Author(s): Ford ES, Capewell S, Ford ES, Capewell S
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Abstract OBJECTIVES: The objective of our study was to examine age-specific mortality rates from coronary heart disease (CHD), particularly those among younger adults. BACKGROUND: Trends for obesity, diabetes, blood pressure, and metabolic syndrome among young adults raise concerns about the mortality rates from CHD in this group. METHODS: We used mortality data from 1980 to 2002 to calculate age-specific mortality rates from CHD for U.S. adults age > or =35 years. RESULTS: Overall, the age-adjusted mortality rate decreased by 52\% in men and 49\% in women. Among women age 35 to 54 years, the estimated annual percentage change (EAPC) in mortality was -5.4\% (95\% confidence interval [CI] -5.8 to -4.9) from 1980 until 1989, -1.2\% (95\% CI -1.6 to -0.8) from 1989 until 2000, and 1.5\% (95\% CI -3.4 to 6.6) from 2000 until 2002. Among men age 35 to 54 years, the EAPC in mortality was -6.2\% (95\% CI -6.4 to -5.9) from 1980 until 1989, -2.3\% (95\% CI -2.6 to -2.1) from 1989 until 2000, and -0.5\% (95\% CI -3.7 to 2.9) from 2000 until 2002. Among women and men age > or =55 years, the estimated annual percentage decrease in mortality from CHD accelerated in more recent years compared with earlier periods. CONCLUSIONS: The mortality rates for CHD among younger adults may serve as a sentinel event. Unfavorable trends in several risk factors for CHD provide a likely explanation for the observed mortality rates.
This article was published in J Am Coll Cardiol
and referenced in Cardiovascular Pharmacology: Open Access