Skip to main content

Diet-Related Risk Factors for Human Atherosclerosis: Hyperlipidemia, Hypertension, Hyperglycemia — Current Status

  • Chapter

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 60))

Abstract

A vast literature exists on the relationship between nutrition, nutrition-related risk factors, and the contemporary epidemic of atherosclerotic disease — especially coronary heart disease — in the industrialized countries (1–4). At the onset in this survey, it is worth emphasizing a point often forgotten due to the understandable preoccupation of atherosclerosis researchers with composition (quality) of the diet — especially lipid composition as it affects serum cholesterol: Nutrition is involved in the etiology of atherosclerotic disease not only via composition of the diet, especially saturated fat and cholesterol intake and the influence of these on serum cholesterol. Quantity is also important. Total caloric intake influences risk, i.e., imbalance between consumption and expenditure, expecially when (as in industrialized populations) the diet tends to be high in saturated fats and cholesterol. The consequence is not only obesity — a common phenomenon among adults in developed countries, even among children and teenagers in the United States — but frequently also obesityrelated hypertriglyceridemic hypercholesterolemia, hypertension, hyperglycemia and hyperuricemia, all implicated as risk factors for atherosclerotic disease.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Katz, L.N., Stamler, J. and Pick, R.P. Nutrition and Atherosclerosis, Lea and Febiger, Philadelphia, Pa., 1958.

    Google Scholar 

  2. Stamler, J. Lectures on Preventive Cardiology, Grune and Stratton, New York, N.Y., 1967.

    Google Scholar 

  3. Stamler, J., Berkson, D.M. and Lindberg, H.A. Risk Factors: Their Role in the Etiology and Pathogenesis of the Atherosclerotic Diseases. Wissler, R.W. and Geer, J.C., eds., Pathogenesis of Atherosclerosis, Williams and Wilkins, Baltimore, Md., p. 41, 1972.

    Google Scholar 

  4. Inter-Society Commission for Heart Disease Resources. Atherosclerosis Study Group and Epidemiology Study Group. Primary Prevention of the Atherosclerotic Diseases. Circulation, 42: A55, 1970.

    Google Scholar 

  5. Rosenthal, S.R. Studies in Atherosclerosis: Chemical, Experimental and Morphologic. Arch. Path., 18: 473, 660 and 827, 1934.

    CAS  Google Scholar 

  6. Yerushalmy, J. and Hilleboe, H.E. Fat in the Diet and Mortality from Heart Disease — A Methodological Note. New York State J. Med., 57: 2343, 1957.

    CAS  Google Scholar 

  7. Jolliffe, N. and Archer, M. Statistical Associations between International Coronary Heart Disease Death Rates and Certain Environmental Factors. J. Chron. Dis., 9: 636, 1959.

    Article  PubMed  CAS  Google Scholar 

  8. Connor, W.E. Dietary Cholesterol and the Pathogenesis of Atherosclerosis. Geriatrics, 16: 407, 1961.

    PubMed  CAS  Google Scholar 

  9. Yudkin, J. Diet and Coronary Thrombosis-Hypothesis and Fact. Lancet, 2: 155, 1957.

    Article  Google Scholar 

  10. Stamler, J., Stamler, R. and Shekelle, R. Regional Differences in Prevalence, Incidence and Mortality from Atherosclerotic Coronary Heart Disease. de Haas, J.H., Hemker, H.C. and Snellen, H.A., eds. Ischaemic Heart Disease, Leiden University Press, Leiden, The Netherlands, p. 84, 1970.

    Chapter  Google Scholar 

  11. Masironi, F. Dietary Factors and Coronary Heart Disease. Bull. WHO, 42: 103, 1970.

    PubMed  CAS  Google Scholar 

  12. McGill, H.C., Jr., ed. Geographic Pathology of Atherosclerosis, Williams and Wilkins, Baltimore, Md., 1968.

    Google Scholar 

  13. Keys, A., ed. Coronary Heart Disease in Seven Countries. Circulation, 41: Suppl. 1, 1970.

    Google Scholar 

  14. Keys, A. Letter to the Editors. Atherosclerosis, 18: 352, 1973.

    Article  PubMed  CAS  Google Scholar 

  15. Yudkin, J. and Morland, J. Sugar Intake and Myocardial Infarction. Amer. J. Clin. Nutr., 20: 503, 1967.

    Google Scholar 

  16. Stamler, J. Nutrition, Metabolism and Atherosclerosis — A Review of Data and Theories, and a Discussion of Controversial Questions. Ingelfinger, F.J., Reiman, A.S. and Finland, M., eds. Controversy in Internal Medicine, W.B. Saunders Co., Philadelphia, Pa., p. 27, 1966.

    Google Scholar 

  17. Walker, A.R.P. Sugar Intake and Coronary Heart Disease. Atherosclerosis, 14: 137, 1971.

    Article  PubMed  CAS  Google Scholar 

  18. Coronary Drug Project Research Group. Factors Influencing Long-Term Prognosis after Recovery from Myocardial Infarction — Three-Year Findings of the Coronary Drug Project. J. Chron. Dis., In press.

