Body mass index, sex, and cardiovascular disease risk factors among hispanic/latino adults

Hispanic community health study/study of latinos

Robert C. Kaplan, M. Larissa Avilés-Santa, Christina M. Parrinello, David B. Hanna, Molly Jung, Sheila F. Castañeda, Arlene L. Hankinson, Carmen R. Isasi, Orit Birnbaum-Weitzman, Ryung S. Kim, Martha L. Daviglus, Gregory A. Talavera, Neil Schneiderman, Jianwen Cai

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: All major Hispanic/Latino groups in the United States have a high prevalence of obesity, which is often severe. Little is known about cardiovascular disease (CVD) risk factors among those at very high levels of body mass index (BMI). Methods and Results: Among US Hispanic men (N=6547) and women (N=9797), we described gradients across the range of BMI and age in CVD risk factors including hypertension, serum lipids, diabetes, and C-reactive protein. Sex differences in CVD risk factor prevalences were determined at each level of BMI, after adjustment for age and other demographic and socioeconomic variables. Among those with class II or III obesity (BMI ≥35 kg/m<sup>2</sup>, 18% women and 12% men), prevalences of hypertension, diabetes, low high-density lipoprotein cholesterol level, and high C-reactive protein level approached or exceeded 40% during the fourth decade of life. While women had a higher prevalence of class III obesity (BMI ≥40 kg/m<sup>2</sup>) than did men (7% and 4%, respectively), within this highest BMI category there was a >50% greater relative prevalence of diabetes, hypertension, and hyperlipidemia in men versus women, while sex differences in prevalence of these CVD risk factors were ≈20% or less at other BMI levels. Conclusions: Elevated BMI is common in Hispanic/Latino adults and is associated with a considerable excess of CVD risk factors. At the highest BMI levels, CVD risk factors often emerge in the earliest decades of adulthood and they affect men more often than women.

Original languageEnglish (US)
Article numbere000923
JournalJournal of the American Heart Association
Volume3
Issue number4
DOIs
StatePublished - 2014

Fingerprint

Hispanic Americans
Body Mass Index
Cardiovascular Diseases
Health
Obesity
Hypertension
Sex Characteristics
C-Reactive Protein
Hyperlipidemias
LDL Cholesterol
HDL Cholesterol
Demography
Lipids
Serum

Keywords

  • BMI
  • CVD risk factor
  • Hispanic/Latino
  • Sex

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Body mass index, sex, and cardiovascular disease risk factors among hispanic/latino adults : Hispanic community health study/study of latinos. / Kaplan, Robert C.; Larissa Avilés-Santa, M.; Parrinello, Christina M.; Hanna, David B.; Jung, Molly; Castañeda, Sheila F.; Hankinson, Arlene L.; Isasi, Carmen R.; Birnbaum-Weitzman, Orit; Kim, Ryung S.; Daviglus, Martha L.; Talavera, Gregory A.; Schneiderman, Neil; Cai, Jianwen.

In: Journal of the American Heart Association, Vol. 3, No. 4, e000923, 2014.

Research output: Contribution to journalArticle

Kaplan, RC, Larissa Avilés-Santa, M, Parrinello, CM, Hanna, DB, Jung, M, Castañeda, SF, Hankinson, AL, Isasi, CR, Birnbaum-Weitzman, O, Kim, RS, Daviglus, ML, Talavera, GA, Schneiderman, N & Cai, J 2014, 'Body mass index, sex, and cardiovascular disease risk factors among hispanic/latino adults: Hispanic community health study/study of latinos', Journal of the American Heart Association, vol. 3, no. 4, e000923. https://doi.org/10.1161/JAHA.114.000923
Kaplan, Robert C. ; Larissa Avilés-Santa, M. ; Parrinello, Christina M. ; Hanna, David B. ; Jung, Molly ; Castañeda, Sheila F. ; Hankinson, Arlene L. ; Isasi, Carmen R. ; Birnbaum-Weitzman, Orit ; Kim, Ryung S. ; Daviglus, Martha L. ; Talavera, Gregory A. ; Schneiderman, Neil ; Cai, Jianwen. / Body mass index, sex, and cardiovascular disease risk factors among hispanic/latino adults : Hispanic community health study/study of latinos. In: Journal of the American Heart Association. 2014 ; Vol. 3, No. 4.
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abstract = "Background: All major Hispanic/Latino groups in the United States have a high prevalence of obesity, which is often severe. Little is known about cardiovascular disease (CVD) risk factors among those at very high levels of body mass index (BMI). Methods and Results: Among US Hispanic men (N=6547) and women (N=9797), we described gradients across the range of BMI and age in CVD risk factors including hypertension, serum lipids, diabetes, and C-reactive protein. Sex differences in CVD risk factor prevalences were determined at each level of BMI, after adjustment for age and other demographic and socioeconomic variables. Among those with class II or III obesity (BMI ≥35 kg/m2, 18{\%} women and 12{\%} men), prevalences of hypertension, diabetes, low high-density lipoprotein cholesterol level, and high C-reactive protein level approached or exceeded 40{\%} during the fourth decade of life. While women had a higher prevalence of class III obesity (BMI ≥40 kg/m2) than did men (7{\%} and 4{\%}, respectively), within this highest BMI category there was a >50{\%} greater relative prevalence of diabetes, hypertension, and hyperlipidemia in men versus women, while sex differences in prevalence of these CVD risk factors were ≈20{\%} or less at other BMI levels. Conclusions: Elevated BMI is common in Hispanic/Latino adults and is associated with a considerable excess of CVD risk factors. At the highest BMI levels, CVD risk factors often emerge in the earliest decades of adulthood and they affect men more often than women.",
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T2 - Hispanic community health study/study of latinos

