Article Text

other Versions

PDF
Coronary heart disease trends in England and Wales from 1984 to 2004: concealed leveling of mortality rates among young adults
  1. Martin E O'Flaherty (moflaher{at}liv.ac.uk)
  1. Division of Public Health, University of Liverpool, United Kingdom
    1. Earl S Ford (esf2{at}cdc.gov)
    1. National Center for Chronic Disease Prevention and Health Promotion, Atlanta, United States
      1. Steven Allender (steven.allender{at}dphpc.ox.ac.uk)
      1. BHF Health Promotion Research Group, University of Oxford, United Kingdom
        1. Peter Scarborough (peter.scarborough{at}dphpc.ox.ac.uk)
        1. BHF Health Promotion Research Group, University of Oxford, United Kingdom
          1. Simon Capewell (capewell{at}liv.ac.uk)
          1. Division of Public Health, University of Liverpool, United Kingdom

            Abstract

            Background Trends in cardiovascular risk factors among UK adults present a complex picture. Ominous increases in obesity and diabetes among young adults raise concerns about subsequent coronary heart disease mortality rates in this group. The objective of our study was to examine recent trends in age-specific mortality rates from coronary heart disease, particularly those among younger adults.

            Methods and Results We used mortality data from 1984-2004 to calculate age-specific mortality rates for British adults aged 35+ years and joinpoint regression to assess changes in trends. Overall, the age-adjusted mortality rate decreased by -54.7% in men and by -48.3% in women. However, among men aged 35-44 years, coronary heart disease mortality rates in 2002 increased for the first time in over two decades. Furthermore, the recent declines in CHD mortality rates appear to be slowing in both men and women aged 45-54. Among older adults however, mortality rates continued to decrease steadily throughout the period.

            Conclusions The flattening mortality rates for coronary heart disease among younger adults may represent a sentinel event. Deteriorations in medical management of coronary heart disease appear implausible. Thus, unfavorable trends in risk factors for coronary heart disease, specifically obesity and diabetes, provide the most likely explanation for the observed trends.

            Statistics from Altmetric.com

            Request permissions

            If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.