Sex-specific associations of iron-anemia status with HbA1c levels among Hispanics/Latinos without self-reported diabetes mellitus: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Author(s):  
Mayra L. Estrella ◽  
Cynthia M. Pérez ◽  
Erick Suárez ◽  
Wilmarie Fuentes-Payán ◽  
Bharat Thyagarajan ◽  
...  
2021 ◽  
Author(s):  
Celestin Missikpode ◽  
Ramon A Durazo‐Arvizu ◽  
Richard S Cooper ◽  
Matthew James O'Brien ◽  
Sheila F Castaneda ◽  
...  

2016 ◽  
Vol 22 (10) ◽  
pp. 1151-1160 ◽  
Author(s):  
M. Larissa Avilés-Santa ◽  
Neil Schneiderman ◽  
Peter J. Savage ◽  
Robert C. Kaplan ◽  
Yanping Teng ◽  
...  

2021 ◽  
Author(s):  
Celestin Missikpode ◽  
Ramon Durazo-Arvizu ◽  
richard cooper ◽  
Matthew O'Brien ◽  
Sheila Castaneda ◽  
...  

Abstract Introduction Studies have reported an association between cardiovascular disease (CVD) and risk of diabetes mellitus (DM). The mechanisms underlying this association remain unclear. We examined the association of CVD with incident DM and assessed the roles of weight gain and medication use as mediating factors. Methods Data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Visit 1 (2008-2011) and Visit 2 (2014-2017) were used to compare incidence of DM among individuals with and without self-reported CVD at Visit 1. A total of 2081 individuals with self-reported CVD were matched to controls free of self-reported CVD at Visit 1 using 1:1 propensity score matching. Covariates included in the propensity model were sociodemographic characteristics, lifestyle factors, comorbid conditions, and study site. The effect of self-reported CVD on incident DM was examined using Generalized Estimating Equation. The mediating effects of weight gain and use of cardiovascular medications were evaluated. ResultsCovariate distributions were similar among individuals with and without self-reported CVD. The incidence of DM among persons with self-reported CVD was 15.6% vs. 12.7% among those without self-reported CVD. Compared to individuals without self-reported CVD, individuals with self-reported CVD had a 28% increased risk for incident DM (OR=1.28, 95%CI= 1.07, 1.52). The association between self-reported CVD and DM was mediated by the use of beta-blockers (proportion mediated=31%), statins (proportion mediated=24%), and diuretics (proportion mediated=8%). We found that weight gain did not explain the observed association.ConclusionsCardiovascular disease was associated with a significant increased risk of incident diabetes. The observed association was partially mediated by some medications used to manage CVD.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Robert C. Kaplan ◽  
Zheng Wang ◽  
Mykhaylo Usyk ◽  
Daniela Sotres-Alvarez ◽  
Martha L. Daviglus ◽  
...  

Abstract Background Hispanics living in the USA may have unrecognized potential birthplace and lifestyle influences on the gut microbiome. We report a cross-sectional analysis of 1674 participants from four centers of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), aged 18 to 74 years old at recruitment. Results Amplicon sequencing of 16S rRNA gene V4 and fungal ITS1 fragments from self-collected stool samples indicate that the host microbiome is determined by sociodemographic and migration-related variables. Those who relocate from Latin America to the USA at an early age have reductions in Prevotella to Bacteroides ratios that persist across the life course. Shannon index of alpha diversity in fungi and bacteria is low in those who relocate to the USA in early life. In contrast, those who relocate to the USA during adulthood, over 45 years old, have high bacterial and fungal diversity and high Prevotella to Bacteroides ratios, compared to USA-born and childhood arrivals. Low bacterial diversity is associated in turn with obesity. Contrasting with prior studies, our study of the Latino population shows increasing Prevotella to Bacteroides ratio with greater obesity. Taxa within Acidaminococcus, Megasphaera, Ruminococcaceae, Coriobacteriaceae, Clostridiales, Christensenellaceae, YS2 (Cyanobacteria), and Victivallaceae are significantly associated with both obesity and earlier exposure to the USA, while Oscillospira and Anaerotruncus show paradoxical associations with both obesity and late-life introduction to the USA. Conclusions Our analysis of the gut microbiome of Latinos demonstrates unique features that might be responsible for health disparities affecting Hispanics living in the USA.


2020 ◽  
Author(s):  
Christian Agudelo ◽  
Wassim Tarraf ◽  
Benson Wu ◽  
Douglas M. Wallace ◽  
Sanjay R. Patel ◽  
...  

2021 ◽  
Author(s):  
Stephanie M. Toth-Manikowski ◽  
Ana C. Ricardo ◽  
Christian R. Salazar ◽  
Jinsong Chen ◽  
Tasneem Khambaty ◽  
...  

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