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Healthy People 2000. The rationale and potential efficacy of preventive nutrition in heart disease: the Framingham Offspring-Spouse Study.
Arch Intern Med. 1993 Jul 12; 153(13):1549-56.AI

Abstract

BACKGROUND

To examine the rationale for preventive nutrition intervention and the potential efficacy of nutrition-related risk factor modification on heart disease incidence, the cardiovascular disease risk and dietary profiles of Framingham (Mass) men and women, 30 to 79 years old (n = 1798 and 1845, respectively), were compared with the Healthy People 2000: National Health Promotion and Disease Prevention Objectives for the Nation and used to project the 10-year incidence of coronary heart disease with and without lowering serum cholesterol levels.

METHODS

Data for this report are derived from the 1984 to 1988 cycle III examinations of the Framingham offspring-spouse cohort. Estimates of the reduction in coronary heart disease risk associated with modifications in serum cholesterol levels and other cardiovascular disease risk factors are projected using Framingham models.

RESULTS

About 40% met guidelines for desirable total cholesterol levels (< 5.17 mmol/L [< 200 mg/dL]); 20% were hypertensive; one quarter smoked; and 10% of women and 20% of men were obese. Twenty-four-hour dietary data, adjusted for estimates of usual intake, indicated that about 50% to 80% met dietary cholesterol (< 300 mg) and 55% to 94% met sodium (< 3 g/d) objectives. In contrast, mean total fat intakes were high (38% of total energy), and only 6% to 9% of subjects met total fat, 9% to 14% met saturated fat, and fewer than 3% met dietary fiber guidelines. Ten-year cumulative incidence for coronary heart disease was projected to be up to 25% lower with reduction in serum cholesterol level.

CONCLUSION

Risk factor lowering, emphasizing preventive nutrition measures, is an important element of health care reform, particularly strategies to reduce cardiovascular disease rates and to promote population health.

Authors+Show Affiliations

Office of the Director, Boston University School of Public Health, Mass.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8391793

Citation

Posner, B M., et al. "Healthy People 2000. the Rationale and Potential Efficacy of Preventive Nutrition in Heart Disease: the Framingham Offspring-Spouse Study." Archives of Internal Medicine, vol. 153, no. 13, 1993, pp. 1549-56.
Posner BM, Cupples LA, Gagnon D, et al. Healthy People 2000. The rationale and potential efficacy of preventive nutrition in heart disease: the Framingham Offspring-Spouse Study. Arch Intern Med. 1993;153(13):1549-56.
Posner, B. M., Cupples, L. A., Gagnon, D., Wilson, P. W., Chetwynd, K., & Felix, D. (1993). Healthy People 2000. The rationale and potential efficacy of preventive nutrition in heart disease: the Framingham Offspring-Spouse Study. Archives of Internal Medicine, 153(13), 1549-56.
Posner BM, et al. Healthy People 2000. the Rationale and Potential Efficacy of Preventive Nutrition in Heart Disease: the Framingham Offspring-Spouse Study. Arch Intern Med. 1993 Jul 12;153(13):1549-56. PubMed PMID: 8391793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Healthy People 2000. The rationale and potential efficacy of preventive nutrition in heart disease: the Framingham Offspring-Spouse Study. AU - Posner,B M, AU - Cupples,L A, AU - Gagnon,D, AU - Wilson,P W, AU - Chetwynd,K, AU - Felix,D, PY - 1993/7/12/pubmed PY - 1993/7/12/medline PY - 1993/7/12/entrez SP - 1549 EP - 56 JF - Archives of internal medicine JO - Arch Intern Med VL - 153 IS - 13 N2 - BACKGROUND: To examine the rationale for preventive nutrition intervention and the potential efficacy of nutrition-related risk factor modification on heart disease incidence, the cardiovascular disease risk and dietary profiles of Framingham (Mass) men and women, 30 to 79 years old (n = 1798 and 1845, respectively), were compared with the Healthy People 2000: National Health Promotion and Disease Prevention Objectives for the Nation and used to project the 10-year incidence of coronary heart disease with and without lowering serum cholesterol levels. METHODS: Data for this report are derived from the 1984 to 1988 cycle III examinations of the Framingham offspring-spouse cohort. Estimates of the reduction in coronary heart disease risk associated with modifications in serum cholesterol levels and other cardiovascular disease risk factors are projected using Framingham models. RESULTS: About 40% met guidelines for desirable total cholesterol levels (< 5.17 mmol/L [< 200 mg/dL]); 20% were hypertensive; one quarter smoked; and 10% of women and 20% of men were obese. Twenty-four-hour dietary data, adjusted for estimates of usual intake, indicated that about 50% to 80% met dietary cholesterol (< 300 mg) and 55% to 94% met sodium (< 3 g/d) objectives. In contrast, mean total fat intakes were high (38% of total energy), and only 6% to 9% of subjects met total fat, 9% to 14% met saturated fat, and fewer than 3% met dietary fiber guidelines. Ten-year cumulative incidence for coronary heart disease was projected to be up to 25% lower with reduction in serum cholesterol level. CONCLUSION: Risk factor lowering, emphasizing preventive nutrition measures, is an important element of health care reform, particularly strategies to reduce cardiovascular disease rates and to promote population health. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/8391793/Healthy_People_2000__The_rationale_and_potential_efficacy_of_preventive_nutrition_in_heart_disease:_the_Framingham_Offspring_Spouse_Study_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/153/pg/1549 DB - PRIME DP - Unbound Medicine ER -