Journal
JOURNAL OF COMMUNITY HEALTH
Volume 38, Issue 4, Pages 634-641Publisher
SPRINGER
DOI: 10.1007/s10900-013-9658-0
Keywords
Cardiovascular health; Arterial hypertension; Diabetes mellitus; Atahualpa; Northern Manhattan
Funding
- NINDS NIH HHS [R01 NS029993, R37 NS 29993, R37 NS029993] Funding Source: Medline
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Knowledge of cardiovascular health (CVH) status of a given population is mandatory to reduce the burden of vascular diseases in the region. We compared CVH of two distinct populations having similar ethnic backgrounds to understand the role of lifestyle and environment on their CVH, and to provide insights in the planning of cost-effective health strategies. CVH status was compared in two Hispanic populations living in Northern Manhattan and Atahualpa (rural coastal Ecuador) using the health metrics proposed by the American Heart Association. Both studies used similar definitions of CVH and similar inclusion criteria for participating subjects (age a parts per thousand yen40 years, cardiovascular disease-free status, and living at their respective localities for a parts per thousand yen3 months). The studied populations consisted of 1,617 Caribbean Hispanics living in Northern Manhattan (mean age 66 +/- A 9 years), and 616 Atahualpa residents (mean age 59 +/- A 13 years). Atahualpa residents had significantly better metrics than Caribbean Hispanics, with the exception of fasting glucose levels. Likewise, the odds for having 5-7 ideal metrics were also better in Atahualpa residents, irrespective of age. CVH is better in Atahualpa residents than in Caribbean Hispanics living in Northern Manhattan. These differences are likely related to a healthier lifestyle in a rural setting and provide insights for setting cardiovascular prevention priorities.
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