Changes in Cardiovascular Disease Risk Factors among American Indians

Welty, Thomas K.; Rhoades, Dorothy A.; Yeh, Fawn; Lee, Elisa T.; Cowan, Linda D.; Fabsitz, Richard R.; Robbins, David C.; Devereux, Richard B.; Henderson, Jeffrey A.; Howard, Barbara V.

doi:10.1016/s1047-2797(01)00270-8

Cited by 90 publications

(54 citation statements)

References 31 publications

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“…1 A major contributing factor appears to be the development of an excessive burden of cardiovascular risk factors in North American Aboriginal populations, most notably dramatic increases in the prevalence of diabetes mellitus. [4][5][6][7] Increased rates of other traditional cardiovascular risk factors (e.g., hypertension, obesity and albuminuria) have also been reported. [5][6][7] In addition, novel nontraditional cardiovascular risk factors related to chronic subclinical inflammation (C-reactive protein), adipocyte dysfunction (adiponectin and leptin) and prothrombotic activity (homocysteine) may be further contributing to the burden of vascular disease.…”

mentioning

confidence: 99%

Cigarette smoking and cardiovascular risk factors among Aboriginal Canadian youths

Retnakaran

Hanley²,

Connelly³

et al. 2005

Canadian Medical Association Journal

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mentioning

confidence: 99%

Cigarette smoking and cardiovascular risk factors among Aboriginal Canadian youths

Retnakaran

Hanley²,

Connelly³

et al. 2005

Canadian Medical Association Journal

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“…The incidence of chronic disease has increased in US Native American Plains tribes in the last several generations along with a shift away from consumption of traditional foods (Conti, 2008;Taylor et al, 2005;Welty et al, 2002). Dietary interventions and recommendations that include increasing consumption of culturally relevant traditional foods have been promoted (Kattelmann et al, 2009;Holm et al, 2010;Jernigan et al, 2010;Schell and Gallo, 2012;Sinclair et al, 2011;Zephier et al, 1997).…”

Section: Discussionmentioning

confidence: 99%

Nutrient composition of selected traditional United States Northern Plains Native American plant foods

Phillips

Pehrsson

Agnew

et al. 2014

Journal of Food Composition and Analysis

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“…14,15 In addition, heart disease mortality rates for AIAN Ն65 years of age decreased and cerebrovascular mortality rates increased. Although it is tempting to speculate that the lower mortality from diseases of the heart, coupled with a rising prevalence of hypertension, 29 increased the number of AIAN elders at risk for dying of stroke, reasons for this pattern are not clear. Similarly, the increasing trend in mortality from diseases of the heart among middle-aged AIAN compared with the decreasing trend in older AIAN cannot be explained by this study.…”

Section: Discussionmentioning

confidence: 99%

“…Many AIAN may have different access to health care or different risk profiles compared with the IHS service population. Furthermore, marked heterogeneity in CVD risk factors, 29 mortality, 42 and racial misclassification exists among AIAN. 42 The present report cannot provide region-or tribe-specific information.…”

Section: Study Limitationsmentioning

confidence: 99%

Racial Misclassification and Disparities in Cardiovascular Disease Among American Indians and Alaska Natives

Rhoades

2005

Circulation

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Background-National vital event data suggest that cardiovascular disease (CVD) mortality rates are lower for American Indians and Alaska Natives (AIAN) than for the general US population, but these data are disproportionately flawed for AIAN because of racial misclassification. Methods and Results-Vital event data adjusted for racial misclassification and published by the Indian Health Service were used to compare trends in CVD mortality from 1989 to 1991 to 1996 to 1998 between AIAN, US all-races, and US white populations. Without misclassification accounted for, AIAN initially had the lowest mortality rates from major CVD, but by the end of the study, their rates were the highest. Adjustment for misclassification revealed an early and rapidly growing disparity between CVD mortality rates among AIAN compared with rates in the US all-races and white populations. By 1996 to 1998, the age-and misclassification-adjusted number of CVD deaths per 100 000 among AIAN was 195.9 compared with age-adjusted rates of 166.1 and 159.1 for US all races and whites, respectively. The annual percent change in CVD mortality for AIAN was 0.5 compared with Ϫ1.8 in the other groups. Regardless of racial misclassification, the most striking and widening disparities were found for middle-aged AIAN, but CVD mortality among AIAN Ն65 years of age was lower than in the other populations. Conclusions-A previously underrecognized disparity in CVD mortality exists for AIAN, particularly among middle-aged adults. Moreover, these disparities are increasing. Efforts to reduce CVD mortality in AIAN must begin before the onset of middle age.

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Changes in Cardiovascular Disease Risk Factors among American Indians

Cited by 90 publications

References 31 publications

Cigarette smoking and cardiovascular risk factors among Aboriginal Canadian youths

Cigarette smoking and cardiovascular risk factors among Aboriginal Canadian youths

Nutrient composition of selected traditional United States Northern Plains Native American plant foods

Racial Misclassification and Disparities in Cardiovascular Disease Among American Indians and Alaska Natives

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