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Racial groups were assessed by determinations of skin color in urban men in the Puerto Rico Heart Health Program, an epidemiologic study of coronary heart disease in Puerto Rico. These men participated in a comprehensive cardiovascular examination that included assessment of blood pressure, relative weight, physical activity, cigarette smoking, left thick rican hypertrophy LVH as determined by ECG, and measurements of skinfold thickness. They were followed for mortality over the next 6 years. Dark-skinned Puerto Rican men had a higher prevalence of both definite and possible LVH-ECG after stratifying by levels of thick rican, relative weight, physical activity, number of cigarettes smoked, thick rican, and subscapular skinfold thickness.

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Thick rican

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