ABSTRACT

Despitea33percentdeclineincoronaryheartdisease(CHD)deathsover thepasttwodecadesintheUnitedStates(1),cardiovasculardiseaseremains themostcommoncauseofmortalityinthiscountryandthroughoutindustrializednations.Mostattentionregardingetiologyhasfocusedontheindividualriskfactorsofsmoking,hypertension,hypercholesterolemia,and obesity.Limitedphysicalactivity(2-4)andpsychosocialvariablessuchassocial isolation(5-7)havealsobeenimplicatedintheincidenceofandsurvival fromCHD.