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© 1988 Oxford University Press

research-article

Major Risk Factors for Cardiovascular Disease Mortality in Adults: Results from the Nutrition Canada Survey Cohort

R M SEMENCIW, H I MORRISON, Y MAO, H JOHANSEN, J W DAVIES and D T WIGLE

Bureau of Non-Communicable Disease Epidemiology, Department of National Health and Welfare Ottawa, Canada

Reprint requests: Mr Robert Semenciw, Laboratory Centre for Disease Control, Tunney's Pasture, Ottawa, Canada K1A 0L2

The cardiovascular mortality experience of over 7000 Canadians ages 35–79 years free of self-reported heart disease or stroke who participated in the Nutrition Canada survey is presented. The effects of various risk factors on cardiovascular disease mortality were assessed using multlvarlate Poisson regression analyses. Factors associated with a significantly increased risk of dying included cigarette smoking, hypertension, diabetes and, for women, serum cholesterol. Relative risks were similar for those ages 36–64 years compared to those 65–79 years for diabetes but were higher among those 35–64 years for cigarette smoking, dlastolic hypertension, obesity and serum cholesterol (females only). Individuals drinking three or more drinks daily had a relative risk of 3.18 for stroke. Population attributable risks for smoking, hypertension, elevated serum cholesterol and diabetes, respectively, were 47%, 21%, 7% and 8% for men and 10% 21% 18% and 16% for women.

Revised 1 October 1987


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