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Abstract
A comprehensive survey of cardiovascular disease was carried out on 779 persons over
15 yr of age. Carbohydrate provided more than 90 per cent of caloric intake and the
consumption of protein and salt were about 25 and 1 g daily, respectively. Drinking
water was soft. The population was lean, physically fit and in good nutritional state.
There was no increase with age in mean blood pressure, serum cholesterol (average
), fasting blood glucose or adiposity. Glucose tolerance was high. The average fasting
serum triglyceride level was
. Serum uric acid levels were not high. Pipe smoking was common. No diabetes or gout
were found. There was a low prevalence of diagnosable cardiovascular diseases: hypertension,
valvular disease, cardiac decompensation (mostly cor pulmonale) and cerebral and peripheral
vascular disease. Ischemic heart diesase was rare if not absent as indicated by resting
and post-exercise electrocardiograms. Rates for all codeable ECG items were low except
low voltage and T wave changes (commonest in middle aged women). Age-related degenerative changes occurred,
such as increasing diameter of the aorta and decreasing creatinine clearance, and
the declining ECG voltage with age may be indicative of cardiac disease.


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References
- Incidence of heart disease in a native hospital of Papua.Med J Aust. 1961; 2: 540-542
- A study of 2000 admissions to the medical ward of the Port Moresby General Hospital.Med J Aust. 1964; 1: 989-992
- A sample of heart disease in hospital patients in New Guinea.Med J Aust. 1964; 2: 368-370
- Report by Drs Hetzel PS. 1962;
- Report by Grice KG. 1964;
- Report by Studkey D. 1966;
- Report by Galea EG. 1968; (Canberra)
- Heart disease in the Territory of Papua New Guinea: a preliminary report based on a necropsy study.Med J Aust. 1967; 1: 176-177
- Aortic atherosclerosis in Papua and New Guinea compared with Sydney.Pathology. 1969; I: 185-191
Sinnett PF, Whyte HM: Epidemiological studies in a total highland population, Tukisenta, New Guinea: environment, culture, health and nutrition. J Human Ecol, 1: 245–278
- Blood serum protein and enzyme groups among Engaspeaking people of the Western Highlands, New Guinea.Arch Phys Anthrop Oceania. 1970; V: 236-252
- Evaluation of heart size measurements.Am Heart J. 1942; 24: 494-510
- The heart and pulmonary circulation in children at high altitudes: physiological, anatomical and clinical observations.Pediatrics. 1964; 34: 568-582
- Cardiovascular Survey Methods.WHO Mon Ser No. 56. 1968; (Geneva)
- The epidemiology of high blood pressure—geographic distributions and etiological factors.in: Stamler J Stamler R Pullman TN The Epidemiology of Hypertension. Grune and Stratton, New York1967: 155-166
- Some different types of cssential hypertension: their course and prognosis.Am J Med Sci. 1939; 197: 332-343
- Coronary heart disease among negroes and whites in Evans County, Georgia.J Chron Dis. 1965; 18: 443-468
- Age changes in glomerular filtration rate, effective renal plasma flow and tubular excretory capacity in adult males.J Clin Invest. 1950; 29: 496-507
- ‘Two-step’ exercise test brought up to date.NY State J Med. 1961; 61: 1850-1857
- The exercise ECG test. At what intervals to record after exercise?.Am Heart J. 1964; 67: 186-188
- Electrocardiographic findings among the adult population of a total natural community, Tecumseh, Michigan.Circulation. 1965; 31: 888-898
- Epidemiological studies related to coronary heart disease: characteristics of men aged 40–59 in seven countries.Acta Med Scand Supp. 1967; 460: 1-392
