Epidemiological Studies of Cardiovascular Disease in a Total Community—Tecumseh, Michigan
Authors: FREDERICK H. EPSTEIN
Journal: Annals of Internal Medicine (1965)

Article1 June 1965Epidemiological Studies of Cardiovascular Disease in a Total Community—Tecumseh, MichiganFREDERICK H. EPSTEIN, M.D., LEON D. OSTRANDER JR., M.D., F.A.C.P., BENJAMIN C. JOHNSON, M.D., DR. P.H., MILLICENT W. PAYNE, M.D., D.P.H., NORMAN S. HAYNER, M.D., M.P.H., JACOB B. KELLER, M.P.H., THOMAS FRANCIS JR., M.D., D.SC.FREDERICK H. EPSTEIN, M.D., LEON D. OSTRANDER JR., M.D., F.A.C.P., BENJAMIN C. JOHNSON, M.D., DR. P.H., MILLICENT W. PAYNE, M.D., D.P.H., NORMAN S. HAYNER, M.D., M.P.H., JACOB B. KELLER, M.P.H., THOMAS FRANCIS JR., M.D., D.SC.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-6-1170 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMuch knowledge on the epidemiology of the various cardiovascular disorders, particularly coronary heart disease (1), has been gained in recent years. Data on prevalence, incidence, and mortality have yielded a general estimate of the burden of these disorders. Nevertheless, this information is limited in a number of ways. Available data on prevalence and incidence are based on samples of the general population within selected age groups or special social or occupational groups (2); data on mortality have the obvious limitations relating to accuracy of certification and being confined to the terminal event in the natural history of an illness with...References1. EPSTEIN FH: The epidemiology of coronary heart disease—a review. Prepared for the Second National Conference on Cardiovascular Diseases. Washington, D. C., November 1964. J. Chronic Dis. (in press). Google Scholar2. WEINSTEINEPSTEIN BJFH: Comparability of criteria and methods in the epidemiology of cardiovascular disease. Report of a survey. Circulation 30: 643, 1964. CrossrefMedlineGoogle Scholar3. 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Prepared for the Second National Conference on Cardiovascular Diseases, Washington, D. C., November, 1964 (to be published). Google Scholar9. HAYNERKJELSBERGEPSTEINFRANCIS NSMOFHT: Carbohydrate tolerance and diabetes in a total community, Tecumseh, Michigan. I. Effects of age, sex and test conditions on one-hour glucose tolerance in adults. Diabetes (in press). Google Scholar10. JOHNSONEPSTEINKJELSBERG BCFHMO: Distributions and familial studies of blood pressure and serum cholesterol levels in a total community, Tecumseh, Michigan. J. Chronic Dis. 14: 147, 1965. CrossrefGoogle Scholar11. EPSTEINFRANCISHAYNERJOHNSONKJELSBERGNAPIERDODGEOSTRANDERPAYNE FHTNSBCMOJAHJLDMW: Prevalence of chronic diseases and distribution of selected physiological variables in a total community—Tecumseh, Michigan. Amer. J. Epidemiol, (in press). Google Scholar12. MCDONOUGHHAMESSTULBGARRISON JRCGMSGE: Coronary heart disease among Negroes and whites in Evans County, Georgia. J. Chronic Dis. (in press). Google Scholar13. PAYNEKJELSBERGMETZNER MWMOHL: Characteristics of smokers and non-smokers in Tecumseh, Michigan. I. The distribution of smoking in persons and families and its relationship to several social characteristics (in preparation). Google Scholar14. PAYNEKJELSBERG MMMO: Characteristics of smokers and non-smokers in Tecumseh, Michigan. II. The distribution of selected physiological variables and the prevalence of certain diseases in smokers and non-smokers (in preparation). Google Scholar15. MONTOYEKJELSBERGEPSTEIN HJMOFH: The measurement of body fatness; a study in a total community. Amer. J. Clin. Nutr. (in press). Google Scholar16. Heart Disease in Adults, United States 1960-1962. Vital and Health Statistics, Data from the National Health Survey. National Center for Health Statistics, Public Health Service Publication No. 1000-Series II-No. 