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. 1990 Jan;65(1):78–83. doi: 10.1136/adc.65.1.78

Association between risk factors for coronary heart disease in schoolboys and adult mortality rates in the same localities.

W Freeman 1, D C Weir 1, J E Whitehead 1, D I Rogers 1, S B Sapiano 1, C A Floyd 1, P M Kirk 1, C R Stalker 1, N J Field 1, R M Cayton 1, et al.
PMCID: PMC1792398  PMID: 2301987

Abstract

Risk factors for coronary heart disease were compared in fifth year boys (15-16 years old) from two schools that were chosen from localities with a fourfold difference in adult mortality from coronary heart disease. One school was in an underprivileged urban locality in the area of increased incidence of heart disease ('high risk') and the other in a semi-rural affluent locality with an incidence of heart disease similar to the national average ('low risk'). Smoking, hypertension, hypercholesterolaemia, obesity, physical fitness, and inactivity were evaluated as risk factors for coronary heart disease. Smoking, increased body fat, poor diet, and physical inactivity were found increased among pupils from the school in the high risk area compared with those in the low risk area. Lipids, maximum oxygen uptake, and hypertension were similar in both schools. The risk of coronary heart disease seems to reflect the adult mortality rates in the area. To reduce the overall incidence of coronary heart disease, health education should be directed towards prevention of smoking, improving diets, and increasing amounts of activity among school children, with special attention directed toward children in regions where there is a high mortality from coronary heart disease among adults.

