Navigation Links
Assessing the risk of heart attack and stroke among Hispanics
Date:11/5/2012

A study published today in the Journal of the American Medical Association (JAMA) indicated that many Hispanic/Latino adults living in the United States are at high risk for heart attack or stroke. This risk is highest in men and in older people, born in the US or that have lived in the US more than 10 years, that prefer to speak English, are lower income, or never finished high school.

"The finding that longer residence in the US increases disease risk may seem counterintuitive, but has previously been reported," says study co-author Schneiderman, James L. Knight Professor of Psychology, Medicine, and Psychiatry and Behavioral Sciences, at the University of Miami (UM).

The study also found that risk of heart attack and stroke among Hispanics is most highly related to smoking and high blood pressure, but other risk factors are important. The treatable risk factors examined were smoking, blood pressure, cholesterol, obesity and diabetes. Using national guidelines as a comparison, the study found that Puerto Ricans are the most likely to have three or more risk factors and these usually include smoking and obesity. Cubans and South Americans are the least likely to have diabetes.

The research findings in JAMA come from the Hispanic Community Health Study/Study of Latinos, informally called SOL. It is the largest study of Hispanic health ever sponsored by the National Institutes of Health (NIH) with the National Heart, Lung and Blood Institute and six other institutes, centers and offices of NIH providing support. SOL's purpose is to determine the health of Hispanics living in the US and to find out the factors that reduce or increase the risk of chronic disease.

The study examined 16,415 randomly selected Hispanic adults living in Miami, Chicago, New York's Bronx, and San Diego between 2008 and 2011. This allowed the SOL investigators to examine the health and disease risk of people from different Hispanic backgrounds including Cubans, Dominicans, Mexicans, Puerto Ricans, Central Americans and South Americans.

"Before today, most of what was known about the extent of heart attacks, strokes and risk factors in Hispanics came primarily from studies of Mexican Americans, who are the largest group of Hispanics living in the US, "says Schneiderman, Principal Investigator of the Miami Field Center of SOL at the UM. "The findings reported today in JAMA show that there are some important differences in risk factors among people from diverse Hispanic backgrounds."

Of the more than 16,000 Hispanic adults in SOL, over 4,000 participants were examined in the Miami Field Center. These participants were recruited from a randomly pre-specified list of addresses in the cities of Hialeah, Miami and Coral Gables. Although slightly more than half of the participants reported Cuban ancestry, the Center also had the opportunity to examine fairly large numbers of participants from Central or South American backgrounds.

"Because the examiners were comfortable conversing in Spanish or English, each participant was able to choose to speak in either language during the examination," Schneiderman says. "Most chose Spanish."

All SOL participants are followed each year. Therefore SOL will be able in the future to determine which risk factors and protective factors directly influence the development of heart disease, stroke, lung diseases and other chronic illnesses. Current plans are for a second examination to be conducted on the present SOL participants between 2014 and 2017 with follow-up continuing until 2019.

"The SOL participants and SOL investigators have developed a strong, positive long-term relationship that will allow the Hispanic community to gain a critical understanding of the status of Hispanic health in the US and the risks and protective behaviors that can influence Hispanic health," Schneiderman says. The study is titled "Prevalence of Major Cardiovascular Risk Factors and Cardiovascular Diseases among Hispanics/ Latinos of Diverse National Backgrounds in the US." Other authors of the JAMA article are Martha L. Daviglus, professor of Medicine, University of Illinois, Chicago; Gregory A. Talavera, professor of Public Health, San Diego State University; Larissa Avils-Santa, project officer, National Heart Lung and Blood Institute, NIH; Matthew Allison, assistant professor of Behavioral Medicine, University of California, San Diego; Jianwen Cai, professor of biostatistics, University of North Carolina, Chapel Hill; Michael H. Criqui, professor of Family and Preventive Medicine, University of California, San Diego; Marc Gellman, research associate professor of psychology, University of Miami; Aida L. Giachello, professor of Preventive Medicine, Northwestern University; Natalia Gouskova, biostatistician, University of North Carolina, Chapel Hill; Robert C. Kaplan, professor of Epidemiology and Population Health, Albert Einstein College of Medicine; Lisa LaVange, professor of Biostatistics, University of North Carolina, Chapel Hill; Frank Penedo, professor of Medical Social Science, Northwestern University; Krista Perreira, professor of Public Policy, University of North Carolina, Chapel Hill; Amber Pirzada, research associate in Preventive Medicine, Northwestern University; Sylvia Wassertheil-Smoller, professor of Epidemiology and Population Health, Albert Einstein College of Medicine Paul D. Sorlie, deputy project officer, Heart, Lung and Blood Institute, NIH, and Jeremiah Stamler, professor Emeritus of Preventive Medicine, Northwestern University.


