A5011438778- Cardiac Health and Mental Health
- Diabetes Management and Education
- Chronic Disease Management Strategies
- Cardiovascular Health and Risk Factors
- Dementia and Cognitive Impairment Research
- Health disparities and outcomes
- Diet and metabolism studies
- HIV-related health complications and treatments
- Oral microbiology and periodontitis research
- Dental Health and Care Utilization
- Metabolomics and Mass Spectrometry Studies
- Liver Disease Diagnosis and Treatment
- Language Development and Disorders
- Tryptophan and brain disorders
- Employment and Welfare Studies
- Neurobiology of Language and Bilingualism
- Schizophrenia research and treatment
- Functional Brain Connectivity Studies
- Diabetes Management and Research
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Physical Activity and Health
- Stress Responses and Cortisol
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Obesity, Physical Activity, Diet
- Nutrition and Health in Aging
University of Maryland, Baltimore County
2018-2024
University of Groningen
2023
University of Miami
2016-2022
National Institute on Aging
2022
University of Maryland, Baltimore
2021-2022
National Institutes of Health
2022
Michael E. DeBakey VA Medical Center
2018
Center for Innovation
2018
Indiana University – Purdue University Indianapolis
2013-2015
Boston University
2015
Background— Both HIV and depression are associated with increased heart failure (HF) risk. Depression, a common comorbidity, may further increase the risk of HF among adults infection (HIV+). We assessed association between HIV, depression, incident HF. Methods Results— Veterans Aging Cohort Study (VACS) participants free from cardiovascular disease at baseline (n=81 427: 26 908 HIV+, 54 519 without [HIV−]) were categorized into 4 groups: HIV− major depressive disorder (MDD) [reference],...
With the advent of highly effective antiretroviral therapy and improved survival, human immunodeficiency virus (HIV)-infected people are living longer now at an increased risk for cardiovascular disease (CVD). There is urgent need to identify novel factors primary prevention approaches CVD in HIV. Although depression prevalent HIV-infected adults associated with future general population, its association events has not been examined population.
Objective To examine longitudinal bidirectional associations between two depressive symptom clusters—the cognitive-affective and somatic-vegetative clusters—and insulin resistance, a marker of prediabetes. Methods Participants were 269 adults aged 50 to 70 years without diabetes enrolled in the Pittsburgh Healthy Heart Project, prospective cohort study. At baseline 6-year visits, participants completed Beck Depression Inventory-II (BDI-II) underwent blood draw quantify fasting glucose. We...
Although depression has been linked to insulin resistance, few studies have examined depressive symptom clusters.We whether certain clusters are more strongly associated with resistance in a nationally representative sample, and we evaluated potential moderators mediators.Respondents were 4487 adults from NHANES 2005-2010. Depressive symptoms measured the Patient Health Questionnaire-9 (PHQ-9), was indexed by homeostatic model assessment (HOMA) score.Positive relationships between PHQ-9...
Abstract Background U.S. Hispanics/Latinos experience high lifetime risk for Type 2 diabetes and concurrent psychological depression. This comorbidity is associated with poorer self-management, worse disease outcomes, higher mortality. Syndemic theory a novel social epidemiological framework that emphasizes the role of economic adversity in promoting health disparities. Purpose Informed by syndemic framework, this study explored associations socioeconomic psychosocial (low income/education,...
Depression and anxiety have been linked to periodontal disease, an emerging risk factor for chronic diseases. However, this literature is mixed, few studies concurrently evaluated depression anxiety. We simultaneously examined the associations of depressive disorders with disease prevalence explored tobacco use as a mediator. Participants were 1,979 young adults from National Health Nutrition Examination Survey 1999–2004 who underwent diagnostic interview dental examination. Adults panic...
Because depression and anxiety are typically studied in isolation, our purpose was to examine the relative importance of these overlapping emotional factors predicting incident cardiovascular disease (CVD).We examined screens, their individual items, as predictors hard CVD events, myocardial infarction, stroke for 8 years a diverse sample 2041 older primary care patients initially free CVD. At baseline, participants completed self-report screens. Data regarding events were obtained from an...
The Dietary Approaches to Stop Hypertension (DASH) diet is recommended for lowering blood pressure and preventing cardiovascular disease (CVD), but little data exist on these associations in US Hispanics/Latinos. We sought assess between DASH score prevalence of metabolic syndrome (MetS) its components diverse studied 10,741 adults aged 18–74 the multicenter Hispanic Community Health Study/Study Latinos. intake was measured using two 24-hour recalls, MetS defined per 2009 harmonized...
