Age at death in the Turkish Adult Risk Factor Study: Temporal trend and regional distribution at 56,700 person-years’ follow-up [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2009; 37(3): 155-160

Age at death in the Turkish Adult Risk Factor Study: Temporal trend and regional distribution at 56,700 person-years’ follow-up

Altan Onat1, Murat Uğur2, Mustafa Tuncer3, Erkan Ayhan2, Zekeriya Kaya4, Zekeriya Küçükdurmaz5, Serkan Bulur6, Hasan Kaya4
1Turkish Society Of Cardiology And Cerrahpaşa Medical Faculty, Istanbul University
2S. Ersek Center For Cardiovascular Surgery
3Yuzuncu Yıl Medical Faculty, Yuzuncu Yıl Uni.
4Kartal Koşuyolu Heart Hospital
5Gaziantep Madical Faculty, Gaziantep University
6Duzce Medical Faculty, Duzce Uni.


OBJECTIVES
We analyzed the temporal trend and regional distribution of age at all-cause death and the sex-specific and age-bracket defined coronary mortality in the 18-year follow-up of the Turkish Adult Risk Factor Study.

STUDY DESIGN
The participants of the Turkish Adult Risk Factor Study who have been examined in even years were last surveyed in August 2008. A total of 1,582 individuals were surveyed, which constituted half of the alive participants of the overall cohort. Information on death was obtained from first-degree relatives and/or health personnel of local heath offices. Survivors were evaluated by history, physical examination, and 12-lead electrocardiography. The cumulative follow-up was 56,700 person-years.

RESULTS
Of 1582 participants, 868 (431 men, 437 women) were examined, in 604 subjects information was gathered, and 47 participants (26 men, 21 women) were ascertained to have died. Twenty-two deaths were classified as of coronary origin. Cumulative assessment of the entire cohort in the age bracket of 45-74 years disclosed coronary mortality to be 7.64 per 1000 person-years in men and 3.84 in women and persisted to be the highest among 30 European countries, whereas overall mortality declined at a greater proportion. Overall mean ages at death were deferred within a 12-year period by 7.4 years in men and 6 years in women, to 71.9 and 74.8 years, respectively. The extension of this mean survival was similar among urban-rural areas and geographic regions.

CONCLUSION
Coronary mortality declined modestly, but life expectancy of Turkish adults rose by a mean of nearly seven years in the 12 years to 2003-08, without showing major differences in sex, urban-rural dwelling, or geographic regions

Keywords: Coronary disease/mortality, life expectancy, mortality/trends, Turkey/epidemiology.

How to cite this article
Altan Onat, Murat Uğur, Mustafa Tuncer, Erkan Ayhan, Zekeriya Kaya, Zekeriya Küçükdurmaz, Serkan Bulur, Hasan Kaya. Age at death in the Turkish Adult Risk Factor Study: Temporal trend and regional distribution at 56,700 person-years’ follow-up. Turk Kardiyol Dern Ars. 2009; 37(3): 155-160

Corresponding Author: Altan Onat, Türkiye
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