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https://www.readbyqxmd.com/read/29340269/examining-relationships-between-perceptions-and-objective-assessments-of-neighborhood-environment-and-sedentary-time-data-from-the-washington-d-c-cardiovascular-health-and-needs-assessment
#1
Chaarushi Ahuja, Colby Ayers, Jacob Hartz, Joel Adu-Brimpong, Samantha Thomas, Valerie Mitchell, Marlene Peters-Lawrence, Dana Sampson, Alyssa T Brooks, Gwenyth Wallen, Allan Johnson, Lennox Graham, Avis Graham, Joshua Rivers, Leah Yingling, Tiffany M Powell-Wiley
Sedentary time (ST) and neighborhood environment (NE) are predictors of cardiovascular (CV) health. However, little is known about ST's relationship with NE. We examined associations of perceived and objective NE with ST in the predominantly African American faith-based population of the Washington, D.C. CV Health and Needs Assessment. After using community-based research principles, participants reported NE perceptions, including sidewalks, recreational areas, and crime presence. Factor analysis was conducted to explore pertinent constructs; factor sums were created and combined as Total Perception Score (TPS) (higher score = more favorable perception)...
March 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29340036/the-association-between-elevated-fasting-plasma-glucose-levels-and-carotid-intima-media-thickness-in-non-diabetic-adults-a-population-based-cross-sectional-study
#2
Yalin Guan, Changshen Yu, Min Shi, Jingxian Ni, Yanan Wu, Hongfei Gu, Lingling Bai, Jie Liu, Jun Tu, Jinghua Wang, Xianjia Ning
We assessed the association between the mean carotid intima-media thickness (CIMT) and fasting plasma glucose (FPG) levels in a low-income population in rural China. Adults aged ≥45 years without a history of diabetes, stroke, or cardiovascular disease were recruited. All participants were categorized into four groups according to FPG level. A total of 3509 participants were analyzed in this study. In the univariate analysis, sex, age, education level, hypertension, central obesity, current smoking, alcohol consumption, and higher levels of FPG, total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) were associated with mean CIMT and frequency of increased CIMT...
December 19, 2017: Oncotarget
https://www.readbyqxmd.com/read/29338025/adolescent-cohorts-assessing-growth-cardiovascular-and-cognitive-outcomes-in-low-and-middle-income-countries
#3
Joseph L Ward, Katherine Harrison, Russell M Viner, Anthony Costello, Michelle Heys
INTRODUCTION: Life-course studies are needed to explore how exposures during adolescence, particularly puberty, contribute to later cardiovascular risk and cognitive health in low and middle-income countries (LMIC), where 90% of the world's young people live. The extent of any existing cohorts investigating these outcomes in LMIC has not previously been described. METHODS: We performed a systematic literature review to identify population cohort studies of adolescents in LMIC that assessed anthropometry and any of cardiovascular risk (blood pressure, physical activity, plasma glucose/lipid profile and substance misuse), puberty (age at menarche, Tanner staging, or other form of pubertal staging) or cognitive outcomes...
2018: PloS One
https://www.readbyqxmd.com/read/29331282/development-testing-and-implementation-of-a-training-curriculum-for-nonphysician-health-workers-to-reduce-cardiovascular-disease
#4
Maheer Khan, Pablo Lamelas, Hadi Musa, Jared Paty, Tara McCready, Robby Nieuwlaat, Eleonor Ng, Patricio Lopez-Jaramillo, Jose Lopez-Lopez, Khalid Yusoff, Fadhlina A Majid, Kien Keat Ng, Len Garis, Oyere Onuma, Salim Yusuf, Jon-David Schwalm
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death worldwide. The need to address CVD is greatest in low- and middle-income countries where there is a shortage of trained health workers in CVD detection, prevention, and control. OBJECTIVES: Based on the growing evidence that many elements of chronic disease management can be shifted to nonphysician health care workers (NPHW), the HOPE-4 (Heart Outcomes Prevention and Evaluation Program) aimed to develop, test, and implement a training curriculum on CVD prevention and control in Colombia, Malaysia, and low-resource settings in Canada...
