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COMMENTS AND OPINIONS
Low Prevalence of Individuals With Optimal or Borderline Levels of Cardiovascular Risk Factors Extends to Rapidly Developing Countries
Pascal Bovet, MD, MPH;
Julita William, BSc;
Fred Paccaud, MD
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Hozawa et al1 showed that only a small proportion of American adults aged 45 to 64 years had low cardiovascular risk, defined as optimal or borderline levels of 4 major modifiable cardiovascular risk factors. It is largely unknown whether this unfavorable epidemiological situation extends to developing countries, although there is some belief that the proportion of individuals at low risk could be larger in these countries.
We measured cardiovascular risk factors in 1255 adults aged 25 to 64 years, who were randomly selected from the population of Seychelles, a rapidly developing small island state located 1800 km east of Kenya. The majority of the population is of African descent. Methods and overall results have been described previously.2 In this study, we defined "borderline" risk factors similar to Hozawa et al1 (former smoking; systolic/diastolic blood pressure of 120-139/80-89 mm Hg and . . . [Full Text of this Article] AUTHOR INFORMATION
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Absolute and Attributable Risks of Cardiovascular Disease Incidence in Relation to Optimal and Borderline Risk Factors: Comparison of African American With White SubjectsAtherosclerosis Risk in Communities Study
Atsushi Hozawa, Aaron R. Folsom, A. Richey Sharrett, and Lloyd E. Chambless
Arch Intern Med. 2007;167(6):573-579.
ABSTRACT
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