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Deaths From Heart-Disease
Are Occurring Later in Life

Wall Street Journal of November 13, 1996

By JERRY E. BISHOP
Staff Reporter of THE WALL STREET JOURNAL

NEW ORLEANS -- Americans have been seriously misled into thinking that heart disease is on the decline, the new president of the American Heart Association charged.

Deaths from heart disease haven't dropped nearly as much as health officials have claimed and the prevalence of the disease actually may be increasing, asserted President Jan L. Breslow, a Rockefeller University researcher, at the heart group's annual meeting here.


More information about the 69th Scientific Session is available on the World Wide Web at http://aha.expocity.com/. [Note from Karl Loren: This site was active in February, 1997, but nothing could be found of the Breslow quote!!]

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Other researchers echoed that warning. Charles H. Hennekens of Harvard Medical School's Brigham & Women's Hospital in Boston noted that "adolescents are smoking more, are heavier and are exercising less than their parents."

Dr. Breslow said that for several years public-health officials and groups like the heart association have pointed proudly to a widely used chart that shows the death rate from heart disease has fallen to about 150 deaths per year per 100,000 people, about half of the peak rate in the early 1950s. Dr. Breslow said that the number of deaths is actually 260 to 270 a year.

Chart Reflects 1940 Death Rate

The original chart was used to support claims that the massive public-health campaigns to get Americans to reduce their risk of heart disease have been paying off. These campaigns urged people to reduce their dietary fat, lower blood-cholesterol levels, stop smoking, reduce blood pressure and lose weight. "Our philosophy was that to get more money from politicians, we had to show that good things were happening," Dr. Breslow said.

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The researchers explained that the older chart showed the so-called age-adjusted death rate reflecting the death rate for each age group in the population. The older chart is based on the U.S. population in 1940, when the proportion of Americans over age 65 was relatively small.

Thus, the older chart gives heavy weight to a decline in heart-disease deaths among 40-to-60 year-olds. But it gives very little weight to increases in the death rates among the older groups where most heart-disease deaths are occurring, the researchers said.

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