January 10, 2018: Global Heart
https://www.readbyqxmd.com/read/29329054/relationship-between-sedentary-behavior-and-depression-a-mediation-analysis-of-influential-factors-across-the-lifespan-among-42-469-people-in-low-and-middle-income-countries
#5
Brendon Stubbs, Davy Vancampfort, Joseph Firth, Felipe B Schuch, Mats Hallgren, Lee Smith, Benjamin Gardner, Kai G Kahl, Nicola Veronese, Marco Solmi, André F Carvalho, Ai Koyanagi
BACKGROUND: Sedentary behavior (SB) is associated with diabetes, cardiovascular disease and low mood. There is a paucity of multi-national research investigating SB and depression, particularly among low- and middle-income countries. This study investigated the association between SB and depression, and factors which influence this. METHODS: Cross-sectional data were analyzed from the World Health Organization's Study on Global Ageing and Adult Health. Depression was based on the Composite International Diagnostic Interview...
January 3, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29317456/neighborhood-deprivation-predicts-heart-failure-risk-in-a-low-income-population-of-blacks-and-whites-in-the-southeastern-united-states
#6
Elvis A Akwo, Edmond K Kabagambe, Frank E Harrell, William J Blot, Justin M Bachmann, Thomas J Wang, Deepak K Gupta, Loren Lipworth
BACKGROUND: Recent data suggest that neighborhood socioeconomic environment predicts heart failure (HF) hospital readmissions. We investigated whether neighborhood deprivation predicts risk of incident HF beyond individual socioeconomic status in a low-income population. METHODS AND RESULTS: Participants were 27 078 whites and blacks recruited during 2002 to 2009 in the SCCS (Southern Community Cohort Study), who had no history of HF and were using Centers for Medicare or Medicaid Services...
January 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29317176/race-disparities-in-cardiovascular-disease-risk-factors-within-socioeconomic-status-strata
#7
Caryn N Bell, Roland J Thorpe, Janice V Bowie, Thomas A LaVeist
PURPOSE: Racial differences in socioeconomic status (SES) explain some, but not all, of racial disparities in cardiovascular disease (CVD) risk. To address this, race disparities among higher SES individuals need to be assessed. The purpose of this study was to assess whether racial disparities in CVD risk factors differ by SES levels. METHODS: Data from the National Health and Nutritional Examination Survey 2007-2014 were used to calculate racial differences in hypertension, high cholesterol, diabetes, and obesity...
December 22, 2017: Annals of Epidemiology
https://www.readbyqxmd.com/read/29316126/fixed-dose-combination-therapy-to-reduce-the-growing-burden-of-cardiovascular-disease-in-low-and-middle-income-countries-feasibility-and-challenges
#8
REVIEW
Jobert Richie Nansseu, Aurel T Tankeu, Joseph Kamtchum-Tatuene, Jean Jacques Noubiap
Cardiovascular disease (CVD) has become a major concern in low- and middle-income countries, which bear about 80% of the cardiovascular mortality worldwide. Curbing the burden of CVD implies the management and control of many cardiovascular risk factors that act synergistically to increase cardiovascular mortality. Such actions may require expensive polymedications in a context of limited resources. Therefore, alternative solutions for CVD prevention in low- and middle-income countries are urgently needed. In this context, the concept of a fixed-dose combination therapy, a polypill composed of drugs known to effectively treat or prevent CVD, has been proposed as a scalable strategy to overcome nonadherence to polymedications and reduce costs...
January 6, 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29315155/association-of-the-ideal-cardiovascular-behaviors-and-factors-with-the-incidence-of-nonalcoholic-fatty-liver-disease-a-prospective-study
#9
Shengtao Zhu, Jihong Shi, Chunpeng Ji, Guang Yang, Jie Xing, Feng Zhu, Liming Lin, Aijun Xing, Zhe Huang, Chenrui Zhu, Xiaoming Wei, Shutian Zhang, Junchao Gu, Shouling Wu
OBJECTIVE: This study aimed to investigate the association of ideal cardiovascular behaviors and factors with the incidence of nonalcoholic fatty liver disease (NAFLD) prospectively. PATIENTS AND METHODS: We analyzed 25 278 (21 433 men and 11 895 women) participants in the study. Participants were divided into four categories according to the number of ideal cardiovascular behaviors and factors: 0-2, 3, 4, and 5-7 groups. Multivariate logistic regression was used to calculate the odds ratios with 95% confidence intervals (CIs)...
January 8, 2018: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29306543/characterization-and-prevalence-of-metabolic-syndrome-among-overweight-and-obese-young-palestinian-students-at-an-najah-national-university
#10
Basma Damiri, Amir Aghbar, Saja Alkhdour, Yousef Arafat
OBJECTIVES: Metabolic Syndrome "MetS" is characterized by the presence of several factors that play a major role in the development of cardiovascular diseases and diabetes mellitus. This study was conducted to establish the prevalence of MetS and its individual components among the overweight and obese students at An-Najah National University (ANU) using IDF and modified NCEP ATP III definition and to identify conditions associated with it. MATERIALS AND METHODS: A cross-sectional study was conducted in 2016...
