THE PREVALENCE OF CORONARY HEART DISEASE AND ASSOCIATED FACTORS IN AN AUSTRALIAN RURAL COMMUNITY
3,410 adults of the community of Busselton, Western Australia, representing 91% of the target population, were screened over a two-week period in 1966. Standard questionnaires for angina pectoris and myocardial infarction recommended by the WHO were used, but a modified interpretation improved speci...
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| Veröffentlicht in: | American journal of epidemiology 1969-05, Vol.89 (5), p.521-536 |
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| container_title | American journal of epidemiology |
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| creator | WELBORN, T. A. CUMPSTON, G. N. CULLEN, K. J. CURNOW, D. H. MCCALL, M. G. STENHOUSE, N. S. |
| description | 3,410 adults of the community of Busselton, Western Australia, representing 91% of the target population, were screened over a two-week period in 1966. Standard questionnaires for angina pectoris and myocardial infarction recommended by the WHO were used, but a modified interpretation improved specificity. Eectrocardiographic findings were recorded in the Minnesota Code. The overall prevalence rate of “probable” coronary heart disease was 68 per 1,000 for males and 58 per 1,000 for females. The age- and sex-specific prevalence rates were very similar to those of Tecumseh, USA. Risk factors were analyzed using age- and sex- specific eightieth percentile values to simplify the data into “upper” and “lower” ranges. In both sexes, “upper range” serum cholesterol, blood pressure, and blood sugar levels after a glucose load were each significantly and independently associated with coronary heart disease; the risk-ratio for each being approximately twofold. In males only, “upper range” serum uric add levels showed a strong relationship of similar magnitude to, and independent from, the association of “upper range” blood pressures. In common with other prevalence studies no significant association was found with obesity nor with current cigarette smoking and coronary heart disease. |
| doi_str_mv | 10.1093/oxfordjournals.aje.a120965 |
| format | Article |
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A. ; CUMPSTON, G. N. ; CULLEN, K. J. ; CURNOW, D. H. ; MCCALL, M. G. ; STENHOUSE, N. S.</creator><creatorcontrib>WELBORN, T. A. ; CUMPSTON, G. N. ; CULLEN, K. J. ; CURNOW, D. H. ; MCCALL, M. G. ; STENHOUSE, N. S.</creatorcontrib><description>3,410 adults of the community of Busselton, Western Australia, representing 91% of the target population, were screened over a two-week period in 1966. Standard questionnaires for angina pectoris and myocardial infarction recommended by the WHO were used, but a modified interpretation improved specificity. Eectrocardiographic findings were recorded in the Minnesota Code. The overall prevalence rate of “probable” coronary heart disease was 68 per 1,000 for males and 58 per 1,000 for females. The age- and sex-specific prevalence rates were very similar to those of Tecumseh, USA. Risk factors were analyzed using age- and sex- specific eightieth percentile values to simplify the data into “upper” and “lower” ranges. In both sexes, “upper range” serum cholesterol, blood pressure, and blood sugar levels after a glucose load were each significantly and independently associated with coronary heart disease; the risk-ratio for each being approximately twofold. In males only, “upper range” serum uric add levels showed a strong relationship of similar magnitude to, and independent from, the association of “upper range” blood pressures. In common with other prevalence studies no significant association was found with obesity nor with current cigarette smoking and coronary heart disease.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/oxfordjournals.aje.a120965</identifier><identifier>PMID: 5770165</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adult ; Age Factors ; Aged ; Australia ; Blood Glucose - analysis ; Blood Pressure ; blood sugar ; cholesterol ; Cholesterol - blood ; coronary disease ; Coronary Disease - epidemiology ; Electrocardiography ; Epidemiologic Methods ; Female ; Glucose Tolerance Test ; Health Surveys ; Humans ; Male ; Middle Aged ; Obesity - epidemiology ; Rural Population ; Sex Factors ; Smoking - epidemiology ; Urea - blood ; Uric Acid - blood ; uric add</subject><ispartof>American journal of epidemiology, 1969-05, Vol.89 (5), p.521-536</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27869,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5770165$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WELBORN, T. 