Sami lifestyle and health,Epidemiological Studies in Northern Sweden,Collaborators,Bethany van Guelpen (main supervisor) Anna Winkvist (supervisor) Per Sjlander (supervisor) Per Lenner (supervisor), 高压油管 金属软管 液压接头 ,Sami the indigenous people of northern Scandinavia,Total: 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 meat wild fish low fibre intake high protein intake high physical activity Nilsen et al 1999, Hglin 1999,”Notfiske i Luebnejaur” by Peter Rodhe,Cancer risk pattern,Figure 1. Data from Hassler et al 2001,Hypothesis,There are specific traditional Sami lifestyle elements which, independent of ethnicity, are associated with altered risk patterns for cancer and cardiovascular disease.,Strategy sami diet score,Study population,2. The Vilhelmina Sami Study,1. Population based data from Vsterbotten,3. Interviews,VIP Mammary MONICA,NSHDS,Data design: The VIP-questionnaire,Background information Experienced health Quality of life Social network Work situation Physical activity Tobacco and alcohol habits Diet,Data design: Frequencies,Data design: Amounts,2. The Vilhelmina Sami Study,170 diet & lifestyle VIP-questionnaires from reindeer herding Sami households Sami-VIP, 600 persons,”The bullock” by Peter Rodhe,3. 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 and activity variables of the the VIP-questionnaire, when you were young?,”Ancestors” by Peter Rodhe,Test interview,Sami woman, 68 years old, raised by her non-sami grandparents who were settlers in central Lappland: 1. diet and lifestyle as a child? - activity 2. diet and lifestyle at age 30-40 years? - assimilation . - good behavior bias 3. 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 lingon,New Interview Strategy,I How would your parents have answered the diet and activity variables of the the VIP-questionnaire, when they were 30-40 years old? II How would you have answered the VIP-questions, when you were 3040 years old?,Interview planning,10 20 Forest and mountain Sami in Trna, Sorsele, Mal (and Arvidsjaur) = Vsterbotten county. Recording and transcribing the interviews Additional data (validity problem of the VIP-questionnaire) Other kinds of full grain equivalents?,Research plan,Coffee (filtered and boiled) and cardiovascular disease Coffee (filtered and boiled) and cancer Construction of a Sami Diet Score Sami Diet Score and cancer Sami Diet Score and cardiovascular disease,Ethical aspects,data security integrity ethnicity,quality assurance lifestyle focus public benefit,Significance of the study from a HELGA perspective,A low wholegrain lifestyle, a lifestyle in change,”Konsert i ktan” by Eva Conradzon,