December 30, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/29304049/cost-and-affordability-of-non-communicable-disease-screening-diagnosis-and-treatment-in-kenya-patient-payments-in-the-private-and-public-sectors
#11
Sujha Subramanian, Robai Gakunga, Joseph Kibachio, Gladwell Gathecha, Patrick Edwards, Elijah Ogola, Gerald Yonga, Naftali Busakhala, Esther Munyoro, Jeremiah Chakaya, Nancy Ngugi, Nyawira Mwangi, Daniel Von Rege, Lili-Marie Wangari, David Wata, Robert Makori, Julius Mwangi, Walter Mwanda
INTRODUCTION: The prevalence of non-communicable diseases (NCDs) is rising in low- and middle-income countries, including Kenya, disproportionately to the rest of the world. Our objective was to quantify patient payments to obtain NCD screening, diagnosis, and treatment services in the public and private sector in Kenya and evaluate patients' ability to pay for the services. METHODS AND FINDINGS: We collected payment data on cardiovascular diseases, diabetes, breast and cervical cancer, and respiratory diseases from Kenyatta National Hospital, the main tertiary public hospital, and the Kibera South Health Center-a public outpatient facility, and private sector practitioners and hospitals...
2018: PloS One
https://www.readbyqxmd.com/read/29301631/primary-prevention-with-statins%C3%A2-in%C3%A2-the%C3%A2-elderly
#12
REVIEW
Martin Bødtker Mortensen, Erling Falk
The burden of atherosclerotic cardiovascular disease (ASCVD) in high-income countries is mostly borne by the elderly. With increasing life expectancy, clear guidance on sensible use of statin therapy to prevent a first and potentially devastating ASCVD event is critically important to ensure a healthy aging population. Since 2013, 5 major North American and European guidelines on statin use in primary prevention of ASCVD have been released by the American College of Cardiology/American Heart Association, the UK National Institute for Health and Care Excellence, the Canadian Cardiovascular Society, U...
January 2, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/29300764/increased-hospitalizations-for-decompensated-heart-failure-and-acute-myocardial-infarction-during-mild-winters-a-seven-year-experience-in-the-public-health-system-of-the-largest-city-in-latin-america
#13
Renato Kawahisa Levin, Marcelo Katz, Paulo H N Saldiva, Adriano Caixeta, Marcelo Franken, Carolina Pereira, Salo V Coslovsky, Antonio E Pesaro
BACKGROUND: In high-income temperate countries, the number of hospitalizations for heart failure (HF) and acute myocardial infarction (AMI) increases during the winter. This finding has not been fully investigated in low- and middle-income countries with tropical and subtropical climates. We investigated the seasonality of hospitalizations for HF and AMI in Sao Paulo (Brazil), the largest city in Latin America. METHODS: This was a retrospective study using data for 76,474 hospitalizations for HF and 54,561 hospitalizations for AMI obtained from public hospitals, from January 2008 to April 2015...
2018: PloS One
https://www.readbyqxmd.com/read/29299816/housing-and-food-insecurity-care-access-and-health-status-among-the-chronically-ill-an-analysis-of-the-behavioral-risk-factor-surveillance-system
#14
Paniz Charkhchi, Soudabeh Fazeli Dehkordy, Ruth C Carlos
BACKGROUND: The proportion of the United States population with chronic illness continues to rise. Understanding the determinants of quality of care-particularly social determinants-is critical to the provision of care in this population. OBJECTIVE: To estimate the prevalence of housing and food insecurity among persons with common chronic conditions and to assess the independent effects of chronic illness and sociodemographic characteristics on (1) housing and food insecurity, and (2) health care access hardship and health status...
January 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29297197/socioeconomic-status-and-cardiovascular-risk-score
#15
Ewa Podolecka, Agnieszka Doryńska, Paweł Nadrowski, Michał Skrzypek, Magdalena Kwaśniewska, Wojciech Drygas, Andrzej Pająk, Krystyna Kozakiewicz
BACKGROUND: Cardiovascular diseases are one of the most frequent causes of morbidity and death both in men and women. Well known is the influence of such factors as: hypertension, hypercholesterolemia, tobacco smoking, obesity, diabetes, age and sex on the occurrence and progression of atherosclerosis. Apart from the typical risk factors of cardiovascular diseases, there is also a significant association between the incidence of those diseases and the socioeconomic status (SES). AIM: The aim of this study was to establish the correlation between the socioeconomic status and the cardiovascular disease risk assessed according to the SCORE algorithm...
