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American Journal of Public Health logoLink to American Journal of Public Health
. 1993 Jun;83(6):881–887. doi: 10.2105/ajph.83.6.881

Cardiovascular diseases in a Canadian Arctic population.

T K Young 1, M E Moffatt 1, J D O'Neil 1
PMCID: PMC1694737  PMID: 8498628

Abstract

OBJECTIVES. The purpose of this study was to review cardiovascular mortality, morbidity, and risk factors in the multiethnic population of the Northwest Territories, Canada. METHODS. We analyzed death certificates and hospital records, and used a community health and examination survey. RESULTS. The age-standardized mortality rate for ischemic heart disease (but not for other heart diseases or stroke) among the Northwest Territories population was lower than among the Canadian population. Among the indigenous Inuit/Eskimos and Indians, the age-standardized mortality rate for all circulatory diseases was lower than Canadians. Among Indian women, the rate approached the Canadian rate and exceeded that of Inuit and non-Natives. Compared with residents of Manitoba, Northwest Territories Inuit adults had a higher prevalence of smoking in all age-sex groups. Obesity was prevalent among older Inuit women and hypertension among young Inuit men. Except for women aged 25 to 44, the total cholesterol and triglyceride levels among Inuit were lower than or not different from Manitoba residents. Relatively high levels of high-density lipoprotein were found in older Inuits. CONCLUSIONS. The epidemiologic pattern of cardiovascular diseases in Arctic Canada differs from that among non-Native, southern Canadians. Rapid sociocultural changes may alter the situation, and health agencies must anticipate such transitions and intensify culturally appropriate control programs.

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Selected References

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  1. Bang H. O., Dyerberg J. Plasma lipids and lipoproteins in Greenlandic west coast Eskimos. Acta Med Scand. 1972 Jul-Aug;192(1-2):85–94. doi: 10.1111/j.0954-6820.1972.tb04782.x. [DOI] [PubMed] [Google Scholar]
  2. Bang H. O., Dyerberg J., Sinclair H. M. The composition of the Eskimo food in north western Greenland. Am J Clin Nutr. 1980 Dec;33(12):2657–2661. doi: 10.1093/ajcn/33.12.2657. [DOI] [PubMed] [Google Scholar]
  3. Bjerregaard P., Dyerberg J. Mortality from ischaemic heart disease and cerebrovascular disease in Greenland. Int J Epidemiol. 1988 Sep;17(3):514–519. doi: 10.1093/ije/17.3.514. [DOI] [PubMed] [Google Scholar]
  4. Connelly P. W., MacLean D. R., Horlick L., O'Connor B., Petrasovits A., Little J. A. Plasma lipids and lipoproteins and the prevalence of risk for coronary heart disease in Canadian adults. Canadian Heart Health Surveys Research Group. CMAJ. 1992 Jun 1;146(11):1977–1987. [PMC free article] [PubMed] [Google Scholar]
  5. Dyerberg J. Coronary heart disease in Greenland Inuit: a paradox. Implications for western diet patterns. Arctic Med Res. 1989 Apr;48(2):47–54. [PubMed] [Google Scholar]
  6. EPSTEIN F. H., OSTRANDER L. D., Jr, JOHNSON B. C., PAYNE M. W., HAYNER N. S., KELLER J. B., FRANCIS T., Jr EPIDEMIOLOGICAL STUDIES OF CARDIOVASCULAR DISEASE IN A TOTAL COMMUNITY--TECUMSEH, MICHIGAN. Ann Intern Med. 1965 Jun;62:1170–1187. doi: 10.7326/0003-4819-62-6-1170. [DOI] [PubMed] [Google Scholar]
  7. Feinstein A. R., Chan C. K., Esdaile J. M., Horwitz R. I., McFarlane M. J., Wells C. K. Mathematical models and scientific reality in occurrence rates for disease. Am J Public Health. 1989 Sep;79(9):1303–1304. doi: 10.2105/ajph.79.9.1303. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Friedewald W. T., Levy R. I., Fredrickson D. S. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972 Jun;18(6):499–502. [PubMed] [Google Scholar]
  9. Gillum R. F., Fortmann S. P., Prineas R. J., Kottke T. E. International diagnostic criteria for acute myocardial infarction and acute stroke. Am Heart J. 1984 Jul;108(1):150–158. doi: 10.1016/0002-8703(84)90558-1. [DOI] [PubMed] [Google Scholar]
  10. Gittelsohn A., Senning J. Studies on the reliability of vital and health records: I. Comparison of cause of death and hospital record diagnoses. Am J Public Health. 1979 Jul;69(7):680–689. doi: 10.2105/ajph.69.7.680. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Ingelfinger J. A., Bennett P. H., Liebow I. M., Miller M. Coronary heart disease in the Pima Indians. Electrocardiographic findings and postmortem evidence of myocardial infarction in a population with a high prevalence of diabetes mellitus. Diabetes. 1976 Jul;25(7):561–565. doi: 10.2337/diab.25.7.561. [DOI] [PubMed] [Google Scholar]
  12. Kannel W. B., Anderson K., McGee D. L., Degatano L. S., Stampfer M. J. Nonspecific electrocardiographic abnormality as a predictor of coronary heart disease: the Framingham Study. Am Heart J. 1987 Feb;113(2 Pt 1):370–376. doi: 10.1016/0002-8703(87)90280-8. [DOI] [PubMed] [Google Scholar]
  13. Kircher T., Nelson J., Burdo H. The autopsy as a measure of accuracy of the death certificate. N Engl J Med. 1985 Nov 14;313(20):1263–1269. doi: 10.1056/NEJM198511143132005. [DOI] [PubMed] [Google Scholar]
  14. Middaugh J. P. Cardiovascular deaths among Alaskan Natives, 1980-86. Am J Public Health. 1990 Mar;80(3):282–285. doi: 10.2105/ajph.80.3.282. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Ostergaard Kristensen M. Increased incidence of bleeding intracranial aneurysms in Greenlandic Eskimos. Acta Neurochir (Wien) 1983;67(1-2):37–43. doi: 10.1007/BF01401666. [DOI] [PubMed] [Google Scholar]
  16. Schaefer O. Are Eskimos more or less obese than other Canadians? A comparison of skinfold thickness and ponderal index of Canadian Eskimos. Am J Clin Nutr. 1977 Oct;30(10):1623–1628. doi: 10.1093/ajcn/30.10.1623. [DOI] [PubMed] [Google Scholar]
  17. Sorlie P. D., Gold E. B. The effect of physician terminology preference on coronary heart disease mortality: an artifact uncovered by the 9th revision ICD. Am J Public Health. 1987 Feb;77(2):148–152. doi: 10.2105/ajph.77.2.148. [DOI] [PMC free article] [PubMed] [Google Scholar]

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