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ARTICLE |

Arteriosclerotic Heart Disease in Roseto, Pennsylvania FREE

Ancel Keys, PhD
[+] Author Affiliations

Reprint requests to Stadium Gate 27, University of Minnesota, Minneapolis 55455 (Dr. Keys).


From the School of Public Health, University of Minnesota, Minneapolis.


JAMA. 1966;195(2):93-95. doi:10.1001/jama.1966.03100020081018
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Data from a recent electrocardiographic survey provide no support for the claim that people in the town of Roseto, Pa, are relatively protected from myocardial infarction. The evidence offered from death data for 1955 to 1961 does not prove that in those years the people of Roseto differed significantly from average US white residents in the rate of death from arteriosclerotic heart disease. Consideration of the diet suggests that in the past Rosetans should have enjoyed considerable protection from arteriosclerotic heart disease. Failure to establish that fact could be expected from the inadequate size of the population concerned. There is no basis to propose a protective effect of the emotional climate of Roseto.

REFERENCES

Stout, C., et al:  Unusually Low Incidence of Death From Myocardial Infarction: Study of an Italian-American Community in Pennsylvania , JAMA 188:845-849 ( (June 8) ) 1964;.
Bruhn, J.G.:  An Epidemiological Study of Myocardial Infarctions in an Italian-American Community , J Chron Dis 18:353-365 ( (April) ) 1965;.
Dawber, T.R.; Moore, F.E.; and Mann, G.V.:  Coronary Heart Disease in the Framingham Study , Amer J Public Health 47 (suppl, pt (2) ): 4-24 (April) 1957;.
Doyle, J.T., et al:  A Prospective Study of Degenerative Heart Disease in Albany: Report of Three Years1 Experience: I. Ischemic Heart Disease , Amer J Public Health 47 (suppl, pt (2) ): 25-32 (April) 1957;.
Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death: Sixth Revision of the International Lists of Diseases and Causes of Death , Geneva, Switzerland: World Health Organization, 1948;, vol 1, p 133.
Trulson, M.F.:  The American Diet—Past and Present , Amer J Clin Nutr 7:91-97 ( (Jan) -Feb) 1959;.
Mann, G.V., et al:  Diet and Cardiovascular Disease in the Framingham Study: I. Measurement of Dietary Intake , Amer J Clin Nutr 11:200-225 ( (Sept) ) 1962;.
Cofer, E.: " Highlights in Dietary Levels in the United States and in the West ," in Food Consumption Survey 1955 , reports 6 and 10, US Department of Agriculture, 1957;.
Biörck, G.; Sievers, J.; and Blomqvist, G.:  Studies on Myocardial Infarction in Malmö 1935-1954: III. Follow-up Studies From a Hospital Material , Acta Med Scand 162:80-97, 1958;.
Biörck, G.; Blomqvist, G.; and Sievers, J.:  Studies on Myocardial Infarction in Malmö 1935 to 1954: IV. Myocardial Infarcts in the Hospital in Relation to Coronary Heart Disease in the Population , Acta Med Scand 165:1-15,1959;.
Richards, D.W.; Bland, E.F.; and White, P.D.:  A Completed Twenty-five-Year Follow-up Study of 200 Patients With Myocardial Infarction , J Chron Dis 4:415-422 ( (Oct) ) 1956;.
Keys, A.:  Epidemiologic Aspects of Coronary Heart Disease , J Chron Dis 6:552-559 ( (Nov) ) 1957;.
Keys, A.: " Body Composition and Its Change With Age and Diet ," in Eppright, E.S.; Swanson, P.; and Iverson, C.A. (eds.): Weight Control , Ames, Iowa: Iowa State College Press, 1955;, pp 18-28.
Dawber, T.R., and Kannel, W.B.:  Susceptibility to Coronary Heart Disease , Mod Cone Cardiov Dis 30:671-676 ( (July) ) 1961;.

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Stout, C., et al:  Unusually Low Incidence of Death From Myocardial Infarction: Study of an Italian-American Community in Pennsylvania , JAMA 188:845-849 ( (June 8) ) 1964;.
Bruhn, J.G.:  An Epidemiological Study of Myocardial Infarctions in an Italian-American Community , J Chron Dis 18:353-365 ( (April) ) 1965;.
Dawber, T.R.; Moore, F.E.; and Mann, G.V.:  Coronary Heart Disease in the Framingham Study , Amer J Public Health 47 (suppl, pt (2) ): 4-24 (April) 1957;.
Doyle, J.T., et al:  A Prospective Study of Degenerative Heart Disease in Albany: Report of Three Years1 Experience: I. Ischemic Heart Disease , Amer J Public Health 47 (suppl, pt (2) ): 25-32 (April) 1957;.
Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death: Sixth Revision of the International Lists of Diseases and Causes of Death , Geneva, Switzerland: World Health Organization, 1948;, vol 1, p 133.
Trulson, M.F.:  The American Diet—Past and Present , Amer J Clin Nutr 7:91-97 ( (Jan) -Feb) 1959;.
Mann, G.V., et al:  Diet and Cardiovascular Disease in the Framingham Study: I. Measurement of Dietary Intake , Amer J Clin Nutr 11:200-225 ( (Sept) ) 1962;.
Cofer, E.: " Highlights in Dietary Levels in the United States and in the West ," in Food Consumption Survey 1955 , reports 6 and 10, US Department of Agriculture, 1957;.
Biörck, G.; Sievers, J.; and Blomqvist, G.:  Studies on Myocardial Infarction in Malmö 1935-1954: III. Follow-up Studies From a Hospital Material , Acta Med Scand 162:80-97, 1958;.
Biörck, G.; Blomqvist, G.; and Sievers, J.:  Studies on Myocardial Infarction in Malmö 1935 to 1954: IV. Myocardial Infarcts in the Hospital in Relation to Coronary Heart Disease in the Population , Acta Med Scand 165:1-15,1959;.
Richards, D.W.; Bland, E.F.; and White, P.D.:  A Completed Twenty-five-Year Follow-up Study of 200 Patients With Myocardial Infarction , J Chron Dis 4:415-422 ( (Oct) ) 1956;.
Keys, A.:  Epidemiologic Aspects of Coronary Heart Disease , J Chron Dis 6:552-559 ( (Nov) ) 1957;.
Keys, A.: " Body Composition and Its Change With Age and Diet ," in Eppright, E.S.; Swanson, P.; and Iverson, C.A. (eds.): Weight Control , Ames, Iowa: Iowa State College Press, 1955;, pp 18-28.
Dawber, T.R., and Kannel, W.B.:  Susceptibility to Coronary Heart Disease , Mod Cone Cardiov Dis 30:671-676 ( (July) ) 1961;.
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