Despite increased risk of cognitive decline in Hispanics/Latinos, research on early markers Alzheimer's disease this group is lacking. Subjective (SCD) may be an marker pathological aging. We investigated associations SCD with objective cognition among a diverse sample Hispanics/Latinos living the United States.SCD was measured Everyday Cognition Short Form (ECog-12) and performance standardized battery 6125 adults aged ≥ 50 years without mild impairment or dementia (x̄age = 63.2 years,...
Objectives To examine depression and anxiety screens their individual items as simultaneous predictors of incident diabetes mellitus. Design Ten‐year follow‐up study individuals screened for the Improving Mood‐Promoting Access to Collaborative Treatment ( IMPACT ) trial. Setting Two large urban primary care clinics in Indianapolis, Indiana. Participants Diverse sample (53% African American, 80% lower socioeconomic status) 2,156 older adults initially free Measurements Depression were...
Abstract Background Non‐alcoholic fatty liver disease (NAFLD) prevalence is greater among Hispanics/Latinos than other racial/ethnic groups and further reported to vary Hispanic/Latino background groups. Experimental animal human studies demonstrate associations between periodontitis NAFLD, not yet Hispanics/Latinos. This study examined as a novel risk factor that may contribute the burden of NAFLD Methods Data came from 11,914 participants Hispanic Community Health Study/Study Latinos....
Metabolomic signatures of incident diabetes remain largely unclear for the U.S. Hispanic/Latino population, a group with high burden. We evaluated associations 624 known serum metabolites (measured by global, untargeted approach) in subsample (n = 2,010) Hispanic Community Health Study/Study Latinos without and cardiovascular disease at baseline (2008–2011). Based on significant associated diabetes, metabolite modules were detected using topological network analysis, their longitudinal...
Hispanics/Latinos have the highest risks for metabolic syndrome (MetS) in U.S. and are also at increased risk Alzheimer disease. In this study, we examined associations among neurocognitive function, MetS, inflammation diverse middle-aged older Hispanics/Latinos.Cross-sectional data (2008-2011) from Hispanic Community Health Study/Study of Latinos (HCHS/SOL) were analyzed to examine between neurocognition MetS (N = 9,136; aged 45-74 years).MetS status was associated with lower global...
Abstract Aim To examine whether baseline periodontal disease is independently associated with incident prediabetes and diabetes in Hispanics/Latinos the United States. Materials Methods This study examined 7827 individuals, 18–74 years of age without diabetes, from Hispanic Community Health Study/Study Latinos. Participants received a full‐mouth examination at (2008–2011), was classified using Centers for Disease Control Prevention/American Academy Periodontology case definitions. At Visit 2...
Sixty percent of Hispanics/Latinos are bilingual which research suggests may confer certain cognitive advantages. Female sex confers advantages in verbal learning and memory compared to male sex, regardless race or ethnicity. Understanding the independent interactive associations o f bilingualism with cognition aid predicting aging Hispanics/Latinos. We examined baseline (2008–2011) data from Hispanic Community Health Study/Study Latinos, a multicenter, prospective community-based study. Our...
High rates of undiagnosed Type 2 diabetes mellitus (T2DM) necessitate additional efforts to increase risk awareness, particularly among marginalized and immigrant populations. We examined the association acculturation with likelihood accurate perception T2DM in a large nationally representative sample adults at for T2DM.
Considerable epidemiologic evidence and plausible biobehavioral mechanisms suggest that depression is an independent risk factor for diabetes. Moreover, reducing the elevated diabetes of depressed individuals imperative given both conditions are leading causes death disability. However, because no prior study has examined clinical outcomes among patients at diabetes, question whether treatment prevents or delays onset remains unanswered. Accordingly, we effect a 12-month collaborative care...
Objective: Research on the relationships between acculturation, ethnic identity, and oral health-related quality of life (OHRQOL) among U.S. Hispanic/Latino population is sparse. The aim this study to examine association OHRQOL 13,172 adults in 2008–2011 Hispanic Community Health Study/Study Latinos (HCHS/SOL).Design: Participants self-reported their acculturation (immigrant generation, birthplace, residence U.S., language, social acculturation), identity (sense belonging pride), four...
The coronavirus pandemic has drastically impacted many groups that have been socially and economically marginalized such as Hispanics/Latinos in the United States (U.S.). Our aim was to understand how bonding social capital, bridging trust played a role over course of COVID-19 outbreak, well explore negative consequences capital. We performed focus group discussions via Zoom (n = 25) between January December 2021 with from Baltimore, MD, Washington, DC, New York City, NY. findings suggest...