January 3, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29289543/comparison-of-3-frailty-instruments-in-a-geriatric-acute-care-setting-in-a-low-middle-income-country
#16
Sumika Mori Lin, Márlon Juliano Romero Aliberti, Sileno de Queiroz Fortes-Filho, Juliana de Araújo Melo, Ivan Aprahamian, Claudia Kimie Suemoto, Wilson Jacob Filho
OBJECTIVE: Comparison of frailty instruments in low-middle income countries, where the prevalence of frailty may be higher, is scarce. In addition, less complex diagnostic tools for frailty are important in these settings, especially in acutely ill patients, because of limited time and economic resources. We aimed to compare the performance of 3 frailty instruments for predicting adverse outcomes after 1 year of follow-up in older adults with an acute event or a chronic decompensated disease...
December 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29287838/diabetes-and-complications-of-the-heart-in-sub-saharan-africa-an-urgent-need-for-improved-awareness-diagnostics-and-management
#17
REVIEW
Nadezhda Glezeva, Master Chisale, Kenneth McDonald, Mark Ledwidge, Joe Gallagher, Chris J Watson
Type 2 diabetes mellitus is no longer a disease of high income countries but a global health pandemic. With the continued and rapid increase in its prevalence worldwide it is forecasted that diabetes will be a leading cause of morbidity and mortality. A major concern stems from its role in development and progression of cardiovascular disease, including cardiac dysfunction and heart failure. Within low- and middle-income areas such as Sub-Saharan Africa the burden of diabetes is already significant driven by many factors, including, socioeconomic (urbanisation), nutritional (high-calorie "western-diet", obesity) and lifestyle (physical inactivity) changes...
December 26, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29275883/health-care-use-and-associated-time-and-out-of-pocket-expenditures-for-patients-with-cardiovascular-disease-in-a-publicly-funded-health-care-system
#18
Saba Ali, Mahshid Moghei, Murray Krahn, Caroline Chessex, Sherry L Grace
BACKGROUND: The objectives of this study were to describe (1) health care use and associated patient time and out of pocket (OOP) costs over 2 years after a cardiac diagnosis, (2) the sociodemographic and clinical drivers of these costs, and (3) patient costs related to cardiac rehabilitation (CR) participation. METHODS: Secondary analysis was conducted in an observational prospective CR program evaluation cohort in Ontario, which has a publicly funded health care system...
January 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29260263/systematic-literature-review-on-the-incidence-and-prevalence-of-heart-failure-in-children-and-adolescents
#19
REVIEW
Robert E Shaddy, Aneesh Thomas George, Thomas Jaecklin, Eimear Nic Lochlainn, Lalit Thakur, Rumjhum Agrawal, Susan Solar-Yohay, Fabian Chen, Joseph W Rossano, Thomas Severin, Michael Burch
While the epidemiology of adult heart failure has been extensively researched, this systematic review addresses the less well characterized incidence and prevalence of pediatric HF. The search strategy used Cochrane methodology and identified 83 unique studies for inclusion. Studies were categorized according to whether the HF diagnosis was reported as primary (n = 10); associated with other cardiovascular diseases (CVDs) (n = 49); or associated with non-CVDs (n = 24). A narrative synthesis of the evidence is presented...
December 20, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/29258978/the-effectiveness-of-text-messaging-for-detection-and-management-of-hypertension-in-indigenous-people-in-canada-protocol-for-a-randomized-controlled-trial
#20
Karen Yeates, Norm Campbell, Marion A Maar, Nancy Perkins, Peter Liu, Jessica Sleeth, Carter Smith, Colin McAllister, Diane Hua-Stewart, George Wells, Sheldon W Tobe
BACKGROUND: Hypertension, the leading cause of morbidity and mortality, affects more than 1 billion people and is responsible globally for 10 million deaths annually. Hypertension can be controlled on a national level; in Canada, for example, awareness, treatment, and control improved dramatically from only 16% in 1990 to 66% currently. The ongoing development, dissemination, and implementation of Hypertension Canada's clinical practice guidelines is considered to be responsible, in part, for achieving these high levels of control and the associated improvements in cardiovascular outcomes...
December 19, 2017: JMIR Research Protocols
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