Document Detail


Black-white differences in subclinical cardiovascular disease among older adults: the Cardiovascular Health Study. CHS Collaborative Research Group.
MedLine Citation:
PMID:  7636516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiovascular and all-cause mortality are higher in black than white Americans, but racial differences in clinical and subclinical cardiovascular disease (CVD) have not been examined in older adults. Clinical and subclinical CVD and its risk factors were compared in 4926 white and 244 black men and women aged 65 years and older. Black participants had lower socioeconomic status and generally higher prevalences of CVD and its risk factors, except for adverse lipid profiles. Common carotid wall thickness was greater in black than white women, and ankle-arm blood pressure ratios were lower in black women and men (p < 0.01). After adjustment for CVD risk factors, common carotid walls were significantly thicker and ankle-arm ratios were lower in blacks than whites of both sexes, while internal carotid walls were significantly thinner in black women. Racial differences in clinical and subclinical CVD in older adults are similar to those reported in younger populations and do not appear to be explained by CVD risk factors.
Authors:
T A Manolio; G L Burke; B M Psaty; A B Newman; M Haan; N Powe; R P Tracy; D H O'Leary
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of clinical epidemiology     Volume:  48     ISSN:  0895-4356     ISO Abbreviation:  J Clin Epidemiol     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1995-09-14     Completed Date:  1995-09-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8801383     Medline TA:  J Clin Epidemiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1141-52     Citation Subset:  IM    
Affiliation:
Division of Epidemiology and Clinical Applications, National Heart, Lung, and Blood Institute, Bethesda, MD 20892, USA.
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MeSH Terms
Descriptor/Qualifier:
African Continental Ancestry Group*
Aged
Cardiovascular Diseases / classification,  ethnology*
Carotid Arteries / anatomy & histology
European Continental Ancestry Group*
Female
Geriatric Assessment
Humans
Male
Multivariate Analysis
Prevalence
Regression Analysis
Risk Factors
Sex Factors
Grant Support
ID/Acronym/Agency:
N01-HC 85079/HC/NHLBI NIH HHS; N01-HC 85080/HC/NHLBI NIH HHS; N01-HC 85081/HC/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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