Am J Epidemiol 2002; 156:871-881.
Copyright © 2002 by Johns
Hopkins Bloomberg School of Public Health
PRACTICE OF EPIDEMIOLOGY |
Multi-Ethnic Study of Atherosclerosis: Objectives and Design
1 Division of Epidemiology and Clinical Applications, National Heart, Lung, and Blood Institute, Bethesda, MD.
2 Department of Radiology and Radiological Science, School of Medicine, Johns Hopkins University, Baltimore, MD.
3 Department of Public Health Sciences, School of Medicine, Wake Forest University, Winston-Salem, NC.
4 Harbor-UCLA Research and Education Institute, Los Angeles, CA.
5 Departments of Medicine and Epidemiology, Schools of Medicine and Public Health, Columbia University, New York, NY.
6 Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, MN.
7 Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.
8 Department of Biostatistics, School of Public Health and Community Medicine, University of Washington, Seattle, WA.
9 Department of Radiology, New England Medical Center, Boston, MA.
10 Department of Medicine, School of Medicine, University of California, Los Angeles, Los Angeles, CA.
11 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
12 Laboratory for Clinical Biochemistry Research, Departments of Pathology and Biochemistry, College of Medicine, University of Vermont, Burlington, VT.
The Multi-Ethnic Study of Atherosclerosis was initiated in July 2000 to investigate the prevalence, correlates, and progression of subclinical cardiovascular disease (CVD) in a population-based sample of 6,500 men and women aged 45–84 years. The cohort will be selected from six US field centers. Approximately 38% of the cohort will be White, 28% African-American, 23% Hispanic, and 11% Asian (of Chinese descent). Baseline measurements will include measurement of coronary calcium using computed tomography; measurement of ventricular mass and function using cardiac magnetic resonance imaging; measurement of flow-mediated brachial artery endothelial vasodilation, carotid intimal-medial wall thickness, and distensibility of the carotid arteries using ultrasonography; measurement of peripheral vascular disease using ankle and brachial blood pressures; electrocardiography; and assessments of microalbuminuria, standard CVD risk factors, sociodemographic factors, life habits, and psychosocial factors. Blood samples will be assayed for putative biochemical risk factors and stored for use in nested case-control studies. DNA will be extracted and lymphocytes will be immortalized for genetic studies. Measurement of selected subclinical disease indicators and risk factors will be repeated for the study of progression over 7 years. Participants will be followed through 2008 for identification and characterization of CVD events, including acute myocardial infarction and other coronary heart disease, stroke, peripheral vascular disease, and congestive heart failure; therapeutic interventions for CVD; and mortality.
cardiovascular diseases; cardiovascular system; cohort studies; coronary disease; epidemiologic methods; prospective studies
Abbreviations: Abbreviations: CVD, cardiovascular disease; MESA, Multi-Ethnic Study of Atherosclerosis.
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N. R. Kandula, A. V. Diez-Roux, C. Chan, M. L. Daviglus, S. A. Jackson, H. Ni, and P. J. Schreiner Association of Acculturation Levels and Prevalence of Diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA) Diabetes Care, August 1, 2008; 31(8): 1621 - 1628. [Abstract] [Full Text] [PDF]
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 P. W. Payne Jr., L. Littmann, S. Burtey, B. Dussol, P. Brunet, S. K. Goyal, S. R. Punnam, K. Nasir, M. J. Budoff, R. Blumenthal, et al. Coronary Calcium and Events in Four Ethnic Groups N. Engl. J. Med., July 10, 2008; 359(2): 202 - 204. [Full Text] [PDF]
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S. K Gao, S. A. Beresford, L. L Frank, P. J Schreiner, G. L Burke, and A. L Fitzpatrick Modifications to the Healthy Eating Index and its ability to predict obesity: the Multi-Ethnic Study of Atherosclerosis Am. J. Clinical Nutrition, July 1, 2008; 88(1): 64 - 69. [Abstract] [Full Text] [PDF]
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J. A Nettleton, M. B Schulze, R. Jiang, N. S Jenny, G. L Burke, and D. R Jacobs Jr A priori-defined dietary patterns and markers of cardiovascular disease risk in the Multi-Ethnic Study of Atherosclerosis (MESA) Am. J. Clinical Nutrition, July 1, 2008; 88(1): 185 - 194. [Abstract] [Full Text] [PDF]
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A. R. Folsom, R. A. Kronmal, R. C. Detrano, D. H. O'Leary, D. E. Bild, D. A. Bluemke, M. J. Budoff, K. Liu, S. Shea, M. Szklo, et al. Coronary Artery Calcification Compared With Carotid Intima-Media Thickness in the Prediction of Cardiovascular Disease Incidence: The Multi-Ethnic Study of Atherosclerosis (MESA) Arch Intern Med, June 23, 2008; 168(12): 1333 - 1339. [Abstract] [Full Text] [PDF]
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 S. H. Golden, M. Lazo, M. Carnethon, A. G. Bertoni, P. J. Schreiner, A. V. D. Roux, H. B. Lee, and C. Lyketsos Examining a Bidirectional Association Between Depressive Symptoms and Diabetes JAMA, June 18, 2008; 299(23): 2751 - 2759. [Abstract] [Full Text] [PDF]
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D. S. Owens, R. Katz, E. Johnson, D. M. Shavelle, J. L. Probstfield, J. Takasu, J. R. Crouse, J. J. Carr, R. Kronmal, M. J. Budoff, et al. Interaction of Age With Lipoproteins as Predictors of Aortic Valve Calcification in the Multi-Ethnic Study of Atherosclerosis Arch Intern Med, June 9, 2008; 168(11): 1200 - 1207. [Abstract] [Full Text] [PDF]
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M. S. Mujahid, A. V. D. Roux, M. Shen, D. Gowda, B. Sanchez, S. Shea, D. R. Jacobs Jr., and S. A. Jackson Relation between Neighborhood Environments and Obesity in the Multi-Ethnic Study of Atherosclerosis Am. J. Epidemiol., June 1, 2008; 167(11): 1349 - 1357. [Abstract] [Full Text] [PDF]
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 E. R. Brown, R. A. Kronmal, D. A. Bluemke, A. D. Guerci, J. J. Carr, J. Goldin, and R. Detrano Coronary Calcium Coverage Score: Determination, Correlates, and Predictive Accuracy in the Multi-Ethnic Study of Atherosclerosis Radiology, June 1, 2008; 247(3): 669 - 675. [Abstract] [Full Text] [PDF]
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G. L. Burke, A. G. Bertoni, S. Shea, R. Tracy, K. E. Watson, R. S. Blumenthal, H. Chung, and M. R. Carnethon The Impact of Obesity on Cardiovascular Disease Risk Factors and Subclinical Vascular Disease: The Multi-Ethnic Study of Atherosclerosis Arch Intern Med, May 12, 2008; 168(9): 928 - 935. [Abstract] [Full Text] [PDF]
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H. Bahrami, D. A. Bluemke, R. Kronmal, A. G. Bertoni, D. M. Lloyd-Jones, E. Shahar, M. Szklo, and J. A.C. Lima Novel Metabolic Risk Factors for Incident Heart Failure and Their Relationship With Obesity: The MESA (Multi-Ethnic Study of Atherosclerosis) Study J. Am. Coll. Cardiol., May 6, 2008; 51(18): 1775 - 1783. [Abstract] [Full Text] [PDF]
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C. Sun, G. Liew, J. J. Wang, P. Mitchell, S. M. Saw, T. Aung, E. S. Tai, and T. Y. Wong Retinal Vascular Caliber, Blood Pressure, and Cardiovascular Risk Factors in an Asian Population: The Singapore Malay Eye Study Invest. Ophthalmol. Vis. Sci., May 1, 2008; 49(5): 1784 - 1790. [Abstract] [Full Text] [PDF]
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W. Palmas, T. G. Pickering, J. Teresi, J. E. Schwartz, L. Field, R. S. Weinstock, and S. Shea Telemedicine Home Blood Pressure Measurements and Progression of Albuminuria in Elderly People With Diabetes Hypertension, May 1, 2008; 51(5): 1282 - 1288. [Abstract] [Full Text] [PDF]
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M. A. Allison, M. J. Budoff, N. D. Wong, R. S. Blumenthal, P. J. Schreiner, and M. H. Criqui Prevalence of and Risk Factors for Subclinical Cardiovascular Disease in Selected US Hispanic Ethnic Groups: The Multi-Ethnic Study of Atherosclerosis Am. J. Epidemiol., April 15, 2008; 167(8): 962 - 969. [Abstract] [Full Text] [PDF]
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L. V. Moore, A. V. Diez Roux, J. A. Nettleton, and D. R. Jacobs Jr Associations of the Local Food Environment with Diet Quality--A Comparison of Assessments based on Surveys and Geographic Information Systems: The Multi-Ethnic Study of Atherosclerosis Am. J. Epidemiol., April 15, 2008; 167(8): 917 - 924. [Abstract] [Full Text] [PDF]
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B. Kestenbaum, K. D. Rudser, I. H. de Boer, C. A. Peralta, L. F. Fried, M. G. Shlipak, W. Palmas, C. Stehman-Breen, and D. S. Siscovick Differences in Kidney Function and Incident Hypertension: The Multi-Ethnic Study of Atherosclerosis Ann Intern Med, April 1, 2008; 148(7): 501 - 508. [Abstract] [Full Text] [PDF]
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R. Detrano, A. D. Guerci, J. J. Carr, D. E. Bild, G. Burke, A. R. Folsom, K. Liu, S. Shea, M. Szklo, D. A. Bluemke, et al. Coronary Calcium as a Predictor of Coronary Events in Four Racial or Ethnic Groups N. Engl. J. Med., March 27, 2008; 358(13): 1336 - 1345. [Abstract] [Full Text] [PDF]
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A. V. Diez Roux, A. H. Auchincloss, T. G. Franklin, T. Raghunathan, R. G. Barr, J. Kaufman, B. Astor, and J. Keeler Long-term Exposure to Ambient Particulate Matter and Prevalence of Subclinical Atherosclerosis in the Multi-Ethnic Study of Atherosclerosis Am. J. Epidemiol., March 15, 2008; 167(6): 667 - 675. [Abstract] [Full Text] [PDF]
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I. Gottlieb and J. A.C. Lima Screening High-Risk Patients With Computed Tomography Angiography Circulation, March 11, 2008; 117(10): 1318 - 1332. [Full Text] [PDF]
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T. T. Nguyen, J. J. Wang, A. R. Sharrett, F.M. A. Islam, R. Klein, B. E.K. Klein, M. F. Cotch, and T. Y. Wong Relationship of Retinal Vascular Caliber With Diabetes and Retinopathy: The Multi-Ethnic Study of Atherosclerosis (MESA) Diabetes Care, March 1, 2008; 31(3): 544 - 549. [Abstract] [Full Text] [PDF]
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J. H. Ix, R. Katz, B. Kestenbaum, L. F. Fried, H. Kramer, C. Stehman-Breen, and M. G. Shlipak Association of Mild to Moderate Kidney Dysfunction and Coronary Calcification J. Am. Soc. Nephrol., March 1, 2008; 19(3): 579 - 585. [Abstract] [Full Text] [PDF]
