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Honolulu Heart Program

Primary Purpose

Cardiovascular Diseases, Coronary Disease, Cerebrovascular Accident

Status
Completed
Phase
Locations
Study Type
Observational
Intervention
Sponsored by
National Heart, Lung, and Blood Institute (NHLBI)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an observational trial for Cardiovascular Diseases

Eligibility Criteria

undefined - 100 Years (Child, Adult, Older Adult)MaleDoes not accept healthy volunteers

No eligibility criteria

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Secondary Outcome Measures

    Full Information

    First Posted
    May 25, 2000
    Last Updated
    April 13, 2016
    Sponsor
    National Heart, Lung, and Blood Institute (NHLBI)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00005123
    Brief Title
    Honolulu Heart Program
    Study Type
    Observational

    2. Study Status

    Record Verification Date
    September 2004
    Overall Recruitment Status
    Completed
    Study Start Date
    July 1965 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    September 2002 (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    National Heart, Lung, and Blood Institute (NHLBI)

    4. Oversight

    5. Study Description

    Brief Summary
    To investigate coronary heart disease and stroke among American men of Japanese ancestry who were living on the island of Oahu in 1965. Morbidity and mortality surveillance of the original cohort is continuing.
    Detailed Description
    BACKGROUND: The Honolulu Heart Program was initiated to verify reports that men of Japanese ancestry living in the United States had a much higher risk of coronary heart disease and a lower risk of stroke than Japanese men in Japan. The Honolulu Heart Program was actually a component of the larger NI-HON-SAN Study. The NI-HON-SAN Study (from the acronyms Nippon, Honolulu, and San Francisco) was initiated in 1965. The populations under investigation included members of the Honolulu Heart Program as well as men of Japanese ancestry born between 1900 and 1919 and residing in Japan and San Francisco. In the Honolulu Heart Program, 11,148 men were identified of whom 8,006 participated in baseline examinations between 1965 and 1968. The 1965 - 1968 examination included a detailed medical and social history with specific inquiries about smoking, alcohol consumption, diet, and physical activity. A physical examination focussed on the cardiovascular system; laboratory tests included hematocrit, serum cholesterol, triglyceride, uric acid, glucose determination, and urinalysis. A twelve lead electrocardiogram and lung function testing revealed that 301 men had evidence of coronary heart disease and 111 had a stroke. The prevalence of coronary heart disease was slightly higher than in the comparable population in Japan, but the incidence rate during the first two-year period of follow-up was twice as high in Honolulu as in Japan. Stroke prevalence was much higher in Japan than in the Honolulu cohort, with a threefold difference. The Honolulu Japanese men were more obese, ate a more Westernized diet with a higher amount of animal protein, saturated fat, and sucrose and a smaller amount of complex carbohydrates. They had higher levels of serum cholesterol, triglyceride, uric acid, and glucose than Japanese men in Japan. Cigarette smoking was more common in the Japanese cohort, while the proportion of heavy smokers was greater in the Honolulu cohort. Alcohol consumption in the Japanese cohort was twice that of the Honolulu cohort. There were no differences in mean blood pressure or prevalence of hypertension. Repeat examinations were performed near the second and sixth anniversaries of the initial examinations. The six year follow-up data identified 294 new cases of coronary heart disease and 133 new cases of stroke. Between 1970 and 1972 some 2,800 of the cohort were examined and had lipoprotein determinations performed as part of the NHLBI Lipoprotein Phenotyping Project. Survivors of the lipoprotein cohort were reexamined between 1975 and 1978 near the tenth anniversary of their initial examination and again between 1980 and 1982. In 1985, the program was enlarged to make a comparative analysis of the 12-year incidence of coronary heart disease in the Japanese and Hawaii study cohort of the original NI-HON-SAN Study, to sample 