Comparison of risk factors for coronary heart disease in Dresden and Münster: Results of the DRECAN (Dresden Cardiovascular Risk and Nutrition) study and the PROCAM (Prospective Cardiovascular Münster) study
Abstract
Trend analyses based on WHO statistics for average life expectancy, age-standardized cardiovascular (CVD) morbidity and mortality show significant differences between the former German Democratic Republic (GDR) and the former Federal Republic of Germany (FRG). To investigate whether this is due to a different prevalence of cardiovascular risk factors, the Dresden Cardiovascular Risk and Nutrition (DRECAN) study was conducted using the complete methodology of the Prospective Cardiovascular Münster (PROCAM) study, i.e., the same methods and strict quality controls, with an exchange of specimens between both laboratories. The results were compared with those of an adjusted subpopulation of the PROCAM study. Even before unification there were only small differences in lipoprotein profiles between West and East Germany, 10 months after unification these differences were minimal. The survey does not sufficiently explain the differences in CHD morbidity and mortality between Western and Eastern Germany. Further analyses of the nutritional aspects will show whether the change, in available foodstuffs after unification has led to substantially changed nutritional habits, and whether this might explain some of the results.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Hypertriglyceridaemia prevalence is approximately 10% in the adult population, with considerable interregional variation.
“Its prevalence is ∼10% in the adult population with considerable interregional variation.1–5”
From Clinical review on triglycerides (2020) · cites this paper as [3]
Cites
Trends in cardiovascular disease mortality in industrialized countries since 1950.
Uemura, K., & Pisa, Z. (1988) · PubMed · Cited by 465 · see citing works
Parra, H. J., Arveiler, D., Evans, A. E., Cambou, J., Amouyel, P., Bingham, A., McMaster, D., Schaffer, P., DOUSTE‐BLAZY, P., & Luc, G. (1992) · Arteriosclerosis and Thrombosis A Journal of Vascular Biology · doi:10.1161/01.atv.12.6.701 · Cited by 232 · see citing works
Keil, U., Stieber, J., Döring, A., Chambless, L. E., Härtel, U., Filipiak, B. C., Hense, H. W., TIETZE, M., & Gostomzyk, J. G. (1988) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1988.tb05563.x · Cited by 144 · see citing works
Assmann, G., & Schulte, H. (1987) · The American Journal of Cardiology · doi:10.1016/0002-9149(87)90152-4 · Cited by 64 · see citing works
Self-citationShort- and Long-term Association of Serum Cholesterol with Mortality
Pekkanen, J., Nissinen, A. M., Punsar, S., & Karvonen, M. J. (1992) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116231 · Cited by 59 · see citing works
Trends in the Incidence of and Mortality from Coronary Heart Disease in Finland, 1983–1988
Salomaa, V. V., Arstila, M., Kaarsalo, E., Ketonen, M., Kuulasmaa, K., Lehto, S., Miettinen, H., Mustaniemi, H., Niemelä, M. J., Palomäki, P., et al. (1992) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116442 · Cited by 57 · see citing works
TOTAL AND HDL CHOLESTEROL AND THEIR CORRELATES IN ELDERLY MEN IN FINLAND, ITALY, AND THE NETHERLANDS
Kromhout, D., Nissinen, A. M., Menotti, A., Bloemberg, B. P. M., Pekkanen, J., & Giampaoli, S. (1990) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115576 · Cited by 47 · see citing works
Cremer, P., Elster, H., Labrot, B., Kruse, B., Muche, R., & Seidel, D. (1988) · PubMed · Cited by 21 · see citing works
POLAND AND US COLLABORATIVE STUDY ON CARDIOVASCULAR EPIDEMIOLOGY
Rywik, S. L., Sznajd, J., Williams, O. D., Pająk, A., PRZESTALSKA-MALKIN, H., Thomas, R. P., KUPSC, W., Misiowiec, P., Irving, S. H., Magdoń, M., et al. (1989) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115357 · Cited by 18 · see citing works
Atherosclerosis reviews, vol. 14
Fuchs, J. C. A. (1987) · Journal of Vascular Surgery · doi:10.1016/0741-5214(87)90286-2 · Cited by 15 · see citing works
DOUSTE‐BLAZY, P., Ruidavets, J., Arveiler, D., Bingham, A., Camaré, R., Schaffer, P., Aby, M. A., & Richard, J. L. (1988) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1988.tb05565.x · Cited by 11 · see citing works
POLAND AND US COLLABORATIVE STUDY ON CARDIOVASCULAR EPIDEMIOLOGY
Sznajd, J., Rywik, S. L., Furberg, B. D., Pająk, A., Kurjata, P., Williams, O. D., SZNAJDERMANCISWICKA, M., Misiowiec, P., Irving, S. H., Bączyńska, E., et al. (1989) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115358 · Cited by 11 · see citing works
Coronary risk factor prevalence in a high incidence area: results from the Belfast MONICA Project.
