Tobacco Documents Online

r AbOacts of the 30th Annual Conference on Cardiovascuiar Disease Epidemiology March 29-31i, 1990 San Diiego Marriott Hotel and Marina San Diego, California Third-Day Program Workshop on Obesity and: Blood Pressure March 31, 1990 Cosponsored by the Council on Epidemiology of the American Heart Association and National Heart, Lung, and Blood Institute tt¢oem.co.,how rs- ndee sa eoW .csmmod.oom s,rd,we nos te. Code.. eoa Coordinuar. s«ntl6c and Caayoraue Mesaap, Amenua Han Aaaauum T!21D ereeanlle Aveoue, Dallm TX 75231. Tdapsooe: 21frJ06-1s,1. The A¢iediuooa CouecW [br Coatieuieg Medtd Edunton rempisn the Ammiae Heart Auooame aw aa nQSdind ipoewr for cmuaumg medio!'.dummm aamun for PM_ TAeAmeritae Hea[i Aaooanan desapuatl>s eoeaswog mediol'aduvbos acmmy. for 17 aedit boun Ln Gtepury Uaf tb. PEyuean's Reeopamoa Arud a( t!e Amenoa Madiral A.wauuoo. 711

e 720 Chrculacioa Vol 8l', No 2, February 1990 Qiildren's 1lnL-choll: Th. Sffects of Tobace Smoking. Srbsleae and Parantal. Swokins t 33 Paul Powehn. Janet )tollortiuah, VilT1am Clarko, Ronald Lauar. University of io~ra„ Iowa City. IAI Two projects, th. thueatitr Pond.rosleT,ftudF the Praventlonof.Adoloscant Bmoklng Project, providodan opportunlt7 to relate tobacco esposura, particularly paasi.e ettpoaure am te parental srkin6, and HDL-ehol levels. This report is based en the d.tr gatherad from the 451 students in srades 6 i 7 in the Nusutino,. 1a I ~school syateo who partitipated in both sarwya. i Chfldran d+eoe parents s.oke daila.Sad a lo.arJ raa 1mL-chol than those whose parmta do not e.ek.; 49.0 .S/dl (n-209) vs. 51.7 s~/dl (b-242) ,pc.01. This association rrain.d siptlfieaat fndap.ndant of bodyy raa ind.:..a{o and rrdar. le6ular tobacco us. was reported by a rrLT portion of scud.nta. ftvd.nts...o" nenth2y o rre hs." low.r t0)L-chol levels (48.5 aVdl , (as1)vs 50.7.5/dl (n-399)J. Doys rho eA.r tobacco have lower tmL-chel lev.l, (17.1 s~/dl (p•27) vs 50.6 o,S/dl (n-224), p-.08). In twpa. but not g1'rls, the eo.bin.tion of parental I, srklng and th. child's ehaving or aoki.ns Sad' the lowest 8DL-ehol lovels... These results suu.st that.tebacco aiposure by personal use of cipr.ttea or mkelass and: passive exposure 1L contribute to lowrHDL-eho levels in children.. !lortalit7 in Psdrink.rs ' St Lrtbur L. Slatsk7, Mary Atma Ar.stron6, Gar7.D. Friodaan. Ralaer Peraanante Medical Centar„ Oakland, CA ~SSher .ortalit) in azdrinkars (vs. lifelong ab- taiaarsY has un+allybeen attributed to a bisbar prevalenee ofillnus amon8 asdriakars. Age- adjusted data for oembers of a prepaid health plan showod chat 3810 ezdrinkers reported .oro illnaas thao15,510 abstaioco (F7.0Z vs. 36.15) but urdiavueular(CV). risk was aiailar (10.12 of a:driakara vs. •1.15 ofabatainara)..f pazin8 follow-up fro. 197b-1985 (aadian follow-up - S years)„ 4077 abstainere and'17a. adriak.rs died. Aaradjusted Cns re8rasaion analysu abo.ed that, coaparod to lifelong abstainara, asdrinkcs bad biaher fortalit7 fron CV eauses (relative riak [S)tj - 1.5, 9S2 Cl - 1.3-2:1, p<0:01) and from aoo-C9 eansee (PJe-1.7, CI-1J-2.1„ p<0.001). Ad- lusernt for additional eo.erlatae (aec, race. ssoking , body suss indes, s~arital status, eduea- ttoo). redueedthe rrtality risk of adriaksrs;. ia for CV - 1.0. CI-0.b-1'.33 