Risk factors in middle age that predict early and late onset of coronary heart disease
Identifieur interne : 002296 ( Istex/Corpus ); précédent : 002295; suivant : 002297Risk factors in middle age that predict early and late onset of coronary heart disease
Auteurs : Richard J. Benfante ; Dwayne M. Reed ; Charles J. Maclean ; Katsuhiko YanoSource :
- Journal of Clinical Epidemiology [ 0895-4356 ] ; 1988.
Abstract
Twelve biological and lifestyle characteristics measured in a group of 5919 middle aged men free of clinical coronary heart disease (CHD), stroke and cancer were analyzed for differences in predicting early and late onset of new cases of definite CHD (non-fatal myocardial infarction and fatal CHD) over a l2-year follow-up period. Among these men, 151 cases of definite CHD occurred early (under age 60) and 135 cases occurred later in life (age 60 and over). Serum triglyceride was the only risk factor that was an independent predictor of early onset disease and not of late onset disease. While cigarette smoking was a predictor for both onset groups, the effect of smoking was greater in people who developed CHID earlier in life. Systolic blood pressure, alcohol intake, serum cholesterol and serum glucose were independent predictors for both onset groups, with no difference in effect between groups. The findings indicate that it is possible for some factors to affect CHD risk differently in terms of premature vs delayed onset of disease. The findings for serum triglyceride may account for some of the inconsistencies in reports regarding it as an independent risk factor for CHID. In general, however, most of the characteristics studied here had a similar effect on both early and late onset and thus remain important in the prevention of both premature and late onset of CHID.
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DOI: 10.1016/0895-4356(89)90082-6
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Maclean</name><affiliation><mods:affiliation>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</mods:affiliation></affiliation></author><author><name sortKey="Yano, Katsuhiko" sort="Yano, Katsuhiko" uniqKey="Yano K" first="Katsuhiko" last="Yano">Katsuhiko Yano</name><affiliation><mods:affiliation>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:3AF24E3BD4B1D62D0B0C5DC06DE1E472EA45380C</idno><date when="1989" year="1989">1989</date><idno type="doi">10.1016/0895-4356(89)90082-6</idno><idno type="url">https://api.istex.fr/document/3AF24E3BD4B1D62D0B0C5DC06DE1E472EA45380C/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002296</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Risk factors in middle age that predict early and late onset of coronary heart disease</title><author><name sortKey="Benfante, Richard J" sort="Benfante, Richard J" uniqKey="Benfante R" first="Richard J." last="Benfante">Richard J. Benfante</name><affiliation><mods:affiliation>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</mods:affiliation></affiliation></author><author><name sortKey="Reed, Dwayne M" sort="Reed, Dwayne M" uniqKey="Reed D" first="Dwayne M." last="Reed">Dwayne M. Reed</name><affiliation><mods:affiliation>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</mods:affiliation></affiliation></author><author><name sortKey="Maclean, Charles J" sort="Maclean, Charles J" uniqKey="Maclean C" first="Charles J." last="Maclean">Charles J. 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Among these men, 151 cases of definite CHD occurred early (under age 60) and 135 cases occurred later in life (age 60 and over). Serum triglyceride was the only risk factor that was an independent predictor of early onset disease and not of late onset disease. While cigarette smoking was a predictor for both onset groups, the effect of smoking was greater in people who developed CHID earlier in life. Systolic blood pressure, alcohol intake, serum cholesterol and serum glucose were independent predictors for both onset groups, with no difference in effect between groups. The findings indicate that it is possible for some factors to affect CHD risk differently in terms of premature vs delayed onset of disease. The findings for serum triglyceride may account for some of the inconsistencies in reports regarding it as an independent risk factor for CHID. In general, however, most of the characteristics studied here had a similar effect on both early and late onset and thus remain important in the prevention of both premature and late onset of CHID.