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January 19, 1990JAMA

Is Elevated Serum Cholesterol Level a Risk Factor for Coronary Heart Disease in the Elderly?

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Key result

Elevated serum cholesterol level (highest vs lowest quartile) was an independent predictor of coronary heart disease risk in men aged 65 years and older (RR 1.64; 95% CI 1.14 to 2.36).

Why the study?

Does elevated serum cholesterol level increase the risk of coronary heart disease in men aged 65 years and older?

Population

1,480 men aged 65 years and older, free of coronary heart disease, from the Honolulu (Hawaii) Heart Program

Comparison

Highest quartile of serum cholesterol level vs Lowest quartile of serum cholesterol level

Design

Cohort

Follow-up

average of 12 years

Authors

RBRichard BenfanteOspedale Vincenzo Cervello

Discussion

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Implication

Association persists in men ≥65; extends evidence to older populations but leaves open treatment implications.

Study Design

Type

Cohort (n=1,480)

Multicenter

No

Structured PICO

Does elevated serum cholesterol level increase the risk of coronary heart disease in men aged 65 years and older?

P
Population
1,480 men aged 65 years and older, free of coronary heart disease, from the Honolulu (Hawaii) Heart Program
I
Intervention
Highest quartile of serum cholesterol level
C
Comparator
Lowest quartile of serum cholesterol level
O
Outcome
Incidence of coronary heart diseasehard clinical

Main Result

Effect estimate: RR 1.64 (95% CI 1.14 to 2.36)

Elevated serum cholesterol remains an independent predictor of coronary heart disease in men older than 65 years, suggesting lipid evaluation is still warranted in the elderly.

Cite This Study

Richard Benfante (1990) conducted a cohort in Coronary heart disease (n=1,480). Elevated serum cholesterol level (highest quartile) vs. Lowest quartile of serum cholesterol level was evaluated on Incidence of coronary heart disease (RR 1.64, 95% CI 1.14 to 2.36). Elevated serum cholesterol level (highest vs lowest quartile) was an independent predictor of coronary heart disease risk in men aged 65 years and older (RR 1.64; 95% CI 1.14 to 2.36).

synapsesocial.com/papers/6a10752ae1a472cb5efcf142https://doi.org/10.1001/jama.1990.03440030080025
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiovascular risk factors in the elderly1989 · 271 citations
  2. 2Predicting coronary heart disease in middle-aged and older persons. The Framington study1977 · 239 citations
  3. 3TEN-YEAR INCIDENCE OF CORONARY HEART DISEASE IN THE HONOLULU HEART PROGRAM1984 · 371 citations
  4. 4EPIDEMIOLOGIC STUDIES OF CORONARY HEART DISEASE AND STROKE IN JAPANESE MEN LIVING IN JAPAN, HAWAII AND CALIFORNIA: DISTRIBUTION OF BIOCHEMICAL RISK FACTORS11975 · 85 citations
  5. 5Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults1988 · 2,265 citations