Evans, A. E., Kerr, M. M., McCrum, E. E., McMaster, D., McCartney, L., Mallaghan, M., & Patterson, C. C. (1989) · PubMed Central · Cited by 9 · see citing works
Risk factors in the population of the GDR‐MONICA Study (1983/84)
Heinemann, L. A. J., HEINE, H., Assmann, A., Schädlich, H.-J., Barth, W., THIEL, C., MARTIN, I., Eisenblätter, D., Braun, H., JOHNSEN, D., et al. (1988) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1988.tb05566.x · Cited by 9 · see citing works
Jöckel, K. (1989) · Sozial- und Präventivmedizin · doi:10.1007/bf02084744 · Cited by 6 · see citing works
Döring, A., Filipiak, B., Winkler, G., & Keil, U. (1989) · Sozial- und Präventivmedizin · doi:10.1007/bf02084745 · Cited by 3 · see citing works
Richter, W. O., Richter, V., Rassoul, F., Sönnichsen, A. C., Rotzsch, W., & SCHWANDT, P. (1993) · PubMed · Cited by 2 · see citing works
The Eberbach/Wiesloch Study: lipoprotein profiles of 35- to 49-year-old men and women.
Augustin, J., Haberbosch, W., Buchholz, L., Grulich‐Henn, J., Kostner, G. M., Morgenstern, W., Nüssel, E., & Schettler, G. (1988) · PubMed · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Clinical review on triglycerides
Laufs, U., Parhofer, K. G., Ginsberg, H. N., & Hegele, R. A. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehz785 · Cited by 544 · see citing works
John, U., Hensel, E., L�demann, J., Piek, M., Sauer, S., Adam, C., Born, G., Alte, D., Greiser, E. M., Haertel, U., et al. (2001) · Sozial- und Präventivmedizin · doi:10.1007/bf01324255 · Cited by 547 · see citing works
The Diagnosis and Treatment of Hypertriglyceridemia
Parhofer, K. G., & Laufs, U. (2019) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2019.0825 · Cited by 110 · see citing works
Müller‐Nordhorn, J., Rossnagel, K., Mey, W., & Willich, S. N. (2004) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2003.013367 · Cited by 77 · see citing works
Knoblauch, H. (2002) · Human Molecular Genetics · doi:10.1093/hmg/11.12.1477 · Cited by 71 · see citing works
Grigoriev, P., & Pechholdová, M. (2017) · European Journal of Population / Revue européenne de Démographie · doi:10.1007/s10680-017-9455-z · Cited by 50 · see citing works
Common mutations of the lipoprotein lipase gene and their clinical significance
Gehrisch, S. (1999) · Current Atherosclerosis Reports · doi:10.1007/s11883-999-0052-4 · Cited by 50 · see citing works
Unmet needs in the diagnosis and treatment of dyslipidemia in the primary care setting in Germany
Böhler, S., Scharnagl, H., Freisinger, F., Stojakovic, T., Glaesmer, H., Klotsche, J., Pieper, L., Pittrow, D., Kirch, W., Schneider, H., et al. (2007) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2006.02.025 · Cited by 34 · see citing works
Ruiz‐García, A., Arranz-Martínez, E., López-Uriarte, B., Rivera-Teijido, M., Martinez, D., Dávila-Blázquez, G. M., Rosillo-González, A., Delgado, J. A. G.-P., Mariño-Suárez, J. E., Revilla-Pascual, E., et al. (2020) · Clínica e Investigación en Arteriosclerosis · doi:10.1016/j.arteri.2020.04.001 · Cited by 30 · see citing works
Prevalence of hypertriglyceridemia in adults and related cardiometabolic factors. SIMETAP-HTG study
Ruiz‐García, A., Arranz-Martínez, E., López-Uriarte, B., Rivera-Teijido, M., Martinez, D., Dávila-Blázquez, G. M., Rosillo-González, A., Delgado, J. A. G.-P., Mariño-Suárez, J. E., Revilla-Pascual, E., et al. (2020) · Clínica e Investigación en Arteriosclerosis (English Edition) · doi:10.1016/j.artere.2020.11.002 · Cited by 25 · see citing works
Influence of smoking and body weight on adipokines in middle aged women
Bergmann, S., & Siekmeier, R. (2009) · European journal of medical research · doi:10.1186/2047-783x-14-s4-21 · Cited by 19 · see citing works
Self-citationGehrisch, S., Kostka, H., Tiebel, M., Patzak, A., Paetzold, A., Julius, U., Schroeder, H., Markolf Hanefeld, E., & Jaroß, W. (1999) · Journal of Molecular Medicine · doi:10.1007/s001099900053 · Cited by 17 · see citing works
