Aging and the prevalence of cardiovascular disease risk factors in older American Indians: the Strong Heart Study.

Abstract:

OBJECTIVES:To describe longitudinal changes in the prevalence of major cardiovascular disease (CVD) risk factors in aging American Indians. DESIGN:Population-based ongoing epidemiological study. SETTING:The Strong Heart Study is a study of CVD and its risk factors. Standardized examinations were repeated in 1993 to 1995 and again in 1997 to 1999. PARTICIPANTS:A diverse cohort of 4,549 American Indians aged 45 to 74 at the initial examinations in 1989 to 1991. MEASUREMENTS:Changes in the prevalence of hypertension, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), current smoking, and type 2 diabetes mellitus. RESULTS:The prevalence of hypertension rose rapidly and steadily with aging. A nonsignificant decrease in LDL-C was seen in men, and men and women initially had rapid increases in the prevalence of low HDL-C. The prevalence of smoking decreased, but the prevalence of diabetes mellitus continued to rise for men and women. CONCLUSION:Overall, unfavorable changes in CVD risk factors were seen in the aging participants and will likely be reflected in worsening morbidity and mortality.

journal_name

J Am Geriatr Soc

authors

Rhoades DA,Welty TK,Wang W,Yeh F,Devereux RB,Fabsitz RR,Lee ET,Howard BV

doi

10.1111/j.1532-5415.2006.01018.x

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

87-94

issue

1

eissn

0002-8614

issn

1532-5415

pii

JGS1018

journal_volume

55

pub_type

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