The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American males
African American (AA) men have the highest age-adjusted all-cause mortality rate in the United States of America (US) and a high burden of cardiovascular risk factors. The African American Male Wellness Walk (AAMWW) seeks to reduce such health disparities among AA males. The association of a combina...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552030111X |
| _version_ | 1818241068743786496 |
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| author | Emmanuela B. Aboagye-Mensah Rosevine A. Azap James B. Odei Darrell M. Gray, II Timiya S. Nolan Rana Elgazzar DeVeonne White John Gregory Joshua J. Joseph |
| author_facet | Emmanuela B. Aboagye-Mensah Rosevine A. Azap James B. Odei Darrell M. Gray, II Timiya S. Nolan Rana Elgazzar DeVeonne White John Gregory Joshua J. Joseph |
| author_sort | Emmanuela B. Aboagye-Mensah |
| collection | DOAJ |
| description | African American (AA) men have the highest age-adjusted all-cause mortality rate in the United States of America (US) and a high burden of cardiovascular risk factors. The African American Male Wellness Walk (AAMWW) seeks to reduce such health disparities among AA males. The association of a combination of ideal cardiovascular health (ICH) metrics (blood pressure, glucose, cholesterol, body mass index (BMI), physical activity, and smoking) with self-reported health, diabetes, and body fat percentage was examined among 729 AA male participants from the 2017 and 2018 AAMWWs. Six metrics of ICH were categorized into a three-tiered ICH score 0–2, 3–4, 5–6. Linear and logistic regression modeling was performed with adjustment for age and insurance. Seven percent of men attained 5–6 ICH metrics at baseline. Participants with 5–6 ICH metrics versus 0–2 had 256% higher odds of excellent self-reported health compared to good, fair or poor (p < 0.0001). After exclusion of glucose from the ideal cardiovascular health score, participants with 3–4 versus 0–2 ICH metrics had a 48% lower odds of diabetes (p < 0.0031). After exclusion of BMI from the ICH score, participants with 5 ICH metrics had a 14.1% lower body fat percentage versus participants with 0–2 ICH metrics (p = 0.0057). Attainment of higher ideal cardiovascular health scores is associated with higher odds of self-reported health, lower odds of diabetes and lower body fat percentage among AA men. Future strategies leading to greater attainment of cardiovascular health in AA males will be important to advance health equity. |
| first_indexed | 2024-12-12T13:23:28Z |
| format | Article |
| id | doaj.art-b4606e6e27954caa99fe3c4db6f6f311 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-12T13:23:28Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-b4606e6e27954caa99fe3c4db6f6f3112022-12-22T00:23:13ZengElsevierPreventive Medicine Reports2211-33552020-09-0119101151The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American malesEmmanuela B. Aboagye-Mensah0Rosevine A. Azap1James B. Odei2Darrell M. Gray, II3Timiya S. Nolan4Rana Elgazzar5DeVeonne White6John Gregory7Joshua J. Joseph8The Ohio State University College of Medicine, United StatesThe Ohio State University College of Medicine, United StatesThe Ohio State University College of Public Health, United StatesThe Ohio State University College of Medicine, United States; The Ohio State University Comprehensive Cancer Center, United StatesThe Ohio State University Comprehensive Cancer Center, United States; The Ohio State University College of Nursing, United StatesThe Ohio State University College of Medicine, United StatesNational Center for Urban Solutions, United StatesNational Center for Urban Solutions, United StatesThe Ohio State University College of Medicine, United States; Corresponding author at: The Ohio State University College of Medicine, 579 McCampbell Hall, 1581 Dodd Drive, Columbus, OH 43210, United States.African American (AA) men have the highest age-adjusted all-cause mortality rate in the United States of America (US) and a high burden of cardiovascular risk factors. The African American Male Wellness Walk (AAMWW) seeks to reduce such health disparities among AA males. The association of a combination of ideal cardiovascular health (ICH) metrics (blood pressure, glucose, cholesterol, body mass index (BMI), physical activity, and smoking) with self-reported health, diabetes, and body fat percentage was examined among 729 AA male participants from the 2017 and 2018 AAMWWs. Six metrics of ICH were categorized into a three-tiered ICH score 0–2, 3–4, 5–6. Linear and logistic regression modeling was performed with adjustment for age and insurance. Seven percent of men attained 5–6 ICH metrics at baseline. Participants with 5–6 ICH metrics versus 0–2 had 256% higher odds of excellent self-reported health compared to good, fair or poor (p < 0.0001). After exclusion of glucose from the ideal cardiovascular health score, participants with 3–4 versus 0–2 ICH metrics had a 48% lower odds of diabetes (p < 0.0031). After exclusion of BMI from the ICH score, participants with 5 ICH metrics had a 14.1% lower body fat percentage versus participants with 0–2 ICH metrics (p = 0.0057). Attainment of higher ideal cardiovascular health scores is associated with higher odds of self-reported health, lower odds of diabetes and lower body fat percentage among AA men. Future strategies leading to greater attainment of cardiovascular health in AA males will be important to advance health equity.http://www.sciencedirect.com/science/article/pii/S221133552030111XAfrican AmericansSelf-Reported HealthCardiovascular HealthDiabetesBody Fat PercentageHealth Disparities |
| spellingShingle | Emmanuela B. Aboagye-Mensah Rosevine A. Azap James B. Odei Darrell M. Gray, II Timiya S. Nolan Rana Elgazzar DeVeonne White John Gregory Joshua J. Joseph The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American males Preventive Medicine Reports African Americans Self-Reported Health Cardiovascular Health Diabetes Body Fat Percentage Health Disparities |
| title | The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American males |
| title_full | The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American males |
| title_fullStr | The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American males |
| title_full_unstemmed | The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American males |
| title_short | The association of ideal cardiovascular health with self-reported health, diabetes, and adiposity in African American males |
| title_sort | association of ideal cardiovascular health with self reported health diabetes and adiposity in african american males |
| topic | African Americans Self-Reported Health Cardiovascular Health Diabetes Body Fat Percentage Health Disparities |
| url | http://www.sciencedirect.com/science/article/pii/S221133552030111X |
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