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Richard J. Benfante</name><affiliations><json:string>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</json:string></affiliations></json:item><json:item><name>Dwayne M. Reed</name><affiliations><json:string>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</json:string></affiliations></json:item><json:item><name>Charles J. MacLean</name><affiliations><json:string>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</json:string></affiliations></json:item><json:item><name>Katsuhiko Yano</name><affiliations><json:string>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Coronary heart disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Age at onset</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Risk factors</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Myocardial infarction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Japanese</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Americans</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Prospective study</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Twelve biological and lifestyle characteristics measured in a group of 5919 middle aged men free of clinical coronary heart disease (CHD), stroke and cancer were analyzed for differences in predicting early and late onset of new cases of definite CHD (non-fatal myocardial infarction and fatal CHD) over a l2-year follow-up period. Among these men, 151 cases of definite CHD occurred early (under age 60) and 135 cases occurred later in life (age 60 and over). Serum triglyceride was the only risk factor that was an independent predictor of early onset disease and not of late onset disease. While cigarette smoking was a predictor for both onset groups, the effect of smoking was greater in people who developed CHID earlier in life. Systolic blood pressure, alcohol intake, serum cholesterol and serum glucose were independent predictors for both onset groups, with no difference in effect between groups. The findings indicate that it is possible for some factors to affect CHD risk differently in terms of premature vs delayed onset of disease. The findings for serum triglyceride may account for some of the inconsistencies in reports regarding it as an independent risk factor for CHID. In general, however, most of the characteristics studied here had a similar effect on both early and late onset and thus remain important in the prevention of both premature and late onset of CHID.</abstract><qualityIndicators><score>7.712</score><pdfVersion>1.2</pdfVersion><pdfPageSize>540 x 792 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>7</keywordCount><abstractCharCount>1391</abstractCharCount><pdfWordCount>5102</pdfWordCount><pdfCharCount>33709</pdfCharCount><pdfPageCount>10</pdfPageCount><abstractWordCount>226</abstractWordCount></qualityIndicators><title>Risk factors in middle age that predict early and late onset of coronary heart disease</title><pii><json:string>0895-4356(89)90082-6</json:string></pii><genre><json:string>research-article</json:string></genre><serie><genre></genre><language><json:string>unknown</json:string></language><title>Part 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Among these men, 151 cases of definite CHD occurred early (under age 60) and 135 cases occurred later in life (age 60 and over). Serum triglyceride was the only risk factor that was an independent predictor of early onset disease and not of late onset disease. While cigarette smoking was a predictor for both onset groups, the effect of smoking was greater in people who developed CHID earlier in life. Systolic blood pressure, alcohol intake, serum cholesterol and serum glucose were independent predictors for both onset groups, with no difference in effect between groups. The findings indicate that it is possible for some factors to affect CHD risk differently in terms of premature vs delayed onset of disease. The findings for serum triglyceride may account for some of the inconsistencies in reports regarding it as an independent risk factor for CHID. In general, however, most of the characteristics studied here had a similar effect on both early and late onset and thus remain important in the prevention of both premature and late onset of CHID.</p></abstract><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>Coronary heart disease</term></item><item><term>Age at onset</term></item><item><term>Risk factors</term></item><item><term>Myocardial infarction</term></item><item><term>Japanese</term></item><item><term>Americans</term></item><item><term>Prospective study</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1988-03-07">Registration</change><change when="1988">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla"><item-info><jid>JCE</jid><aid>89900826</aid><ce:pii>0895-4356(89)90082-6</ce:pii><ce:doi>10.1016/0895-4356(89)90082-6</ce:doi><ce:copyright type="unknown" year="1989"></ce:copyright></item-info><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para>This study was supported by National Heart, Lung and Blood Institute Contract No. N01-HV-02901.</ce:note-para></ce:article-footnote><ce:dochead><ce:textfn>Original article</ce:textfn></ce:dochead><ce:title>Risk factors in middle age that predict early and late onset of coronary heart disease</ce:title><ce:author-group><ce:author><ce:given-name>Richard J.</ce:given-name><ce:surname>Benfante</ce:surname><ce:cross-ref refid="COR1"><ce:sup>∗</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Dwayne M.</ce:given-name><ce:surname>Reed</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>2</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Charles J.