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Titolo:
Diabetes mellitus, coronary heart disease incidence, and death from all causes in African American and European American women - The NHANES I Epidemiologic Follow-up Study
Autore:
Gillum, RF; Mussolino, ME; Madans, JH;
Indirizzi:
Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Off Anal Epidemiol & Hlth Promot, Hyattsville, MD 20782 USA Ctr Dis Control & Prevent Hyattsville MD USA 20782 ttsville, MD 20782 USA
Titolo Testata:
JOURNAL OF CLINICAL EPIDEMIOLOGY
fascicolo: 5, volume: 53, anno: 2000,
pagine: 511 - 518
SICI:
0895-4356(200005)53:5<511:DMCHDI>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
ASSOCIATION DETECTION PROJECT; FACTOR INTERVENTION TRIAL; RISK-FACTORS; WHITE MEN; CARDIOVASCULAR MORTALITY; ATHEROSCLEROSIS RISK; BLACK POPULATIONS; CIGARETTE-SMOKING; FASTING GLUCOSE; INSULIN;
Keywords:
blacks; diabetes; coronary disease; female;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Gillum, RF Ctr Dis Control & Prevent, Natl Ctr Hlth Stat, Off Anal Epidemiol & Hlth Promot, 6525 Belcrest Rd, Hyattsville, MD 20782 USA Ctr Dis Control & Prevent 6525 Belcrest Rd Hyattsville MD USA 20782
Citazione:
R.F. Gillum et al., "Diabetes mellitus, coronary heart disease incidence, and death from all causes in African American and European American women - The NHANES I Epidemiologic Follow-up Study", J CLIN EPID, 53(5), 2000, pp. 511-518

Abstract

are available on risk for coronary heart disease in African American womenwith diabetes mellitus, a well-established coronary risk factor in European American women. This study tests the hypothesis that medical history of diabetes predicts coronary heart disease incidence in African American womenin a national cohort. Participants in the NHANES I Epidemiologic Follow-upStudy in this analysis were 1035 African American and 5732 European American women aged 25-74 years without a history of coronary heart disease. Average follow-up for survivors was 19 years (maximum 22 years). Risk of incident coronary heart disease by baseline diabetes status was estimated. Proportional hazards analyses for African American women aged 25-74 revealed significant associations of coronary heart disease risk with diabetics after adjusting for age (RR = 2.40; 95% CI, 1.58-3.64, P < 0.01). After adjusting for age, smoking, and low education, there was an elevated risk in diabeticsage 25-74 (RR = 2.34; 95% CI, 1.54-3.56, P < 0.01); this association did not differ significantly from that for European American women. Excess coronary incidence in African American compared to European American women aged 25-64 was statistically Explained by controlling for diabetes history, age,education, and smoking hut only partly explained by age and diabetes history. In African American women aged 25-74, diabetes was also associated withincreased coronary heart disease, cardiovascular, and all-cause mortality. The population attributable risk of coronary heart disease incidence associated with a medical history of diabetes was 8.7% in African American womenand 6.1% in European American women. Medical history of diabetes was a significant predictor of coronary heart disease incidence and mortality in African American women and explained some of the excess coronary incidence in younger African American compared to European American women. (C) 2000 Elsevier Science Inc. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 07:18:21