Keil J E, Sutherland S E, Knapp R G, Gazes P C
Department of Biostatistics, Epidemiology and Systems Science, Medical University of South Carolina, Charleston 29425.
Ann Epidemiol. 1992 Jan-Mar;2(1-2):93-9.
Serum total cholesterol (> or = 6.7 mmol/L) measured in 1960 in the Charleston Heart Study cohort was found to be a risk for mortality from coronary heart disease during the period of 1960 to 1988 in white men (relative risk [RR] 1.5; 95% confidence interval [CI]: 1.1, 2.2), white women (RR 1.7; 95% CI: 1.1, 2.7), and black women (RR 1.6; 95% CI: .9, 2.9) after age, systolic blood pressure, smoking status, education level, obesity, and diabetes were considered. For black men, the relative risk was .96 (95% CI, .39, 2.39). Only among white women was the relative risk (RR 2.4; 95% CI, 1.2, 4.5) increased among those in the older ages (55 to 74) in 1960. The evidence for cholesterol as a risk factor for coronary disease mortality in black men is inconclusive and requires further study.
在查尔斯顿心脏研究队列中,1960年测得血清总胆固醇(≥6.7毫摩尔/升)是1960年至1988年期间白人男性(相对风险[RR]1.5;95%置信区间[CI]:1.1,2.2)、白人女性(RR 1.7;95% CI:1.1,2.7)和黑人女性(RR 1.6;95% CI:0.9,2.9)冠心病死亡的一个风险因素,这些是在考虑了年龄、收缩压、吸烟状况、教育水平、肥胖和糖尿病之后得出的结果。对于黑人男性,相对风险为0.96(95% CI,0.39,2.39)。仅在白人女性中,1960年年龄较大(55至74岁)的人群相对风险(RR 2.4;95% CI,1.2,4.5)有所增加。胆固醇作为黑人男性冠心病死亡风险因素的证据尚无定论,需要进一步研究。