- The electrocardiogram in epidemiological studies. Reproducibility, validity, and international comparison.Brit J Prev Soc Med. 1965; 19: 53-68
- Myocardial disease in a rural population in Jamaica.Bull Wld Hlth Org. 1964; 31: 321-335
Miall WE: Personal communication, 1968
- Lectures on Preventive Cardiology.in: Grune and Stratton, New York1967: 151
- Early electrocardiographic changes produced by ascending to high altitudes.Am Heart J. 1958; 56: 493-500
- An electrocardiographic survey in Peru.Am J Med Sci. 1964; 80: 687-692
- The effects of Arctic climate and different shelter temperatures on the electrocardiogram.Am Heart J. 1956; 51: 387-397
- Evaluation of the precordial leads of the electrocardiogram in obesity.Am Heart J. 1948; 36: 911-922
- Coronary mimicry.Ann Intern Med. 1960; 52: 411-421
- Cyclic changes in T waves.JAMA. 1962; 180: 460-462
- The effect of meals on the electrocardiogram in normal subjects.Am Heart J. 1946; 32: 202-214
- postprandial T-wave changes.Am Heart J. 1958; 56: 591-597
- Electrocardiographic changes after glucose ingestion.Circulation. 1964; 30: 67-76
- T wave inversion of the ECG of healthy individuals with vagotonia.Aerospace Med. 1969; 40: 318-320
- Electrocardiographic abnormalities in patients exhibiting anxiety.Am Heart J. 1951; 42: 849-857
- The relationship of adrenaline and T wave changes in the anxiety state.Am Heart J. 1954; 48: 323-330
- Sex differences in the electrocardiogram.Circulation. 1960; 22: 598-601
- Persistence of the juvenile pattern in the precordial leads of healthy adult negroes, with report of electrocardiographic survey on 300 negro and 200 white subjects.Am Heart J. 1946; 32: 370-382
- An investigation of factors influencing repolarization in the human heart.S African J Clin Sci. 1951; 2: 288-297
- Peculiarities of the African's electrocardiogram and the changes observed in serial studies.Circulation. 1954; 9: 860-867
- Observations on the ‘juvenile pattern’ of adult negro males.Am J Med. 1955; 18: 428-437
- Unexplained electrocardiograms in the African.Brit Heart J. 1959; 21: 263-268
- The electrocardiogram in healthy East African (Bantu and Nilotic) men.Brit Heart J. 1962; 24: 542-548
- The electrocardiogram in some Indian population groups.Circulation. 1964; 24: 118-123
- Body fat and blood pressure of natives of New Guinea: reflections on essential hypertension.Australas Ann Med. 1958; 7: 36-46
- Comparisons of blood pressures and blood cholesterol levels of New Guineans and Australians.Med J Aust. 1965; 1: 611-617
- A New Guinea population in which blood pressure appears to fall as age advances.Papua N Guinea Med J. 1965; 8: 17-21
- Blood pressures in Melanesians.Med J Aust. 1967; 1: 1123-1126
- Blood pressure of the Tinam-Aigram people, near Simbai, Madang District.Papua N Guinea Med J. 1968; 11: 60-61
- Metabolic aspects of hypertension.Ann Rev Med. 1963; 14: 69-98
- Essential hypertension: inborn error of sodium metabolism?.Postgrad Med J. 1966; 42: 148-152
- Studies of Dietary Intake and The Expenditure of Energy by New Guineans.South Pacific Commission Tech Paper No. 147. 1965; (Noumea)
- Salt consumption by natives of the Territory of Papua and New Guinea.Phillipp J Sci. 1958; 87: 168-188
- Environmental factors in hypertension.in: Stamler J Stamler R Pullman TN The Epidemiology of Hypertension. Grune and Stratton, New York1967: 255-257
- A simplified method for the estimation of total cholesterol in serum and demonstration of its specificity.J biol Chem. 1952; 195: 357-366
- Distributions and familial studies of blood pressure and serum cholesterol levels in a total community, Tecumseh, Michigan.J Chron Dis. 1965; 1: 147-160
