular Medicine
University of Gothenburg
Sweden
Phone: +46 (0)31 3434000
Email: lars.wilhelmsen(at)gu.se
Url: http://snd.gu.se/en/catalogue/study/SND0010

Timeliness, transparency

To be discussed with principal investigator.

Type of data


Registry

Type of Study

Longitude survey: long-term study of the same sample

Cross-section, regular

Data gathering method

Face-to-face interview (CAPI, PAPI)

Registries

Self-administered questionnaire


Medical examination/health status


Access to data

Conditions of access


Primarily for the scientific community. Ethical approval and institutional agreements needed.


Not specified


Usually anonymised microdata, aggregated tables.


Dataset is compatible to various applications: ASCII, CSV, Excel, SAS, SPSS, STATA, Text, etc.


Database in Swedish. General information available in English.


Coverage


To investigate coronary risk factors and the development of coronary disease in a group of Swedish urban men in the same age: 50 years. To the sampling in 2003 also women were invited. Starting in 1963 and with 10-year intervals, five population samples of men aged 50 and living in the city of Gothenborg, Sweden, were examined with respect to cardiovascular risk factors. In 1963, 973 men were invited. 855 of these took part in the study (88%). Clinical examinations were conducted at baseline and thereafter at 54 (1967), 60 (1973), 67 (1980), 75 (1988) and 80 years of age (1993). At every examination a number of questionnaires were filled in. For the 1973 study, 10% of all men born in 1923 were invited, providing a sample of 292, of which 226 (77%) participated. For the 1983 and 1993 studies, a random sample of half of all men in the city born in 1933 and 1943 were invited; 776 (76%) and 798 (55%), respectively, participated. In 2003 random third of all men (n =993) and women (n = 994) born in 1953 were invited. Participation rate was 60% among the men and 67% among the women. www.sahlgrenska.gu.se/.../...g-90-years-of-age.pdf
There are 16 datasets with the following characteristics: Dataset 001: Study of men born in 1913 2910 variables. 855 cases. 1963 - 1993 (Clinical examination) 1963 - 1993 (Self-completed questionnaire) 1963 - 2012 (Extracts from registers) Dtataset 002: Study of men born in 1923 2247 variables. 226 cases. 1973 - 1993 (Clinical examination) 1973 - 1993 (Self-completed questionnaire) 1973 - 2012 (Extracts from registers) Data and questionnaire are in Swedish. Dataset 003: Study of men born in 1933 466 variables. 775 cases. 1983 - 1992 (Clinical examination) 1983 - 1992 (Self-completed questionnaire) 1983 - 2012 (Extracts from registers) Data and questionnaire are in Swedish. Dataset 004: Study of Sons to Men born in 1913 263 cases. 1973 - 1993 (Self-completed questionnaire) 1973 - 2012 (Extracts from registers) 1993-01 - 1993-12 (Clinical examination) Data and questionnaire are in Swedish. Dataset 005: Study of men born in 1943 560 variables. 798 cases. 1993 - 2004 (Clinical examination) 1993 - 2004 (Self-completed questionnaire) 1993 - 2012 (Extracts from registers) Dataset 006: Study of men born in 1953 201 variables. 593 cases. 60% response frequency. 2003 - 2012 (Extracts from registers) 2003-08 - 2004-12 (Clinical examination) 2003-08 - 2004-12 (Self-completed questionnaire) Dataset 007: Study of women born in 1953 201 variables. 667 cases. 67% response frequency. 2003 - 2012 (Extracts from registers) 2003-08 - 2004-12 (Clinical examination) 2003-08 - 2004-12 (Self-completed questionnaire) Data are in Swedish. Dataset 008: Study of men born in 1913, 1963 study 177 variables. 855 cases. 88% response frequency. 1963-01 - 1963-12 (Clinical examination) 1963-01 - 1963-12 (Self-completed questionnaire) Data are in Swedish. Dataset 009: Study of men born in 1913, 1967 study 420 variables. 792 cases. 92% response frequency. 1967-01 - 1967-12 (Self-completed questionnaire: Paper/pencil) 1967-01 - 1967-12 (Clinical examination) Dataset 010: Study of men born in 1913 and their sons and men born in 1923, 1973 study 1123 variables. 1145 cases. 84% response frequency. 1973-01 - 1973-12 (Self-completed questionnaire: Paper/pencil) 1973-01 - 1973-12 (Clinical examination) Dataset 011: Study of men born in 1913 and men born in 1923, 1980 study 819 cases. 1980-01 - 1980-12 (Clinical examination) 1980-01 - 1980-12 (Self-completed questionnaire) Dataset 012: Study of men born in 1933, 1983 study 171 variables. 775 cases. 76% response frequency. 1983-01 - 1983-12 (Self-completed questionnaire: Paper/pencil) 1983-01 - 1983-12 (Clinical examination) Dataset 013: Study of men born in 1913 and men born in 1923, 1988 study 1988-01 - 1988-12 (Self-completed questionnaire: Paper/pencil) 1988-01 - 1988-12 (Clinical examination) Dataset 014: Study of men born in 1933, 1991 study 295 variables. 602 cases. 1991-01 - 1991-12 (Self-completed questionnaire: Paper/pencil) 1991-01 - 1991-12 (Clinical examination) Dataset 015: Study of men born in 1913 and their sons, and men born in 1923 and 1943, 1993 study 1993-01 - 1993-12 (Self-completed questionnaire: Paper/pencil) 1993-01 - 1993-12 (Clinical examination) Dataset 016: Study of Men born in 1943 and Men and Women born in 1953, 2004 survey 1917 cases. 2003-08 - 2004-12 (Self-completed questionnaire: Paper/pencil) 2003-08 - 2004-12 (Clinical examination)