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The age- and sex-specific prevalence rates were very similar to those of Tecumseh, USA. Risk factors were analyzed using age- and sex- specific eightieth percentile values to simplify the data into “upper” and “lower” ranges. In both sexes, “upper range” serum cholesterol, blood pressure, and blood sugar levels after a glucose load were each significantly and independently associated with coronary heart disease; the risk-ratio for each being approximately twofold. In males only, “upper range” serum uric add levels showed a strong relationship of similar magnitude to, and independent from, the association of “upper range” blood pressures. In common with other prevalence studies no significant association was found with obesity nor with current cigarette smoking and coronary heart disease.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Australia</subject><subject>Blood Glucose - analysis</subject><subject>Blood Pressure</subject><subject>blood sugar</subject><subject>cholesterol</subject><subject>Cholesterol - blood</subject><subject>coronary disease</subject><subject>Coronary Disease - epidemiology</subject><subject>Electrocardiography</subject><subject>Epidemiologic Methods</subject><subject>Female</subject><subject>Glucose Tolerance Test</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - epidemiology</subject><subject>Rural Population</subject><subject>Sex Factors</subject><subject>Smoking - epidemiology</subject><subject>Urea - blood</subject><subject>Uric Acid - blood</subject><subject>uric add</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1969</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNpdkF1LwzAUhoMoOj9-ghAUvOs8SZqkvYxt5gq1lbYT9Sa2XQqbm9V2A_33FpxeeHVeeB5eDi9CFwTGBHx23X42bTdfttvurVz143JpxyWh4Au-h0bElcIRlIt9NAIA6vhU0CN03PdLAEJ8DofokEsJRPAReimmGt9n-kHFOgk0Tic4SLM0UdkTnmqVFTiMcq1yjVUSYpXnaRCpQod4ooIizXIcJQPBapYXmYqjIWazIQwld3ezJCqeTtFBMzxpz3b3BM0mugimTpzeRoGKnQWVdOPUlec1nFDhg-c2HhDrMsGkrAmpa4A5CGbBpZ6tbC0tbVxuofLkvGnKqq5IxU7Q1U_ve9d-bG2_MetFX9vVqnyz7bY3nkuYAE8M4uU_8XdIQxgIwQljZLDOd9a2Wtu5ee8W67L7MrvhBu788EW_sZ9_uOxejZBMcjN9fDYsD2_im5CZgH0Dpyh6zw</recordid><startdate>196905</startdate><enddate>196905</enddate><creator>WELBORN, T. 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A.</au><au>CUMPSTON, G. N.</au><au>CULLEN, K. J.</au><au>CURNOW, D. H.</au><au>MCCALL, M. G.</au><au>STENHOUSE, N. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>THE PREVALENCE OF CORONARY HEART DISEASE AND ASSOCIATED FACTORS IN AN AUSTRALIAN RURAL COMMUNITY</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>1969-05</date><risdate>1969</risdate><volume>89</volume><issue>5</issue><spage>521</spage><epage>536</epage><pages>521-536</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><abstract>3,410 adults of the community of Busselton, Western Australia, representing 91% of the target population, were screened over a two-week period in 1966. Standard questionnaires for angina pectoris and myocardial infarction recommended by the WHO were used, but a modified interpretation improved specificity. Eectrocardiographic findings were recorded in the Minnesota Code. The overall prevalence rate of “probable” coronary heart disease was 68 per 1,000 for males and 58 per 1,000 for females. The age- and sex-specific prevalence rates were very similar to those of Tecumseh, USA. Risk factors were analyzed using age- and sex- specific eightieth percentile values to simplify the data into “upper” and “lower” ranges. In both sexes, “upper range” serum cholesterol, blood pressure, and blood sugar levels after a glucose load were each significantly and independently associated with coronary heart disease; the risk-ratio for each being approximately twofold. In males only, “upper range” serum uric add levels showed a strong relationship of similar magnitude to, and independent from, the association of “upper range” blood pressures. In common with other prevalence studies no significant association was found with obesity nor with current cigarette smoking and coronary heart disease.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>5770165</pmid><doi>10.1093/oxfordjournals.aje.a120965</doi><tpages>16</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9262 |
| ispartof | American journal of epidemiology, 1969-05, Vol.89 (5), p.521-536 |
| issn | 0002-9262 1476-6256 |
| language | eng |
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| source | MEDLINE; Oxford University Press Journals Digital Archive Legacy; Periodicals Index Online |
| subjects | Adult Age Factors Aged Australia Blood Glucose - analysis Blood Pressure blood sugar cholesterol Cholesterol - blood coronary disease Coronary Disease - epidemiology Electrocardiography Epidemiologic Methods Female Glucose Tolerance Test Health Surveys Humans Male Middle Aged Obesity - epidemiology Rural Population Sex Factors Smoking - epidemiology Urea - blood Uric Acid - blood uric add |
| title | THE PREVALENCE OF CORONARY HEART DISEASE AND ASSOCIATED FACTORS IN AN AUSTRALIAN RURAL COMMUNITY |
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