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Smoking, sex, risk factors and abdominal aortic aneurysm: is it all down to testosterone?
  1. C Mary Schooling
  1. School of Urban Public Health, Hunter College and CUNY School of Public Health, New York, New York, USA
  1. Correspondence to Professor C Mary Schooling, School of Urban Public Health, Hunter College, 2180 Third Avenue, New York, NY 10035, USA; mschooli{at}hunter.cuny.edu

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Jahangir et al1 provided a fascinating analysis showing, among older people, a higher risk of abdominal aortic aneurysm (AAA) in those with normal body mass index (BMI), those who smoke and in men. Although AAA is relatively rare, ruptured AAA has a high mortality rate, so prevention, based on reversible risk factors, is important. The observed association of normal BMI with AAA may be an artefact of weight loss due to ill-health in older people. Men often have higher rates than women of cardiovascular disease, for reasons …

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