Statin and Aspirin Use Among Hispanic and Latino Adults at High Cardiovascular Risk: Findings From the Hispanic Community Health Study/Study of Latinos

Background:Chronic stress and/or lifetime traumatic stress can create a self-reinforcing cycle of unhealthy behaviors, such as overeating and sedentary behavior, that can lead to further increases in stress. This study examined the relationship between stress and sedentary behavior in a sample of Hispanic/Latino adults (N = 4244) from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study.Methods:Stress was measured as the number of ongoing difficulties lasting 6 months or more and as lifetime exposure to traumatic events. Sedentary behavior was measured by self-report and with accelerometer. Multivariable regression models examined associations of stress measures with time spent in sedentary behaviors adjusting by potential confounders.Results:Those who reported more than one chronic stressor spent, on average, 8 to 10 additional minutes per day in objectively measured sedentary activities (P < .05), whereas those with more than one lifetime traumatic stressor spent (after we adjusted for confounders) 10 to 14 additional minutes in sedentary activities (P < .01) compared with those who did not report any stressors. Statistical interactions between the 2 stress measures and age or sex were not significant.Conclusion:Interventions aimed at reducing sedentary behaviors might consider incorporating stress reduction into their approaches.

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Smoking cessation among U.S. Hispanic/Latino adults: Findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Preventive Medicine ◽

10.1016/j.ypmed.2015.10.006 ◽

2015 ◽

Vol 81 ◽

pp. 412-419 ◽

Cited By ~ 12

Author(s):

Cheryl R. Merzel ◽

Carmen R. Isasi ◽

Garrett Strizich ◽

Sheila F. Castañeda ◽

Marc Gellman ◽

...

Keyword(s):

Smoking Cessation ◽

Community Health ◽

Health Study ◽

Hispanic Community ◽

Latino Adults

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Abstract P071: Association of Baseline Depressive Symptoms With 6-Year Incidence of Diabetes in the Hispanic Community Health Study/Study of Latinos

Circulation ◽

10.1161/circ.137.suppl_1.p071 ◽

2018 ◽

Vol 137 (suppl_1) ◽

Author(s):

Matthew J O'Brien ◽

Mercedes R Carnethon ◽

Frank J Penedo ◽

Karen M Tabb ◽

Sylvia Wassertheil-Smoller ◽

...

Keyword(s):

Depressive Symptoms ◽

Community Health ◽

Self Report ◽

Incident Diabetes ◽

Health Study ◽

Incidence Density ◽

Diabetes Incidence ◽

Central Americans ◽

Hispanic Community ◽

Latino Adults

Background: Among Hispanics/Latinos, there is substantial heterogeneity in the prevalence of depressive symptoms and diabetes by background. This study aimed to examine the association between depressive symptoms and incident diabetes among Hispanic/Latino adults of diverse backgrounds. Methods: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) is a prospective, community-based study of 16,415 self-identified Hispanic/Latino adults aged 18-74 years at Visit 1 (2008-2011) and 10,914 who have also completed the Visit 2 examination by August 2017. This analysis includes 8,804 participants who were free from diabetes at baseline and attended both Visits. Baseline depressive symptoms were assessed using the CES-D 10-item depression scale and divided into quartiles. Incident diabetes was defined by fasting glucose ≥126mg/dL, 2-hour postload glucose 140-199mg/dL, HbA1c ≥6.5%, or self-report. Accounting for HCHS/SOL complex survey design, we used Poisson regression models to estimate diabetes incidence density ratios (Table). Results: Baseline BMI was associated with both depressive symptoms and incident diabetes. Overall, 876 participants developed diabetes. In analyses stratified by Hispanic/Latino background, the association between baseline depressive symptoms and incident diabetes was significant for South Americans, Central Americans, and Mexicans. No significant associations between depressive symptoms and diabetes were seen among Hispanics/Latinos of Dominican, Cuban, or Puerto Rican backgrounds. Conclusions: These findings suggest that the association between depressive symptoms and incident diabetes in Hispanics/Latinos may differ by their background, with South and Central Americans at the highest risk. This difference may be partly explained by variation in participants’ understanding of CES-D questions by Hispanic/Latino background. Future research is needed to understand these novel findings fully and explore their implications for practice and policy.

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Abstract P372: Association of Cardiovascular Disease Family History With Major Cardiovascular Risk Factors in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Circulation ◽

10.1161/circ.139.suppl_1.p372 ◽

2019 ◽

Vol 139 (Suppl_1) ◽

Author(s):

Christina G Hutten ◽

Shruti Sachdeva ◽

Molly Scannell Bryan ◽

Ramon A Durazo-Arvizu ◽

Krista M Perreira ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Cardiovascular Risk ◽

Family History ◽

Community Health ◽

Cardiovascular Risk Factors ◽

Health Study ◽

Hispanic Community ◽

Disease Family

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Is Acculturation Related to Obesity in Hispanic/Latino Adults? Results from the Hispanic Community Health Study/Study of Latinos

Journal of Obesity ◽

10.1155/2015/186276 ◽

2015 ◽

Vol 2015 ◽

pp. 1-8 ◽

Cited By ~ 47

Author(s):

Carmen R. Isasi ◽

Guadalupe X. Ayala ◽

Daniela Sotres-Alvarez ◽

Hala Madanat ◽

Frank Penedo ◽

...

