Interventions for Cardiovascular Disease Risk Reduction in Korean Americans: A Systematic Review

2018 ◽  
Vol 29 (2) ◽  
pp. 84-96
Author(s):  
Cha-Nam Shin ◽  
Colleen Keller ◽  
Jeongha Sim ◽  
Eun-Ok Im ◽  
Michael Belyea ◽  
...  
Keyword(s):  
Systematic Review ◽  
Risk Reduction ◽  
Cardiovascular Health ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Korean Americans ◽  
Cultural Factors ◽  
Future Research ◽  
Long Term Effects

This systematic review was to identify and synthesize literature that described the cultural appropriateness and effectiveness of interventions aimed at cardiovascular risk reduction in Korean Americans. We searched multiple electronic databases for studies published between January 2000 and August 2017 and identified 14 eligible research reports. All reviewed studies targeted first-generation Korean American adults. Most of the reviewed studies incorporated components of surface structure, and leveraged deep structure in those interventions. Significant changes in cardiovascular health outcomes were reported in most of the reviewed studies; however, the role of cultural factors in the outcomes was rarely evaluated, and few reported long-term effects. Future research needs to consider long-term effects. Deploying cultural factors and evaluating their contributions to the target outcomes will enhance the research on cardiovascular health disparities.

Small-Scale Deliberation and Mass Democracy: A Systematic Review of the Spillover Effects of Deliberative Minipublics

2021 ◽  
pp. 003232172110072
Author(s):  
Ramon van der Does ◽  
Vincent Jacquet
Keyword(s):  
Systematic Review ◽  
Empirical Evidence ◽  
Empirical Research ◽  
Spillover Effects ◽  
Future Research ◽  
Small Scale ◽  
Long Term Effects ◽  
Current Crisis ◽  
Mass Democracy

Deliberative minipublics are popular tools to address the current crisis in democracy. However, it remains ambiguous to what degree these small-scale forums matter for mass democracy. In this study, we ask the question to what extent minipublics have “spillover effects” on lay citizens—that is, long-term effects on participating citizens and effects on non-participating citizens. We answer this question by means of a systematic review of the empirical research on minipublics’ spillover effects published before 2019. We identify 60 eligible studies published between 1999 and 2018 and provide a synthesis of the empirical results. We show that the evidence for most spillover effects remains tentative because the relevant body of empirical evidence is still small. Based on the review, we discuss the implications for democratic theory and outline several trajectories for future research.

scholarly journals Effects of 6 Months of Active Commuting and Leisure-Time Exercise on Fibrin Turnover in Sedentary Individuals with Overweight and Obesity: A Randomised Controlled Trial

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Anne Sofie Gram ◽  
Martin Bæk Petersen ◽  
Jonas Salling Quist ◽  
Mads Rosenkilde ◽  
Bente Stallknecht ◽  
...  
Keyword(s):  
Thrombin Generation ◽  
Leisure Time ◽  
Disease Risk ◽  
Controlled Trial ◽  
Cardiovascular Disease Risk ◽  
Fibrin Clot ◽  
Overweight And Obesity ◽  
Active Commuting ◽  
Long Term Effects

Obesity and exercise constitute important factors for cardiovascular disease risk, but the long-term effects of different exercise modalities on haemostatic biomarkers are not well elucidated. We investigated the effects of 6 months of active commuting or leisure-time exercise on measures of fibrin turnover in individuals who are overweight and obese. Ninety younger (20–40 years), sedentary, healthy women and men who are overweight and obese (BMI: 25–35 kg/m2) were randomised to 6 months of habitual lifestyle (CON, n=16), active commuting (BIKE, n=19), or leisure-time exercise of moderate (MOD, ∼50% VO2peak reserve, n=31) or vigorous intensity (VIG, ∼70% VO2peak reserve, n=24). Fasting blood samples (baseline and 3 and 6 months) were analysed for cholesterols and triglycerides, thrombin generation, prothrombin fragment 1 + 2, D-dimer, fibrin clot properties, and fibrinolytic activity. We observed no differences between CON, BIKE, MOD, and VIG during the intervention and no time effects for any of the variables measured despite increased VO2peak in all exercise groups. We found no difference between CON and all exercise groups combined and no gender-specific effects of exercise. Our findings suggest that thrombin generation capacity, coagulation activation, fibrin clot structure, and lysability are unaffected by long-term active commuting and leisure-time exercise in women and men who are overweight and obese.