1963


Men in Göte from 1963; beginning in 2003, women were also included


Göteborg area


Individuals aged 50 and over


50-year-old men in 1963/from 2003 women


Men of 1913 and their successors, men born in 1923, 1933, 1943 and 1953, is an example of our traditional Gothenburg studies. These studies provide opportunities to explore how living conditions have changed over four decades and what health effects these changes have had. From its inception in the 60s, these data provided opportunities to examine trends, as well as in cross-section longitudinally. These studies have resulted in over 400 scientific articles and 12 dissertations.


The studies have generated 12 thesis and more than 400 scientific papers. • A General Health-examination of a Random Sample of 50-year-old Men in Göteborg • Aurell E, Hjortzberg-Nordlund H, Tibblin G. [Obesity in 50-year old men: somatic aspects]. Lakartidningen 1966;63(6):520-5. • Aurell E, Tibblin G. Hypertensive eye-ground changes in a Swedish population of middle-aged men. Acta Ophthalmol (Copenh) 1965;43:355-61. • Blomstrand A, Björkelund C, Ariai N, Lissner L, Bengtsson C. Effects of leisure-time physical activity on well-being among women: a 32-year perspective. Scand J Public Health 2009;37:706-12. • Caidahl, Kenneth. Relation between cardiac dyspnea and left ventricular function: a non-invasive study of 67-year-old men. Avhandling, Göteborgs universitet, 1987. • Eriksson, Henry. Heart failure: an epidemiological study of prevalence, incidence, risk factors and consequences in samples from the general population. Avhandling, Göteborgs universitet, 1987. • Hallberg L, Tibblin G. [Obesity and overweight: presentation of 2 population studies]. Lakartidningen 1966;63:516-9. • Hansson, Per-Olof. Venous thromboembolism. Epidemiological and clinical aspects of deep vein thrombosis and pulmonary embolism. Avhandling, Göteborgs universitet, 1999. • Hjortzberg-Nordlund, Hans. Abuse of alcohol in middle-aged men in Göteborg : a social-psychiatric investigation. Avhandling, Göteborgs universitet, 1968. • 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 • Larsson B, Bengtsson C, Björntorp P, Lapidus L, Sjöström L, Svärdsudd K, Tibblin G, Wedel H, Welin L, Wilhelmsen L. Is abdominal body fat distribution a major explanation for the sex difference in the incidence of myocardial infarction? The study of men born in 1913 and the study of women, Göteborg, Sweden. Am J Epidemiol. 1992 Feb 1;135(3):266-73. • Larsson, Bo. Obesity: a population study of men, with special reference to development and consequences for the health. Avhandling, Göteborgs universitet, 1978. • Nilsson LA, Ryttinger L, Tibblin G. Distribution of the ABO, MN, Rh, Duffy and Kell blood groups in a random sample of Swedish men aged fifty. Acta Pathol Microbiol Scand 1966;68(1):117-22. • Ohlson, Lars-Olof. Diabetes mellitus i Studien 1913 och 1923 års män. Avhandling, Göteborgs universitet, 1987. • 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. • Rosengren A, Eriksson H, Hansson PO, Svärdsudd K, Wilhelmsen L, Johansson S, Welin C, Welin L. Obesity and trends in cardiovascular risk factors over 40 years in Swedish men aged 50. J Intern Med. 2009 Sep;266(3):268-76. Epub 2009 Apr 7. • Rosengren A, Eriksson H, Larsson B, Svärdsudd K, Tibblin G, Welin L, Wilhelmsen L. Secular changes in cardiovascular risk factors over 30 years in Swedish men aged 50: the study of men born in 1913, 1923, 1933 and 1943. J Intern Med. 2000 Jan;247(1):111-8. • Rosengren A, Orth-Gomér K, Wedel H, Wilhelmsen L. Stressful life events, social support, and mortality in men born in 1933. Br Med J 1993;307:1102-05. • Rudin, Rolf. Middle ear disease: a clinical and epidemiological study of otitis media and related factors in samples from the general population. Avhandling, Göteborgs universitet, 1987. • Schult A, Eriksson H, Wallerstedt S, Kaczynski J. Overweight and hypertriglyceridemia are risk factors for liver cirrhosis in middle-aged Swedish men. Scand J Gastroenterol. 2011 Jun 46; (6):738-44. • Silverbåge Carlsson, Gudrun. Epidemiology of injuries with special regard to head injuries : a study of three male populations. Avhandling, Göteborgs universitet, 1986. • Svärdsudd K. High Blood Presure. A longitudinal population study of men born in 1913 with special reference to development and consequences for health. Thesis. Göteborg, Sweden,1978. • Tibblin G, Aurell E, Hjortzberg-Nordlund H, Paulin S, Risholm L, Sanne H, Wilhelmsen L, Werkoe L. A general health-examination of a random sample of 50-year-old men in Goeteborg. Acta Med Scand 1965;177:739-49. • Tibblin G, Bergentz SE, Bjure J, Wilhelmsen L. Hematocrit, plasma protein, plasma volume, and viscosity in early hypertensive disease. Am Heart J 1966;72:165-76. • Tibblin G, Vikgren P.Urine osmolality in a population study of hypertension. Bull World Health Organ 1964;31:345-8. • Tibblin G. High blood pressure in men aged 50 - a population study of Men Born in 1913. Acta Med Scand Suppl 270, 1967. • Tibblin G. High blood pressure in men aged 50. A population study of men born in 1913.Acta Med Scand Suppl 1967;470:1-84. • Tibblin G. [Patient material and population studies. Problems of methodology]. Lakartidningen 1966;63:2267-71. • Tibblin G. [Ulcers. 3. The frequency of ulcers among 50-year-old men]. Lakartidningen 1966;63(50):4825-6. • Tibblin G.A population study of 50-year-old men. An analysis of the non-participation group. Acta Med Scand 1965;178:453-9. • Welin L Wilhelmsen L, Svärdsudd K, Larsson B, Tibblin G.Increasing Mortality from Coronary Heart Disease among Males in Sweden. Cardiology 1985;72:75-80. • Welin, Lennart. Family study on ischaemic heart disease and its risk factors: the study of men born in 1913 and 1923. Avhandling, Göteborgs universitet, 1978. • Wilhelmsen L, Svärdsudd K, Eriksson H, Rosengren A, Hansson PO, Welin C, Odén A, Welin L. Factors associated with reaching 90 years of age: a study of men born in 1913 in Gothenburg, Sweden. J Intern Med. 2011 Apr;269(4):441-51. • Wilhelmsen L, Tibbling G. Tobacco smoking in fifty-year-old men. I. Respiratory symptoms and ventilatory function tests. Scand J Respir Dis 1966;47(2):121-30 • Wilhelmsen L, Wedel H, Tibblin G. Multivariate analysis of risk factors for coronary heart disease. Circulation 1973;48:950-958. • Wilhelmsen L, Welin L, Svärdsudd K, Wedel H, Eriksson H, Hansson PO, Rosengren A. Secular changes in cardiovascular risk factors and attack rate of myocardial infarction among men aged 50 in Gothenburg, Sweden. Accurate prediction using risk models. J Intern Med. 2008 Jun;263(6):636-43. Epub 2008 Feb 20.