- Serum cholesterol and lipoproteins in natives of New Guinea and Australians.Australas Ann Med. 1958; 7: 47-54
- A study of blood clotting and serum lipids in natives of New Guinea and Australians.Australas Ann Med. 1959; 8: 238-244
- Fibrinolysis, blood clotting, serum lipids and body build in natives of New Guinea and Australians.Australas Ann Med. 1961; 10: 20-28
- A simplified method for estimating plasma triglycerides: their stability during cold storage.Med J Aust. 1968; 2: 493-496
- Fat transport in lipoproteins—an integrated approach to mechanisms and disorders.New Engl J Med. 1967; 276: 148-156
- Epidemiological studies of cardiovascular disease in a total community, Tecumseh, Michigan.Ann Intern Med. 1965; 6: 1170-1187
- The prevalence of coronary heart disease and associated factors in an Australian rural community.Am J Epid. 1969; 89: 521-536
- Build and blood pressure study.Chicago. 1959; 1: 16
- The measurements of body fatness. A study in a total community.Am J Nutrit. 1965; 16: 417-427
- Physical fitness in a New Guinea highland population.Papua N Guinea Med J. 1968; 11: 56-59
- Physiological Measurements of Metabolic Functions in Man.McGraw-Hill, New York1963
- Report on field studies on troops of the Commonwealth Division in Korea.Scientific Advizer to Army Council, LondonWinter 1951–1952 (Restricted)
- Quart J Exp Physiol. 1955; 40 (Cited by:): 283-296
- Tropical fatigue.Univ Qld Papers. 1949; 1
- Aerobic work capacity in men and women with special reference to age.Acta Phys Scand Suppl 169. 1960; 49: 1-92
- Aerobic capacity and physiological fitness of Australian men.Ergonomics. 1966; 9: 485-494
- Blood Sugar Colorimetric Methods.1966 (Germany, Mannhein)
- Carbohydrate tolerance and diabetes in a total community—Tecumseh, Michigan.Diabetes. 1965; 14: 413-423
- Diabetes mellitus in Papua and New Guinea.Med J Aust. 1966; 2: 645-648
- Diabetes mellitus in the Territory of Papua and New Guinea.Med J Aust. 1963; 2: 607-610
- Diabetic surveys in Papua.Papua N Guinea Med J. 1964; 7: 33-35
- Determination of uric acid. An automated analysis based on a carbonate method.Clin Chem. 1964; 10: 838-844
Jeremy R: Personal communication, 1970
- The distribution of serum uric acid values in a population unselected as to gout or hyperuricemia. Tecumseh, Michigan, 1959–1960.Am J Med. 1965; 39: 242-251
- Relation between mortality from cardiovascular disease and treated water supplies.JAMA. 1960; 172: 1902-1908
- Hardness of local water supplies and mortality from cardiovascular disease.Lancet. 1961; 1: 860-862
- Serial electrocardiographic findings in a prospective epidemiological study.Circulation. 1966; 34: 1069-1080
- The effect of age and body weight on the electrocardiogram of healthy men.Circulation. 1952; 6: 749-761
- Determinants of cardiovascular disease in a young population.Am J Cardiol. 1965; 15: 1-12
- The epidemiology of coronary heart disease. A review.J Chron Dis. 1965; 18: 735-774
- Effects of chronic salt ingestion—experimental hypertension in the rat: correlation with human hypertension.in: Stamler J Stamler R Pullman TN The Epidemiology of Hypertension. Grune and Stratton, New York1967: 218-227
- Carbohydrate changes during storage and cooking of sweet potatoes.Food Technol. 1954; 8: 223-226
- Diabetes mellitus: a ‘thrifty’ genotype rendered detrimental by ‘progress’?.Am J Human Genet. 1962; 14: 353-362
- Hyperuricemia, gout and diabetic abnormality in Polynesian people.Lancet. 1966; 1: 333-338
Article info
Publication history
Received in revised form:
November 28,
1972
Received:
May 4,
1972
Identification
Copyright
© 1973 Published by Elsevier Inc.