Has the risk for coronary heart disease changed among US adults?
Has the risk for coronary heart disease changed among US adults?
复制标题
DOI：
10.1016/j.jacc.2006.05.055
复制
发表时间：
2006-09-19
影响因子：
24
通讯作者：
Ford, Earl S.
中科院分区：
文献类型：
--
作者：
Ajani, Umed A.;Ford, Earl S.
本研究的目的是比较1988年至1994年美国成年人与1999年至2002年美国成年人发生冠心病（CHD）的10年风险。关于美国成年人发生CHD的实际风险变化的数据很少。方法数据来自参加国家健康和营养检查调查（NHANES）-III的20至79岁的非住院美国居民（1988年至1994年）或NHANES 1999年至2002年进行了检查，使用修改后的Framingham风险评分来计算发生CHD的10年风险，结果两项调查中的大多数参与者10年内患冠心病的风险较低（< 10%）。中间（10%至20%）和高（> 20%）的参与者的比例10年的发展CHD的风险也是similar.CONCLUSIONS数据进行了大约十年的国家调查显示，10年的发展CHD的风险分布没有明显的差异。需要更大的努力来降低美国成年人患冠心病的风险。
OBJECTIVES The objective of this study was to compare the 10-year risk of developing coronary heart disease (CHD) among U.S adults during the years 1988 to 1994 with that among U.S. adults during the years 1999 to 2002.BACKGROUND A decline in deaths as the result of CHD has been reported. Data about changes in actual risk of developing CHD among U.S. adults are sparse.METHODS Data for noninstitutionalized U.S. residents ages 20 to 79 years who participated in the National Health and Nutrition Examination Survey (NHANES)-III (1988 to 1994) or NHANES 1999 to 2002 were examined to compute 10-year risk of developing CHD using modified Framingham risk score, as adopted by the National Cholesterol Education Program, Adult Treatment Panel III.RESULTS Most participants in both surveys had a low (< 10%) 10-year risk of developing CHD. The proportion of participants at intermediate (10% to 20%) and high (> 20%) 10-year risk of developing CHD also was similar.CONCLUSIONS Data from national surveys conducted approximately a decade apart showed no appreciable difference in the distribution of 10-year risk of developing CHD. Greater efforts are needed to reduce the risk of developing CHD among U.S. adults.