- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cardiovascular Health and Risk Factors
- Lipoproteins and Cardiovascular Health
- Obesity, Physical Activity, Diet
- Health disparities and outcomes
- Diabetes Management and Education
- Nutritional Studies and Diet
- Antiplatelet Therapy and Cardiovascular Diseases
- Diet and metabolism studies
- Health, Environment, Cognitive Aging
- Medication Adherence and Compliance
- Acute Myocardial Infarction Research
- Child Nutrition and Feeding Issues
- Diet, Metabolism, and Disease
- Diabetes Treatment and Management
- Gestational Diabetes Research and Management
- Cardiac Health and Mental Health
- Obesity and Health Practices
- Health Systems, Economic Evaluations, Quality of Life
- Nutrition and Health in Aging
- Diabetes Management and Research
- Health Promotion and Cardiovascular Prevention
- Child Nutrition and Water Access
- Adolescent and Pediatric Healthcare
- Bariatric Surgery and Outcomes
University of Miami
2015-2020
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,...
Background The prevalence estimates of statin eligibility among Hispanic/Latinos living in the United States under new 2013 American College Cardiology/American Heart Association ( ACC / AHA ) cholesterol treatment guidelines are not known. Methods and Results We estimated 3rd National Cholesterol Education Program Adult Treatment Panel NCEP ATP III Hispanic Community Health Study/Study Latinos (n=16 415; mean age 41 years, 40% males) by using sampling weights calibrated to 2010 US census....
Despite variations in the prevalence of cardiovascular disease and related risk factors among US Hispanic/Latino adults diverse backgrounds, there is little information on whether disparities exist use medications for primary secondary prevention disease. We examined statin aspirin at high risk.A multicenter population-based study, Hispanic Community Health Study/Study Of Latinos, included a total 16 415 participants Mexican, Puerto Rican, Cuban, Dominican, South American, Central American...
Metabolic syndrome (MetS), a cluster of cardiovascular risk factors, is being diagnosed in youth. Specific diagnostic criteria used to define MetS influence prevalence estimates and populations considered at for disease. The National Cholesterol Education Program's Adult Treatment Panel III (ATP), the World Health Organization (WHO), International Diabetes Federation (IDF) provide three definitions medical research. This study examined concordance among these 1137 children 10-16 years age,...
Diet modification is a mainstay of diabetes management. US Hispanics/Latinos are disproportionately affected by diabetes, but few studies have examined dietary intake among with and little known regarding the influence awareness on intake.We evaluated macronutrient its associations glycemic control diabetes.This analysis included 3310 diabetic adults aged 18–74 years from Hispanic Community Health Study/Study Latinos (2008–2011).Diabetes was defined as diagnosed (based medical history or...
Objective A healthy diet is important for diabetes prevention and control; however, few studies have assessed dietary intake among US Hispanics/Latinos, a diverse population with significant burden of diabetes. To address this gap in the literature, we determined energy, macro/micronutrients, vitamin supplements Hispanics/Latinos by glycemic status heritage. Research design methods Cross-sectional study adults aged 18–74 years from Hispanic Community Health Study/Study Latinos (2008–2011)...
To compare cardiovascular risk and disease prevalence in U.S. Hispanics/Latinas with without a history of gestational diabetes mellitus (GDM). Cross-sectional data from 2008 to 2011 were analyzed for 8,262 (305 GDM history) parous women, aged 20–73 years, the Hispanic Community Health Study/Study Latinos (HCHS/SOL). Women compared on sociodemographic, factor, standardized interviews fasting blood tests, using chi-square t-tests, logistic regressions determine odds ratios (ORs) 95 percent...
Introduction: Hispanic/Latinos are the largest ethnic minority in United States with significant cultural and racial heterogeneity. The recent cholesterol treatment guidelines mainly based on estimates from non-Hispanic white black cohorts. Aim: To estimate proportion of US Hispanic adults potentially affected by changes recommendations for statin therapy eligibility under 3rd National Cholesterol Education Program Adult Treatment Panel (NCEP/ATP III) new 2013 ACC/AHA guidelines. Methods:...
Background: There is limited prior research on the association of metabolic risk factors between youth and their caregivers within Latino families despite high burden obesity young age onset disorders. Hypothesis: Obesity are correlated caregivers. Methods: SOL Youth a cross-sectional ancillary study boys girls ages 8 to 16 years old whose parents/caregivers participated in HCHS/SOL. We studied 728 boys, 738 1,020 (86% women) who completed clinical examination. Body mass index (BMI), waist...
Prior research has shown daytime sleepiness, insomnia symptoms, and outcome expectations predict level of adherence. Limited examined what predicts the trajectory cPAP adherence over time. Our aim was to examine a 6-week follow up period it. In this sample 205 veterans, growth mixture modeling used derive based on percentage nights where usage greater than or equal 4 hours. Baseline predictors included: AHI, PAP pressure, mood disorder diagnosis, nighttime risk perception, expectation,...
Data are equivocal on whether pre-treatment health beliefs (Risk Perception [RP], Outcome Expectancies [OE], and Self-Efficacy [SE]) about obstructive sleep apnea (OSA) positive airway pressure (PAP) predict treatment adherence. However, limited research has examined the association of these trajectory PAP use. Our aim was to determine if RP, OE, SE influenced adherence in US veterans. Consecutive PAP-naïve OSA patients (n=185, 94% men, 42% black) attended Miami VA clinic receive complete...
Background: Social ties within social networks have been shown to influence healthy lifestyles. However, little is known about the association among size of familial networks, network dynamics (such as frequency contact and perceived connectedness), lifestyle factors in Hispanic/Latino adults. We examined cross-sectional associations central family size, well with members (children, parents, in-laws) connectedness extended (uncles, aunts, other relatives), individual factors. Methods: Data...