AU - Kaplan, Robert C.

AU - Larissa Avilés-Santa, M.

AU - Parrinello, Christina M.

AU - Hanna, David B.

AU - Jung, Molly

AU - Castañeda, Sheila F.

AU - Hankinson, Arlene L.

AU - Isasi, Carmen R.

AU - Birnbaum-Weitzman, Orit

AU - Kim, Ryung S.

AU - Daviglus, Martha L.

AU - Talavera, Gregory A.

AU - Schneiderman, Neil

AU - Cai, Jianwen

PY - 2014

Y1 - 2014

N2 - Background: All major Hispanic/Latino groups in the United States have a high prevalence of obesity, which is often severe. Little is known about cardiovascular disease (CVD) risk factors among those at very high levels of body mass index (BMI). Methods and Results: Among US Hispanic men (N=6547) and women (N=9797), we described gradients across the range of BMI and age in CVD risk factors including hypertension, serum lipids, diabetes, and C-reactive protein. Sex differences in CVD risk factor prevalences were determined at each level of BMI, after adjustment for age and other demographic and socioeconomic variables. Among those with class II or III obesity (BMI ≥35 kg/m2, 18% women and 12% men), prevalences of hypertension, diabetes, low high-density lipoprotein cholesterol level, and high C-reactive protein level approached or exceeded 40% during the fourth decade of life. While women had a higher prevalence of class III obesity (BMI ≥40 kg/m2) than did men (7% and 4%, respectively), within this highest BMI category there was a >50% greater relative prevalence of diabetes, hypertension, and hyperlipidemia in men versus women, while sex differences in prevalence of these CVD risk factors were ≈20% or less at other BMI levels. Conclusions: Elevated BMI is common in Hispanic/Latino adults and is associated with a considerable excess of CVD risk factors. At the highest BMI levels, CVD risk factors often emerge in the earliest decades of adulthood and they affect men more often than women.

AB - Background: All major Hispanic/Latino groups in the United States have a high prevalence of obesity, which is often severe. Little is known about cardiovascular disease (CVD) risk factors among those at very high levels of body mass index (BMI). Methods and Results: Among US Hispanic men (N=6547) and women (N=9797), we described gradients across the range of BMI and age in CVD risk factors including hypertension, serum lipids, diabetes, and C-reactive protein. Sex differences in CVD risk factor prevalences were determined at each level of BMI, after adjustment for age and other demographic and socioeconomic variables. Among those with class II or III obesity (BMI ≥35 kg/m2, 18% women and 12% men), prevalences of hypertension, diabetes, low high-density lipoprotein cholesterol level, and high C-reactive protein level approached or exceeded 40% during the fourth decade of life. While women had a higher prevalence of class III obesity (BMI ≥40 kg/m2) than did men (7% and 4%, respectively), within this highest BMI category there was a >50% greater relative prevalence of diabetes, hypertension, and hyperlipidemia in men versus women, while sex differences in prevalence of these CVD risk factors were ≈20% or less at other BMI levels. Conclusions: Elevated BMI is common in Hispanic/Latino adults and is associated with a considerable excess of CVD risk factors. At the highest BMI levels, CVD risk factors often emerge in the earliest decades of adulthood and they affect men more often than women.

KW - BMI

KW - CVD risk factor

KW - Hispanic/Latino

KW - Sex

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