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AJPH First Look, published online ahead of print Nov 29, 2007
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January 2008, Vol 98, No. 1 | American Journal of Public Health 63-66
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2006.093781

RESEARCH AND PRACTICE

Differences in Cardiovascular Disease Mortality Associated With Body Mass Between Black and White Persons

Jill E. Abell, PhD, MPH, Brent M. Egan, MD, Peter W.F. Wilson, MD, Stuart Lipsitz, ScD, Robert F. Woolson, PhD and Daniel T. Lackland, DrPH

At the time of the study, Jill E. Abell, Brent M. Egan, Peter W. F. Wilson, Robert F. Woolson, and Daniel T. Lackland were with the Medical University of South Carolina, Charleston. Stuart Lipsitz was with Medical University of South Carolina, Charleston, and Harvard University, Boston, Mass.

Correspondence: Requests for reprints should be sent to Daniel T. Lackland, DrPH, Medical University of South Carolina, Department of Biostatistics, Bioinformatics, and Epidemiology, 135 Cannon St, Charleston, SC 29401 (e-mail: lackland{at}musc.edu).

We analyzed cardiovascular disease mortality risks associated with obesity using participant-level meta-analysis of data from the Black Pooling Project for Black and White individuals. The adjusted relative risks (ARRs) were stronger among White participants than among Black participants for coronary heart disease AAR=1.21 (95% confidence interval [CI]=1.07, 1.36) versus 0.87 (95% CI=0.69, 1.09), respectively, and cardiovascular disease ARR=1.18 (95% CI=1.07, 1.29) versus 0.91 (95% CI=0.77, 1.05), repectively. The results suggest that obesity is an independent risk factor in White people, and additional study of body size and disease progression is necessary in the assessment of racial disparities.






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