Prospective assessment of coronary heart disease risk factors: The NHANES I epidemiologic follow-up study (NHEFS) 16-year follow-up

被引:48
作者
Gartside, PS
Wang, P
Glueck, CJ
机构
[1] Jewish Hosp Cincinnati, Ctr Cholesterol, Cincinnati, OH 45229 USA
[2] Univ Cincinnati, Coll Med, Div Biostat, Cincinnati, OH 45221 USA
关键词
coronary heart disease; fish; alcohol; serum cholesterol;
D O I
10.1080/07315724.1998.10718757
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Objective: Our specific aim in the 16 year prospective NHANES I epidemiologic follow-up study (NHEFS) was to assess the important roles of modifiable dietary and behavioral factors in causation and prevention of deaths and hospitalizations for coronary heart disease (CHD). Methods: Using NHEFS 16 year follow-up data (1971 to 1987), we studied 5811 subjects, 1958 with and 3853 without CHD events, using logistic regression. Results: In age groups 40 to 49, 50 to 59, 60 to 69, and 70 to 74 years (at study entry in 1971-4), the numbers of men and women were respectively 597 and 1019, 570 and 619, 932 and 1042, and 486 and 546. The following factors were independently positively associated (p<.05) with CHD: age, serum cholesterol, body mass index, cigarette use, and region (Midwest, Northeast). The following factors were independently negatively associated (p<.05) with CHD: gender (female), race (black), fish intake, alcohol, high school education, moderate exercise, and moderate and heavy habitual physical activity. Subjects with serum cholesterol >249 mg/dl benefitted less (p=.04) from fish intake than those with 209 to 249 or <209, and benefitted less (p=.03) from alcohol intake (CHD incidence [%]): GRAPHICS Conclusions: These associations emphasize the important role of modifiable dietary and behavioral factors in the causation and prevention of CHD.
引用
收藏
页码:263 / 269
页数:7
相关论文
共 50 条
[41]   Risk Factors Assessed in Adolescence and the Later Risk of Stroke in Men: A 33-Year Follow-Up Study [J].
Hogstrom, Gabriel ;
Nordstrom, Anna ;
Eriksson, Marie ;
Nordstrom, Peter .
CEREBROVASCULAR DISEASES, 2015, 39 (01) :63-71
[42]   Isolated low HDL cholesterol as a risk factor for coronary heart disease mortality - A 21-year follow-up of 8000 men [J].
Goldbourt, U ;
Yaari, S ;
Medalie, JH .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 1997, 17 (01) :107-113
[43]   Psychological stress and influence factors in elderly patients with mild coronary heart disease: a longitudinal follow-up study in Shanghai, China [J].
Zhang, Yunwei ;
Wu, Qiyong ;
Xie, Qiaotao ;
Xu, Zhimin ;
Yang, Xiuhui ;
Luo, Yashuang ;
Wan, Lingshan ;
Yang, Ya ;
Wang, Yibo ;
Ding, Hansheng .
FRONTIERS IN PSYCHOLOGY, 2024, 15
[44]   Different measures of alcohol consumption and risk of coronary heart disease and all-cause mortality: 11-year follow-up of the Whitehall II Cohort Study [J].
Britton, A ;
Marmot, M .
ADDICTION, 2004, 99 (01) :109-116
[45]   Pessimism and risk of death from coronary heart disease among middle-aged and older Finns: an eleven-year follow-up study [J].
Pankalainen, Mikko ;
Kerola, Tuomas ;
Kampman, Olli ;
Kauppi, Markku ;
Hintikka, Jukka .
BMC PUBLIC HEALTH, 2016, 16
[46]   Pessimism and the risk for coronary heart disease among middle-aged and older Finnish men and women: a ten-year follow-up study [J].
Pankalainen, Mikko T. ;
Kerola, Tuomas V. ;
Hintikka, Jukka J. .
BMC CARDIOVASCULAR DISORDERS, 2015, 15
[47]   Pessimism and the risk for coronary heart disease among middle-aged and older Finnish men and women: a ten-year follow-up study [J].
Mikko T. Pänkäläinen ;
Tuomas V. Kerola ;
Jukka J. Hintikka .
BMC Cardiovascular Disorders, 15
[48]   THE HELSINKI-HEART-STUDY - AN 8.5-YEAR SAFETY AND MORTALITY FOLLOW-UP [J].
HUTTUNEN, JK ;
HEINONEN, P ;
MANNINEN, V ;
KOSKINEN, P ;
HAKULINEN, T ;
TEPPO, L ;
MANTTARI, M ;
FRICK, MH .
JOURNAL OF INTERNAL MEDICINE, 1994, 235 (01) :31-39
[49]   Serum Magnesium and the Incidence of Coronary Heart Disease Over 20 Years of Follow-up: The Atherosclerosis Risk in Communities (ARIC) Study [J].
Rooney, Mary R. ;
Misialek, Jeffrey R. ;
Alonso, Alvaro ;
Folsom, Aaron R. ;
Michos, Erin D. ;
Rebholz, Casey M. ;
Chen, Lin Y. ;
Lutsey, Pamela L. .
CIRCULATION, 2018, 137
[50]   Factors predicting satisfaction in outpatient substance abuse treatment: a prospective follow-up study [J].
Kuusisto, Katja ;
Lintonen, Tomi .
SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY, 2020, 15 (01)