Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors

BackgroundLifestyle behaviors influence atherosclerotic cardiovascular disease (ASCVD) risk. We examined race and sex differences in the association of ASCVD risk with obesity and lifestyle behaviors. Methods and ResultsWe used multivariable logistic regression to examine the association of race/eth...

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Autores principales:	Alanna A. Morris, Yi‐An Ko, Sarah H. Hutcheson, Arshed Quyyumi
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2018
Materias:	lifestyle obesity race and ethnicity risk factor women Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/96e41862d9254194974dd53dec0ef551
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spelling	oai:doaj.org-article:96e41862d9254194974dd53dec0ef5512021-11-12T17:01:53ZRace/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors10.1161/JAHA.117.0082502047-9980https://doaj.org/article/96e41862d9254194974dd53dec0ef5512018-05-01T00:00:00Zhttps://www.ahajournals.org/doi/10.1161/JAHA.117.008250https://doaj.org/toc/2047-9980BackgroundLifestyle behaviors influence atherosclerotic cardiovascular disease (ASCVD) risk. We examined race and sex differences in the association of ASCVD risk with obesity and lifestyle behaviors. Methods and ResultsWe used multivariable logistic regression to examine the association of race/ethnicity and sex with obesity and lifestyle behaviors among 12 351 adults in the National Health and Nutrition Examination Surveys cycles 2005 to 2014. Ten‐year ASCVD risk was estimated using the 2013 American College of Cardiology/American Heart Association pooled cohort equations. Among overweight/obese subjects, whites were more likely to consider themselves overweight, to report a desire to weigh less, and to report a healthy diet, and physical activity. Despite higher body mass index and/or ASCVD risk, black women (adj odds ratio [OR] 0.8, 95% confidence interval [CI], 0.7–0.9) were less likely to attempt weight loss, and Hispanic women (OR 0.8, 95% CI 0.6–0.9) were less likely to report physical activity than white women. Black women (adj OR 0.6, 95% CI 0.5–0.7) were less likely than white women, and Hispanics (women adj OR 0. 6, 95% CI 0.5–0.7; men adj OR 0.7, 95% CI 0.6–0.9) were less likely than whites to report a healthy diet. Among those with ASCVD risk >7.5%, there were even greater disparities in the likelihood of healthy diet between black and Hispanic versus white women, and among Hispanic versus white men. ConclusionsRace/ethnic minorities are less likely to engage in healthy lifestyle behaviors despite higher body mass index and ASCVD risk. These findings underscore the need for culturally sensitive recommendations to improve cardiovascular outcomes in high‐risk populations, particularly minority women.Alanna A. MorrisYi‐An KoSarah H. HutchesonArshed QuyyumiWileyarticlelifestyleobesityrace and ethnicityrisk factorwomenDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 7, Iss 10 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	lifestyle obesity race and ethnicity risk factor women Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	lifestyle obesity race and ethnicity risk factor women Diseases of the circulatory (Cardiovascular) system RC666-701 Alanna A. Morris Yi‐An Ko Sarah H. Hutcheson Arshed Quyyumi Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors
description	BackgroundLifestyle behaviors influence atherosclerotic cardiovascular disease (ASCVD) risk. We examined race and sex differences in the association of ASCVD risk with obesity and lifestyle behaviors. Methods and ResultsWe used multivariable logistic regression to examine the association of race/ethnicity and sex with obesity and lifestyle behaviors among 12 351 adults in the National Health and Nutrition Examination Surveys cycles 2005 to 2014. Ten‐year ASCVD risk was estimated using the 2013 American College of Cardiology/American Heart Association pooled cohort equations. Among overweight/obese subjects, whites were more likely to consider themselves overweight, to report a desire to weigh less, and to report a healthy diet, and physical activity. Despite higher body mass index and/or ASCVD risk, black women (adj odds ratio [OR] 0.8, 95% confidence interval [CI], 0.7–0.9) were less likely to attempt weight loss, and Hispanic women (OR 0.8, 95% CI 0.6–0.9) were less likely to report physical activity than white women. Black women (adj OR 0.6, 95% CI 0.5–0.7) were less likely than white women, and Hispanics (women adj OR 0. 6, 95% CI 0.5–0.7; men adj OR 0.7, 95% CI 0.6–0.9) were less likely than whites to report a healthy diet. Among those with ASCVD risk >7.5%, there were even greater disparities in the likelihood of healthy diet between black and Hispanic versus white women, and among Hispanic versus white men. ConclusionsRace/ethnic minorities are less likely to engage in healthy lifestyle behaviors despite higher body mass index and ASCVD risk. These findings underscore the need for culturally sensitive recommendations to improve cardiovascular outcomes in high‐risk populations, particularly minority women.
format	article
author	Alanna A. Morris Yi‐An Ko Sarah H. Hutcheson Arshed Quyyumi
author_facet	Alanna A. Morris Yi‐An Ko Sarah H. Hutcheson Arshed Quyyumi
author_sort	Alanna A. Morris
title	Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors
title_short	Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors
title_full	Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors
title_fullStr	Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors
title_full_unstemmed	Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors
title_sort	race/ethnic and sex differences in the association of atherosclerotic cardiovascular disease risk and healthy lifestyle behaviors
publisher	Wiley
publishDate	2018
url	https://doaj.org/article/96e41862d9254194974dd53dec0ef551
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Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors

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