Circulation. 1996;93:1605-1607
(Circulation. 1996;93:1605-1607.)
© 1996 American Heart Association, Inc.
Task Force on Research in Epidemiology and Prevention of Cardiovascular Diseases
A Revisit
Claude Lenfant, MD
From the National Heart, Lung, and Blood Institute, Bethesda,
Md.
Correspondence to Claude Lenfant, MD, National Heart, Lung, and Blood Institute, Building 31, Room 5A52, 31 Center Dr, MSC, 2486, Bethesda, MD 20892.
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Introduction
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In December 1994, the executive summary
of the report of the
National Heart, Lung, and Blood Institute (NHLBI)
Task Force
on Research in Epidemiology and
Prevention of Cardiovascular
Diseases appeared in this
column. Now, a little over a year
later, I want to take the opportunity
to describe our progress
in implementation of the report's
recommendations, which were
summarized into eight priority areas.
Highlighted under each
area are examples of NHLBI-initiated programs
either implemented
or in the process of being implemented since the
Task Force
began its deliberations in fiscal year (FY) 1992. The
programs,
some of which relate to more than one priority area, are
expected
to provide valuable information for future
epidemiology and
prevention research.
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Prevention of Adverse Lifestyles and Related Risk
Factors
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The NHLBI Cholesterol Awareness Surveys were
readministered
in fall 1994. The public survey component was the fourth
to
track changes in public attitudes and practices relating to
cholesterol
since the inception of the National
Cholesterol Education Program
(NCEP). It found that
substantially more Americans have had
a blood cholesterol
test, have been told their cholesterol level
by a
healthcare provider, and know their cholesterol level than
was
the case 5 years ago. The companion survey of physicians found
that
most routinely order cholesterol tests for new patients,
assess
LDL and HDL levels, and initiate dietary and drug treatment
at
levels recommended by the NCEP. The survey also identified
areas for
continuing education, and its data will be used for
interim evaluation
of progress toward DHHS Healthy People 2000
cholesterol
objectives. It is being
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