Match!

One size does not fit all: cardiovascular health disparities as a function of ethnicity in Asian-American women

Published on May 1, 2015in Applied Nursing Research1.327
· DOI :10.1016/j.apnr.2014.06.001
Irma B. Ancheta5
Estimated H-index: 5
(UNF: University of North Florida),
Joan M. Carlson1
Estimated H-index: 1
(IU: Indiana University)
+ 3 AuthorsChristine V. Ancheta5
Estimated H-index: 5
(USF: University of South Florida)
Abstract
Abstract Objective Although few studies have examined cardiovascular disease in Asian-American subgroups separately, limited data in Asian Americans strongly suggest that some subgroups are at increased risk. The present study examined modifiable cardiovascular risk factor profiles as a function of Asian ethnicity. Methods This descriptive cross-sectional pilot study recruited Asian-American women ( N =147) in northeast Florida including Cambodians ( n =39), Chinese ( n =36), Filipinos ( n =49), and Vietnamese ( n =23). Risk factors included blood pressure, body mass index, waist circumference and blood lipids. Results Filipino participants (41%) had ≥4 risk factors compared to 21% Cambodian, 13% Vietnamese and 0% Chinese. The Chinese had significantly more participants (44%) with the absence of CVD risk factors compared to all other subgroups. Obesity rate (18%), mean BMI: 26±5kg/m 2 and mean triglycerides (173±103mg/dL) were highest in Filipinas ( n =49). The Chinese ( n =36) had a low rate (4%) of obesity with a mean BMI of 23±3kg/m 2 and the least risk factors along with the lowest triglycerides (88±44mg/dL). Cambodians ( n =39; BMI of 24±3kg/m 2 ) and Vietnamese ( n =23; BMI: 22±3kg/m 2 ) had low rates of obesity with comparable rates of unhealthy lipids and hypertension as the Filipinas. Conclusions Modifiable CVD risk factor profiles significantly differed as a function of ethnicity supporting the premise that Asian-American women cannot be categorized as one group and the traditional "one size fits all" prevention or treatment of CVD risk factors should be re-considered.
  • References (64)
  • Citations (5)
📖 Papers frequently viewed together
12 Citations
3 Citations
20103.97Obesity
50 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References64
Newest
#2Mark J. BrandtH-Index: 20
Last. Marcel ZeelenbergH-Index: 55
view all 3 authors...
957 Citations
#1Dena E. Rifkin (UCSD: University of California, San Diego)H-Index: 28
#2Ali R. Khaki (UCSF: University of California, San Francisco)H-Index: 2
Last. Matthew A. Allison (UCSD: University of California, San Diego)H-Index: 68
view all 8 authors...
The renin-angiotensin-aldosterone system (RAAS) maintains extracellular volume in the setting of salt or volume loss through vasoconstriction and sodium retention. Although this system maintains blood pressure (BP) in pathologic states of effective volume depletion, renin and aldosterone are also believed to be major contributors to hypertension, atherosclerosis, and heart failure.1 Classically, renin release stimulates angiotensin activation and aldosterone release and is therefore considered t...
23 CitationsSource
#1Naser ElkumH-Index: 19
#2Monira Al-AroujH-Index: 12
Last. Abdullah BennakhiH-Index: 10
view all 5 authors...
Background High rates of diabetes and cardiovascular disease have been reported in South Asian immigrants in many countries. However, the prevalence and characteristics of cardiovascular disease risk factors among a South Asian population living in Kuwait have not yet been investigated. This study was therefore designed to estimate the prevalence of cardiovascular disease risk factors and determine whether they are independently associated with diabetes in such a population. Methods A population...
10 CitationsSource
#1Rhodora A. Ursua (NYU: New York University)H-Index: 5
#2David E. Aguilar (NYU: New York University)H-Index: 4
Last. Chau Trinh-Shevrin (NYU: New York University)H-Index: 20
view all 7 authors...
BACKGROUND Filipino Americans have high rates of hypertension, yet little research has examined hypertension awareness, treatment, and control in this group.
27 CitationsSource
#1Ariel T.H. Frank (Palo Alto Medical Foundation)H-Index: 3
#2Beinan Zhao (Palo Alto Medical Foundation)H-Index: 6
Last. Latha Palaniappan (Palo Alto Medical Foundation)H-Index: 36
view all 6 authors...
Background—No studies have comprehensively examined the prevalence of dyslipidemia, a major risk factor for cardiovascular disease, among diverse racial/ethnic minority groups. The primary aim of this study was to identify racial/ethnic differences in dyslipidemia among minorities including Asian Americans (Asian Indian, Chinese, Filipino, Japanese, Korean, or Vietnamese), Mexican Americans, and blacks compared with non-Hispanic whites. Methods and Results—Using a 3-year cross section (2008–2011...
63 CitationsSource
#1Heidi Mochari-Greenberger (CUMC: Columbia University Medical Center)H-Index: 12
#2Ming Liao (CUMC: Columbia University Medical Center)H-Index: 10
Last. Lori Mosca (NewYork–Presbyterian Hospital)H-Index: 49
view all 3 authors...
We aimed to evaluate the association among race and ethnicity, statin prescription, and clinical outcomes among hospitalized patients with coronary heart disease (CHD), adjusted for confounders. Racial and ethnic disparities in CHD outcomes may be related to differential uptake of preventive medications, but data from real-world settings are limited. This was a 1-year prospective study of patients with preexisting CHD without a documented contraindication to statin (n = 3,067, 35% black or Hispa...