'/>"/>

Contact: Annette Gallagher
a.gallagher1@umiami.edu
305-284-1121
University of Miami
Source:Eurekalert

Related medicine news :

1. Assessing Olympic terrorism threats
2. Study examines use of a natural language processing tool for electronic health records in assessing colonoscopy quality
3. Assessing the cost of the Affordable Care Act and expanding Medicaid
4. Witnessing, Experiencing Traumatic Events May Worsen Heart Disease
5. Risk of suicide and fatal heart attack immediately following a cancer diagnosis
6. Cancer Diagnosis May Raise Odds for Suicide, Heart Attack Death
7. In children born with severe heart defect, surgical management has little effect on neuro outcomes
8. Invasive heart test being dramatically overused, Stanford study shows
9. Heart failure patients with diabetes may benefit from higher glucose levels
10. Omega-3 Supplements No Help Against Repeat Heart Trouble: Review
11. EKG Heart Test May Predict Risk in Older Adults
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... While it’s often important ... problem. Fortunately, an inventor from Austin, Texas, has identified a solution. , She developed ... darkness or restricted lighting. As such, it eliminates the need to turn on a ...
(Date:10/13/2017)... ... October 13, 2017 , ... Southern ... and Jennifer Huggins, PharmD ’17, along with clinical associate professor Janice Frueh, ... cardiovascular diseases during the 15th Annual Women’s Health Conference. The SIU School ...
(Date:10/13/2017)... ... October 13, 2017 , ... The Visiting Nurse Association (VNA) of Somerset Hills ... specialty vendors and unique items from across the nation, this holiday-themed event will raise ... offered by the VNA. The boutique will be open Saturday, November 4 (10:00 ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, actor Rob Lowe, ... in a new episode of "Success Files," which is an award-winning educational program ... investigates each subject in-depth with passion and integrity. , Sciatica occurs when the ...
(Date:10/12/2017)... ... October 12, 2017 , ... First ... compliance program management, will showcase a range of technology and learning solutions at ... (NCAL) Convention and Expo to be held October 14–18, 2017 at the Mandalay ...
Breaking Medicine News(10 mins):
(Date:9/25/2017)... R.I. , Sept. 25, 2017  EpiVax, ... assessment, vaccine design, and immune-engineering today announced the ... on the development of personalized therapeutic cancer vaccines. ... has provided exclusive access to enabling technologies to ... Eng., MBA will lead EpiVax Oncology as Chief ...
(Date:9/19/2017)... ZirMed Inc ., a recognized leader in cloud-based revenue cycle ... ranked #1 by its users for the seventh consecutive year ... ZirMed was recognized as the top-ranked end-to-end revenue cycle management ... 200 beds and holds one of the longest #1 ranking ... ...
(Date:9/12/2017)... -- Consumer reviews on the independent review site Consumer Affairs ... for hearing aids, ranking it higher than Miracle Ear ™, ... ... Hearing Aids ... store that provides high performance, state-of-the-art, German-engineered hearing aids directly to ...
Breaking Medicine Technology: