AJCN Cancer Health Disparities Conference
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by BASSETT, D. R.
Right arrow Articles by STOKES, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by BASSETT, D. R.
Right arrow Articles by STOKES, J., III
Agricola
Right arrow Articles by BASSETT, D. R.
Right arrow Articles by STOKES, J.

American Journal of Clinical Nutrition, Vol 22, 1483-1503, Copyright © 1969 by The American Society for Clinical Nutrition, Inc.

Coronary Heart Disease in Hawaii: Dietary Intake, Depot Fat, "Stress," Smoking, and Energy Balance in Hawaiian and Japanese Men

DAVID R. BASSETT M.D.1, MARJORIE ABEL M. S.1, ROBERT C. MOELLERING JR. M.D.1, GERALD ROSENBLATT M.D.1, and JOSEPH STOKES III M.D.1

1 From the Hawaii Cardiovascular Study, the Department of Medicine, the Queen's Medical Center; and the Hawaii State Department of Health, Honolulu, Hawaii

Dietary intake has been studied in 42 Hawaiian and 68 Japanese men who had recovered from acute myocardial infarction, and in 84 Hawaiian and 136 Japanese age-matched control subjects.

The principal dietary differences that might give rise to the high risk factors observed in the Hawaiians, thereby accounting for the higher CHD mortality in Hawaiians are: 1) a history of sporadic heavy calorie intake in Hawaiians, either from total nutrients, or, on occasion, from alcohol; 2) a greater day-to-day variation in calorie intake (modified feast-or-famine type of eating pattern) in the Hawaiians; 3) higher saturated fat and total fat intakes in the Hawaiians, which, if pathogenetic, appear to operate through other than a hypercholesterolemic effect.

This study has encountered the problems inherent in appraising total energy intake and total energy output, and suggests that abnormalities in energy balance, rather than differences in specific nutrient intake, appear to account for the differences in coronary heart disease frequency when Hawaiians are compared with Japanese men resident in Hawaii.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1969 by The American Society for Nutrition