Cardiovascular Diseases Clinical Trial
To define the role of dietary variables on changes in plasma cholesterol levels over time in the Framingham cohort and the Framingham Offspring cohort.
BACKGROUND:
Mortality from coronary heart disease has declined over 40 percent since the late 1960s.
Possible explanations for the decline include the observed trends in risk factors such as
changes in rates of hypertension, dyslipidemia, and glucose intolerance; lifestyle changes
such as improvements in diet and decreases in the levels of cigarette smoking; and better
detection and treatment of heart disease. The specific effects of risk factor, lifestyle, or
detection and treatment changes on the declining population rates of coronary heart disease
morbidity and mortality were unknown in 1990. Secular trend analyses were needed to
elucidate the relative contribution of these factors, particularly dietary variables, on
population rates of coronary heart disease.
DESIGN NARRATIVE:
Multiple regression was used to assess the effect of dietary variables on changes in serum
cholesterol between 1957-1960 and 1966-1969 in a sample of 200 men for whom repeated
measurements existed in the Framingham cohort. Analysis of covariance was used to assess
influence of dietary intake on differences in serum cholesterol levels between independent
samples of men studied in 1957-1960 and 1966-1969 in the Framingham cohort, and independent
samples of women studied between 1957-1960 and 1984-1988 in the Framingham cohort and
Offspring cohort, and independent samples of men studied between 1966-1969 and 1984-1988 in
the Framingham cohort and Offspring cohorts respectively.
The study completion date listed in this record was obtained from the "End Date" entered in
the Protocol Registration and Results System (PRS) record.
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