Linkage


ICD and ADL


Good opportunities to link to other data sets if ethical and technical concerns are respected and decided on in a formal way.


Data quality


Applicability


The study of men born in 1913 and their successors, men born in 1923, 1933, 1943 and 1953 provide opportunities to explore how living conditions have changed over four decades and what health effects these changes have had. From the start of the 60th century, the data have given opportunities to explore trends, as well as in cross-section as longitudinally. Strengths and limitations of the study “The present study has several strengths, including a prospective design, availability of a large number of potential predictors, an extended follow-up and a complete mortality follow-up. Additionally, the general population sample with an almost uniquely high attendance rate provides possibilities to generalize to the background population of men of similar age in the city and probably also to other men in general. However, there are also limitations, chiefly a comparatively limited study population, but also the fact that all were men of similar age and almost exclusively of Caucasian origin. Whilst this is, in some respects, a strength, reducing random variation in heterogeneous strata, it is also a limitation reducing the possibility to generalize the findings not only with respect to gender and age, but also to location and time period. Another limitation is that we were not able to assess quality of life including the presence of Alzheimer’s disease in the surviving men. In summary, we found several modifiable lifestyle factors, such as smoking and diet-related serum cholesterol levels, as well as socio-economic status and physical working capacity to be significantly associate with survival until age 90. However, we did not find that parental survival was of significant importance for survival amongst these men, and therefore, lifestyle factors seem to be more important than familial ⁄ genetic factors” (Factors associated with reaching 90 years of age: a study of men born in 1913 in Gothenburg, Sweden; Journal of internal medicine; 10.1111/j.1365-2796.2010.02331.x L. Wilhelmsen1, K.Sva¨ rdsudd2, H. Eriksson1, A. Rosengren1, P.-O. Hansson1, C.Welin1, A.Ode´n3&L. Welin4).


  • The information about this dataset was compiled by the author:
  • Kenneth Abrahamsson
  • (see Partners)