400 offspring of the study cohort ages 45 to 60 years and to complete nutrient indicators for association with blood pressure in a manner consistent with the United States-Japan study of nutrition and blood pressure. Resulting data were compared with a comparable selected group of Japanese men and with the parents of the offspring to examine familial associations. Pulmonary function data were recorded and analyzed for association with other risk factors, respiratory disease, and other major chronic diseases. Beginning in March 1993 and continuing through December 1994, the National Institute on Aging, with its own funds, investigated aging and dementia among Honolulu Heart Program participants. Beginning in March 1997, the study was supported by U01HL56274. DESIGN NARRATIVE: In this prospective cohort study, the hospital discharge rosters of all general hospitals on the Island of Oahu were reviewed twice yearly as part of the morbidity and mortality surveillance. The appropriate chart materials were abstracted for review by study physicians for evidence of myocardial infarction and stroke. Beginning in 1986, both old and new hospital discharge records were reviewed for the additional endpoints of congestive heart failure, aortic aneurysm, bronchitis, emphysema, asthma, chronic obstructive lung disease, dementia, organic brain syndrome, and Parkinson's disease. Deaths were monitored by following obituary columns as well as reviewing death certificates from the State Health Department. There was daily contact with hospitals to find out about impending autopsies in which study personnel could participate. However, only 20-25 percent of the deaths had protocol autopsies. The fifth and final complete examination of the surviving cohort concluded in Spring, 1996 under a contract with the National Institute on Aging. While the emphasis of this exam was the investigation of dementia, NHLBI funded the recording of blood pressures and ECGs as well as the continued surveillance for morbidity and mortality. A cooperative agreement extends the surveillance for an additional five years. As part of the close-out phase of the study, frozen blood samples collected since the study's inception have been sent to a repository in Rockville, MD. A review board for screening prospective users of this resource holds quarterly meetings. As the study group includes both migrants from Japan and Hawaii-born men, there is a spectrum of cultural lifestyles and varying grades of acculturation which are being examined as risk factors for cardiovascular and other chronic diseases. The existing baseline and follow-up examination data and the surveillance information on the incidence of most major diseases provide opportunities for a great variety of research projects concerning the predictors of cardiovascular disease, as well as studies of the broader concepts of health and disease in the aging population. The low out-migration rate and the well-defined sources of medical care have provided an ideal setting for maintaining disease morbidity and mortality surveillance; nearly 100 per cent of hospital discharge episodes have been recorded. As the study participants range in age from 75-95 in 1996, the rates of coronary heart disease, stroke, and other chronic diseases are increasing rapidly and thus are providing a large number of disease endpoints for study. Other Institutes are also currently supporting activities which utilize the original cohort. Stored sera provide an opportunity to test new ideas and etiologic hypotheses using both prospective and case-control study designs. Protocol autopsy information can now be utilized to examine relationships among risk factors, clinical manifestations of CHD, and stroke and pathological evidence of atherosclerosis. Beginning in 1997, a cooperative agreement extends the surveillance for an additional five years through February, 2002. As part of the close-out of the study, frozen blood samples collected since the study's inception have been sent to a repository in Rockville, Maryland.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cardiovascular Diseases, Coronary Disease, Cerebrovascular Accident, Heart Diseases, Heart Failure, Congestive, Myocardial Infarction, Asthma, Emphysema, Lung Diseases, Obstructive, Aortic Aneurysm, Abdominal, Bronchitis, Dementia, Hypertension, Chronic Obstructive Pulmonary Disease, Heart Failure

