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 prediction in a high risk obese African Americans. METHODS:We examined the baseline distribution of CVD risk factors in 515 obese African Americans, with mean BMI of 42.9 ± 6.8 kg/m2, and prospectively the effect of a 6-month low-salt, low-fat diet and aerobic-exercise intervention program on risk reduction. RESULTS:Prevalence of hypertension, dyslipidemia, and diabetes mellitus were 57%, 27% and 24% respectively. Metabolic syndrome was present in 36% and 39% met two features of the syndrome. The 10-year risk prediction for developing CHD ranged from 4% to 17% for women and 6% to 29% for men. After 6 months of life-style changes, many of the risk factors improved, and the CHD risk scores decreased from 6% to 4% in the women and 16% to 13% in the men. CONCLUSION:The high prevalence and increasing incidence of obesity and associated cardiovascular risk emphasizes the need to focus on obesity reduction in this high risk population.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Kwagyan J,Retta TM,Ketete M,Bettencourt CN,Maqbool AR,Xu S,Randall OSsubject
Has Abstractpub_date
2015-04-01 00:00:00pages
208-13issue
2eissn
1049-510Xissn
1945-0826journal_volume
25pub_type
杂志文章abstract::In order to gain a better understanding of diabetes-related health disparities, Nashville REACH 2010 conducted a community baseline survey on health status. A total of 3204 randomly selected African-American (AA) and Caucasian (C) residents of North Nashville, and a comparison sample of residents living in Nashville/D...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract::Gloria Ladson-Billings cautiously promotes the use of Critical Race Theory (CRT) to address racism's contribution to educational disparities. Nearly a decade ago, we issued a similar call to the multidisciplinary field of public health. Public health touts its progressive roots and focus on equity, but do those effort...
journal_title:Ethnicity & disease
pub_type: 社论
doi:10.18865/ed.28.S1.223
更新日期:2018-08-09 00:00:00
abstract::This study examined actual and perceived weight status and body satisfaction of college-age African-American males. We predicted that, in general, males would be accurate about their weight status and satisfied with their body sizes and shapes. The study population was 123 male from a cross-sectional survey of 406 sen...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 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:In a cross-sectional study, we examined the association between hyperinsulinemia and hypertension, independent of body mass, among White non-Hispanic, Black non-Hispanic, and Mexican-American adults without diabetes. METHODS:Data are from 8,004 adults, aged > or = 20 years from the Third National Health and ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVES:To ascertain the extent to which residence in violent communities is an independent risk factor for adverse pregnancy outcomes among impoverished (census tract median family income < $10,000/year) African-American mothers. DESIGN:A cross-sectional study was performed. METHODS:We performed multivariate anal...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::This report contains information from the Health Policy Summit, held in conjunction with the Fifth Annual Primary Care Conference and the Tenth Annual HeLa Women's Health Conference. During this Summit's presentation, Warren A. Jones, MD provided information on the Medicaid system and the challenges facing administrat...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
abstract:PURPOSE:Studies have demonstrated the effects of segregated social and physical environments on the development of chronic diseases for African Americans. Studies have not delineated the effects of segregated environments specifically on the health of African American men over their lifetime. This study examines the re...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.25.3.295
更新日期:2015-08-07 00:00:00
abstract::The JHS is the largest single-site prospective, epidemiological study of CVD among African Americans undertaken to date. It is focused on African-American health, yet comprehensive in its scientific scope. Its design will allow future refinements in scientific direction, the development of ancillary projects, and the ...
journal_title:Ethnicity & disease
pub_type: 评论,社论
doi:
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:The objective of the study was to determine whether race disparities in physical inactivity are present among urban low-income Blacks and Whites living in similar social context. DESIGN:This analysis included Black and White respondents ( > or = 18 years) from the Exploring Health Disparities in Integrated C...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-07-01 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::The coronavirus pandemic of 2019 (COVID-19) has created unprecedented changes to everyday life for millions of Americans due to job loss, school closures, stay-at-home orders and health and mortality consequences. In turn, physicians, academics, and policymakers have turned their attention to the public mental health ...
journal_title:Ethnicity & disease
pub_type: 社论
doi:10.18865/ed.30.4.695
更新日期:2020-09-24 00:00:00
abstract:OBJECTIVE:To examine the utilization of health services and prescription patterns among patients with systemic lupus erythematosus (SLE) followed by primary care physicians and rheumatologists in Puerto Rico. METHODS:The insurance claims submitted by physicians to a health insurance company of Puerto Rico in 2003 were...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-04-01 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::Many health promotion intervention studies have been conducted with the goal of encouraging people to change their lifestyles. These include interventions in the community, at worksites, in a medical setting, and on patients at high risk of disease. These interventions have had, in general, a limited impact (eg, risk ...
