Why the study?
Does cigarette smoking increase the incidence of coronary heart disease in elderly men?
Does cigarette smoking increase the incidence of coronary heart disease in elderly men?
Cigarette smoking is associated with a progressively increased risk of incident CHD in elderly men, with a greater absolute excess risk than in middle-aged men.
May support smoking cessation counseling in elderly men; leaves open causal effects and intervention benefits versus middle-aged groups.
In order to evaluate the effects of cigarette smoking on coronary heart disease (CHD) in elderly persons in the Honolulu Heart Program, 1,394 men between ages 65 and 74 were followed during an average 12-year period for new cases of nonfatal myocardial infarction and fatal CHD. Incidence rates increased progressively in individuals classified at baseline as never, former, and current smokers, respectively. The absolute excess risk associated with cigarette smoking was nearly twice as high in elderly compared with middle-aged men.
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Benfante et al. (1991) studied this question.
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