Cardiovascular disease risk factor burden and cognition: Implications of ethnic diversity within the Hispanic Community Health Study/Study of Latinos.
<h4>Objective</h4>Hispanics/Latinos have some of the highest prevalence rates for cardiovascular disease risk factors, but stark differences exist by self-reported background. Cardiovascular disease risk factors negatively impact cognition in Hispanics/Latinos; less is known about these...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2019-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0215378 |
| _version_ | 1797661414078283776 |
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| author | Melissa Lamar Ramon A Durazo-Arvizu Shruti Sachdeva Amber Pirzada Krista M Perreira Tatjana Rundek Linda C Gallo Ellen Grober Charles DeCarli Richard B Lipton Wassim Tarraf Hector M González Martha L Daviglus |
| author_facet | Melissa Lamar Ramon A Durazo-Arvizu Shruti Sachdeva Amber Pirzada Krista M Perreira Tatjana Rundek Linda C Gallo Ellen Grober Charles DeCarli Richard B Lipton Wassim Tarraf Hector M González Martha L Daviglus |
| author_sort | Melissa Lamar |
| collection | DOAJ |
| description | <h4>Objective</h4>Hispanics/Latinos have some of the highest prevalence rates for cardiovascular disease risk factors, but stark differences exist by self-reported background. Cardiovascular disease risk factors negatively impact cognition in Hispanics/Latinos; less is known about these relationships by Hispanic/Latino backgrounds. We investigated cognitive associations with cardiovascular disease risk factor burden in a diverse cohort, the Hispanic Community Health Study/Study of Latinos.<h4>Methods</h4>Baseline data from this observational study of cardiovascular disease and its antecedents was collected from 2008-2011. We included 7,121 participants 45-74 years old from Central American, Cuban, Dominican, Mexican, Puerto Rican, or South American backgrounds. Dichotomous indicators for hypertension, diabetes, hypercholesterolemia, obesity, and smoking were evaluated and totaled, with participants grouped by lowest (0-2), middle (3) or highest (4-5) burden. Cognitive testing included the Brief Spanish English Verbal Learning Test, letter fluency, and digit symbol substitution.<h4>Results</h4>In separate fully-adjusted linear regression models, lower fluency and digit symbol substitution performance were restricted to the highest compared to the lowest burden group; whereas the middle burden group displayed impaired memory performance compared to the lowest burden group (p-values≤0.05). Background interacted with burden for learning and memory performance. That is, the association of burden level (i.e., lowest, middle, or highest) with cognitive performance was modified by background (e.g., Mexicans vs Cuban).<h4>Conclusions</h4>Hispanics/Latinos with higher levels of cardiovascular disease risk factor burden displayed lower levels of cognitive performance, with learning and memory performance modified by background. |
| first_indexed | 2024-03-11T18:45:09Z |
| format | Article |
| id | doaj.art-d7db9ac772074ab1bf5812eed8bdc91a |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-11T18:45:09Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d7db9ac772074ab1bf5812eed8bdc91a2023-10-12T05:31:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01144e021537810.1371/journal.pone.0215378Cardiovascular disease risk factor burden and cognition: Implications of ethnic diversity within the Hispanic Community Health Study/Study of Latinos.Melissa LamarRamon A Durazo-ArvizuShruti SachdevaAmber PirzadaKrista M PerreiraTatjana RundekLinda C GalloEllen GroberCharles DeCarliRichard B LiptonWassim TarrafHector M GonzálezMartha L Daviglus<h4>Objective</h4>Hispanics/Latinos have some of the highest prevalence rates for cardiovascular disease risk factors, but stark differences exist by self-reported background. Cardiovascular disease risk factors negatively impact cognition in Hispanics/Latinos; less is known about these relationships by Hispanic/Latino backgrounds. We investigated cognitive associations with cardiovascular disease risk factor burden in a diverse cohort, the Hispanic Community Health Study/Study of Latinos.<h4>Methods</h4>Baseline data from this observational study of cardiovascular disease and its antecedents was collected from 2008-2011. We included 7,121 participants 45-74 years old from Central American, Cuban, Dominican, Mexican, Puerto Rican, or South American backgrounds. Dichotomous indicators for hypertension, diabetes, hypercholesterolemia, obesity, and smoking were evaluated and totaled, with participants grouped by lowest (0-2), middle (3) or highest (4-5) burden. Cognitive testing included the Brief Spanish English Verbal Learning Test, letter fluency, and digit symbol substitution.<h4>Results</h4>In separate fully-adjusted linear regression models, lower fluency and digit symbol substitution performance were restricted to the highest compared to the lowest burden group; whereas the middle burden group displayed impaired memory performance compared to the lowest burden group (p-values≤0.05). Background interacted with burden for learning and memory performance. That is, the association of burden level (i.e., lowest, middle, or highest) with cognitive performance was modified by background (e.g., Mexicans vs Cuban).<h4>Conclusions</h4>Hispanics/Latinos with higher levels of cardiovascular disease risk factor burden displayed lower levels of cognitive performance, with learning and memory performance modified by background.https://doi.org/10.1371/journal.pone.0215378 |
| spellingShingle | Melissa Lamar Ramon A Durazo-Arvizu Shruti Sachdeva Amber Pirzada Krista M Perreira Tatjana Rundek Linda C Gallo Ellen Grober Charles DeCarli Richard B Lipton Wassim Tarraf Hector M González Martha L Daviglus Cardiovascular disease risk factor burden and cognition: Implications of ethnic diversity within the Hispanic Community Health Study/Study of Latinos. PLoS ONE |
| title | Cardiovascular disease risk factor burden and cognition: Implications of ethnic diversity within the Hispanic Community Health Study/Study of Latinos. |
| title_full | Cardiovascular disease risk factor burden and cognition: Implications of ethnic diversity within the Hispanic Community Health Study/Study of Latinos. |
| title_fullStr | Cardiovascular disease risk factor burden and cognition: Implications of ethnic diversity within the Hispanic Community Health Study/Study of Latinos. |
| title_full_unstemmed | Cardiovascular disease risk factor burden and cognition: Implications of ethnic diversity within the Hispanic Community Health Study/Study of Latinos. |
| title_short | Cardiovascular disease risk factor burden and cognition: Implications of ethnic diversity within the Hispanic Community Health Study/Study of Latinos. |
| title_sort | cardiovascular disease risk factor burden and cognition implications of ethnic diversity within the hispanic community health study study of latinos |
| url | https://doi.org/10.1371/journal.pone.0215378 |
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