Print Get Citation Citation Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Please consult the latest official manual style if you have any questions regarding the format accuracy. AMA Citation Ramjaun A. Ramjaun A Ramjaun, Aliya. Trends in cardiovascular disease morbidity and mortality in American Indians over 25 years: the Strong Heart Study. 2 Minute Medicine, 5 November 2019. McGraw-Hill, 2019. AccessMedicine. https://accessmedicine.mhmedical.com/updatesContent.aspx?gbosid=507753§ionid=231154045APA Citation Ramjaun A. Ramjaun A Ramjaun, Aliya. (2019). Trends in cardiovascular disease morbidity and mortality in american indians over 25 years: the strong heart study. (2019). 2 minute medicine. McGraw-Hill. https://accessmedicine.mhmedical.com/updatesContent.aspx?gbosid=507753§ionid=231154045.MLA Citation Ramjaun A. Ramjaun A Ramjaun, Aliya. "Trends in cardiovascular disease morbidity and mortality in American Indians over 25 years: the Strong Heart Study." 2 Minute Medicine McGraw-Hill, 2019, https://accessmedicine.mhmedical.com/updatesContent.aspx?gbosid=507753§ionid=231154045. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager Mendeley © Copyright Clip Full Chapter Figures Only Tables Only Videos Only Supplementary Content Top Trends in cardiovascular disease morbidity and mortality in American Indians over 25 years: the Strong Heart Study by Aliya Ramjaun Listen +Originally published by 2 Minute Medicine® (view original article). Reused on AccessMedicine with permission. +1. The incidence and mortality associated with cardiovascular disease has decreased over a generation in a Native American cohort, however, improvements in age-specific mortality amongst females has not been consistently demonstrated +Evidence Rating Level: 2 (Good) +High morbidity and mortality rates owing to cardiovascular disease (CVD) have been observed in Native American populations, exceeding rates seen in other ethnic and/or racial groups. The Strong Heart Study (SHS) is a population-based cohort study of CVD in Native Americans that was initiated in 1988, and has led to the formation of the Strong Heart Family Study (SFHS), comprised of large multi-generation families. In this cohort study, researchers used data from the combined SHS and SFHS cohorts to evaluate temporal changes in CVD prevalence, incidence and CVD-related mortality risk in this group. Researchers found that at all age ages, CVD incidence was lower in more recent birth cohorts, and observed in both men and women subgroups. For CVD incidence, the magnitude of relative risk (RR) was relatively unchanged over the years amongst females (range 0.39 to 0.50), while the RR steadily declined in men. CVD mortality also declined consistently among men, while there was no consistent improvement in age-specific mortality risk among women when comparing birth cohorts. This study therefore shows that CVD incidence has declined over a generation in a Native American cohort. However, consistent improvements in female CVD-related mortality have not been demonstrated, pointing to a need for targeted public health interventions amongst female Native Americans. +Click to read the study in Journal of the American Heart Association +©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.