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A Behavioral Approach to Prevention of Coronary Heart Disease

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Behavioral Medicine: Work, Stress and Health

Part of the book series: NATO Science Series D: (closed) ((ASID,volume 19))

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Abstract

Coronary heart disease (CHD) is the most common of all causes of death. In men aged 45–64 years, up to 37% of deaths are attributed to CHD (207). In the U.S.A., the epidemic of CHD has been on the wane since the mid-60’s and on the balance of evidence, it seems unlikely that this could be due to changes in reporting. There has been a sharp decline in cigarette smoking, a shift in diet from animal to vegetable fats, an increased interest in exercise and more frequent treatment of hypertension in the U.S.A. However, the relationship between the decline in cardiovascular mortality and change in life styles are far from clear (63). The largest decline occurred in black women and it is unlikely that they are the greatest beneficiaries of health education or hypertension treatment. Neither are they likely to be the most avid joggers! In England and Wales, despite an early hint of a decline in the incidence, the mortality figures have remained disappointingly constant (199).

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  1. London School of Hygiene and Tropical Medicine, University of London, London, England

    Chandra Patel

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    W. Doyle Gentry PhD

  2. Department of Behavioral Medicine & Psychiatry, University of Virginia, USA

    W. Doyle Gentry PhD

  3. Department of Medicine, Harvard Medical School and Beth Israel Hospital, USA

    Herbert Benson MD

  4. Workgroup on Psychology of Work and Organization, University of Nijmegen, The Netherlands

    Charles J. de Wolff (Director) (Director)

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Patel, C. (1985). A Behavioral Approach to Prevention of Coronary Heart Disease. In: Gentry, W.D., Benson, H., de Wolff, C.J. (eds) Behavioral Medicine: Work, Stress and Health. NATO Science Series D: (closed), vol 19. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5179-2_14

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