Prevalence of risk factors for cardiovascular disease in Canadians 55 to 74 years of age: Results from the Canadian Heart Health Surveys, 1986-1992

CMAJ. Canadian Medical Association Journal

Volumn 161, Issue 8 SUPPL. 1, 1999, Pages

  Langille, Donald B ^a   Joffres, Michel R ^a   MacPherson, Kathleen M ^a   Andreou, Pantelis ^a   Kirkland, Susan A ^a   MacLean, David R ^a  

^a DALHOUSIE UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

HIGH DENSITY LIPOPROTEIN CHOLESTEROL; LOW DENSITY LIPOPROTEIN CHOLESTEROL;

AGED; ARTICLE; BLOOD; BODY MASS; CANADA; CARDIOVASCULAR DISEASE; EXERCISE; FEMALE; HEALTH SURVEY; HUMAN; HYPERCHOLESTEROLEMIA; HYPERTENSION; MALE; MIDDLE AGED; PREVALENCE; RISK FACTOR; SMOKING;

AGED; BODY MASS INDEX; CANADA; CARDIOVASCULAR DISEASES; CHOLESTEROL, HDL; CHOLESTEROL, LDL; EXERCISE; FEMALE; HEALTH SURVEYS; HUMANS; HYPERCHOLESTEROLEMIA; HYPERTENSION; MALE; MIDDLE AGED; PREVALENCE; RISK FACTORS; SMOKING;

EID: 0032651119     PISSN: 08203946     EISSN: 14882329     Source Type: Journal    
DOI: None     Document Type: Review

References (64)