6. Washington, D. C., September, 1964. Google Scholar17. OSTRANDERFRANCISHAYNERKJELSBERGEPSTEIN LDTNSMOFH: The relationship of cardiovascular disease to hyperglycemia. Ann. Intern. Med. 62: 1189, 1965. LinkGoogle Scholar18. KANNELKAGANDAWBERREVOTSKIE WBATRN: Epidemiology of coronary heart disease. Geriatrics 17: 675, 1962. MedlineGoogle Scholar19. FRANCIS T: Aspects of the Tecumseh study. Public Health Rep. 76: 963, 1961. CrossrefMedlineGoogle Scholar20. FRANCISEPSTEIN TFH: Epidemiological research in a total, natural community, Tecumseh, Michigan. Proceedings of the Conference on Comparability in Epidemiological Studies, International Epidemiological Association. Milbank Mem. Fund Quart. (in press). Google Scholar21. EPSTEIN FH: Epidemiological research in total communities: settings and perspectives. Meth. Inform. Med. 3: 18, 1964. CrossrefMedlineGoogle Scholar22. EPSTEIN FH: Hereditary aspects of coronary heart disease. Amer. Heart J. 67: 445, 1964. CrossrefMedlineGoogle Scholar23. EPSTEINKJELSBERG FHMO: Coronary heart disease in relation to blood pressure and cholesterol levels in population studies, in Proceedings of Conference on Contributions of Genetics to Epidemiology, edited by NEEL, J. V., SCHULL, W. J., SHAW, M. W. U. S. Government Printing Office, Washington, D. C. (in press). Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: FREDERICK H. EPSTEIN, M.D.; LEON D. OSTRANDERJR., M.D., F.A.C.P.; BENJAMIN C. JOHNSON, M.D., DR. P.H.; MILLICENT W. PAYNE, M.D., D.P.H.; NORMAN S. HAYNER, M.D., M.P.H.; JACOB B. KELLER, M.P.H.; THOMAS FRANCISJR., M.D., D.SC.Affiliations: Ann Arbor, MichiganFrom the Department of Epidemiology, University of Michigan School of Public Health, and the Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Mich.This study was supported by the Cardiovascular Research Center, University of Michigan, under Program Project Grant HE-6378 from the National Heart Institute, National Institutes of Health, U. S. Public Health Service, Bethesda, Md., and Public Health Service Research Career Program Award HE-K6-6748 to Dr. Epstein from the National Heart Institute, National Institutes of Health, U. S. Public Health Service, Bethesda, Md.Requests for reprints should be addressed to Frederick H. Epstein, M.D., Department of Epidemiology, University of Michigan, School of Public Health, Ann Arbor, Mich. 48104. 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DAVIDSON, M.D., CHARLES A. BRAAK, B.A., THOMAS A. PRESTON, M.D., RICHARD D. JUDGE, M.D., F.A.C.P.MASS HEALTH EXAMINATIONS IN THE BUSSELTON POPULATION, 1966 TO 1970Coronary heart disease: Risk factors as guides to preventive actionPsychosomatische SyndromeHäufigkeit von Hyperlipoproteinämien bei Patienten mit ischämischem cerebralen InsultDer akute Herztod; prophylaktische und therapeutische MaßnahmenThe effect of insulin deficiency, hypothyroidism, and hypertension on atherosclerosis in the squirrel monkeySugar intake and coronary heart diseaseUse of independent measurement of body fat to evaluate overweight and underweightLeft Axis Deviation: Prevalence, Associated Conditions, and Prognosis An Epidemiologic StudyLEON D. OSTRANDER JR., M.D., F.A.C.P.Angina or no angina: What difference does it make?An epidemiological study: Processing by a low-capacity computerFacteurs diététiques et cardiopathies coronariennesDetection of individual susceptibility toward coronary diseaseAn Epidemiologic Study of First Degree Atrioventricular Block in Tecumseh, MichiganLipoprotein PhenotypingProblems in studying the epidemiology of coronary heart disease in unsophisticated populationsTreatment of Hyperlipidemic StatesBibliographyThe Tecumseh StudySubmaximal Exercise Testing in a Random Sample of an Elderly PopulationThe Occupational Physican as Community PhysicianThe status of risk factors