The Director of this study, Abraham Kagan, has comprehensively summarized the design and main finndings of the study in this book. The Honolulu Heart Program compared and contrasted ethnic Japanese men living in different cultural environments--Honolulu and mainland Japan--assessed their relative risk factors. The study supported many of the existing views on risk factors but also showed suprising trends. One of the trends shows moderate alcohol consumption is a preventative factor. In recent years the risk factors for cardiovascular diseases have become common knowledge. The recently completed Honolulu Heart Program is the largest targeted study to evaluate scientifically such risk factors.

The book covers the goals, design and findings of the Honolulu Heart Program which investigated risk factors for cardiovascular diseases. The study focused on the ethnic Japanese population of the Hawaiian Island of Oahu which, while remaining ethnically distinct, has adopted a Western lifestyle. The examined cohort was compared to similar cohorts in Japan and California to evaluate the effect of lifestyle on the risk of cardiovascular disease.

Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.

Ageing has become a great problem for many countries. Due to world-wide life prolongation the number of people over 6o years old has grown rapidly into a ten percent piece of the world population. The growing age of the world population raises many social, economical, and medical problems. The proportion of people in the economically active age groups to those who are over 65 is constantly decreasing. A major consequence of the increasing numbers of individuals in advanced age groups is increasing numbers of patients suffering from age-related diseases. The aim of this book is to present the basic data on human ageing as well as on age-related diseases.

"The Encyclopedia of Aging and Health is both a comprehensive reference of best practices across gerontology-related fields and a philosophical work that inspires its readers to embrace a loftier and more global view of aging beyond disability and medications." —Gerontologist As an ever increasing percentage of the population of western societies enters "old age," health issues grow in importance in terms of the well-being of this population, economic impact within the health-care system, impacts on families and family relationships, and so many other ways. The Encyclopedia of Health and Aging presents state-of-the-art research and ready-to-use facts on health and aging. This one-volume resource captures some of the excitement of the research in the field in terms of new findings as well as conceptual developments guiding research, practice, and policy. With more than 200 entries, it covers the biological, psychological, social, and economic aspects of health and aging and impacts within the health-care system. This Encyclopedia also focuses heavily on geriatrics with respect to geriatric syndromes and common diseases of aging. Key Features Addresses a full spectrum of topics, including acute illness, Alzheimer′s disease, bereavement, economic dependency, health-care costs, health promotion, hospice care, long-term care, medications, nursing homes, optimal aging, public policy, quality of life, spousal care-giving, widowhood, and much more Discusses landmark studies such as (Duke Longitudinal Studies, the Established Populations for the Epidemiological Study of the Elderly, Health and Retirement Study, and the National Long Term Care Survey) as well as important programs (Social Security, Meals on Wheels, and Medicaid/Medicare, etc.) Offers cross-disciplinary coverage with contributions from the fields of gerontology, epidemiology, health psychology, biology, sociology, health and medicine, and public policy Provides health and aging issues from around the world including Mexico, Canada, Latin America, Europe, Asia, Africa, Australia, and New Zealand Includes a list of 45 online resources on health and aging Key Themes: Aging and the Brain Diseases and Medical Conditions Drug Related Issues Function and Syndromes Mental Health and Psychology Nutritional Issues Physical Status Prevention and Health Behaviors Sociodemographic and Cultural Issues Studies of Aging and Systems of Care The Encyclopedia of Health and Aging is a must-have reference for any academic, as it appeals to a broad audience such as scholars within programs of gerontology and health, graduate students, members of the media, policy makers and health-care advocates, and the general reader.

This volume is a collection of the most significant contributions to the 4th International Symposium on MULTIPLE RISK FACTORS IN CARDIOVASCULAR DISEASE: STRATEGIES OF PREVENTION OF CORONARY HEART DISEASE, CARDIAC F AlLURE, AND STROKE held in Washington, D. C. in April 1997. The meeting focused on the risk factors for cardiovascular disease and their interactions. The need for this symposium is based on the epidemiological, clinical, and biological evidence that individuals from industrialized countries often possess two or more risk factors which synergistically increase the global risk profile. This has become more evident in recent years with the increase in life expectancy of populations in the industrialized countries. The evidence that a combination of risk factors confers a very high risk of developing cardiovascular diseases, is of pivotal interest in the process of detection of patients who will benefit the most from pharmacological treatment. Many recent epidemiological data identifying the intrinsic and environmental factors contributing to the development of atherosclerosis are discussed. These results, in parallel with basic and clinical research, underline atherosclerosis as a complex and multifactorial process involving the influences of lipids, including lipoprotein subfractions, blood pressure rheologic forces, carbohydrate tolerance, and thrombogenic factors, including fibrinogen, tissue factor, PAl-I, and homocysteine. Furthennore, the risk associated with anyone of these risk factors varies widely depending on the level of the associated atherogenic risk factors. Hyper cholesterolemia and hypertriglyceridemia, for instance, are more common than would be expected by chance among hypertensive patients.