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A Life Course Approach to Women's Health$
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Diana Kuh and Rebecca Hardy

Print publication date: 2002

Print ISBN-13: 9780192632890

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780192632890.001.0001

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A life course approach to coronary heart disease and stroke

A life course approach to coronary heart disease and stroke

Chapter:
(p.86) Chapter 5 A life course approach to coronary heart disease and stroke
Source:
A Life Course Approach to Women's Health
Author(s):

Debbie A. Lawlor

Shah Ebrahim

George Davey Smith

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780192632890.003.0005

This chapter shows that the main classical cardiovascular risk factors have the same effects in women as they do in men and preventive treatments that lower risk factors—antihypertensive drugs, aspirin, and cholesterol lowering drugs—work equally well in both sexes. Diabetes and the insulin resistance syndrome may confer greater risk to women than men. Women may be protected from coronary heart disease by a number of interacting factors including a more favourable fat distribution, a less adverse response to dietary saturated fats, and endogenous oestrogens. Low birthweight, poor infant nutrition, and accelerated postnatal growth are all associated with CHD and stroke risk in both women and men.

Keywords:   risk factors, cardiovascular disease, social factors, sex differences, low birthweight, infant nutrition, postnatal growth

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