and coronary heart diseaseElectrocardiographic Findings Among the Total Adult Population of a Large Religious IsolatePredisposing Factors in Sudden Cardiac Death in Tecumseh, MichiganCoronary disease in mining communities in Marion County, West VirginiaRelationship of Premature Systoles to Coronary Heart Disease and Sudden Death in the Tecumseh Epidemiologic StudyBENJAMIN N. CHIANG, M.D., LAWRENCE V. PERLMAN, M.D., LEON D. OSTRANDER JR., M.D., F.A.C.P., FREDERICK H. EPSTEIN, M.D.Cardiovascular and Respiratory Symptoms in Relation to Tobacco SmokingThe value of retrospective surveys in the study of coronary heart diseaseHEALTH MAINTENANCE IN OLDER ADULTSSociological factors related to participation in a screening clinic for heart diseaseRisk factors for coronary heart disease in Hawaiian and Japanese males in Hawaii.What can be done to retard ageing and to increase expectation of life?Coronary heart disease in HawaiiElectrocardiograms and Exercise Test in a Health Check: A Study on Forest WorkersCoronary heart disease in Hiroshima, Japan: a report of a six-year period of surveillance, 1958-1964.Prevalence of Coronary Heart Disease in an Urban Population in Northern IndiaDiet and Coronary EventsCurrent Metabolic-Genetic Interrelationship in Human Atherosclerosis With Therapeutic ConsiderationsPETER T. KUO, M.D., F.A.C.P.Coronary Heart Disease: Screening by Familial AggregationTHE PREVENTION OF CORONARY HEART DISEASEGlucose Tolerance in Ischaemic Cardiovascular DiseasePREVALENCE OF ISCHEMIC HEART DISEASE AMONG ELDERLY YEMENITES AND EUROPEANS, RESIDENTS OF HOMES FOR THE AGED IN ISRAELMyocardial Infarction Among Southwestern American IndiansMAURICE L. SIEVERS, M.D., F.A.C.P.Coronary Heart Disease in WomenSPECIAL ARTICLEThe Exercise Test in Diabetic Patients as Studied by RadioelectrocardiographyHyperglycemia and Hypertriglyceridemia Among Persons with Coronary Heart DiseaseLEON D. OSTRANDER JR., M.D., F.A.C.P., BEVERLY J. NEFF, PH.D., WALTER D. BLOCK, PH.D., THOMAS FRANCIS JR., M.D., SC.D., FREDERICK H. EPSTEIN, M.D.The uses of prospective and retrospective population surveys in the study of coronary heart disease — With a note on Ireland's suitability for epidemiological studiesHeart Size of Adults in a Natural Population-Tecumseh, MichiganMyocardial infarction in Hawaiian and Japanese males on Oahu—A review of 505 cases occurring between 1955 and 1964DIETARY FAT AND CORONARY HEART DISEASE: A REVIEWExplanation of the Common Relationships of Diabetes Mellitus and Atherosclerosis with Consumption of Carbohydrates, Saturated Fats, Alcohol, and with SmokingValue of Prospective StudiesPresymptomatic Diagnosis of Ischæmic Heart DiseaseEmotional and sensory stress factors in myocardial pathologyThe effect of phenformin hydrochloride on serum cholesterol and triglyceride levels of the stable adult diabeticPrediction of Ischæmic Heart-diseaseCoronary Heart DiseaseFamilial Aggregation of Factors Associated with Coronary Heart DiseaseEpidemiological Study of the Electrocardiographic Diagnosis of Left Ventricular HypertrophyREFERENCESREFERENCESRisikofaktoren und Risikopersönlichkeit beim HerzinfarktCoronary Risk FactorsMARGINAL UNDERNUTRITIONBLOOD-SUGAR AND ARTERIAL DISEASEThe epidemiology of coronary heart diseaseThe Relationship of Cardiovascular Disease to HyperglycemiaLEON D. OSTRANDER JR., M.D., F.A.C.P., THOMAS FRANCIS JR., M.D., SC.D., NORMAN S. HAYNER, M.D., MARCUS O. KJELSBERG, PH.D., FREDERICK H. EPSTEIN, M.D.Acceptability of Vegetables in an Army Mess1 1 June 1965Volume 62, Issue 6Page: 1170-1187KeywordsCholesterolCoronary heart diseaseEpidemiologyHealth services researchHeart diseasesHospitalsLongitudinal studiesMedical servicesMortalityPrevention, policy, and public health ePublished: 1 December 2008 Issue Published: 1 June 1965 PDF downloadLoading ...