journal_title:Ethnicity & disease
pub_type: 社论
doi:
更新日期:2007-10-01 00:00:00
abstract::An estimated 1.2 billion citizens of the world are smokers. In developing countries, half the males smoke. WHO projects a global smoking population of 1.6 billion by the end of the next two decades. Collectively, today the world's smokers annually consume nearly 1,000 cigarettes for every man, woman and child on the p...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Obesity predisposes an individual to numerous risk factors for cardiovascular diseases. Inflammation, reported as a link between obesity and cardiovascular disease, contributes to the development of atherosclerosis. OBJECTIVES:The aim of our study was to assess the relationship between lipid parameters, low...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:Little is known about the health outcomes or the quality of care among Arab American patients with diabetes. The objective of this study is to examine the use of glucose-lowering agents and aspirin therapy in this population compared to the drug utilization patterns reported in nationally representative surve...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Coronary heart disease (CHD) was uncommon in Black people living in Africa before 1970. Since then CHD risk factor levels have increased, while CHD rates have remained low. OBJECTIVE:This case-control study aims to assess the relationship between CHD and known risk factors in urban Black South Africans. ME...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine (1) how African-American and white men and women from similar low income communities perceive their body mass relative to others in the population; and (2) whether ethnic and gender differences exist in the selection of ideal body image sizes for the same and opposit...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVES:To examine the adequacy of available evidence that: 1) left ventricular hypertrophy (LVH) and its regression influence the rate of cardiovascular events in hypertension; 2) carotid artery wall thickening and discrete plaque have comparable significance to LVH; and 3) black hypertensive patients have greater ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:Our study examined associations between serious psychological distress and blood glucose level (HbA1c) and body mass index (BMI) among American Indian and Alaska Native (AI/AN) participants in a cardiovascular disease prevention program. DESIGN:Using linear regression, we assessed the relationships between s...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:This study examined geographic variation in incidence rates for two cancers common in US Hispanic women and considered some potential explanations, by using data from several high-quality cancer registries. METHODS:Age-standardized incidence rates (ASIRs) per 100,000 Hispanic women per year were analyzed for...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract::According to the third National Health and Nutrition Examination Survey, African Americans have a lower prevalence of metabolic syndrome than do Whites. Recent reports in Blacks in other regions have confirmed these observations, but the rates vary. This lower rate of metabolic syndrome in Blacks can be partly ascribe...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:Our study aimed to assess patient's perceptions of generic drugs and utilization of generic drug discount programs. DESIGN, SETTING AND PARTICIPANTS:A survey was administered to adult participants at community health centers and community-based organizations in Houston, Texas, USA (n=525). MAIN OUTCOME MEAS...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Minority girls are disproportionately affected by overweight and obesity. The independent effects of physical activity (PA), sedentary behavior (SB), and diet are not well understood. OBJECTIVE:This study examined the individual influences of PA, SB and diet on fat mass in Latina and African American (AA) g...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2011-10-01 00:00:00
abstract::The purpose of this study was to investigate whether there are differences in the expression of the endothelin (ET) system in the peripheral vasculature of diabetic African-American (AA) and Caucasian (CA) patients. Tibial artery specimens were obtained from diabetic (MD = 8 and CAD = 5) and non-diabetic (AAND = 6 and...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:INTRODUCTION:This article reviews the status of end-stage renal disease in the Middle East, with emphasis on its incidence, prevalence, and treatment. METHODS:Data were obtained from English-language published literature through a Medline search over the past 40 years. Supplementary information was gathered from regio...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2006-04-01 00:00:00
abstract:Background and Purpose:Blacks have a higher burden of post-stroke disability. Factors associated with racial differences in long-term post-stroke disability are not well-understood. Our aim was to assess the long-term racial differences in risk factors associated with stroke recovery. Methods:We examined Health and Re...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.2.339
更新日期:2020-04-23 00:00:00
abstract:OBJECTIVES:Relationships among sedentary behavior, weight gain, and weight loss and regain are understudied particularly for African Americans, a high risk group for obesity. The hypotheses were: sedentary behavior is positively associated with current body mass and % of weight loss maintained after initial weight loss...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2015-01-01 00:00:00