Abstract：
BACKGROUND:Data from cohort studies, predominantly in Caucasians, have identified obesity as a major risk factor for coronary artery disease (CAD), irrespective of sex. In contrast, reports examining the effects of obesity on mortality in African Americans suggest a weak relationship between body mass index (BMI) and mortality, particularly among women. Data correlating body weight with angiographic severity of CAD is sparse in minority populations. We sought to investigate ethnic-sex differences in the influence of obesity on the extent and severity of CAD. METHODS:We studied 640 patients (66.9% African American) who underwent coronary angiography at a tertiary care center. Cardiovascular risk factor profiles and CAD burden, quantified by the Duke Myocardial Jeopardy scoring system, a validated prognostication tool, were compared across ethnic and sex groups. RESULTS:Clustering of major cardiovascular risk factors, a higher prevalence of obesity classes II and III, and a statistically significant inverse correlation between BMI and Duke scores were observed among the cohort of African American women. General linear model analysis and stepwise multiple linear regression analysis revealed Duke score to be negatively associated with BMI and higher classes of obesity after adjustment for age and other cardiovascular risk factors in African American women but not in other subgroups. CONCLUSIONS:The observed inverse relationship between BMI and angiographic severity of CAD in African American women is novel and appears to support prior data on the weak association between BMI and cardiovascular mortality in this subgroup.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Afonso L,Niraj A,Veeranna V,Fakhry H,Pradhan Jsubject
Has Abstractpub_date
2008-01-01 00:00:00pages
53-8issue
1eissn
1049-510Xissn
1945-0826journal_volume
18pub_type
杂志文章abstract：:The disease burden from noncommunicable diseases (NCDs) in Africa is rapidly increasing based on projections from a limited number of reports. In the absence of national health surveys in Zimbabwe, all data nationally generated between 1990 and 1997 were analyzed. From 1990 to 1997, prevalence rates (expressed per 100...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：OBJECTIVE:To identify the prevalence of hypertension among adults in Bo, Sierra Leone. DESIGN:Hypertension data were extracted from outpatient clinic records. SETTING:Mercy Hospital in urban Bo, Sierra Leone. PATIENTS:All nonpregnant outpatients aged -15 years seen at the outpatient clinic in 2009. MAIN OUTCOME MEA...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2011-04-01 00:00:00
abstract：Objective:Depressed individuals may require help from different agencies to address health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, explore whether service providers ...
journal_title：Ethnicity & disease
pub_type： 杂志文章,随机对照试验
doi：10.18865/ed.28.S2.371
更新日期：2018-09-06 00:00:00
abstract：OBJECTIVES:To compare recent temporal trends in the proportion of high-grade (less differentiated, or more "aggressive") prostate cancers for Blacks (African Americans) and Whites. Reports of Black-White differences have generated speculation that genetic factors could be involved. METHODS:The study included all 126,8...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Exposure to estrogen is a risk factor for breast cancer. Since estrogen executes its effect through estrogen receptors (ERs), the relationship between menstrual factors, which are estrogen-related, and breast cancer may be different depending upon ER status of tumors. This case-control study aimed to examine...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
abstract：OBJECTIVE:This study examines the cancer prevention and control priorities of uninsured Latin Americans and their primary care providers in metropolitan Washington, D.C. Patient and provider priorities are compared to identify common ground for future interventions in resource constrained primary care settings. METHOD...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：:The population of South Africa is nearly 40 million and is growing at the rate of 2.5% per year. The population is 76.2% black, 13.3% white, 8.6% "mixed," and 2.6% Asian. The life expectancy (between 1985 and 1990) for whites was 69 years for males and 77 years for females; and for blacks, life expectancy was 61 years...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：:Breast cancer incidence is significantly lower in Hispanic and black women than in non-Hispanic white women. Since diet has been suggested as an important determinant of breast cancer risk, we compared the food intake of college students sampled from these three racial-ethnic groups in New York City to evaluate the po...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:The purpose of the present study was to examine variation in heart disease death rates by the social class of decedents. The term, "social class" refers to a complex set of phenomena such as control over economic resources, social status, and power relative to others in society. The target population for this study wa...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
abstract：OBJECTIVES:The REACH NOLA Mental Health Infrastructure and Training Project (MHIT) aimed to reduce disparities in access to and quality of services for depression and posttraumatic stress disorder (PTSD) in post-Katrina New Orleans by developing a mental health outreach role for community health workers (CHWs) and case...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：:The prevalence of metabolic syndrome is increasing in African populations, and is particularly high in Black South African women (42%) vs women in the United Kingdom (23%) and the United States of America (36%). This population group is also known to have the highest prevalence of obesity in the sub-Saharan African re...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.27.2.189
更新日期：2017-04-20 00:00:00
abstract：:We compared the incidence of preeclampsia and neonatal outcomes in 208 white (born in Canada) and 74 black (born in Haiti) women with mild chronic hypertension. Controls included 17,677 white and 2,400 black normotensive women delivered in the same center between 1987 and 1991. Superimposed preeclampsia (32.4% vs 14.9...
