Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
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.
McLaughlin JB, Middaugh JP, Utermohle CJ, Asay ED, Fenaughty AM, Eberhart-Phillips JE. Changing Patterns of Risk Factors and Mortality for Coronary Heart Disease Among Alaska Natives, 1979-2002. JAMA. 2004;291(21):2545–2546. doi:10.1001/jama.291.21.2545