Excess in cardiovascular events on mondays: a meta-analysis analysis and prospective study

Barnett, A. G. and Dobson, A. J. (2005) Excess in cardiovascular events on mondays: a meta-analysis analysis and prospective study. Journal of Epidemiology And Community Health, 59 2: 109-114. doi:10.1136/jech.2003.019489


Author Barnett, A. G.
Dobson, A. J.
Title Excess in cardiovascular events on mondays: a meta-analysis analysis and prospective study
Journal name Journal of Epidemiology And Community Health   Check publisher's open access policy
ISSN 0143-005X
Publication date 2005-01-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1136/jech.2003.019489
Volume 59
Issue 2
Start page 109
End page 114
Total pages 6
Editor C. Alvarez-Dardet
J.R. Ashton
Place of publication London, U.K.
Publisher B M J Publishing Group
Language eng
Subject C1
321003 Cardiology (incl. Cardiovascular Diseases)
730106 Cardiovascular system and diseases
321202 Epidemiology
Abstract The aim of this paper was to summarise the reported excess in coronary events on Mondays, and examine the evidence for three competing explanations: stress, alcohol consumption, or registration errors. A review of the literature found 28 studies covering 16 countries and over 1.6 million coronary events. The overall Monday excess was small; in a population experiencing 100 coronary events per week there was one more event on Monday than other days. The excess was larger in men and in studies including sudden cardiac death or cardiac arrests. In a prospective study an increase in events on Mondays was associated with greater alcohol consumption, lower rainfall, and the month of January. The excess in coronary events on Mondays is a persistent phenomenon. The size of the effect varies widely between populations. There is some evidence of an association with alcohol consumption, but a definitive explanation remains elusive and is likely to remain so because of the smallness of the effect and the paucity of high quality data.
Keyword Public, Environmental & Occupational Health
Acute Myocardial-infarction
Sudden Cardiac Death
Seasonal-variation
Heart-disease
Mortality
Alcohol
Population
Experience
Chronobiology
Heterogeneity
Q-Index Code C1
Additional Notes This document is a journal review.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
2006 Higher Education Research Data Collection
School of Public Health Publications
 
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Created: Wed, 15 Aug 2007, 16:15:29 EST