Socioeconomic characteristics of African American women attending community blood pressure screenings

Spikes, Telisa; Isiadinso, Ijeoma; Mehta, Puja K.; Dunbar, Sandra B.; Lundberg, Gina

doi:10.1016/j.ahjo.2022.100123

Cited by 2 publications

(7 citation statements)

References 49 publications

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“…Cardiovascular disease (CVD) remains one of the leading causes of morbidity and mortality in USA, disproportionately affecting African-American (AA) women [1]. While physical inactivity and consumption of energy-dense foods undoubtedly contribute to CVD, AA women are more likely to be obese, have hypertension and poor insulin sensitivity compared to European-American women [1][2][3][4]. These findings are consistent with studies showing that at least 40% of AA women have metabolic syndrome (MetS) [5,6].…”

Section: Introductionsupporting

confidence: 62%

Acute insulin response following exercise and its association to lipid changes in sedentary African-American women

Alhassan

J.K²,

Rentería³

et al. 2023

Int. J. Phys. Educ. Fit. Sports

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Sedentary African-American (AA) women are at increased risk of hypertension, dyslipidemias, metabolic syndrome, and impaired insulin response to exercise. The purpose of the study was to determine the effects of a single bout of aerobic exercise on fasting serum insulin and glucose concentrations following 1464 kJ (350 kcal) of exercise and to determine if this response was associated with serum lipid concentrations in overweight AA women. Premenopausal AA women (n = 11, mean ± SD, age = 32.5 ± 4.8 yr., BMI = 29.8 ± 4.8 kg·m-2, % fat = 35.6 ± 6.3, VO2peak = 21.5 ± 3.6 ml·kg-1·min-1, total cholesterol = 4.8 ± 0.6 mmol·L-1, triglycerides = 0.60 ± 0.2 mmol·L-1, HDLC = 3.3 ± 0.5 mg·dL-1) performed 1464 kJ (350 kcal) of treadmill exercise at 60%-70%VO2peak. Fasting plasma insulin and glucose concentrations were collected 24-h prior to, and immediately, 24-h, and 48 h following exercise. Fasting insulin concentration increased immediately following exercise (Baseline=77.1 ± 10.42 vs. Immediately=117.4 ± 15.28 μU·mL-1, 95%CI= 32.71, 47.89; P<0.05). The change in insulin concentration from 24-h pre- to 24-h post-exercise was correlated with BMI (r= 0.51), VO2peak (r= -0.47), and the change in lipoprotein lipase activity (r=0.37) (P<0.05 for all). In conclusion, in sedentary AA women, the insulin response immediately following exercise may be elevated, and is not suppressed below pre-exercise concentrations during the 48-h following exercise. The insulin response 24-h following exercise is modestly associated with markers of lipoprotein metabolism.

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Section: Introductionsupporting

confidence: 62%

Acute insulin response following exercise and its association to lipid changes in sedentary African-American women

Alhassan

J.K²,

Rentería³

et al. 2023

Int. J. Phys. Educ. Fit. Sports

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“…Education attainment was examined as a primary contributor in 32% (N=18) of the studies using several categories ranging from less than high school to graduate school completion. 14,21,24,25,28,29,31,36,40,46,58,59,63,68–70,74–76 Health care access was examined as a primary contributor in 26% (N=15) of the included studies. 14,22,28,29,31,37,38,41,46,47,52,53,57–59,63,67,76 by several variables including health insurance coverage, 14,22,28,29,31,37,52,53,57,58,67,70,76 routine place for care, 14,28 health insurance patterns, 38,41,47 provider continuity, 41 health professional shortage area 22,46 and delaying/forgoing medical care.…”

Section: Resultsmentioning

confidence: 99%

“…59,63 Economic stability was explored as a primary contributor in 46% (N=26) of the studies. 14,21–24,28,29,31,33,34,36,37,40–42,45,46,51,58–60,63,65,67–70,74,76 using a variety of measures, including income-to-poverty ratio, 21,40,45 family income-to-poverty ratio, 28 employment status, 14,28,33,37,42,60,63 employment categories, 23 poverty status, 29,70 federal poverty line, 31,41 cost-related medication nonadherence, 34 financial strain, 14,59 individual income level, 14,36,46,63,68,69,76 household income, 22,65,67,74 house tenure, 14 state-level minimum wage, 24 total wealth, 14,36 and net worth. 68 Neighborhood environment was examined in 58% (n=33) of the studies 14,22,26,27,30,32,35,38,41–44,46,49–53,55–57,59–64,66,70–74 as a primary contributor using several variables including neighborhood problems, 14 safety, 14 crime, 50,52 walkability 22,43,51,52,55,62,70,73 and SES,…”

Section: Resultsmentioning

confidence: 99%

“…59,63 Economic stability was explored as a primary contributor in 46% (N=26) of the studies. 14,[21][22][23][24]28,29,31,33,34,36,37,[40][41][42]45,46,51,[58][59][60]63,65,[67][68][69][70]74,76 using a variety of measures, including income-topoverty ratio, 21,40,45 family income-to-poverty ratio, 28 employment status, 14,28,33,37,42,60,63 employment categories, 23 poverty status, 29,70 federal poverty line, 31,41 costrelated medication nonadherence, 34 financial strain, 14,59 individual incom...…”

Section: Characterization Of Sdohmentioning

confidence: 99%

“…In this systematic review of 57 articles, the outcomes of interest focused on various hypertension metrics. Hypertension prevalence 14,22,23,26,28,29,36,40,41,45,46,48,49,52,55,56,59,60,63,66,67,69,70,[73][74][75][76] was the most frequently examined outcome, featured in 47% of the studies. Hypertension incidence 27,32,35,36,39,42,44,47,51,61 was reported in 18% of the studies, while hypertension control 28,31,33,34,38,65 and hypertension diagnosis 24,30,37,53,57,58,64,…”

Section: Hypertension Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Impact of Social Determinants of Health on Hypertension Outcomes: A Systematic Review

Metlock,

Hinneh,

Benjasirisan

et al. 2024

Hypertension

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Despite ample evidence linking social determinants of health (SDoH) and hypertension outcomes, efforts to address SDoH in the context of hypertension prevention and self-management are not commensurate with the burden and impact of hypertension. To provide valuable insights into the development of targeted and effective strategies for preventing and managing hypertension, this systematic review, guided by the Healthy People 2030 SDoH framework, aims to summarize the inclusion, measurement, and evaluation of SDoH in studies examining hypertension outcomes, with a focus on characterizing SDoH constructs and summarizing the current evidence of their influence on hypertension outcomes. Following Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a comprehensive search of electronic databases identified 10 608 unique records, from which 57 articles meeting inclusion criteria were analyzed. The studies, conducted nationally or regionally across the United States, revealed that higher educational attainment, health insurance coverage, income, and favorable neighborhood characteristics were associated with lower hypertension prevalence and better hypertension control among US adults. The findings underscore the importance of addressing SDoH such as education, health care access, economic stability, neighborhood environments, and social context to reduce hypertension disparities. Multilevel collaboration and community-engaged practices are necessary to tackle these disparities effectively.

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Socioeconomic characteristics of African American women attending community blood pressure screenings

Cited by 2 publications

References 49 publications

Acute insulin response following exercise and its association to lipid changes in sedentary African-American women

Acute insulin response following exercise and its association to lipid changes in sedentary African-American women

Impact of Social Determinants of Health on Hypertension Outcomes: A Systematic Review

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