title: Coronary Artery Risk Detection in Appalachian Communities (CARDIAC): preliminary findings.
abstract: West Virginia's mortality and morbidity from cardiovascular disease (CVD) is among the highest in the developed world. Appalachia, and West Virginia in particular, could reduce the high prevalence of premature coronary heart disease (CHD) by addressing modifiable independent risk factors such as poor nutrition, sedentary lifestyle, and tobacco use. School-based health promotion programs have been shown to be an effective means of influencing student and parental health behavior. The pilot phase of the Coronary Artery Risk Detection in Appalachian Communities (CARDIAC) project substantiated an alarmingly high incidence of CVD risk factors among 347 fifth grade children from three rural counties, and was also an effective means of identifying parents at risk of developing CHD. Utilization of the innovative Rural Health Education Partnerships (WVRHEP), coupled with a health conscious public school system, offers a unique opportunity to establish the first statewide cardiovascular disease community intervention project in the nation.
authors.affiliation: Department of Pediatrics, West Virginia University School of Medicine, Morgantown, USA.
authors.forename: W A
authors.initials: WA
authors.lastname: Neal
authors.forename: E
authors.initials: E
authors.lastname: Demerath
authors.forename: E
authors.initials: E
authors.lastname: Gonzales
authors.forename: E
authors.initials: E
authors.lastname: Spangler
authors.forename: V E
authors.initials: VE
authors.lastname: Minor
authors.forename: R
authors.initials: R
authors.lastname: Stollings
authors.forename: S
authors.initials: S
authors.lastname: Islam
mesh_terms: D001795:Blood Pressure Determination; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D002648:Child; D002784:Cholesterol / Q000097:blood; D005260:Female; D017144:Focus Groups; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008019:Life Style; D008297:Male; D008403:Mass Screening; D011159:Population Surveillance; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D012424:Rural Population; D012572:School Health Services; D014903:West Virginia / Q000453:epidemiology
chemical_list: D002784:Cholesterol