Risk factors for coronary heart disease in 55‐ and 35‐year‐old men and women in Sweden and Estonia
Johansson, J., Viigimaa, M., Jensen‐Urstad, M., Krakau, I., & Hansson, L. ‐. (2002) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2002.01068.x · Cited by 14 · see citing works
Calculating global risk: the key to intervention
Assmann, G. (2005) · European Heart Journal Supplements · doi:10.1093/eurheartj/sui037 · Cited by 12 · see citing works
Self-citationBergmann, S. (1998) · Toxicology Letters · doi:10.1016/s0378-4274(98)00067-8 · Cited by 12 · see citing works
Self-citationTratamiento de la hipertrigliceridemia: fibratos frente a ácidos grasos omega-3
Ros, E., & Laguna, J. C. (2006) · Revista Española de Cardiología Suplementos · doi:10.1016/s1131-3587(06)74826-9 · Cited by 9 · see citing works
Jaroß, W., Bergmann, S., Wahrburg, U., Schulte, Η., Assmann, G., & D. U. Perioperative Outcomes Research Team (1996) · Reviews on Environmental Health · doi:10.1515/reveh.1996.11.1-2.27 · Cited by 8 · see citing works
Self-citationHellenbrand, W., Bauer, G., Boeing, H., Seidler, A., & Robra, B. (2000) · Sozial- und Präventivmedizin · doi:10.1007/bf01358995 · Cited by 6 · see citing works
Koch, R., Julius, U., Jaroß, W., & Schröder, H.-E. (2001) · Human Heredity · doi:10.1159/000053373 · Cited by 6 · see citing works
Frings, V. G., Gläsel, M., Rau, M., Geier, A., Fleißner, J., Presser, D., Goebeler, M., & Kerstan, A. (2025) · JID Innovations · doi:10.1016/j.xjidi.2025.100419 · Cited by 3 · see citing works
Can severe hypertriglyceridemia cause angina in the absence of significant coronary artery lesions?
Zain, M., & Alsaadi, A. R. (2024) · European Journal of Case Reports in Internal Medicine · doi:10.12890/2024_005043 · Cited by 1 · see citing works
Multimodale Therapie von Fettstoffwechselstörungen
Stahn, A., & Markolf Hanefeld, E. (2011) · Clinical Research in Cardiology Supplements · doi:10.1007/s11789-011-0031-5
DRECAN-Team, Jaroß, W., Schulte, H., Bergmann, S., Assmann, G., Freidt, T., Schottmann, B., Siegert, G., Thulin, H., Epping, P. H., et al. (1993) · Vieweg+Teubner eBooks · doi:10.1007/978-3-663-01942-8_15
Self-citationGenetische Einflußfaktoren auf den Lipidstoffwechsel
Knoblauch, H. (2002) · edoc Publication server (Humboldt University of Berlin) · doi:10.18452/13844
Moderne Strategien zur Lipidsenkung – die frühe Kombinationstherapie
Geiling, J. A., Schulze, P. C., & Weingärtner, O. (2024) · Zeitschrift für Herz- Thorax- und Gefäßchirurgie · doi:10.1007/s00398-024-00650-5
Lp(a) distribution in the Dresden population. The DRECAN-study
Bergmann, S. D., Freidt, T., Jaroß, W., Schottmann, B., Siegert, G., Thulin, H., Assmann, G., Heinrich, J., Sandkamp, M., Assmann, G., et al. (1993) · Vieweg+Teubner eBooks · doi:10.1007/978-3-663-01942-8_22
Self-citation
- Authors
- Jaross, W., Assmann, G., Bergmann, S., Schulte, H., & DRECAN-Team
- Affiliations
- University of Münster (DE)
- Venue
- European Journal of Epidemiology
- Published
- 1994-06
- Volume
- 10
- Issue
- 3
- Pages
- 307-315
- ISSN
- 0393-2990 (ISSN-L)
- 0392-2990
- 1573-7284
- OpenAlex
- W2014638174
- Cited by
- 26
- References
- 18
- Citations by year
- 2025: 1 · 2024: 2 · 2020: 2 · 2019: 2 · 2017: 1
- FWCI
- 0.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- coronary artery disease, cardiovascular risk factors, East-West German comparison, German reunification, life expectancy, cardiovascular morbidity and mortality, lipoprotein profile, dietary habits
- MeSH terms
- Adolescent, Adult, Aged, Coronary Disease, Data Collection, Female, Germany, East, Germany, West, Humans, Hypercholesterolemia, Male, Middle Aged, Morbidity, Nutritional Status, Prospective Studies, Risk Factors, Smoking, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review