The Strong Heart Study, a study of cardiovascular disease among American Indians, was conducted to determine cardiovascular disease rates and the prevalence of risk factors among members of 13 tribal groups in South Dakota/North Dakota (SD/ND), southeastern Oklahoma, and Arizona.
From 1989 to 1992,4,549 tribal members aged 45-74 years (62% of eligible participants) were surveyed and examined for cardiovascular disease and its risk factors.
Mean total cholesterol concentrations were over 20 mg/dl lower among the men and 27 mg/dl lower among the women than national mean levels for the same age groups.
Cholesterol levels varied by tribal group ; Arizona Indians had mean levels more than 20 mg/dl lower than those of SD/ND Indians.
The prevalence of hypercholesterolemia was almost twice as high among SD/ND Indians as among Arizona Indians, but the rates for all three groups were much lower than total US rates (all races).
Mean levels of high density lipoprotein cholesterol were lower among Indian men and women than in the US population as a whole.
The prevalence of hypertension among Arizona and Oklahoma Indians was higher than that for the entire United States.
These results indicate that cardiovascular disease risk factors vary significantly among tribal groups.
Prevention programs tailored toward decreasing the prevalence of risk factors are recommended for long-term reduction of cardiovascular disease rates in American Indian communities.
Am J Epidemiol 1995 ; 142 : 269-87.
Mots-clés Pascal : Cardiopathie coronaire, Epidémiologie, Homme, Amérindien, Ethnie, Facteur risque, Prévalence, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Coronary heart disease, Epidemiology, Human, Amerindian, Ethnic group, Risk factor, Prevalence, United States, North America, America, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0487648
Code Inist : 002B12A03. Création : 01/03/1996.