Cardiovascular health status among Caribbean Hispanics living in northern Manhattan and Ecuadorian natives/mestizos in rural coastal Ecuador: A comparative study

Oscar H. Del Brutto, Chuanhui Dong, Tatjana Rundek, Mitchell S.V. Elkind, Victor J. Del Brutto, Ralph L. Sacco

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Knowledge of cardiovascular health (CVH) status of a given population is mandatory to reduce the burden of vascular diseases in the region. We compared CVH of two distinct populations having similar ethnic backgrounds to understand the role of lifestyle and environment on their CVH, and to provide insights in the planning of cost-effective health strategies. CVH status was compared in two Hispanic populations living in Northern Manhattan and Atahualpa (rural coastal Ecuador) using the health metrics proposed by the American Heart Association. Both studies used similar definitions of CVH and similar inclusion criteria for participating subjects (age ≥40 years, cardiovascular disease-free status, and living at their respective localities for ≥3 months). The studied populations consisted of 1,617 Caribbean Hispanics living in Northern Manhattan (mean age 66 ± 9 years), and 616 Atahualpa residents (mean age 59 ± 13 years). Atahualpa residents had significantly better metrics than Caribbean Hispanics, with the exception of fasting glucose levels. Likewise, the odds for having 5-7 ideal metrics were also better in Atahualpa residents, irrespective of age. CVH is better in Atahualpa residents than in Caribbean Hispanics living in Northern Manhattan. These differences are likely related to a healthier lifestyle in a rural setting and provide insights for setting cardiovascular prevention priorities.

Original languageEnglish (US)
Pages (from-to)634-641
Number of pages8
JournalJournal of Community Health
Volume38
Issue number4
DOIs
StatePublished - Aug 2013

Keywords

  • Arterial hypertension
  • Atahualpa
  • Cardiovascular health
  • Diabetes mellitus
  • Northern Manhattan

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

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