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January 27, 2012 Co-morbid depression is associated with poor work outcomes in persons with cardiovascular disease (CVD): A large, nationally representative survey in the Australian population - BMC Public Health O'Neil A et al. – Co–morbid major depressive disorder (MDD) and cardiovascular disease (CVD) is associated with significantly poorer work outcomes. Specifically, the effects of these conditions on work functioning are synergistic. The development of specialised treatment programs for those with co–morbid MDD and CVD is required.... January 26, 2012 Racial Discrimination, Mood Disorders, and Cardiovascular Disease Among Black Americans - Annals of Epidemiology Chae DH et al. – The association between racial discrimination and cardiovascular disease (CVD) is moderated by history of mood disorder. Future studies may examine pathways through which racial discrimination and mood disorders impact CVD risk among Black Americans.... January 25, 2012 Type D personality is associated with impaired psychological status and unhealthy lifestyle in Icelandic cardiac patients: A cross-sectional study. - BMC Public Health Svansdottir E et al. – Type D personality was associated with psychological distress and an unhealthy lifestyle in Icelandic cardiac patients. Future studies should further investigate the association between Type D personality and health–related behaviors.... Diagnosed hypertension in Canada: incidence, prevalence and associated mortality - Canadian Medical Association Journal Robitaille C et al. – The overall prevalence of diagnosed hypertension in Canada from 1998 to 2008 was high and increasing, whereas the incidence declined during the same period. These findings highlight the need to continue monitoring the effectiveness of efforts for managing hypertension and to enhance public health programs aimed at preventing hypertension. Methods The authors obtained data from linked health administrative databases from each province and territory for adults aged 20 years and older. They used a validated case definition to identify people with hypertension diagnosed between 1998/99 and 2007/08. Results This retrospective population-based study included more than 26 million people. In 2007/08, about 6 million adults (23.0%) were living with diagnosed hypertension and about 418 000 had a new diagnosis. The age-standardized prevalence increased significantly from 12.5% in 1998/99 to 19.6% in 2007/08, and the incidence decreased from 2.7 to 2.4 per 100. Among people aged 60 years and older, the prevalence was higher among women than among men, as was the incidence among people aged 75 years and older. The prevalence and incidence were highest in the Atlantic region. For all age groups, all-cause mortality was higher among adults with diagnosed hypertension than among those without diagnosed hypertension. ... January 24, 2012 Strength of Association for Incident Diabetes Risk Factors According to Diabetes Case Definitions The Atherosclerosis Risk in Communities Study - American Journal of Epidemiology Bielinski SJ et al. – These results illustrate the potential limitations of case definitions that rely solely on self–report or those that incorporate measured glucose values to ascertain undiagnosed cases. Although the ability to identify risk factors of diabetes was consistent for the case definitions studied, tests of novel risk factors may result in different estimates of effect sizes depending on the definition used.... Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): Objectives and Design - American Journal of Epidemiology Aquino EML et al. – Long–term biologic sample storage will allow investigation of biomarkers that may predict cardiovascular diseases and diabetes. Annual telephone surveillance, initiated in 2009, will continue for the duration of the study. A follow–up examination is scheduled for 2012–2013.... January 23, 2012 Health risk appraisal for older people 4: case finding for hypertension, hyperlipidaemia and diabetes mellitus in older people in English general practice before the introduction of the Quality and Outcomes Framework - Primary Health Care Research & Development Raymond M et al. – Preventive care uptake was associated with frequent contacts with doctors, but overall the uptake of preventive care was low. Older people with healthier lifestyles were more likely to have primary preventative care interventions. These findings provide a baseline against which the effect of the QOF on the care of older people can be measured in future studies.... Practice guidelines need to address the how and the what of implementation - Primary Health Care Research & Development McKillop A et al. – The findings reveal that, even with the best of intentions to implement the guideline, health professionals were frustrated and at a loss as to how to achieve that in practice. Consequently, cardiovascular risk assessment and management was uneven and fragmented. Primary health–care practice environments vary so much that solutions to the difficulties of implementing evidence into practice requires context–specific solution–finding through collaborative teamwork.... January 20, 2012 Orthostatic hypotension (OH) and mortality in relation to age, blood pressure and frailty - Archives of Gerontology and Geriatrics Rockwood MRH et al. – Adjusted for frailty, this result was not significant. OH may be a marker of the system dysregulation seen in frailty, but as a state variable is a less powerful marker of vulnerability than is the FI–CGA.... Prevalence of cardiovascular disease and risk factors in a rural district of Beijing, China: a population-based survey of 58,308 residents - BMC Public Health He L et al. – High prevalence of Cardiovascular disease (CVD) and probably changed epidemic pattern in rural communities of Beijing, together with the prevalent cardiovascular risk factors and population aging, might cause public health challenges in rural Chinese population.... More News...