OBJECTIVES: Hispanics have less favorable cardiovascular risk profiles relative to other groups, although little is known regarding variability in risk profiles according to country of origin. Our goal was to examine the association of cardiovascular risk factors with country of origin and acculturation in a cohort of middle-aged Hispanic women. SETTING: Baseline data for participants at the New Jersey Site of the Study of Women's Health Across the Nation (SWAN). PARTICIPANTS: 419 women, aged 42-52 years, comprising 142 non-Hispanic Whites and 277 Hispanic: Central American (n = 29), South American (n = 106), Puerto Rican (n = 56), Dominican (n = 42) and Cuban (n = 44). MAIN OUTCOME MEASURES: BMI, smoking, blood pressure, lipid profiles, and presence of hypertension, hyperlipidemia, diabetes and metabolic syndrome were compared using univariate and multivariable models. RESULTS: LDL and HDL varied significantly across Hispanic subgroups (overall P < or = .05). Prevalence of metabolic syndrome was greatest in Puerto Rican women (48.2% vs 40.0%, 35.0%, 13.9% and 29.3% in Central American, South American, Dominican and Cuban women, respectively, P = .016). Central American women were least likely to smoke (P < .05 vs Puerto Rican, Cuban and South American). Prevalence of hypertension and diabetes were similar across groups. Differences in lipids and metabolic syndrome were not explained by acculturation, financial strain, education, physical activity, smoking or dietary fat intake. CONCLUSIONS: There is significant heterogeneity in cardiovascular risk status among middle-aged Puerto Rican, Cuban, Dominican, Central American and South American women, not explained by acculturation or socioeconomic indicators. These differences may be important for targeting screening and preventive interventions.
OBJECTIVES: Hispanics have less favorable cardiovascular risk profiles relative to other groups, although little is known regarding variability in risk profiles according to country of origin. Our goal was to examine the association of cardiovascular risk factors with country of origin and acculturation in a cohort of middle-aged Hispanic women. SETTING: Baseline data for participants at the New Jersey Site of the Study of Women's Health Across the Nation (SWAN). PARTICIPANTS: 419 women, aged 42-52 years, comprising 142 non-Hispanic Whites and 277 Hispanic: Central American (n = 29), South American (n = 106), Puerto Rican (n = 56), Dominican (n = 42) and Cuban (n = 44). MAIN OUTCOME MEASURES: BMI, smoking, blood pressure, lipid profiles, and presence of hypertension, hyperlipidemia, diabetes and metabolic syndrome were compared using univariate and multivariable models. RESULTS: LDL and HDL varied significantly across Hispanic subgroups (overall P < or = .05). Prevalence of metabolic syndrome was greatest in Puerto Rican women (48.2% vs 40.0%, 35.0%, 13.9% and 29.3% in Central American, South American, Dominican and Cuban women, respectively, P = .016). Central American women were least likely to smoke (P < .05 vs Puerto Rican, Cuban and South American). Prevalence of hypertension and diabetes were similar across groups. Differences in lipids and metabolic syndrome were not explained by acculturation, financial strain, education, physical activity, smoking or dietary fat intake. CONCLUSIONS: There is significant heterogeneity in cardiovascular risk status among middle-aged Puerto Rican, Cuban, Dominican, Central American and South American women, not explained by acculturation or socioeconomic indicators. These differences may be important for targeting screening and preventive interventions.
Authors: Valentine J Burroughs; Cathy Nonas; Christine T Sweeney; Jeffrey M Rohay; Andrea M Harkins; Theodore K Kyle; Steven L Burton Journal: Obesity (Silver Spring) Date: 2008-03-27 Impact factor: 5.002
Authors: Jaime A Davidson; William B Kannel; Angel Lopez-Candales; Leo Morales; Pedro R Moreno; Fernando Ovalle; Carlos Jose Rodriguez; Helena W Rodbard; Robert S Rosenson; Michael Stern Journal: Ethn Dis Date: 2007 Impact factor: 1.847
Authors: Kelly J Hunt; Ken Williams; Roy G Resendez; Helen P Hazuda; Steve M Haffner; Michael P Stern Journal: Diabetes Care Date: 2002-09 Impact factor: 19.112
Authors: Amanda A Allshouse; Nanette Santoro; Robin Green; Jason Y Y Wong; Dawn M Upchurch; Genevieve Neal-Perry; Rebecca C Thurston; Carol A Derby Journal: Maturitas Date: 2018-03-13 Impact factor: 4.342
Authors: Fatima Rodriguez; David Leonard; Laura DeFina; Carolyn E Barlow; Benjamin L Willis; William L Haskell; David J Maron Journal: JAMA Cardiol Date: 2019-01-01 Impact factor: 14.676
Authors: Vivian Colón-López; Geetanjoli Banerjee; Alida María Gertz; Ana Patricia Ortiz; William Calo; Lila J Finney-Rutten; Uriyoán Colón-Ramos; Bradford W Hesse; Guillermo Tortolero Journal: P R Health Sci J Date: 2013-12 Impact factor: 0.705
Authors: Carlos J Rodriguez; Matthew Allison; Martha L Daviglus; Carmen R Isasi; Colleen Keller; Enrique C Leira; Latha Palaniappan; Ileana L Piña; Sarah M Ramirez; Beatriz Rodriguez; Mario Sims Journal: Circulation Date: 2014-07-14 Impact factor: 29.690
Authors: Ariel T H Frank; Beinan Zhao; Powell O Jose; Kristen M J Azar; Stephen P Fortmann; Latha P Palaniappan Journal: Circulation Date: 2013-11-05 Impact factor: 29.690
Authors: Martha L Daviglus; Gregory A Talavera; M Larissa Avilés-Santa; Matthew Allison; Jianwen Cai; Michael H Criqui; Marc Gellman; Aida L Giachello; Natalia Gouskova; Robert C Kaplan; Lisa LaVange; Frank Penedo; Krista Perreira; Amber Pirzada; Neil Schneiderman; Sylvia Wassertheil-Smoller; Paul D Sorlie; Jeremiah Stamler Journal: JAMA Date: 2012-11-07 Impact factor: 56.272