    7. Study Design

    10. Eligibility

    Sex
    Male
    Maximum Age & Unit of Time
    100 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    No eligibility criteria
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    J. Curb
    Organizational Affiliation
    Kuakini Medical Center
    First Name & Middle Initial & Last Name & Degree
    Jess Curb
    Organizational Affiliation
    Kuakini Medical Center

    12. IPD Sharing Statement

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    MacLean CJ, Reed DM. Predictors of atherosclerosis in the Honolulu Heart Program. II. Adjustment for autopsy bias. Am J Epidemiol. 1987 Aug;126(2):226-36. doi: 10.1093/aje/126.2.226.
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    Donahue RP, Abbott RD, Reed DM, Yano K. Postchallenge glucose concentration and coronary heart disease in men of Japanese ancestry. Honolulu Heart Program. Diabetes. 1987 Jun;36(6):689-92. doi: 10.2337/diab.36.6.689.
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    Yano K, McCarthy LJ, Reed DM, Kagan A. Postmortem findings in sudden and non-sudden deaths among Japanese-American men in Hawaii. Am J Med. 1987 Dec;83(6):1037-44. doi: 10.1016/0002-9343(87)90939-9.
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    3341354
    Citation
    Yano K, MacLean CJ, Reed DM, Shimizu Y, Sasaki H, Kodama K, Kato H, Kagan A. A comparison of the 12-year mortality and predictive factors of coronary heart disease among Japanese men in Japan and Hawaii. Am J Epidemiol. 1988 Mar;127(3):476-87. doi: 10.1093/oxfordjournals.aje.a114824.
    Results Reference
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    3369600
    Citation
    Donahue RP, Abbott RD, Reed DM, Yano K. Physical activity and coronary heart disease in middle-aged and elderly men: the Honolulu Heart Program. Am J Public Health. 1988 Jun;78(6):683-5. doi: 10.2105/ajph.78.6.683.
    Results Reference
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    PubMed Identifier
    3202494
    Citation
    Marcus EB, Buist AS, Curb JD, MacLean CJ, Reed DM, Johnson LR, Yano K. Correlates of FEV1 and prevalence of pulmonary conditions in Japanese-American men. Am Rev Respir Dis. 1988 Dec;138(6):1398-404. doi: 10.1164/ajrccm/138.6.1398.
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    Citation
    Marcus EB, MacLean CJ, Curb JD, Johnson LR, Vollmer WM, Buist AS. Reference values for FEV1 in Japanese-American men from 45 to 68 years of age. Am Rev Respir Dis. 1988 Dec;138(6):1393-7. doi: 10.1164/ajrccm/138.6.1393.
    Results Reference
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    PubMed Identifier
    3230436
    Citation
    Miller FD, Reed DM, MacLean CJ. A prospective study of mortality and morbidity among carpenters in the Honolulu Heart Program Cohort. J Occup Med. 1988 Nov;30(11):879-82. doi: 10.1097/00043764-198811000-00015.
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    3388454
    Citation
    Reed DM, Resch JA, Hayashi T, MacLean C, Yano K. A prospective study of cerebral artery atherosclerosis. Stroke. 1988 Jul;19(7):820-5. doi: 10.1161/01.str.19.7.820.
    Results Reference
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    PubMed Identifier
    3196221
    Citation
    Reed DM, Strong JP, Hayashi T, Newman WP 3rd, Tracy RE, Guzman MA, Stemmermann GN. Comparison of two measures of atherosclerosis in a prospective epidemiology study. Arteriosclerosis. 1988 Nov-Dec;8(6):782-7. doi: 10.1161/01.atv.8.6.782.
    Results Reference
    background
    PubMed Identifier
    3363587
    Citation
    Knutsen R, Knutsen SF, Curb JD, Reed DM, Kautz JA, Yano K. Predictive value of resting electrocardiograms for 12-year incidence of stroke in the Honolulu Heart Program. Stroke. 1988 May;19(5):555-9. doi: 10.1161/01.str.19.5.555.
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    PubMed Identifier
    5906867
    Citation
    Trombold JC, Moellering RC Jr, Kagan A. Epidemiological aspects of coronary heart disease and cerebrovascular disease: the Honolulu Heart Program. Hawaii Med J. 1966 Jan-Feb;25(3):231-4. No abstract available.
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    5492969
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    Worth RM, Kagan A. Ascertainment of men of Japanese ancestry in Hawaii through World War II Selective Service registration. J Chronic Dis. 1970 Nov;23(5):389-97. doi: 10.1016/0021-9681(70)90022-6. No abstract available.
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    Kagan A, Rhoads GG, Zeegen PD, Nichaman MZ. Coronary heart disease among men of Japanese ancestry in Hawaii. The Honolulu Heart study. Isr J Med Sci. 1971 Dec;7(12):1573-7. No abstract available.
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    Belsky JL, Kagan A, Syme SL: Epidemiologic Studies of Coronary Heart Disease and Stroke in Japanese Men Living in Japan, Hawaii and California: Research Plan. ABCC TR 12-71, 1971
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    5015359
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    Sano T, Yokoyama M, Rhoads GG. Clinical significance of 1 -antitrypsin level--a preliminary evaluation among Japanese men. Hawaii Med J. 1972 Jan-Feb;31(1):27-32. No abstract available.
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    Gould SE, Hayashi T, Tashiro T, Tanimura A, Nakashima T, Shohoji T. Coronary heart disease and stroke. Atherosclerosis in Japanese men in Hiroshima, Japan and Honolulu, Hawaii. Arch Pathol. 1972 Feb;93(2):98-102. No abstract available.
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    Rhoads GG, Zeegen PD, Glober GA, Boelling GM: The Epidemiology of Pterygium a High Risk Population. Transactions of Pacific Coast Oto-Ophthalmological Society pp 163-173, 1972
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    4703052
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    Tillotson JL, Kato H, Nichaman MZ, Miller DC, Gay ML, Johnson KG, Rhoads GG. Epidemiology of coronary heart disease and stroke in Japanese men living in Japan, Hawaii, and California: methodology for comparison of diet. Am J Clin Nutr. 1973 Feb;26(2):177-84. doi: 10.1093/ajcn/26.2.177. No abstract available.
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    4713933
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    Kato H, Tillotson J, Nichaman MZ, Rhoads GG, Hamilton HB. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California. Am J Epidemiol. 1973 Jun;97(6):372-85. doi: 10.1093/oxfordjournals.aje.a121518. No abstract available.
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    Kagan A: The World Wide Investigation of the Epidemiology of Coronary Heart Disease. J Hiroshima Med Assoc 26:10:1145-1157, 1973
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    4835509
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    Glober GA, Rhoads GG, Liu F, Kagan A. Long term results of gastrectomy with respect to blood lipids, blood pressure, weight and living habits. Ann Surg. 1974 Jun;179(6):896-901. doi: 10.1097/00000658-197406000-00013.
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    Phillips RL, Lilienfeld AM, Diamond EL, Kagan A. Frequency of coronary heart disease and cerebrovascular accidents in parents and sons of coronary heart disease index cases and controls. Am J Epidemiol. 1974 Aug;100(2):87-100. doi: 10.1093/oxfordjournals.aje.a112021. No abstract available.
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    4436425
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    Gordon T, Garcia-Palmieri MR, Kagan A, Kannel WB, Schiffman J. Differences in coronary heart disease in Framingham, Honolulu and Puerto Rico. J Chronic Dis. 1974 Sep;27(7-8):329-44. doi: 10.1016/0021-9681(74)90013-7. No abstract available.
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    4436426
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    Kagan A, Harris BR, Winkelstein W Jr, Johnson KG, Kato H, Syme SL, Rhoads GG, Gay ML, Nichaman MZ, Hamilton HB, Tillotson J. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: demographic, physical, dietary and biochemical characteristics. J Chronic Dis. 1974 Sep;27(7-8):345-64. doi: 10.1016/0021-9681(74)90014-9. No abstract available.
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    1119426
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    Gordon T, Kagan A, Rhoads G. Letters to the editor: Relative weights in different populations. Am J Clin Nutr. 1975 Apr;28(4):304-5. doi: 10.1093/ajcn/28.4.304. No abstract available.
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    1130290
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    Yano K, Peskoe SM, Rhoads GG, Moore JO, Kagan A. Left axis deviation and left anterior hemiblock among 8,000 Japanese-American men. Am J Cardiol. 1975 Jun;35(6):809-15. doi: 10.1016/0002-9149(75)90116-2.
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    1202949
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    Syme SL, Marmot MG, Kagan A, Kato H, Rhoads G. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: introduction. Am J Epidemiol. 1975 Dec;102(6):477-80. doi: 10.1093/oxfordjournals.aje.a112185.
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    1202950
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    Worth RM, Kato H, Rhoads GG, Kagan K, Syme SL. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: mortality. Am J Epidemiol. 1975 Dec;102(6):481-90. doi: 10.1093/oxfordjournals.aje.a112186.
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    1202951
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    Nichaman MZ, Hamilton HB, Kagan A, Grier T, Sacks T, Syme SL. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: distribution of biochemical risk factors. Am J Epidemiol. 1975 Dec;102(6):491-501. doi: 10.1093/oxfordjournals.aje.a112187.
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    1202952
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    Winkelstein W Jr, Kagan A, Kato H, Sacks ST. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: blood pressure distributions. Am J Epidemiol. 1975 Dec;102(6):502-13. doi: 10.1093/oxfordjournals.aje.a112188.
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    1202953
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    Marmot MG, Syme SL, Kagan A, Kato H, Cohen JB, Belsky J. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: prevalence of coronary and hypertensive heart disease and associated risk factors. Am J Epidemiol. 1975 Dec;102(6):514-25. doi: 10.1093/oxfordjournals.aje.a112189.
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    23682412
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    Rhoads GG, Kagan A, Yano K. Usefulness of community surveillance for the ascertainment of coronary heart disease and stroke. Int J Epidemiol. 1975 Dec;4(4):265-70. doi: 10.1093/ije/4.4.265.
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    Kagan A, Gordon T, Rhoads GG, Schiffman JC. Some factors related to coronary heart disease incidence in Honolulu Japanese men: the Honolulu Heart Study. Int J Epidemiol. 1975 Dec;4(4):271-9. doi: 10.1093/ije/4.4.271.
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    Hankin JH, Nomura A, Rhoads GG. Dietary patterns among men of Japanese ancestry in Hawaii. Cancer Res. 1975 Nov;35(11 Pt. 2):3259-64.
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    Winkelstein W Jr: Cooperative Studies of Blood Pressure in Japanese in Japan, Hawaii and the United States. In Epidemiology and Control of Hypertension Paul O (Ed.) Miami: Symposia Specialists, pp 101-114, 1975
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    173994
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    Rhoads GG, Gulbrandsen CL, Kagan A. Serum lipoproteins and coronary heart disease in a population study of Hawaii Japanese men. N Engl J Med. 1976 Feb 5;294(6):293-8. doi: 10.1056/NEJM197602052940601.
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    Kagan A: Epidemiology of Hypertension and Stroke in Oceania. In Hypertension and Stroke Control in the Community Hatano S, Shigematsu I, Strasser T (Eds.) Geneva: World Health Organization, pp 97-105, 1976
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    Stemmermann GN, Steer A, Rhoads GG, Lee K, Hayashi T, Nakashima T, Keehn R. A comparative pathology study of myocardial lesions and atherosclerosis in Japanese men living in Hiroshima, Japan and Honolulu, Hawaii. Lab Invest. 1976 Jun;34(6):592-600.
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    Kagan A, Popper J, Rhoads GG, Takeya Y, Kato H, Brown-Goode G, Marmot MG: Epidemiologic Studies of Coronary Heart Disease and Stroke in Japanese Men Living in Japan, Hawaii, and California: Prevalence of Stroke. In Cerebrovascular Diseases, Tenth Princeton Conference Scheinberg P (Ed.) New York: Raven Press, pp 267-277, 1976
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    835482
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    Robertson TL, Kato H, Rhoads GG, Kagan A, Marmot M, Syme SL, Gordon T, Worth RM, Belsky JL, Dock DS, Miyanishi M, Kawamoto S. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California. Incidence of myocardial infarction and death from coronary heart disease. Am J Cardiol. 1977 Feb;39(2):239-43. doi: 10.1016/s0002-9149(77)80197-5.
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    835483
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    Robertson TL, Kato H, Gordon T, Kagan A, Rhoads GG, Land CE, Worth RM, Belsky JL, Dock DS, Miyanishi M, Kawamoto S. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California. Coronary heart disease risk factors in Japan and Hawaii. Am J Cardiol. 1977 Feb;39(2):244-9. doi: 10.1016/s0002-9149(77)80198-7.
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    845018
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    Rhoads GG, Klein K, Yano K, Preston H. The earlobe crease--sign of obesity in middle-aged Japanese men. Hawaii Med J. 1977 Mar;36(3):74-7. No abstract available.
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    Morton NE, MacLean CJ, Kagan A, Gulbrandsen CL, Rhoads GG, Yee S, Lew R. Commingling in distributions of lipids and related variables. Am J Hum Genet. 1977 Jan;29(1):52-9.
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    849973
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    Yano K, Rhoads G, Kagan A. Epidemiology of serum uric acid among 8000 Japanese-American men in Hawaii. J Chronic Dis. 1977 Mar;30(3):171-84. doi: 10.1016/0021-9681(77)90083-2. No abstract available.
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    191465
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    Castelli WP, Cooper GR, Doyle JT, Garcia-Palmieri M, Gordon T, Hames C, Hulley SB, Kagan A, Kuchmak M, McGee D, Vicic WJ. Distribution of triglyceride and total, LDL and HDL cholesterol in several populations: a cooperative lipoprotein phenotyping study. J Chronic Dis. 1977 Mar;30(3):147-69. doi: 10.1016/0021-9681(77)90082-0. No abstract available.
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    191215
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    Castelli WP, Doyle JT, Gordon T, Hames CG, Hjortland MC, Hulley SB, Kagan A, Zukel WJ. HDL cholesterol and other lipids in coronary heart disease. The cooperative lipoprotein phenotyping study. Circulation. 1977 May;55(5):767-72. doi: 10.1161/01.cir.55.5.767.
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    69778
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    Castelli WP, Doyle JT, Gordon T, Hames CG, Hjortland MC, Hulley SB, Kagan A, Zukel WJ. Alcohol and blood lipids. The cooperative lipoprotein phenotyping study. Lancet. 1977 Jul 23;2(8030):153-5. doi: 10.1016/s0140-6736(77)90176-3.
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    882109
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    Yano K, Rhoads GG, Kagan A. Coffee, alcohol and risk of coronary heart disease among Japanese men living in Hawaii. N Engl J Med. 1977 Aug 25;297(8):405-9. doi: 10.1056/NEJM197708252970801.
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    Takeya Y, Kato H, Kagan A, Popper J, Rhoads GG, Browne Goode G, Marmot M: Epidemiologic Study of Stroke in Japanese Men Living in Japan, Hawaii and California: Prevalence of Stroke. In Gene-Environment Interaction in Common Diseases Inouye E, Nishimura H (Eds.) University of Tokyo Press, pp 15-18, 1977
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    302780
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    Roberts A, Kagan A, Rhoads GG, Pierce JA, Bruce RM. Antitrypsin and chronic obstructive pulmonary disease among Japanese-American men. Chest. 1977 Oct;72(4):489-91. doi: 10.1378/chest.72.4.489.
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    607401
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    Gulbrandsen CL, Morton NE, Rhoads GG, Kagan A, Lew R. Behavioral, social, and physiological determinants of lipoprotein concentrations. Soc Biol. 1977 Winter;24(4):289-93. doi: 10.1080/19485565.1977.9988299. No abstract available.
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    665576
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    Yano K, Rhoads GG, Kagan A, Tillotson J. Dietary intake and the risk of coronary heart disease in Japanese men living in Hawaii. Am J Clin Nutr. 1978 Jul;31(7):1270-9. doi: 10.1093/ajcn/31.7.1270.
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    633854
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    Rhoads GG, Blackwelder WC, Stemmermann GN, Hayashi T, Kagan A. Coronary risk factors and autopsy findings in Japanese-American men. Lab Invest. 1978 Mar;38(3):304-11.
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    699359
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    Morton NE, Gulbrandsen CL, Rhoads GG, Kagan A. The Lp lipoprotein in Japanese. Clin Genet. 1978 Oct;14(4):207-12. doi: 10.1111/j.1399-0004.1978.tb02132.x.
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    215032
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    Rhoads GG, Morton NE, Gulbrandsen CL, Kagan A. Sinking pre-beta lipoprotein and coronary heart disease in Japanese-American men in Hawaii. Am J Epidemiol. 1978 Nov;108(5):350-6. doi: 10.1093/oxfordjournals.aje.a112631.
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    747186
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    Morton NE, Gulbrandsen CL, Rhoads GG, Kagan A, Lew R. Major loci for lipoprotein concentrations. Am J Hum Genet. 1978 Nov;30(6):583-9.
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    489016
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    Gulbrandsen CL, Morton NE, Rao DC, Rhoads GG, Kagan A. Determinants of plasma uric acid. Hum Genet. 1979 Sep;50(3):307-12. doi: 10.1007/BF00399397.
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    443242
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    Yano K, Blackwelder WC, Kagan A, Rhoads GG, Cohen JB, Marmot MG. Childhood cultural experience and the incidence of coronary heart disease in Hawaii Japanese men. Am J Epidemiol. 1979 Apr;109(4):440-50. doi: 10.1093/oxfordjournals.aje.a112702.
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    447775
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    Kagan A, Yano K, Rhoads GG, Kato H. Is the reported high mortality from cerebrovascular disease in Japan really an artefact? J Chronic Dis. 1979;32(1-2):153-6. doi: 10.1016/0021-9681(79)90043-2. No abstract available.
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    505476
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    Mitsuyama Y, Thompson LR, Hayashi T, Lee KK, Keehn RJ, Resch JA, Steer A. Autopsy study of cerebrovascular disease in Japanese men who lived in Hiroshima, Japan, and Honolulu, Hawaii. Stroke. 1979 Jul-Aug;10(4):389-95. doi: 10.1161/01.str.10.4.389.
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    513645
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    Steer A, Lee SS, Stemmermann GN, Yamamoto T, Rhoads GG, Lee KK. Autopsy study of small cardiac scars in Japanese men who lived in Hiroshima, Japan and Honolulu, Hawaii. Lab Invest. 1979 Dec;41(6):538-45.
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    548580
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    Cohen JB, Syme SL, Jenkins CD, Kagan A, Zyzanski SJ. Cultural context of type A behavior and risk for CHD: a study of Japanese American males. J Behav Med. 1979 Dec;2(4):375-84. doi: 10.1007/BF00844741.
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    475334
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    Rao DC, Morton NE, Gulbrandsen CL, Rhoads GG, Kagan A, Yee S. Cultural and biological determinants of lipoprotein concentrations. Ann Hum Genet. 1979 May;42(4):467-77. doi: 10.1111/j.1469-1809.1979.tb00680.x.
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    7358393
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    Morton NE, Gulbrandsen CL, Rao DC, Rhoads GG, Kagan A. Determinants of blood pressure in Japanese-American Families. Hum Genet. 1980 Feb;53(2):261-6. doi: 10.1007/BF00273508.
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    6444469
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    Kagan A, Popper JS, Rhoads GG. Factors related to stroke incidence in Hawaii Japanese men. The Honolulu Heart Study. Stroke. 1980 Jan-Feb;11(1):14-21. doi: 10.1161/01.str.11.1.14.
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    7355424
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    Rhoads GG, Popper JS, Kagan A, Yano K. Incidence of transient cerebral ischemic attack in Hawaii Japanese men. The Honolulu Heart Study. Stroke. 1980 Jan-Feb;11(1):21-6. doi: 10.1161/01.str.11.1.21.
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    7355889
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    Blackwelder WC, Yano K, Rhoads GG, Kagan A, Gordon T, Palesch Y. Alcohol and mortality: the Honolulu Heart Study. Am J Med. 1980 Feb;68(2):164-9. doi: 10.1016/0002-9343(80)90350-2.
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    Kagan A, Marmot MG, Kato H: The Ni-Hon-San Study of Cardiovascular Disease Epidemiology: Population Characteristics and Epidemiology of Stroke. In Epidemiology of Arterial Blood Pressure. Kesteloot H, Joossens JV (Eds.). The Hague/Boston/London: Martinus Nijhoff, pp 423-436, 1980, 0000
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    Marmot MG, Kagan A, Kato H: Hypertension and Heart Disease in the Ni-Hon-San Study. In Epidemiology of Arterial Blood Pressure. Kesteloot H, Joossens JV (Eds.). The Hague/Boston/London: Martinus Nijhoff, pp 437-452, 1980
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    Knutsen R, Knutsen SF, Curb JD, Reed DM, Kautz JA, Yano K. The predictive value of resting electrocardiograms for 12-year incidence of coronary heart disease in the Honolulu Heart Program. J Clin Epidemiol. 1988;41(3):293-302. doi: 10.1016/0895-4356(88)90134-5.
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    3210063
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    Phillips GB, Yano K, Stemmermann GN. Serum sex hormone levels and myocardial infarction in the Honolulu Heart Program. Pitfalls in prospective studies on sex hormones. J Clin Epidemiol. 1988;41(12):1151-6. doi: 10.1016/0895-4356(88)90018-2.
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    Tracy RE, MacLean CJ, Reed DM, Hayashi T, Gandia M, Strong JP. Blood pressure, nephrosclerosis, and age autopsy findings from the Honolulu Heart Program. Mod Pathol. 1988 Nov;1(6):420-7.
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    Marcus EB, Curb JD, MacLean CJ, Reed DM, Yano K. Pulmonary function as a predictor of coronary heart disease. Am J Epidemiol. 1989 Jan;129(1):97-104. doi: 10.1093/oxfordjournals.aje.a115128.
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    Marcus EB, Yano K, MacLean CJ. Regression of Q waves following acute myocardial infarction. Am J Epidemiol. 1989 Jan;129(1):105-11. doi: 10.1093/oxfordjournals.aje.a115099.
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    Benfante RJ, Reed DM, MacLean CJ, Yano K. Risk factors in middle age that predict early and late onset of coronary heart disease. J Clin Epidemiol. 1989;42(2):95-104. doi: 10.1016/0895-4356(89)90082-6.
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    Kagan A, Yano K, Reed DM, MacLean CJ. Predictors of sudden cardiac death among Hawaiian-Japanese men. Am J Epidemiol. 1989 Aug;130(2):268-77. doi: 10.1093/oxfordjournals.aje.a115333.
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    Marcus EB, Buist AS, Maclean CJ, Yano K. Twenty-year trends in mortality from chronic obstructive pulmonary disease: the Honolulu Heart Program. Am Rev Respir Dis. 1989 Sep;140(3 Pt 2):S64-8. doi: 10.1164/ajrccm/140.3_Pt_2.S64.
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    Criqui MH, Langer RD, Reed DM. Dietary alcohol, calcium, and potassium. Independent and combined effects on blood pressure. Circulation. 1989 Sep;80(3):609-14. doi: 10.1161/01.cir.80.3.609.
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    Reed DM, LaCroix AZ, Karasek RA, Miller D, MacLean CA. Occupational strain and the incidence of coronary heart disease. Am J Epidemiol. 1989 Mar;129(3):495-502. doi: 10.1093/oxfordjournals.aje.a115160.
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    Benfante R, Reed D, MacLean C, Kagan A. Response bias in the Honolulu Heart Program. Am J Epidemiol. 1989 Dec;130(6):1088-100. doi: 10.1093/oxfordjournals.aje.a115436.
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    Benfante R, Reed D. Is elevated serum cholesterol level a risk factor for coronary heart disease in the elderly? JAMA. 1990 Jan 19;263(3):393-6.
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    Joffres MR, MacLean CJ, Reed DM, Yano K, Benfante R. Potential bias due to prevalent diseases in prospective studies. Int J Epidemiol. 1990 Jun;19(2):459-65. doi: 10.1093/ije/19.2.459.
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    Curb JD, Reed DM, Miller FD, Yano K. Health status and life style in elderly Japanese men with a long life expectancy. J Gerontol. 1990 Sep;45(5):S206-11. doi: 10.1093/geronj/45.5.s206.
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    Reed DM. The paradox of high risk of stroke in populations with low risk of coronary heart disease. Am J Epidemiol. 1990 Apr;131(4):579-88. doi: 10.1093/oxfordjournals.aje.a115542.
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    Ross GW, Abbott RD, Petrovitch H, Morens DM, Grandinetti A, Tung KH, Tanner CM, Masaki KH, Blanchette PL, Curb JD, Popper JS, White LR. Association of coffee and caffeine intake with the risk of Parkinson disease. JAMA. 2000 May 24-31;283(20):2674-9. doi: 10.1001/jama.283.20.2674.
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    Yano K, Grove JS, Masaki KH, White LR, Petrovitch H, Chen R, Teng EL, Ross GW, Rodriguez BL, Curb JD. The effects of childhood residence in Japan and testing language on cognitive performance in late life among Japanese American men in Hawaii. J Am Geriatr Soc. 2000 Feb;48(2):199-204. doi: 10.1111/j.1532-5415.2000.tb03912.x.
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    Hakim AA, Curb JD, Burchfiel CM, Rodriguez BL, Sharp DS, Yano K, Abbott RD. Screening for coronary heart disease in elderly men based on current and past cholesterol levels. J Clin Epidemiol. 1999 Dec;52(12):1257-65. doi: 10.1016/s0895-4356(99)00130-4.
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    Yano K, Kodama K, Shimizu Y, Chyou PH, Sharp DS, Tracy RP, Rodriguez BL, Curb JD, Kusumi S. Plasma fibrinogen and its correlates in elderly Japanese men living in Japan and Hawaii. J Clin Epidemiol. 1999 Dec;52(12):1201-6. doi: 10.1016/s0895-4356(99)00095-5.
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    Rodriguez BL, Lau N, Burchfiel CM, Abbott RD, Sharp DS, Yano K, Curb JD. Glucose intolerance and 23-year risk of coronary heart disease and total mortality: the Honolulu Heart Program. Diabetes Care. 1999 Aug;22(8):1262-5. doi: 10.2337/diacare.22.8.1262.
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    Ross GW, Petrovitch H, White LR, Masaki KH, Li CY, Curb JD, Yano K, Rodriguez BL, Foley DJ, Blanchette PL, Havlik R. Characterization of risk factors for vascular dementia: the Honolulu-Asia Aging Study. Neurology. 1999 Jul 22;53(2):337-43. doi: 10.1212/wnl.53.2.337.
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    Hakim AA, Curb JD, Petrovitch H, Rodriguez BL, Yano K, Ross GW, White LR, Abbott RD. Effects of walking on coronary heart disease in elderly men: the Honolulu Heart Program. Circulation. 1999 Jul 6;100(1):9-13. doi: 10.1161/01.cir.100.1.9.
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    Kalmijn S, Curb JD, Rodriguez BL, Yano K, Abbott RD. The association of body weight and anthropometry with mortality in elderly men: the Honolulu Heart Program. Int J Obes Relat Metab Disord. 1999 Apr;23(4):395-402. doi: 10.1038/sj.ijo.0800832.
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    Curb JD, Rodriguez BL, Abbott RD, Petrovitch H, Ross GW, Masaki KH, Foley D, Blanchette PL, Harris T, Chen R, White LR. Longitudinal association of vascular and Alzheimer's dementias, diabetes, and glucose tolerance. Neurology. 1999 Mar 23;52(5):971-5. doi: 10.1212/wnl.52.5.971.
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    Available IPD and Supporting Information:
    Available IPD/Information Type
    Individual Participant Data Set
    Available IPD/Information URL
    http://biolincc.nhlbi.nih.gov/studies/hhp/
    Available IPD/Information Identifier
    HHP
    Available IPD/Information Comments
    NHLBI provides controlled access to IPD through BioLINCC. Access requires registration, evidence of local IRB approval or certification of exemption from IRB review, and completion of a data use agreement.
    Available IPD/Information Type
    Data Coding Manuals
    Available IPD/Information URL
    http://biolincc.nhlbi.nih.gov/studies/hhp/

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    Honolulu Heart Program

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