14 CitationsSource
#1Irma B. Ancheta (UNF: University of North Florida)H-Index: 5
#2Cynthia Battie (UNF: University of North Florida)H-Index: 7
Last. Christine V. Ancheta (USF: University of South Florida)H-Index: 5
view all 5 authors...
Objective: Although elevated body mass index (BMI) increases the risk for cardiovascular disease (CVD) and diabetes universally, the BMI associated with increased risk for these two diseases needs to be established for Filipino American women (FAW). The relationship of BMI with diabetes and other CVD risk factors in FAW was investigated to determine if BMI levels less than the conventional 25 kg/m2 are associated with increased CVD risk factors. Methods: In a cross-sectional study conducted in f...
12 Citations
#1Alka M. Kanaya (UCSF: University of California, San Francisco)H-Index: 53
#2Namratha R. Kandula (NU: Northwestern University)H-Index: 26
Last. Kiang Liu (NU: Northwestern University)H-Index: 96
view all 7 authors...
Background South Asians (individuals from India, Pakistan, Bangladesh, Nepal, and Sri Lanka) have high rates of cardiovascular disease (CVD) that cannot be explained by traditional risk factors. There are few prospective cohort studies investigating antecedents of CVD in South Asians. Objectives The Mediators of Atherosclerosis in South Asians Living in America (MASALA) study is investigating the prevalence, correlates, and outcomes associated with subclinical CVD in a population-based sample of...
54 CitationsSource
#1Margaret T. HickenH-Index: 14
#2Sara D. Adar (UM: University of Michigan)H-Index: 26
Last. Joel D. Kaufman (UW: University of Washington)H-Index: 56
view all 7 authors...
Researchers have theorized that social and psychosocial factors increase vulnerability to the deleterious health effects of environmental hazards. We used baseline examination data (2000–2002) from the Multi-Ethnic Study of Atherosclerosis. Participants were 45–84 years of age and free of clinical cardiovascular disease at enrollment (n = 6814). The modifying role of social and psychosocial factors on the association between exposure to air pollution comprising particulate matter less than 2.5 µ...
30 CitationsSource
#1Lisa R. StaimezH-Index: 7
#2Mary Beth WeberH-Index: 14
Last. Reena Oza-FrankH-Index: 15
view all 4 authors...
This systematic review synthesizes data published between 1988 and 2009 on mean BMI and prevalence of overweight, obesity, and type 2 diabetes among Asian subgroups in the U.S. We conducted systematic searches in Pub- Med for peer-reviewed, English-language citations that reported mean BMI and percent overweight, obesity, and diabetes among South Asians/Asian Indians, Chinese, Filipinos, Koreans, and Vietnamese. We identified 647 database citations and 23 additional citations from hand-searching...
38 CitationsSource
Cited By5
Newest
#1Nancy Borja-Hart (UTHSC: University of Tennessee Health Science Center)H-Index: 9
#2J. Carolyn Graff (UTHSC: University of Tennessee Health Science Center)H-Index: 13
Last. Irma B. Ancheta (UF: University of Florida)H-Index: 3
view all 6 authors...
Source
#1Divya Iyer (UConn: University of Connecticut)
#2Nilay S. Shah (Stanford University)H-Index: 2
Last. Latha Palaniappan (Stanford University)H-Index: 36
view all 9 authors...
Background Asian‐American subgroups (Asian‐Indian, Chinese, Filipino, Korean, Japanese, and Vietnamese) display varied cardiovascular disease mortality patterns, especially at younger ages. This study aims to examine the years of potential life lost because of ischemic heart disease and cerebrovascular disease among the 6 largest Asian‐American subgroups compared with non‐Hispanic whites. Methods and Results We used National Center for Health Statistics Multiple Causes of Death mortality files f...
Source
#1Mienah Z. Sharif (UCLA: University of California, Los Angeles)H-Index: 8
#2Kelly A. Biegler (UCI: University of California, Irvine)H-Index: 5
Last. Dara H. Sorkin (UCI: University of California, Irvine)H-Index: 26
view all 10 authors...
Asian Americans are understudied in health research and often aggregated into one homogenous group, thereby disguising disparities across subgroups. Cambodian Americans, one of the largest refugee communities in the United States, may be at high risk for adverse health outcomes. This study compares the health status and healthcare experiences of Cambodian American refugees and immigrants. Data were collected via questionnaires and medical records from two community clinics in Southern California...
Source
#1Maria L. G. Bayog (UCSF: University of California, San Francisco)H-Index: 1
#2Catherine M. Waters (UCSF: University of California, San Francisco)H-Index: 11
Background:Cardiovascular disease is the leading cause of death among all racial and ethnic populations in the USA. Cardiovascular risks and cardioprotective factors have been disparately estimated among Asian American subpopulations.Aims:The study’s purpose was to describe the cardiometabolic risks and lifestyle health behaviors associated with cardiovascular disease, considering age and gender, in Filipinos, the second largest Asian American population.Methods:Secondary analysis was conducted ...
4 CitationsSource
#1Irma B. Ancheta (UF: University of Florida)H-Index: 3
#2Cynthia Battie (UNF: University of North Florida)H-Index: 7
Last. Latha Palaniappan (Stanford University)H-Index: 36
view all 5 authors...
Introduction Although cardiovascular disease (CVD) is a leading cause of morbidity and mortality of Filipino–Americans, conventional CVD risk calculators may not be accurate for this population. CVD risk scores of a group of Filipino–American women (FAW) were measured using the major risk calculators. Secondly, the sensitivity of the various calculators to obesity was determined.
1 CitationsSource