1. Statistics Canada. Population by sex and age, estimates for 1996 and projections for 2001, 2006, 2011 and 2016. Available: www.statcan.ca/english/Pgdb/ People/Population/demo23a.htm (accessed 1999 Aug 22).
2. Heart disease and stroke in Canada. Ottawa: Statistics Canada, Health Statistics Division, Health Canada, and Heart and Stroke Foundation of Canada. 1997. p. 3.
3. Powell C, MacKnight C. Epidemiology of heart disease. In: Pathy MJS, editor. Principles and practice of geriatric medicine. vol 1. Toronto: John Wiley & Sons; 1998. p. 517-31.
4. Vokonas PS, Kannel WB, Cupples LA. Epidemiology and risk of hypertension in the elderly: the Framingham study. J Hypertens 1988;6:S3-9.
5. Taylor JO, Cornoni-Huntley J, Curb JD, Manton KG, Ostfeld AM, Scherr P, et al. Blood pressure and mortality risk in the elderly. Am J Epidemiol 1991;134:489-501.
6. Fodor JG. Hypertension control: historic perspectives - 25 years of progress in Canada and around the world. Can J Public Health 1994;85(Suppl 2):S7-8.
7. World Health Organization. Hypertension control: report of a WHO expert committee. WHO Tech Rep Ser 1996;862:1-83.
8. Kawachi I. Epidemiology of stroke. Importance of preventive pharmacological strategies in elderly patients and associated costs. Drugs Aging 1994;5:288-99.
9. Cardiovascular disease. In: Strasser T, editor. Cardiovascular care of the elderly. Geneva: World Health Organization; 1987. p. 111-7.
10. Curb JD, Abbott RD, MacLean CJ, Rodriguez BL, Burchfiel CM, Sharp DS, et al. Age-related changes in stroke risk in men with hypertension and normal blood pressure. Stroke 1996;27:819-24.
11. Garber AM, Browner WS, Hulley SB. Cholesterol screening in asymptomatic adults, revisited. Ann Intern Med 1996;124:518-31.
12. Kronmal PE, Cain KC, Ye Z, Omenn GS. Total serum cholesterol and mortality risk as a function of old age. Arch Intern Med 1993;153:1065-73.
13. Leaverton PE, Havlik RJ, Ingster-Moore IM, LaCroix AZ, Cornoni-Huntley JC. Coronary heart disease and hypertension. In: Cornoni-Huntley JC, Huntley RR, Feldman JJ, editors. Health status and well-being of the elderly. New York: Oxford University Press; 1990. p. 53-70.
14. Krumholz HM, Seeman TE, Merrill SS, Mendes de Leon CF, Vaccinaro V, Silverman DI, et al. Lack of association between cholesterol and coronary heart disease mortality and morbidity and all-cause mortality in persons older than 70 years. JAMA 1994;272:1335-40.
15. Rossouw JE, Mangdiwala S, Gordon DJ, Bush JL, Rifkind BL. Plasma lipids as predictors of CHD in older men and women: the LRC follow-up study [abstract]. Circulation 1990;82(Suppl 3):346.
16. Frost PH, Davis BR, Burlando AJ, Curb JD, Guthrie GP, Isaacsohn JL, et al. Serum lipids and incidence of coronary heart disease: findings from the systolic hypertension in the elderly program (SHEP). Circulation 1996;94:2381-8.
17. The health consequences of smoking: cardiovascular disease. A report of the Surgeon General. Department of Health and Human Services publ no. (PHS) 84-50204. Washington: US Public Health Service, Office on Smoking and Health; 1983. p. 6-8.
18. Wilhelmson L. Coronary heart disease: epidemiology of smoking and intervention studies of smoking. Am Heart J 1988;115:242-9.
19. Doll R, Peto R. Mortality in relation to smoking: 20 years' observations on male British doctors. BMJ 1976;2:1525-36.
20. Harris T, Cook EF, Kannel WB, Goldman L. Proportional hazards analysis of risk factors for coronary heart disease in individuals aged 65 or older: the Framingham Heart Study. JAm Geriatr Soc 1988;36:1023-8.
21. Castelli WP, Wilson PW, Levy D, Anderson K. Cardiovascular risk factors in the elderly. Am J Cardiol 1989;63:12H-19H.
22. Jajich CL, Ostfeld AM, Freeman DH Jr. Smoking and coronary heart disease mortality in the elderly. JAMA 1984;252:2831-4.
23. Benfante R, Reed D, Frank J. Does cigarette smoking have an independent effect on coronary artery disease incidence in the elderly? Am J Public Health 1991;81:897-9.
24. LaCroix AZ, Lang J, Scherr P, Wallace RB, Cornoni-Huntley J, Berkman L, et al. Smoking and mortality among older men and women in three communities. N Engl J Med 1991;324:1619-25.
25. Paffenbarger RS, Wing AL, Hyde RT. Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol 1978;108:161-75.
26. Morris JN, Everitt MG, Pollard R, Chave SP, Semmence AM. Vigorous exercise in leisure-time: protection against coronary heart disease. Lancet 1980;2:1207-10.
27. Rodriguez BL, Curb JD, Burchfiel CM, Abbott RD, Petrovich H, Masaki K, et al. Physical activity and 23-year incidence of coronary heart disease morbidity and mortality among middle-aged men. The Honolulu Heart Program. Circulation 1994;89:2540-4.
28. Rakowski W, Mor V. The association of physical activity with mortality among older adults in the Longitudinal Study of Aging (1984-1988). J Gerontol 1992;47:M122-9.
29. Sherman SE, D'Agostino RB, Cobb JL, Kannel WB. Does exercise reduce mortality rates in the elderly? Experience from the Framingham Heart Study. Am Heart J 1994;128:965-72.
30. Simonsick EM, Lafferty ME, Phillips CL, Mendes de Leon CF, Kasl SV, Seeman TE, et al. Risk due to inactivity in physically capable older adults. Am J Public Health 1993;83:1443-50.
31. Pi-Sunyer FX. Health implications of obesity. Am J Clin Nutr 1991;53(6 Suppl):1595S-1603S.
32. Burack RC, Keller JB, Higgins MW. Cardiovascular risk factors and obesity: Are baseline levels of blood pressure, glucose, cholesterol and uric acid elevated prior to weight gain? J Chrom Dis 1985;38:865-72.
33. Felber JP, Acheson KJ, Tapp L. Epidemiological aspects. In: From obesity to diabetes. West Sussex (UK): John Wiley and Sons; 1993. p. 1-14.