and tti for noe-G4 - 1.3,. cI-1.0-1.7,, p-O~0S. Pzdrinkars rhoatopp.dfor modical rsawns bad kighar aortalitp frte eon-CV eausas (lII-1.5. CI-11.1-2.1, p-0.q1), bnt mt froa CV.causes (1lt-1.,1,Ct-0.7-1.6)., Pre. tkasa date, we cmcluda.that higher noe-Cp uor- Italitq amon8 adrinkars is dua substantially to paselibe illnus, but hi8har CV .ortalit> sieon8 iadrinkas. ta due to eonf'oundinf.b7 otbe traits rala.ted to past alcohol ua.. Cbangt: in Aloobol Cotxumptioo aDd Risk of All-:au6e and Lcbemic HeartDutase Mortality in the Alameda County Study 35 Nancy B. Latanu, Geortte j!,~ Kaplan, Ricbsrd D. Cohen, "" Jea Leu. Caltlornta PubUc Htaltb Foutldatio4 Berkeley, CA Previou6 e.+dence wgsestt tbat those who abctaia ftvm alaohol ooowmptioo am at higher risk of iscbemic beart disease (DID) mortality. It remains tontroversial whether the incersed ri6k is found amOno all ibfiainera or OGt)+y those wbo recently quit dlfflkltlg. DifterentLOtlg b<efwCCD IOGj-terID abatainerS and more reaent nnndrinkers, the W ooel baards mode8 was used to stitdy the m a)oobol'coos>tmppontrom 196.ito 1974 and Qyear (19T4-1984) al1-duse and DM mortaliry in 4,0/0 persom aged 35 and'over. Women who were moderate drinkers who quitcompared to light drinkers at both timet are at inveased risk of mortaliry ffom all-causess (RH- 6S6: 95RvC1- 2.41 to' 17.84' and from (HD (RH=10.49;'9596 Q- Z50 to 44.01). This is true for,mea forall-nuse mortaliry, (itH'- 1.78; 9596Q-1.12 to 2$'3) but not for IHD mortality (RHe0.75; 954aC]-031 to 1.83). For, long-term abstaiaert compared to light drinkers, onlk meo were at margina4 iticeased'ru.k and only for all-cause mortality (RH -1.26;'9596Q -0.91 to 1.75). Some of the inaeased risk associated with abstention appears to be due to a higher risk amotig those who qun. CHD Risk Aasociated with l.fniarr nWAcute ~ t:onsu.pt.ion of~Aloohol.. kadneY Jackson, So:bert~Serap, Robert Ssa{lahole, University of. Audland.:M.v ZaalandTAe association of regular and acute aleohol eonausptdon:with eon-fatal sryoesrdial iafaretlon and coronary drth was investigated ina ea.e control stud).in Msu2aulaod: A total of 1J67pwple afod35-6A years without prior kno.n coronar7.di..asy wre included ia the stud7. Interviews rera caeduct.dwitD 2277 rle and72 ferle s+yocardialinfaretica cases ideatifisd, in a eoss.anit7 basedt10t1IG register,and' 525 rla and 341 fa.alo eontrols, randoaly selected frcm some populatios andSroup rtchedtyap undsez. Data on coronary death eaw (128 san and30 rornPideotifiedin the ItONIC[ regiYt.rr car fram a cloee frid or nlati.o. Siailar inforrtion r.s ebtained frr a close frieedord r.latYre of 330 rla and 214 frle age d oa: rtehed eontrola. There was a.strens,eonsistant inverse assecia- tlon between altotql tonsuqt3oa and both fatal, non-fatai. C>tmriskinD rt.nm and .ran. After ontrollin8 for possibla eoofomding,peoyle drank alcohol .ers than once p.r snet:N bad 1 30-605 reduction in CHD risk. ta-driakars Aada roducedrisk of soo•fatal siyocardial infarction but aot of coronary dutL. Aledbol eonsuwptienws aloo ataociatad with an seuto reduction in CID,rlsk..ASronB people who drasY at least onee par.annth, CIM ri.k was haltnddurin8 the 24 ' hwra aftar a drinking .plsoda. . NOTICE ?h1s materiel may be protectied by capyright bw (ritle 17 U.S. Codek