journal_title：Ethnicity & disease
pub_type： 临床试验,杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：BACKGROUND:Preterm delivery is the leading cause of infant mortality in the United States. The risk of preterm delivery and the prevalence of factors associated with preterm delivery differ by racial and ethnic groups. OBJECTIVE:To examine racial and ethnic differences in preterm delivery among women without the commo...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：OBJECTIVE:To establish the baseline prevalence rates for non-communicable disease risk factors in Eritrea. STUDY DESIGN:A cross-sectional survey was conducted among all the ethnic groups in Eritrea with the WHO STEPwise approach. Hypertension was defined as blood pressure > or = 140/90 mm Hg or a person on medication ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：BACKGROUND:We assessed racial differences in lipoprotein particle size, a marker of atherosclerosis risk, among women with coronary disease. METHODS:We studied 378 women (33% non-White, predominantly African American) at the baseline visit of the Women's Angiographic Vitamin and Estrogen Trial (WAVE), a multicenter tr...
journal_title：Ethnicity & disease
pub_type： 杂志文章,多中心研究
doi：
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:Lean mass is an important determinant of bone mineral density (BMD) accrual, yet data regarding its correlates based on multiethnic premenopausal women are lacking. We examined the influence of age, race/ethnicity, and lifestyle variables on total and regional lean mass distribution in this population. DESIG...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-10-01 00:00:00
abstract：BACKGROUND:Approximately 20 million adults suffer from depressive illnesses each year and women are at least twice as likely as men to experience depressive disorders and symptoms. Empirical results have been mixed regarding racial differences in depression prevalence. Given that depression has negative effects on mate...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Obesity is becoming a worldwide public health problem and it is expected to worsen as its prevalence is increasing in children and adolescents. This report examined the distribution of major cardiovascular disease (CVD) risk factors and the effect of life-style changes on coronary heart disease (CHD) risk pr...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2015-04-01 00:00:00
abstract：:During the past two decades, there has been an increased use of community-based participatory research in public health activities, especially as part of efforts to understand health disparities affecting communities of color. This article describes the history and lessons learned of a long-standing community particip...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：:Black women are more likely to be diagnosed with later stage breast cancer and have higher mortality rates from breast cancer than white women. To determine whether cancer treatment varies for white and black women, we analyzed data from the National Cancer Institute (NCI) Black-White Cancer Survival Study (BWCSS). Da...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：OBJECTIVE:The current study examined ethnic differences in patterns of weight loss and regain in response to an initial behavioral weight loss intervention followed by an extended-care maintenance program. METHODS:We analyzed data from 224 women (African American n = 43, Caucasian n = 181) from rural communities who p...
journal_title：Ethnicity & disease
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:To determine the effectiveness of a 10-week aerobic exercise training intervention on blood pressure, cardiorespiratory fitness, and workload in African American women with prehypertension. DESIGN:After we obtained informed consent and medical clearance, each participant underwent baseline measurements, an a...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVES:To determine dietary intake and attitude toward weight control of normal weight, overweight, and obese Black women. DESIGN:Cross-sectional survey. SETTING:Rural village in KwaZulu province, South Africa. PARTICIPANTS:A convenience sample (N=187) of 25- to 55-year-old women, of whom 28.9% (N=54) were of no...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2005-04-01 00:00:00
abstract：:The purpose of this study is to report the findings of the 2004 National Health Interview Survey (NHIS) questions on tuberculosis (TB) knowledge and perceived risk of contracting TB. Tuberculosis (TB) continues to be a major health threat in the United States, but minimal effort is made on public education to increase...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：OBJECTIVES:To estimate the prevalence of disabilities among older American Indians and Alaska Natives (AIANs) and compare these estimates with those of other major racial/ ethnic groups. To estimate, within the population with disabilities, the health-risk behaviors, obesity, and chronic conditions of older AIANs and c...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2007-10-01 00:00:00
abstract：Introduction:Almost 40% of the 63 million Americans who speak a language other than English have limited English proficiency (LEP). This communication barrier can result in poor quality care and potentially adverse health outcomes. Of particular interest is that the greatest proportion of LEP adults are aged >65 years ...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：10.18865/ed.30.4.603
更新日期：2020-09-24 00:00:00
abstract：OBJECTIVE:To assess the feasibility, acceptability, and outcomes of 2 versions of a culturally relevant, family-based intervention to prevent excess weight gain in pre-adolescent African-American girls. DESIGN:Three-arm, 12-week parallel group randomized controlled pilot trial. SETTING:Community centers in Memphis, T...
journal_title：Ethnicity & disease
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2003-01-01 00:00:00
abstract：BACKGROUND:The safety net system remains an important part of the health care system for uninsured and minority populations, however, the closure of safety net hospitals changes the availability of care. Using community-based participatory research methods, we explored the impact of hospital closure among late middle a...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:The use of behavioral interventions has been shown to improve glycemic control, however, the effectiveness of different behavioral interventions in one of the most high risk populations, African Americans, remains unclear. Our systematic review identified and examined findings of published behavioral interven...
journal_title：Ethnicity & disease
pub_type： 杂志文章,评审
doi：
更新日期：2013-10-01 00:00:00
abstract：:We sought to determine whether lipid levels in black patients with type II diabetes with and without hypertension differ from those in white patients. Lipid levels were screened in 207 blacks and 103 whites with type II diabetes visiting a weekly diabetes clinic in a southeastern US regional community hospital. Levels...
journal_title：Ethnicity & disease
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
