FRAMINGHAM -- AFTER TEN YEARS
This article basically says the Framingham study failed to uncover blood-related risk-factors
for heart disease. In other words, cholesterol levels in blood were not shown to be predictive of heart disease.
The article below appeared in the Dec. 21, 2006 issue of the New England Journal
of Medicine.
Note that only 3200 people were studied in Framingham and less than 4 people per year
had serious trouble (as defined by the study). That is a failure rate of less
than 2/10ths of 1% / year. The statins (Crestor, Lipitor and the like) are aimed
at stopping that 2/10ths of 1% each year -- nothing more. I can find no other tests that
show (a) the cholesterol problem is more serious than reported in Framinigham
or (b) the statins do more good than harm.
Framingham Blood tests fail to predict
heart risks / From Times wire reports / December 25, 2006
A new study has dimmed researchers' hopes of detecting heart disease years
before it develops with a battery of laboratory tests done on a single blood
sample.
Doctors traditionally rely on factors such as blood pressure, cholesterol levels,
smoking, obesity and diabetes to spot people in danger of cardiovascular disease.
Many seemingly healthy people have heart attacks and strokes each year, however,
and heart disease remains the leading cause of death worldwide.
Investigators have combed through blood samples for years looking for other
signs of risk. Among the most promising were levels of C-reactive protein,
a measure of inflammation, and homocysteine, an amino acid thought to damage
blood vessels. The new study shows those two so-called biomarkers, even when
combined with eight others, added little to the current approach.
"
Their ability to predict an individual person's risk, a goal of 'personalized
medicine,' is still limited," said Thomas J. Wang, the lead researcher
and a cardiologist at Massachusetts General Hospital. Though many markers
were linked to higher risk among groups of people, for individuals "even
in combination their utility for risk prediction was modest."
The research involved more than 3,200 people in the Framingham Heart Study,
which has followed residents in the suburb of Boston and their offspring for
years to glean insights into cardiovascular disease. During 10 years of follow-up,
207 participants died and 169 suffered a first heart attack or stroke or developed
heart failure.
The study appeared in the Dec. 21 issue of the New England Journal of Medicine.
The National Heart, Lung and Blood Institute, the American Heart Assn. and
the American Diabetes Assn.funded the research. |