International Journal of Epidemiology 2002;31:1134-1135
© International Epidemiological Association 2002
Point-Counterpoint |
Response: Coronary heart disease prevention: act now, research at leisure
| The first 10% of the full text of this article appears below. |
We welcome the response elicited by our article. Our most important point is that if we could dramatically reduce population levels of the established risk factors we would drastically cut coronary heart disease (CHD) rates in developed countries and probably curb the emerging epidemic in developing countries. We based this conclusion on a persuasive body of epidemiological evidence that in turn builds upon the evidence from non-epidemiological research.
We used the population attributable fraction approach to conclude that at least 75% of CHD could be explained by the major risk factors and that the contribution of these factors has often been grossly downplayed in the past. This restricted our focus mainly to
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