Cardiovascular Risk in Midlife African American Women Participating in a Lifestyle Physical Activity Program
| Autor: | Lynne T. Braun, Michael Schoeny, Louis Fogg, Judith McDevitt, JoEllen Wilbur, Susan W. Buchholz, Arlene Michaels Miller, Annabelle Santos Volgman |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Adult medicine.medical_specialty Cross-sectional study MEDLINE Disease 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine Risk Factors Intervention (counseling) Diabetes mellitus Medicine Humans 030212 general & internal medicine Obesity Exercise Life Style Aged Advanced and Specialized Nursing business.industry Middle Aged medicine.disease United States Clinical trial Black or African American Cross-Sectional Studies Cardiovascular Diseases Cohort Hypertension Physical therapy Female Cardiology and Cardiovascular Medicine business |
| Popis: | Background Cardiovascular disease (CVD) is the largest contributor to disparate morbidity and mortality in African American women. Objective The aims of this article are to describe in a cohort of sedentary, urban community-based midlife African American women eligible for a physical activity program their (1) CVD risk factors and (2) awareness, treatment, and control of hypertension and hypercholesterolemia. Methods Cross-sectional baseline findings on 297 women were examined at baseline of a controlled physical activity clinical trial. Cardiovascular disease risks included hypertension, hypercholesterolemia, smoking, diabetes, and obesity. Among women with hypertension and hypercholesterolemia, rates of awareness, treatment, and control were calculated. Results Our sample had significantly more hypertension and obesity than reported in other national samples of African American women. The women mirrored national samples of African American women: fewer than 60% had adequate control of hypertension. Versus national samples of African Americans (men/women combined), our study groups both showed significantly lower low-density-lipoprotein cholesterol level: treatment, 33% versus 63.8%, and control, 24.8% versus 45.3%. Conclusions Because national samples are more heterogeneous, our sample provides important information about CVD risks in inactive, urban community-dwelling, midlife African American women. Given the opportunity, many such women at elevated risk for CVD are willing to participate in a physical activity intervention. They must be identified and offered pharmacological and lifestyle interventions. |
| Databáze: | OpenAIRE |
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