34. Harris TB, Savage PJ, Tell GS, Haan M, Kumanyika S, Lynch JC. Carrying the burden of cardiovascular risk in old age: associations of weight and weight change with prevalent cardiovascular disease, risk factors, and health status in the Cardiovascular Health Study. Am J Clin Nutr 1997;66:837-44.
35. MacLean DR, Petrasovits A, Nargundkar M, Connelly PW, MacLeod E, Edwards A, et al. Canadian Heart Health Surveys: a profile of cardiovascular risk. Survey methods and data analysis. Canadian Heart Health Surveys Research Group. CMAJ 1992;146(11):1969-74.
36. Lipid and lipoprotein analysis. In: Manual of laboratory operation, lipid research clinics program (revised). Publ no. 75-678. Washington: US Department of Health, Education, and Welfare; 1982. p. 1-143.
37. Canadian Consensus Conference on the Prevention of Heart and Vascular Disease by Altering Serum Cholesterol and Lipoprotein Risk Factors. Canadian Consensus Conference on Cholesterol: final report. CMAJ 1988; 139(11 Suppl):1-8.
38. Summary of the second report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel II). JAMA 1993; 269(23):3015-23.
39. Landahl S, Bengstson C, Sigurdsson JA, Svanborg A, Svardsudd K. Age-related changes in blood pressure. Hypertension 1986;8:1044-9.
40. Staessen J, Fagard R, Amery A. Isolated systolic hypertension in the elderly: implications of Systolic Hypertension in the Elderly Program (SHEP) for clinical practice and for the ongoing trials. J Hum Hypertens 1991;5:469-74.
41. SHEP Cooperative Research Group. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension: final results of the Systolic Hypertension in the Elderly Program (SHEP). JAMA 1991;265:3255-64.
42. Dahlof B, Lindholm LH, Hansson L, Schersten B, Ekbom T, Wester PO. Morbidity and mortality in the Swedish Trial in Old Patients with Hypertension (STOP-Hypertension). Lancet 1991;338:1281-5.
43. MRC Working Party. Medical Research Council trial of treatment of hypertension in older adults: principal results. BMJ 1992;304:405-12.
44. National Heart, Lung and Blood Institute. Part III: A closer look. In: Report of the Task Force on Research in Atheroschlerosis. Bethesda (MD): The Institute; 1992. p. 114-5.
45. Barker WH, Mullooly JP. Stroke in a defined elderly population, 1967-1985: a less lethal and disabling but no less common disease. Stroke 1997;28:285-90.
46. MacMahon S, Cutler JA, Stamler J. Antihypertensive drug treatment: potential, expected and observed effects on stroke and coronary heart disease. Hypertension 1989;13(5 Suppl):145-50.
47. Joffres MR, Ghadirian P, Fodor JG, Petrasovits A, Chockalingam A, Hamet P. Awareness, treatment and control of hypertension in Canada. Am J Hypertension 1997;10:1097-102.
48. Kannel WB. Cardiovascular risk factors in the elderly. Coron Artery Dis 1997;9:565-75.
49. Shepherd J, Cobbe SM, Ford I, Isles CG, Lorimer AR, MacFarlane PW, et al. Prevention of coronary heart disease with pravastatin in men with hypercholesterolemia. West of Scotland Coronary Prevention Study Group. N Engl J Med 1995;333:1301-7.
50. Scandinavian Simvastatin Survival Study Group. Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S). Lancet 1994;344:1383-9.
51. Rubin SM, Sidney S, Black DM, Browner WS, Hulley SB, Cummings SR. High blood cholesterol in elderly men and the excess risk for coronary heart disease. Ann Intern Med 1990;111:916-20.
52. Rose G. The relation of risk to exposure. In: The strategy of preventive medicine. Oxford: Oxford University Press; 1992. p. 15-28.
53. LaCroix AZ, Omenn GS. Older adults and smoking. Clin Geriatr Med 1992;8:69-87.
54. Hennanson B, Omenn GS, Kronmal RA, Gersh BJ. Beneficial six-year outcome of smoking cessation in older men and women with coronary artery disease: results from the CASS registry. N Engl J Med 1988;319:1365-9.
55. LaCroix AZ, Leveille SG, Hecht JA, Grothaus LC, Wagner EH. Does walking decrease the risk of cardiovascular disease hospitalizations and death in older adults? J Am Geriatr Soc 1996;44:113-20.
56. Sacco RL, Gan R, Boden-Albala B, Lin IF, Kargman DE, Hauser WA, et al. Leisure-time physical activity and ischemic stroke risk the Northern Manhattan Stroke Study. Stroke 1998;29:380-7 .
57. Morey MC, Cowper PA, Feussner JR, DiPasquale RC, Crowley GM, Sasma GP, et al. Two-year trends in physical performance following supervised exercise among community-dwelling older veterans. J Am Geriatr Soc 1991; 39:986-92.
58. Katzel LI, Bleecker ER, Colman EG, Rogus EM, Sorkinc JD, Goldberg AP. Effects of weight loss vs aerobic exercise training on risk factors for coronary disease in healthy, obese, middle-aged and older men: a randomized controlled trial. JAMA 1995;274:1915-21.
59. Health and Welfare Canada. Nutrition recommendations: the report of the scientific review committee. Ottawa: Minister of Supply and Services; 1990. p. 15-16.
60. Kannel WB, Neaton JD, Wentworth D, Thomas HE, Stamler J, Hulley SB, et al. Overall and coronary heart disease mortality rates in relation to major risk factors in 325,348 men screened for the MRFTT. Multiple Risk Factor Intervention Trial. Am Heart J 1986;112:825-36.
61. Hunink MG, Goldman L, Tosteson A, Mittleman MA, Goldman PA, Williams LW, et al. The recent decline in mortality from coronary heart disease, 1980-1990: the effect of secular trends in risk factors and treatment. JAMA 1997;277:535-42.
62. Fries JF. Aging, natural death, and the compression of morbidity. N Engl J Med 1980;303:130-5.
63. Vita AJ, Terry RB, Hubert HB, Fries JF. Aging, health risks, and cumulative disability. N Engl J Med 1998;338:1035-41.
64. Campion EW. Aging better. N Engl J Med 1998;338:1064-6.