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Selected References

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  1. Armstrong N., Davies B. The prevalence of coronary risk factors in children--a review. Acta Paediatr Belg. 1980 Oct-Dec;33(4):209–217. [PubMed] [Google Scholar]
  2. Castelli W. P., Doyle J. T., Gordon T., Hames C. G., Hjortland M. C., Hulley S. B., Kagan A., Zukel W. J. HDL cholesterol and other lipids in coronary heart disease. The cooperative lipoprotein phenotyping study. Circulation. 1977 May;55(5):767–772. doi: 10.1161/01.cir.55.5.767. [DOI] [PubMed] [Google Scholar]
  3. Drash A., Hengstenberg F. The identification of risk factors in normal children in the development of arteriosclerosis. Ann Clin Lab Sci. 1972 Sep-Oct;2(5):348–359. [PubMed] [Google Scholar]
  4. Durnin J. V., Womersley J. Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. Br J Nutr. 1974 Jul;32(1):77–97. doi: 10.1079/bjn19740060. [DOI] [PubMed] [Google Scholar]
  5. Dwyer J. H., Rieger-Ndakorerwa G. E., Semmer N. K., Fuchs R., Lippert P. Low-level cigarette smoking and longitudinal change in serum cholesterol among adolescents. The Berlin-Bremen Study. JAMA. 1988 May 20;259(19):2857–2862. [PubMed] [Google Scholar]
  6. Erikssen J. Physical fitness and coronary heart disease morbidity and mortality. A prospective study in apparently healthy, middle aged men. Acta Med Scand Suppl. 1986;711:189–192. [PubMed] [Google Scholar]
  7. Findlay I. N., Taylor R. S., Dargie H. J., Grant S., Pettigrew A. R., Wilson J. T., Aitchison T., Cleland J. G., Elliott A. T., Fisher B. M. Cardiovascular effects of training for a marathon run in unfit middle aged men. Br Med J (Clin Res Ed) 1987 Aug 29;295(6597):521–524. doi: 10.1136/bmj.295.6597.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hubert H. B., Feinleib M., McNamara P. M., Castelli W. P. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation. 1983 May;67(5):968–977. doi: 10.1161/01.cir.67.5.968. [DOI] [PubMed] [Google Scholar]
  9. Jarman B. Identification of underprivileged areas. Br Med J (Clin Res Ed) 1983 May 28;286(6379):1705–1709. doi: 10.1136/bmj.286.6379.1705. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Kannel W. B., Dawber T. R. Atherosclerosis as a pediatric problem. J Pediatr. 1972 Apr;80(4):544–554. doi: 10.1016/s0022-3476(72)80049-0. [DOI] [PubMed] [Google Scholar]
  11. Lauer R. M., Connor W. E., Leaverton P. E., Reiter M. A., Clarke W. R. Coronary heart disease risk factors in school children: the Muscatine study. J Pediatr. 1975 May;86(5):697–706. doi: 10.1016/s0022-3476(75)80353-2. [DOI] [PubMed] [Google Scholar]
  12. Lee J., Lauer R. M. Pediatric aspects of atherosclerosis and hypertension. Pediatr Clin North Am. 1978 Nov;25(4):909–929. doi: 10.1016/s0031-3955(16)33649-5. [DOI] [PubMed] [Google Scholar]
  13. Léger L. A., Lambert J. A maximal multistage 20-m shuttle run test to predict VO2 max. Eur J Appl Physiol Occup Physiol. 1982;49(1):1–12. doi: 10.1007/BF00428958. [DOI] [PubMed] [Google Scholar]
  14. Marmot M. G., Adelstein A. M., Robinson N., Rose G. A. Changing social-class distribution of heart disease. Br Med J. 1978 Oct 21;2(6145):1109–1112. doi: 10.1136/bmj.2.6145.1109. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. McCormick J., Skrabanek P. Coronary heart disease is not preventable by population interventions. Lancet. 1988 Oct 8;2(8615):839–841. doi: 10.1016/s0140-6736(88)92795-x. [DOI] [PubMed] [Google Scholar]
  16. Moody D. L., Wilmore J. H., Girandola R. N., Royce J. P. The effects of a jogging program on the body composition of normal & obese high school girls. Med Sci Sports. 1972 Winter;4(4):210–213. [PubMed] [Google Scholar]
  17. Morris J. N., Everitt M. G., Pollard R., Chave S. P., Semmence A. M. Vigorous exercise in leisure-time: protection against coronary heart disease. Lancet. 1980 Dec 6;2(8206):1207–1210. doi: 10.1016/s0140-6736(80)92476-9. [DOI] [PubMed] [Google Scholar]
  18. Paffenbarger R. S., Jr, Hyde R. T., Wing A. L., Steinmetz C. H. A natural history of athleticism and cardiovascular health. JAMA. 1984 Jul 27;252(4):491–495. [PubMed] [Google Scholar]
  19. Peters R. K., Cady L. D., Jr, Bischoff D. P., Bernstein L., Pike M. C. Physical fitness and subsequent myocardial infarction in healthy workers. JAMA. 1983 Jun 10;249(22):3052–3056. [PubMed] [Google Scholar]
  20. Pocock S. J., Shaper A. G., Cook D. G., Phillips A. N., Walker M. Social class differences in ischaemic heart disease in British men. Lancet. 1987 Jul 25;2(8552):197–201. doi: 10.1016/s0140-6736(87)90774-4. [DOI] [PubMed] [Google Scholar]
  21. Rose G., Marmot M. G. Social class and coronary heart disease. Br Heart J. 1981 Jan;45(1):13–19. doi: 10.1136/hrt.45.1.13. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Seliger V., Trefny Z., Bartunková S., Pauer M. The habitual activity and physical fitness of 12 year old boys. Acta Paediatr Belg. 1974;28 Suppl:54–59. [PubMed] [Google Scholar]
  23. Stewart A. L., Brook R. H. Effects of being overweight. Am J Public Health. 1983 Feb;73(2):171–178. doi: 10.2105/ajph.73.2.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Wood P. D., Stefanick M. L., Dreon D. M., Frey-Hewitt B., Garay S. C., Williams P. T., Superko H. R., Fortmann S. P., Albers J. J., Vranizan K. M. Changes in plasma lipids and lipoproteins in overweight men during weight loss through dieting as compared with exercise. N Engl J Med. 1988 Nov 3;319(18):1173–1179. doi: 10.1056/NEJM198811033191801. [DOI] [PubMed] [Google Scholar]
  25. van Mechelen W., Hlobil H., Kemper H. C. Validation of two running tests as estimates of maximal aerobic power in children. Eur J Appl Physiol Occup Physiol. 1986;55(5):503–506. doi: 10.1007/BF00421645. [DOI] [PubMed] [Google Scholar]

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