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June 2, 2004

Changing Patterns of Risk Factors and Mortality for Coronary Heart Disease Among Alaska Natives, 1979-2002

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(21):2545-2546. doi:10.1001/jama.291.21.2545

To the Editor. Rates of death from coronary heart disease (CHD) among Alaska Natives have historically been lower than those among nonnative Alaskans.1 However, in light of the impact of Western acculturation (ie, high-fat diet, smoking, and sedentary lifestyle) on the prevalence of heart disease among other Native groups,2 we investigated the possibility of similar recent trends in CHD mortality and risk factors among Alaska Natives.