Keyword(s):

Community Health ◽

Urban Areas ◽

Prolonged Exposure ◽

Health Study ◽

Extreme Obesity ◽

Standardized Protocol ◽

Hispanic Community ◽

The Us ◽

Prevalence Of Obesity ◽

Latino Adults

Background.The study examined the association of obesity with acculturation in a large and diverse sample of US Hispanic/Latino adults.Methods.The Hispanic Community Health Study (HCHS)/Study of Latinos (SOL) is a community-based cohort study of Hispanic/Latino adults aged 18–74 years (N=16,415) from four urban areas. Height and weight were directly measured using a standardized protocol. Acculturation was assessed by the Short Acculturation Scale for Hispanics (SASH). Other immigration related variables included place of birth, length of residency in the US, and age at immigration. Odds ratios were calculated to assess the association of overweight, moderate obesity, and extreme obesity (≥40 kg/m2) with acculturation and sociodemographic variables.Results.The prevalence of obesity was 42.4% for women and 36.5% for men and varied by field center and Hispanic/Latino background. The strongest predictor of moderate and extreme obesity was length of residency in mainland US. This association was consistent across Hispanic/Latino backgrounds. Acculturation was not significantly associated with obesity.Discussion.The burden of obesity is high among Hispanic/Latino adults. The study findings suggest that prolonged exposure to the environments in these communities, rather than acculturation, is an important risk factor for obesity in this population.

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Food-group and nutrient-density intakes by Hispanic and Latino backgrounds in the Hispanic Community Health Study/Study of Latinos

American Journal of Clinical Nutrition ◽

10.3945/ajcn.113.082685 ◽

2014 ◽

Vol 99 (6) ◽

pp. 1487-1498 ◽

Cited By ~ 72

Author(s):

Anna Maria Siega-Riz ◽

Daniela Sotres-Alvarez ◽

Guadalupe X Ayala ◽

Mindy Ginsberg ◽

John H Himes ◽

...

Keyword(s):

Community Health ◽

Food Group ◽

Health Study ◽

Nutrient Density ◽

Hispanic Community ◽

Hispanic And Latino

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The Alternate Healthy Eating Index is Associated with the Metabolic Syndrome in Latino Adults: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

The FASEB Journal ◽

10.1096/fasebj.29.1_supplement.906.12 ◽

2015 ◽

Vol 29 (S1) ◽

Author(s):

Josiemer Mattei ◽

Daniela Sotres‐Alvarez ◽

Martha Daviglus ◽

Linda Gallo ◽

Marc Gellman ◽

...

Keyword(s):

Metabolic Syndrome ◽

Community Health ◽

Healthy Eating ◽

Healthy Eating Index ◽

Health Study ◽

The Metabolic Syndrome ◽

Hispanic Community ◽

Latino Adults

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Defining abdominal obesity as a risk factor for coronary heart disease in the US: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

10.2337/figshare.12241073.v1 ◽

2020 ◽

Author(s):

Diana A. Chirinos ◽

Maria M. Llabre ◽

Ronald Goldberg ◽

Marc Gellman ◽

Armando Mendez ◽

...

Keyword(s):

Metabolic Syndrome ◽

Coronary Heart Disease ◽

Heart Disease ◽

Cardiovascular Risk ◽

Waist Circumference ◽

Community Health ◽

Abdominal Obesity ◽

Health Study ◽

Cut Points ◽

Hispanic Community

Objective: Various organizations have highlighted the need to examine whether abdominal obesity cut-points are appropriate for identification of cardiovascular risk among ethnic minority adults, particularly Hispanic/Latino living in western societies. This study aimed (1) to establish optimal definitions for abdominal obesity among Hispanic/Latinos, and (2) determine the level of agreement between the presence of metabolic syndrome diagnosed by the current Joint Interim Statement (IJS) definition and an updated definition with optimal abdominal obesity cut points. Research Design and Methods: The sample included 16,289 adults who self-identified as Hispanic/Latino ages 18-74 years enrolled in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Receiving operating characteristic (ROC) curves were used to derive sensitivity and specificity values. The largest sum of sensitivity plus specificity was used to determine appropriate cut-points. Results: Among US Hispanic/Latino adults, waist circumference cut points of >102 cm in men (in line with current IJS criteria) and >97 cm (9 points higher than IJS criteria) in women provide optimal discrimination for cardiovascular risk as judged by the presence of coronary heart disease. When using these cut points to create an updated metabolic syndrome definition among women, we found disagreement between our updated definition and the current IJS criteria. The prevalence of the metabolic syndrome was overestimated by about 5% points among women based on IJS criteria when compared to our definition. Conclusions: Our results suggest that the current recommendations for waist circumference cut-points may not be appropriate for US Hispanic/Latino women.

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