Key result
Coronary heart disease incidence is ~10-fold lower in industrial Japan than in Western countries.
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Coronary heart disease, the leading cause ofdeath in Britain and other Western countries, is only one tenth as common in industrial Japan and rare in most Third World communities. Its incidence is environmentally determined because immigrant groups soon take on the incidence oftheir host country and there have been large changes over time in mortality from coronary heart disease. It was uncommon before 1925 and then rose steadily except for a dip in Europe in the second world war. It is now declining in the USA and Australia, static in Britain and most ofwestern Europe, and increasing in eastern Europe.
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A. Stewart Truswell (1985) conducted a review in Coronary heart disease. Nutrition / environmental factors was evaluated on Coronary heart disease incidence and mortality. Environmental factors strongly determine coronary heart disease incidence, which is only one-tenth as common in industrial Japan as in Britain and other Western countries.
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