Author + information
- Received February 14, 2007
- Revision received April 24, 2007
- Accepted May 14, 2007
- Published online November 27, 2007.
- ↵⁎Reprint requests and correspondence:
Dr. Earl S. Ford, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K66, Atlanta, Georgia 30341.
Objectives The objective of our study was to examine age-specific mortality rates from coronary heart disease (CHD), particularly those among younger adults.
Background Trends for obesity, diabetes, blood pressure, and metabolic syndrome among young adults raise concerns about the mortality rates from CHD in this group.
Methods We used mortality data from 1980 to 2002 to calculate age-specific mortality rates from CHD for U.S. adults age ≥35 years.
Results Overall, the age-adjusted mortality rate decreased by 52% in men and 49% in women. Among women age 35 to 54 years, the estimated annual percentage change (EAPC) in mortality was −5.4% (95% confidence interval [CI] −5.8 to −4.9) from 1980 until 1989, −1.2% (95% CI −1.6 to −0.8) from 1989 until 2000, and 1.5% (95% CI −3.4 to 6.6) from 2000 until 2002. Among men age 35 to 54 years, the EAPC in mortality was −6.2% (95% CI −6.4 to −5.9) from 1980 until 1989, −2.3% (95% CI −2.6 to −2.1) from 1989 until 2000, and −0.5% (95% CI −3.7 to 2.9) from 2000 until 2002. Among women and men age ≥55 years, the estimated annual percentage decrease in mortality from CHD accelerated in more recent years compared with earlier periods.
Conclusions The mortality rates for CHD among younger adults may serve as a sentinel event. Unfavorable trends in several risk factors for CHD provide a likely explanation for the observed mortality rates.
The findings and conclusions in this article are those of the authors and do not represent the views of the Centers for Disease Control and Prevention.
- Received February 14, 2007.
- Revision received April 24, 2007.
- Accepted May 14, 2007.
- American College of Cardiology Foundation