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Guide to Preventive Cardiology for Women
Lori J. Mosca, Scott M. Grundy, Debra R. Judelson, KATHLEEN B. KING, Marian C. Limacher, Suzanne Oparil, Richard C. Pasternak, Thomas A. Pearson et al.. Circulation, 1999-05-11
Topic: Health services, long-term care and technology
C oronary heart disease (CHD) is the single leading cause of death and a significant cause of morbidity among American women. 1 Risk factors for CHD in women are well documented. 2 Compelling data from epidemiological studies and randomized clinical trials show that CHD is largely preventable.Assessment and management of several risk factors for CHD are cost-effective.3 Despite these facts, there are alarming trends in the prevalence and management of risk factors in women. 2 Smoking rates are declining less for women than for men.The prevalence of obesity is increasing, and Ϸ25% of women report no regular sustained physical activity.4 Approximately 52% of women Ͼ45 years old have elevated blood pressure, and Ϸ40% of women Ͼ55 years old have elevated serum cholesterol.5 The purpose of this statement is to highlight risk factor management strategies that are appropriate for women with a broad range of CHD risk.A more detailed description, including the scientific basis for these recommendations, is available in the 1997 American Heart Association scientific statement "Cardiovascular Disease in Women." 2 Recently, the Centers for Disease Control and Prevention National Ambulatory Medical Care Survey 6 showed clinicians are missing opportunities to prevent CHD.In this study of 29 273 routine office visits, women were counseled less often than men about exercise, nutrition, and weight reduction.In the multicenter Heart and Estrogen/progestin Replacement Study (HERS), 7 only 10% of women enrolled with documented CHD had baseline LDL-cholesterol levels below a National Cholesterol Education Program (NCEP) target of 100 mg/dL.A recent national survey showed that women were significantly less likely than men to enroll in cardiac rehabilitation after an acute myocardial infarction (MI) or bypass surgery.8 This finding is especially important because post-MI patients not enrolled in cardiac rehabilitation are less likely to receive aggressive risk factor management.Recommendations for the primary and secondary prevention of CHD have been published.9,10 Although those recommendations apply to women, there are aspects of risk factor management that are unique to women.Pregnancy and the preconception period are optimal times to review a woman's risk factor status and health behaviors to reduce future cardiovascular disease.Pregnant women should be strongly encouraged to discontinue smoking and not to relapse in the postpartum period.Avoidance of excess weight gain duri
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Study details
- Participants2,763
- Evidence strengthHigh
How this study scored 57/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record and multi-centre collaboration, so those were left out: it earned 33 of the 58 points we could judge it on, which is 57 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Circulation) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 1999 — older than 20 years, still counted |
| Sample size | 3 / 4 | 2,763 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 10318674) |
| Free to read | 2 / 2 | Free to read |
| Points | 33 / 58 | Scored on 11 of 20 parts. We have no data for the rest, so they are left out: 33 of the 58 points we could judge it on is 57 out of 100. |
| Total | 57 / 100 | — |
What each of these 20 components measures, and what this score is not →
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Mosca, L. J., Grundy, S. M., Judelson, D. R., KATHLEEN B., K. I. N. G., Limacher, M. C., Oparil, S., et al. (1999). Guide to Preventive Cardiology for Women. Circulation. https://doi.org/10.1161/01.cir.99.18.2480
Vancouver
Mosca LJ, Grundy SM, Judelson DR, KATHLEEN B. KING, Limacher MC, Oparil S, et al. Guide to Preventive Cardiology for Women. Circulation. 1999. doi:10.1161/01.cir.99.18.2480. PMID: 10318674.
BibTeX
@article{mosca1999-10318674,
author = {Mosca, Lori J. and Grundy, Scott M. and Judelson, Debra R. and KATHLEEN B., K. I. N. G. and Limacher, Marian C. and Oparil, Suzanne and Pasternak, Richard C. and Pearson, Thomas A. and others},
title = {{Guide to Preventive Cardiology for Women}},
journal = {Circulation},
year = {1999},
doi = {10.1161/01.cir.99.18.2480},
pmid = {10318674},
url = {https://doi.org/10.1161/01.cir.99.18.2480}
}
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