Prevalence of coronary heart disease in the Framingham Offspring Study: Role of lipoprotein cholesterols

P. W. Wilson, R. J. Garrison, W. P. Castelli, M. Feinleib, P. M. McNamara, W. B. Kannel

Research output: Contribution to journalArticlepeer-review

232 Scopus citations


Forty-three of 1,312 men aged 35 to 54 years in the Framingham Offspring Study had clinically recognized coronary heart disease at the initial examination. Twenty-six men in this group had previously had a myocardial infarction. Of 1,296 women in the same age range, only 11 had coronary disease and 3 a prior myocardial infarction. The prevalence of coronary heart disease in men was strongly associated with age, smoking, high density lipoprotein (HDL), low density lipoprotein (LDL) and total cholesterol using univariate analyses. When multivariate logistic regression analysis was used, age, smoking and HDL and LDL cholesterol retained their significant association with coronary heart disease. The total cholesterol/HDL cholesterol ratio was also strongly associated with coronary heart disease in the multivariate analysis. It is concluded that both HDL and LDL cholesterol are strongly and independently associated with the prevalence of coronary heart disease, whereas the level of very low density lipoprotein cholesterol makes no statistically significant independent contribution.

Original languageEnglish (US)
Pages (from-to)649-654
Number of pages6
JournalThe American Journal of Cardiology
Issue number4
StatePublished - 1980
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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