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H. Chung, R. L. McClelland, R. Katz, J. J. Carr, and M. J. Budoff Repeatability Limits for Measurement of Coronary Artery Calcified Plaque with Cardiac CT in the Multi-Ethnic Study of Atherosclerosis Am. J. Roentgenol., February 1, 2008; 190(2): W87 - W92. [Abstract] [Full Text] [PDF]
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T. Ohira, A. V. D. Roux, R. J. Prineas, M. A. Kizilbash, M. R. Carnethon, and A. R. Folsom Associations of Psychosocial Factors With Heart Rate and Its Short-Term Variability: Multi-Ethnic Study of Atherosclerosis Psychosom Med, February 1, 2008; 70(2): 141 - 146. [Abstract] [Full Text] [PDF]
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 B. A. Wasserman, A. R. Sharrett, S. Lai, A. S. Gomes, M. Cushman, A. R. Folsom, D. E. Bild, R. A. Kronmal, S. Sinha, and D. A. Bluemke Risk Factor Associations With the Presence of a Lipid Core in Carotid Plaque of Asymptomatic Individuals Using High-Resolution MRI: The Multi-Ethnic Study of Atherosclerosis (MESA) Stroke, February 1, 2008; 39(2): 329 - 335. [Abstract] [Full Text] [PDF]
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T. Y. Wong, N. Cheung, F. M. A. Islam, R. Klein, M. H. Criqui, M. F. Cotch, J. J. Carr, B. E. K. Klein, and A. R. Sharrett Relation of Retinopathy to Coronary Artery Calcification: The Multi-Ethnic Study of Atherosclerosis Am. J. Epidemiol., January 1, 2008; 167(1): 51 - 58. [Abstract] [Full Text] [PDF]
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 V. R. S. Fernandes, J. F. Polak, S. Cheng, B. D. Rosen, B. Carvalho, K. Nasir, R. McClelland, G. Hundley, G. Pearson, D. H. O'Leary, et al. Arterial Stiffness Is Associated With Regional Ventricular Systolic and Diastolic Dysfunction: The Multi-Ethnic Study of Atherosclerosis Arterioscler Thromb Vasc Biol, January 1, 2008; 28(1): 194 - 201. [Abstract] [Full Text] [PDF]
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I. H. de Boer, B. C. Astor, H. Kramer, W. Palmas, S. L. Seliger, M. G. Shlipak, D. S. Siscovick, M. Y. Tsai, and B. Kestenbaum Lipoprotein Abnormalities Associated with Mild Impairment of Kidney Function in the Multi-Ethnic Study of Atherosclerosis Clin. J. Am. Soc. Nephrol., January 1, 2008; 3(1): 125 - 132. [Abstract] [Full Text] [PDF]
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L. Wang, T. Y. Wong, A. R. Sharrett, R. Klein, A. R. Folsom, and M. Jerosch-Herold Relationship Between Retinal Arteriolar Narrowing and Myocardial Perfusion: Multi-Ethnic Study of Atherosclerosis Hypertension, January 1, 2008; 51(1): 119 - 126. [Abstract] [Full Text] [PDF]
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R. G. Barr, S. Mesia-Vela, J. H. M. Austin, R. C. Basner, B. M. Keller, A. P. Reeves, D. Shimbo, and L. Stevenson Impaired Flow-mediated Dilation Is Associated with Low Pulmonary Function and Emphysema in Ex-smokers: The Emphysema and Cancer Action Project (EMCAP) Study Am. J. Respir. Crit. Care Med., December 15, 2007; 176(12): 1200 - 1207. [Abstract] [Full Text] [PDF]
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S. G. Lakoski, P. Greenland, N. D. Wong, P. J. Schreiner, D. M. Herrington, R. A. Kronmal, K. Liu, and R. S. Blumenthal Coronary Artery Calcium Scores and Risk for Cardiovascular Events in Women Classified as "Low Risk" Based on Framingham Risk Score: The Multi-Ethnic Study of Atherosclerosis (MESA) Arch Intern Med, December 10, 2007; 167(22): 2437 - 2442. [Abstract] [Full Text] [PDF]
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