5 Framingham_SW.ppt

5 Framingham_SW.ppt - How Were Risk Factors Identified The...

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Unformatted text preview: How Were Risk Factors Identified? The Framingham Study Franklin D Roosevelt • 1931 BP was 140/100 • 1933 appointed ear, nose and throat MD as his personal physician • 1941 (Pearl Harbor) BP was 188/105 • April 1944 BP was 210/120 (“a moderate degree of arteriosclerosis, although no more than normal for a man his age”) • 1944 (Normandy landing) BP was 226/118 • Feb 1945 (Yalta Conference) BP was 260/150 • April 1945 BP was 300/190 – died: massive stroke Framingham History Behind the Framingham Study • October 1947: set up cooperative project – Massachusetts State Dept. of Health – Harvard Dept. of Preventive Medicine – US Public Health Service • December 1947: decided to initiate 2 research programs History Behind the Framingham Study: Research Programs • Cardiovascular Hygiene Demonstration Project in Newton, MA GOAL – “determine what existing knowledge of prevention , diagnosis, treatment, and rehabilitation of cardiovascular disease could be applied within community health programs” History Behind the Framingham Study: Research Programs • Heart Disease Epidemiology Study in Framingham, MA GOALS – Define new methods of identifying cardiovascular disease – Define factors associated with the development of cardiovascular disease Why was Framingham, MA Selected? • Population = 28,000 in 1950 with 10,000 people 30-59 years of age • Town meeting type of government • Yearly published lists of residents with names, addresses, ages, occupations • Self-contained community (NOT TRANSIENT) • All health care provided by two hospitals • Previous epidemiologic study conducted there • Highly-cooperative and well-informed medical community • Range of socioeconomic status Population of Framingham in 1990 RACIAL/ETHNIC GROUP POPULATION % of Population Total Group 64,989 100% White 58,564 90% Black 2,403 4% American Indian 101 <1% Asian/Pacific Islander 1,904 3% Other 2,017 3% SALSA – Sacramento Area Latino Study Began 1998, 1800 participants San Antonio Family Heart Study Mexican –American population Began 1981 Genetic components of heart disease in Mexican Americans SHS - Strong Heart Study (http://strongheart.ouhsc.edu/) American Indians – 13 tribes and communities in 4 states Began 1988 Bogalusa Heart Study (http://www.som.tulane.edu/cardiohealth/bog.html) Biracial population (black-white) in Louisiana Began in 1972 Evans County Heart Study Biracial population (black-white) in Georgia Began in 1960 Epidemiological studies in other ethnic groups Framingham Study Update...
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This note was uploaded on 10/18/2011 for the course KNES 260 taught by Professor Hagberg during the Spring '08 term at Maryland.

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5 Framingham_SW.ppt - How Were Risk Factors Identified The...

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