    Google Scholar 

  19. Coronary Drug Project Research Group. The Natural History of Myocardial Infarction in the Coronary Drug Project: Prognostic Importance of Serum Lipid Levels, In press.

    Google Scholar 

  20. Feinleib, M., Kannel, W.B., Tedeschi, C.G., Landau, T.K. and Garrison, R.J. The Relation of Ante Mortem Characteristics to Cardiovascular Findings at Necropsy: The Framingham Study. Paper presented at the Conference on Cardiovascular Disease Epidemiology, Council on Epidemiology, American Heart Association, San Diego, Calif.,Mar. 1–2, 1971.

    Google Scholar 

  21. Committee on Reduction of Risk of Heart Attack and Stroke, American Heart Association. Coronary Risk Handbook — Estimating Risk of Coronary Heart Disease in Daily Practice, American Heart Association, EM620-PE, New York, N.Y., 1973.

    Google Scholar 

  22. Gofman, J.W. et al. and Andrus, E.C. et al. Evaluation of Serum Lipoprotein and Cholesterol Measurements as Predictors of Clinical Complications of a Cooperative Study of Lioproteins and Atherosclerosis. Circulation, 14: 691, 1956.

    CAS  Google Scholar 

  23. Kannel, W.B., Castelli, W.P., Gordon, T. and McNamara, P.M. Serum Cholesterol, Lipoproteins, and the Risk of Coronary Heart Disease: The Framingham Study. Ann. Intern. Med., 74: 1, 1971.

    PubMed  CAS  Google Scholar 

  24. Cofman, J.W., Young, W. and Tandy, R. Ischemic Heart Disease, Atherosclerosis, and Longevity. Circulation, 34: 679, 1966.

    Google Scholar 

  25. Carlson, L.A. and Böttiger, L.E. Ischaemic Heart-Disease in Relation to Fasting Values of Plasma Triglycerides and Cholesterol. Lancet, 1: 865, 1972.

    Article  PubMed  CAS  Google Scholar 

  26. Stamler, J., Schoenberger, J.A., Lindberg, H.A., Shekelle, R., Stoker, J.M., Epstein, M.B., deBoer, L., Stamler, R., Restivo, R., Gray, D. and Cain, W. Detection of Susceptibility to Coronary Disease. Bull. N.Y. Acad. Med., 45: 1306, 1969.

    PubMed  CAS  Google Scholar 

  27. Schoenberger, J.A., Stamler, J., Shekelle, R.B. and Shekelle, S. Current Status of Hypertension Control in an Industrial Population. J.A.M.A., 222: 559, 1972.

    Article  PubMed  CAS  Google Scholar 

  28. Stamler, J., Schoenberger, J.A., Shekelle, R.B. and Stamler, R. Hypertension: The Problem and the Challenge. The Hypertension Handbook, Merck, Sharp and Dohme, West Point, Pa., p. 3, 1974.

    Google Scholar 

  29. Stamler, J., Shekelle, R.B., Schoenberger, J.A. and Shekelle, S. Glycemia and Its Relationships to Other Risk Factors and ECG Abnormalities in 35,000 Employed Chicagoans. Paper presented at the Conference on Cardiovascular Epidemiology, Council on Epidemiology, American Heart Association, New Orleans, La., Mar. 12–13, 1973.

    Google Scholar 

  30. Stamler, J., Stamler, R. and Berkson, D.M. Is Hyperglycemia and Independent and Additive Risk Factor for Coronary Heart Disease? — Findings of the Community Screening Program of the Chicago Board of Health. In preparation.

    Google Scholar 

  31. University Group Diabetes Program. The University Group Diabetes Program — A Study of the Effects of Hypoglycemic Agents on Vascular Complications in Patients with Adult-Onset Diabetes. Diabetes, 19: 747, 1970.

    Google Scholar 

  32. University Group Diabetes Program. Effects of Hypoglycemic Agents on Vascular Complications in Patients with Adult-Onset Diabetes: IV. A Preliminary Report on Phenformin Results. J.A.M.A., 217: 777, 1971.

    Google Scholar 

  33. Ackerknecht, E.H. Rudolf Virchow — Doctor, Statesman, Anthropologist, University of Wisconsin Press, Madison, Wisc., 1953.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1975 Plenum Press, New York

About this chapter

Cite this chapter

Stamler, J. (1975). Diet-Related Risk Factors for Human Atherosclerosis: Hyperlipidemia, Hypertension, Hyperglycemia — Current Status. In: Sirtori, C., Ricci, G., Gorini, S. (eds) Diet and Atherosclerosis. Advances in Experimental Medicine and Biology, vol 60. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-9029-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-9029-3_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-9031-6

  • Online ISBN: 978-1-4615-9029-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics