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AJPH First Look, published online ahead of print Nov 29, 2007
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American Journal of Public Health, 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 1*, Brent M. Egan 2, Peter W.F. Wilson 3, Stuart Lipsitz 4, Robert F. Woolson 2, Daniel T. Lackland 2

1 GlaxoSmithKline
2 Medical University of South Carolina
3 Emory University
4 Harvard University

* To whom correspondence should be addressed. E-mail: jill.e.abell{at}gsk.com.


  Abstract

We analyzed cardiovascular disease mortality risks associated with obesity using participant-level metaanalysis 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.

Key Words: Cardiovascular Disease, Epidemiology, Gender, Obesity, Overweight, Underweight, African Americans/Blacks, Mortality






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Copyright © 2007 by the American Public Health Association