Prevalence of peripheral arterial disease and associated risk factors in American Indians

Author Name: 
Fabsitz, R. R., Sidawy, A. N., Go, O., et al.
Publication Date: 
Thursday, September 9, 1999
Private File Attachment: 
Peripheral arterial disease or as its commonly known PAD has many different definitions in 1999 in the medical community, this has made it difficult to study. American Indians have extremely little in the manner of studies done on PAD, data on American Indians was shown to be inadequate and the CVD strongly recommended epidemiologic studies of this problem. The Strong Heart Study (SHS) was designed to respond to this recommendation. To find out more several tests were done, the baseline test was the Strong Heart Study, it was created to collect uniform data on cardiovascular diseases and risk factors in American Indians. The study included 13 American Indian tribes and communities in three geographic areas: an area near Phoenix, Arizona, the southwestern area of Oklahoma, and western and central North and South Dakota. The first was a survey to determine cardiovascular disease mortality rates from 1984 to 1994 among tribal members aged 35-74 years of age residing in the 3 study areas (the community mortality study). The second was the clinical examination of 4,500 eligible tribal members. The third component is the morbidity and mortality (M&M) surveillance of these 4,500 participants. Data from cardiac, carotid, and popliteal ultrasound measures will substantially improve understanding of mechanisms of vascular disease in diabetes and the genetics of CVD. SHS may lead to valuable therapeutic and prevention strategies for this and other populations in the US and the world, where the epidemics of obesity, diabetes, and CVD are increasing rapidly.