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

Barnett, Adrian & Dobson, Annette (2005) Excess in cardiovascular events on Mondays: a meta-analysis and prospective study. Journal of Epidemiology and Community Health, 59(2), pp. 109-114.

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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.

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ID Code: 44887
Item Type: Journal Article
Refereed: Yes
DOI: 10.1136/jech.2003.019489
ISSN: 0143-005X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Deposited On: 24 Aug 2011 22:15
Last Modified: 19 May 2017 04:19

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