</ce:given-name><ce:surname>MacLean</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Katsuhiko</ce:given-name><ce:surname>Yano</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>1</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>b</ce:label><ce:textfn>Honolulu Heart Program, National Heart, Lung and Blood Institute, NIH, Honolulu, HI 96817, U.S.A</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Correspondence should be addressed to: Richard Benfante, Honolulu Heart Program, 347 North Kuakini Street, Honolulu, HI 96817, U.S.A.</ce:text></ce:correspondence></ce:author-group><ce:date-accepted day="7" month="3" year="1988"></ce:date-accepted><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>Twelve biological and lifestyle characteristics measured in a group of 5919 middle aged men free of clinical coronary heart disease (CHD), stroke and cancer were analyzed for differences in predicting early and late onset of new cases of definite CHD (non-fatal myocardial infarction and fatal CHD) over a l2-year follow-up period. Among these men, 151 cases of definite CHD occurred early (under age 60) and 135 cases occurred later in life (age 60 and over).</ce:simple-para><ce:simple-para>Serum triglyceride was the only risk factor that was an independent predictor of early onset disease and not of late onset disease. While cigarette smoking was a predictor for both onset groups, the effect of smoking was greater in people who developed CHID earlier in life. Systolic blood pressure, alcohol intake, serum cholesterol and serum glucose were independent predictors for both onset groups, with no difference in effect between groups.</ce:simple-para><ce:simple-para>The findings indicate that it is possible for some factors to affect CHD risk differently in terms of premature vs delayed onset of disease. The findings for serum triglyceride may account for some of the inconsistencies in reports regarding it as an independent risk factor for CHID. In general, however, most of the characteristics studied here had a similar effect on both early and late onset and thus remain important in the prevention of both premature and late onset of CHID.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>Coronary heart disease</ce:text></ce:keyword><ce:keyword><ce:text>Age at onset</ce:text></ce:keyword><ce:keyword><ce:text>Risk factors</ce:text></ce:keyword><ce:keyword><ce:text>Myocardial infarction</ce:text></ce:keyword><ce:keyword><ce:text>Japanese</ce:text></ce:keyword><ce:keyword><ce:text>Americans</ce:text></ce:keyword><ce:keyword><ce:text>Prospective study</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Risk factors in middle age that predict early and late onset of coronary heart disease</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Risk factors in middle age that predict early and late onset of coronary heart disease</title></titleInfo><name type="personal"><namePart type="given">Richard J.</namePart><namePart type="family">Benfante</namePart><affiliation>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</affiliation><description>Correspondence should be addressed to: Richard Benfante, Honolulu Heart Program, 347 North Kuakini Street, Honolulu, HI 96817, U.S.A.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Dwayne M.</namePart><namePart type="family">Reed</namePart><affiliation>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Charles J.</namePart><namePart type="family">MacLean</namePart><affiliation>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Katsuhiko</namePart><namePart type="family">Yano</namePart><affiliation>Honolulu Heart Program, Kuakini Medical Center, Honolulu, HI, 96817 USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1988</dateIssued><dateValid encoding="w3cdtf">1988-03-07</dateValid><copyrightDate encoding="w3cdtf">1989</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Twelve biological and lifestyle characteristics measured in a group of 5919 middle aged men free of clinical coronary heart disease (CHD), stroke and cancer were analyzed for differences in predicting early and late onset of new cases of definite CHD (non-fatal myocardial infarction and fatal CHD) over a l2-year follow-up period. Among these men, 151 cases of definite CHD occurred early (under age 60) and 135 cases occurred later in life (age 60 and over). Serum triglyceride was the only risk factor that was an independent predictor of early onset disease and not of late onset disease. While cigarette smoking was a predictor for both onset groups, the effect of smoking was greater in people who developed CHID earlier in life. Systolic blood pressure, alcohol intake, serum cholesterol and serum glucose were independent predictors for both onset groups, with no difference in effect between groups. The findings indicate that it is possible for some factors to affect CHD risk differently in terms of premature vs delayed onset of disease. The findings for serum triglyceride may account for some of the inconsistencies in reports regarding it as an independent risk factor for CHID. 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