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Correspondence
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Volume 357:941 August 30, 2007 Number 9
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Decrease in U.S. Deaths from Coronary Disease

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 by Ford, E. S.
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To the Editor: Ford et al. (June 7 issue)1 have developed a statistical model, called IMPACT, which explains almost 90% of the observed decrease in deaths from coronary heart disease in the United States in the 20 years from 1980 to 2000. This model, which has been validated and reproduced mainly in developed countries, is so robust that some of its findings are similar to those of the earlier Nurses' Health Study,2 especially the proportional contributions of smoking and obesity to heart disease (13% and 8%, respectively). However, the model does not explain almost 10% of the observed decrease in . . . [Full Text of this Article]




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