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Coronary heart disease risk factors in employees of Iowa's Department of Public Safety compared to a cohort of the general population
Author(s) -
Franke W. D.,
Cox D. F.,
Schultz D. P.,
Anderson D. F.
Publication year - 1997
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/(sici)1097-0274(199706)31:6<733::aid-ajim10>3.0.co;2-z
Subject(s) - medicine , coronary heart disease , cohort , risk factor , cohort study , population , disease , environmental health , public health , emergency medicine , gerontology , medical emergency , pathology
The prevalence of coronary heart disease (CHD) risk factors in law enforcement personnel compared to that in the general population was studied by determining the predicted 10‐year risk for developing CHD (CHD 10 , expressed as %) in subjects from the Iowa Department of Public Safety and comparing it to the average CHD 10 for similarly aged subjects in the Framingham Heart Study cohort. The Iowa data included measures on 388 men from 30 to 64 years old, 246 of whom were measured in 1980–1981 and again in 1992–1993. The CHD 10 came from an algorithm developed using the Framingham data; it included measures of age, gender, cholesterol, HDL‐C, systolic blood pressure, smoking habit, glucose level, and left ventricular hypertrophy (ECG criteria). For this group, average CHD 10 was reported by age in five‐year increments [Circulation 83:356, 1991]. The Iowa subjects (n = 388) did not show a statistically significant difference in CHD 10 from the reference population (8.9% versus 7.9%). The change with age was very similar in the two groups; for Iowa (n = 388) the estimate was CHD 10 = −16.5 + .59 (age); for Framingham it was CHD 10 = −17.5 + .60 (age). The change in individual risk factors with time was also similar in both groups; the per year change in CHD 10 in the Iowa subjects, which was measured twice (n = 246, 0.63%), did not differ statistically from the 0.60% change predicted by the Framingham model. These results suggest that, for the risk factors considered here, the 10‐year probability of developing CHD among Iowa law enforcement personnel is similar to that found in the Framingham population. Am. J. Ind. Med. 31:733–737, 1997. © 1997 Wiley‐Liss, Inc.