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December 1, 1975American Journal of Epidemiology

Epidemiologic Studies of Coronary Heart Disease and Stroke in Japanese Men Living in Japan, Hawaii and California: Introduction1

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Key result

Geographic location among 11,900 Japanese men was studied to investigate the observed gradient in coronary heart disease mortality increasing from Japan to Hawaii to California.

Why the study?

Does geographic location (Japan vs Hawaii vs California) affect coronary heart disease and stroke mortality and prevalence among Japanese men?

Population

11,900 Japanese men in Hiroshima and Nagasaki, Japan, Honolulu, Hawaii, and the San Francisco Bay Area of…

Design

Cohort

Authors

SSS. Leonard SymeWashington State Department of HealthMichael MarmotMichael MarmotSemmelweis UniversityAKA KaganIBM (United States)

Discussion

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Implication

Geographic CHD mortality gradient in Japanese men may reflect environment; leaves open causal mechanisms versus genetics.

Study Design

Type

Observational (n=11,900)

Multicenter

Yes

Structured PICO

Does geographic location (Japan vs Hawaii vs California) affect coronary heart disease and stroke mortality and prevalence among Japanese men?

P
Population
11,900 Japanese men in Hiroshima and Nagasaki, Japan, Honolulu, Hawaii, and the San Francisco Bay Area of California
O
Outcome
Mortality comparisons, biochemical and blood pressure distributions, and heart disease prevalencehard clinical

This paper introduces a large epidemiologic study investigating the environmental and geographic factors contributing to the gradient in CHD mortality among Japanese men across Japan, Hawaii, and California.

Cite This Study

Syme et al. (1975) conducted an observational in Coronary heart disease and stroke (n=11,900). Geographic location was evaluated. Geographic location among 11,900 Japanese men was studied to investigate the observed gradient in coronary heart disease mortality increasing from Japan to Hawaii to California.

synapsesocial.com/papers/6a11d8a102d9c5b08421a5fahttps://doi.org/10.1093/oxfordjournals.aje.a112185
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Also Consider

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

  1. 1EPIDEMIOLOGIC STUDIES OF CORONARY HEART DISEASE AND STROKE IN JAPANESE MEN LIVING IN JAPAN, HAWAII AND CALIFORNIA: MORTALITY11975 · 221 citations
  2. 2EPIDEMIOLOGIC STUDIES OF CORONARY HEART DISEASE AND STROKE IN JAPANESE MEN LIVING IN JAPAN, HAWAII AND CALIFORNIA: DISTRIBUTION OF BIOCHEMICAL RISK FACTORS11975 · 85 citations
  3. 3EPIDEMIOLOGIC STUDIES OF CORONARY HEART DISEASE AND STROKE IN JAPANESE MEN LIVING IN JAPAN, HAWAII AND CALIFORNIA: PREVALENCE OF CORONARY AND HYPERTENSIVE HEART DISEASE AND ASSOCIATED RISK FACTORS11975 · 410 citations
  4. 4EPIDEMIOLOGIC STUDIES OF CORONARY HEART DISEASE AND STROKE IN JAPANESE MEN LIVING IN JAPAN, HAWAII AND CALIFORNIA: BLOOD PRESSURE DISTRIBUTION11975 · 54 citations
  5. 5A COMPARISON OF THE 12-YEAR MORTALITY AND PREDICTIVE FACTORS OF CORONARY HEART DISEASE AMONG JAPANESE MEN IN JAPAN AND HAWAII1988 · 95 citations