To examine whether cardiovascular risk factors differ in children from towns in England and Wales with widely differing adult cardiovascular death rates.
Design-School based survey conducted during 1994 in 10 towns, five with exceptionally high adult cardiovascular mortality (standardised mortality ratio 131-143) and five with exceptionally low adult cardiovascular mortality (64-75).
Towns were surveyed in high-low pairs.
Subjects-3415 white children aged 8-11 years with physical measurements (response rate 75%), including 1287 with blood samples (response rate 64%), of whom 515 had blood samples taken 30 minutes after a glucose load.
Children in towns with high cardiovascular mortality were on average shorter than those in towns with low mortality (mean difference 1.2 cm ; 95% confidence interval 0.3 to 2.1 cm ; P=0.02) and had a higher ponderal index (0.34 kg/m3 ; 0.16 to 0.52 kg/m3 ; P=0.006).
Mean systolic pressure was higher in high mortality towns, particularly after adjustment for height (2.0 mm Hg ; 0.8 to 3.2 mm Hg ; P=0.009).
Mean waist : hip ratio, total cholesterol concentration, and 30 minute post-load glucose measurements were similar in high and low mortality towns.
The differences in height and blood pressure between high and low mortality towns were unaffected by standardisation for birth weight. (...)
Mots-clés Pascal : Cardiopathie coronaire, Pression artérielle, Hémodynamique, Poids corporel, Grande Bretagne, Royaume Uni, Europe, Epidémiologie, Facteur risque, Adulte, Homme, Enfant, Milieu urbain, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Coronary heart disease, Arterial pressure, Hemodynamics, Body weight, Great Britain, United Kingdom, Europe, Epidemiology, Risk factor, Adult, Human, Child, Urban environment, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0334670
Code Inist : 002B30A01A2. Création : 10/04/1997.