Perceived Risk of Heart Attack and Type 2 Diabetes in Hispanic Adults With Overweight and Obesity.

Perceived Risk of Heart Attack and Type 2 Diabetes in Hispanic Adults With Overweight and Obesity.
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DOI:
10.1097/jcn.0000000000000866
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发表时间:
2022-11-01
影响因子:
2
通讯作者:
Oh, Yoo Jung
Oh, Yoo Jung
中科院分区:
医学3区
文献类型:
--
作者:
Fukuoka, Yoshimi;Oh, Yoo Jung

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心脏病发作或2型糖尿病风险较高的人倾向于采用建议的生活方式改变来降低风险。尽管美国的西班牙裔人口迅速增长,但缺乏有关其感知风险的数据。本研究旨在检查西班牙裔超重/肥胖成年人患心脏病和/或发展为2型糖尿病的感知风险,并探讨与这些风险感知相关的因素。我们分析了69名西班牙裔超重/肥胖成年人,他们参加了Adelgaza研究的筛查/基线访问,这是一项减肥和糖尿病预防试验,使用描述性统计和逻辑回归。心脏病发作或2型糖尿病的风险感知采用单项调查问卷进行评估。年龄和体重指数(BMI)的平均值(标准差[SD])分别为43.8(±11.2)岁和31.7(±4.5)kg/m2。在所有参与者中,46.4%的人认为他们一生中患心脏病的风险很低,29.0%的人认为患2型糖尿病的风险很低,而只有11.6%的人认为这两种风险都很低。年龄较大、BMI较低、每天步行时间较长与较低的心脏病发作感知风险显著相关(P < 0.05)。无心脏病家族史、较低的BMI和较低的脂肪摄入量是较低糖尿病风险感知的显著预测因子(P < 0.05)。超重/肥胖的西班牙裔成年人似乎低估了他们患心脏病和2型糖尿病的风险。
Individuals with a greater perceived risk of heart attack or type 2 diabetes tend to adopt recommended lifestyle changes to minimize their risks. Despite the rapidly growing Hispanic population in the United States, data regarding their perceived risks are lacking. This study aimed to examine the perceived risk of suffering a heart attack and/or developing type 2 diabetes and explore the factors associated with these risk perceptions in Hispanic adults with overweight/obesity. We analyzed 69 Hispanic adults with overweight/obesity who participated in the screening/baseline visit for the Adelgaza study, a weight loss and diabetes prevention trial, using descriptive statistics and logistic regressions. Heart attack or type 2 diabetes risk perception was assessed using a single-item questionnaire. The mean values (standard deviation [SD]) for age and body mass index (BMI) were 43.8 (± 11.2) years and 31.7 (± 4.5) kg/m2, respectively. Of all participants, 46.4% perceived a low risk for heart attack and 29.0% perceived a low risk for developing type 2 diabetes in their lifetime, while only 11.6% reported both risk perceptions. Older age, lower BMI, and longer walking duration (min) per day were significantly associated with a lower perceived risk of heart attack (P < 0.05). Having no family history of heart attack, lower BMI, and lower fat intake were significant predictors of a lower diabetes-risk perception (P < 0.05). Hispanic adults with overweight/obesity appear to underestimate their risks of heart attack and type 2 diabetes.
DOI: 10.1177/1540415319869936
发表时间: 2020-06
期刊: Hispanic health care international : the official journal of the National Association of Hispanic Nurses
影响因子: --
作者:
Li WW;Vittinghoff E;Fukuoka Y
通讯作者: Fukuoka Y