Cardiovascular Risk in Midlife African American Women Participating in a Lifestyle Physical Activity Program.
Cardiovascular Risk in Midlife African American Women Participating in a Lifestyle Physical Activity Program.
复制标题
DOI：
10.1097/jcn.0000000000000266
复制
发表时间：
2016-07
期刊：
影响因子：
--
通讯作者：
McDevitt J
中科院分区：
文献类型：
--
作者：
Braun LT;Wilbur J;Buchholz SW;Schoeny ME;Miller AM;Fogg L;Volgman AS;McDevitt J
背景：心血管疾病（CVD）是最大的贡献者不同的发病率和死亡率在African American women.Objective：这篇文章的目的是描述在一个队列的久坐，城市社区为基础的中年非洲裔美国妇女有资格的体力活动program他们的（1）CVD的危险因素和（2）的认识，治疗和控制高血压和hypercholesterolemia.Methods：横断面基线结果对297名妇女进行了检查，在基线的控制体力活动临床试验。心血管疾病风险包括高血压、高胆固醇血症、吸烟、糖尿病和肥胖。在妇女与高血压和高胆固醇血症，意识，治疗和控制率calculated.Results：我们的样本有显着更多的高血压和肥胖症比其他国家的非洲裔美国妇女的样本。这些妇女反映了非洲裔美国妇女的全国样本：不到60%的人对高血压有足够的控制。与非裔美国人的国家样本（男性/女性合并）相比，我们的研究组均显示出显著较低的低密度脂蛋白胆固醇水平：治疗组为33%对63.8%，对照组为24.8%对45.3%.Conclusions：由于国家样本更具异质性，我们的样本提供了关于不活跃的、城市社区居住的中年非裔美国女性心血管疾病风险的重要信息。如果有机会，许多CVD风险升高的女性愿意参加体力活动干预。必须查明这些疾病，并提供药物和生活方式干预。
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.