scholarly journals Supporting Physical Activity in Patients and Populations During Life Events and Transitions: A Scientific Statement From the American Heart Association

Circulation ◽  
2021 ◽  
Author(s):  
Abbi D. Lane-Cordova ◽  
Gerald J. Jerome ◽  
Amanda E. Paluch ◽  
Eduardo Esteban Bustamante ◽  
Michael J. LaMonte ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Sedentary Behavior ◽  
Life Events ◽  
Health Care Professionals ◽  
Cardiovascular Health ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Future Research ◽  
Scientific Statement

Achieving recommended levels of physical activity is important for optimal cardiovascular health and can help reduce cardiovascular disease risk. Emerging evidence suggests that physical activity fluctuates throughout the life course. Some life events and transitions are associated with reductions in physical activity and, potentially, increases in sedentary behavior. The aim of this scientific statement is to first provide an overview of the evidence suggesting changes in physical activity and sedentary behavior across life events and transitions. A second aim is to provide guidance for health care professionals or public health workers to identify changes and promote physical activity during life events and transitions. We offer a novel synthesis of existing data, including evidence suggesting that some subgroups are more likely to change physical activity behaviors in response to life events and transitions. We also review the evidence that sedentary behavior changes across life events and transitions. Tools for health care professionals to assess physical activity using simple questions or wearable devices are described. We provide strategies for health care professionals to express compassion as they ask about life transitions and initiate conversations about physical activity. Last, resources for life phase–specific, tailored physical activity support are included. Future research needs include a better characterization of physical activity and sedentary behavior across life events and transitions in higher-risk subgroups. Development and testing of interventions designed specifically to combat declines in physical activity or increases in sedentary behavior during life events and transitions is needed to establish or maintain healthy levels of these cardiovascular health–promoting behaviors.

Mindfulness-Based Interventions and Cardiovascular Risk Factors in US Racial/Ethnic Minority Populations: A Systematic Review of Implementation Data to Address Health Disparities

2021 ◽  
Author(s):  
Tonya Faye Sanchez ◽  
E. Karina Santamaria ◽  
Dana Rubenstein ◽  
Judson Brewer ◽  
Don Operario
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Cardiovascular Disease ◽  
Disease Risk ◽  
Contextual Factors ◽  
Cardiovascular Disease Risk ◽  
The United States ◽  
Future Research ◽  
Minority Populations ◽  
Cvd Risk

Abstract Cardiovascular disease (CVD) is a persistent public health challenge. Mindfulness-based Interventions (MBI) have been researched for CVD risk factors, though their effectiveness, generalizability, and potential for implementation to racial and ethnic minorities remain unclear. This review examines studies of MBI on CVD risk for characteristics of and variations in implementation (i.e., intervention design, delivery, uptake, and contextual factors) and analyzes potential barriers and challenges to implementation. A systematic review in February 2020 identified 30 studies from 5 databases and hand searches. Included studies were randomized controlled trials testing meditation or mindfulness-based interventions against any control to measure change or improvement in cardiovascular health measures or risk behaviors in adults living in the United States or territories. Analysis of the implementation characteristics and contextual factors of included studies was conducted using the Oxford Implementation Index. Thirty reports from 26 distinct trials were selected for inclusion, examining outcomes related to diet (k [number of studies] = 13), smoking (k = 11), obesity (k = 9), exercise (k = 4), diabetes (k = 3), and blood lipids (k = 2). All studies were published between 2011 and 2020 and correspond to early stages of research. As such, numerous limitations and implementation characteristics with potential consequence for CVD risk disparities were reported. This review outlines several potential targets for future research. Based on reported findings across all included studies, MBI could be of benefit for cardiovascular disease risk. Further research is needed to explore acceptability, feasibility, and effectiveness in minority populations.

scholarly journals Perceptions Related to Cardiovascular Disease Risk in Caucasian College Males

2016 ◽  
Vol 10 (6) ◽  
pp. NP136-NP144 ◽  
Author(s):  
Demetrius A. Abshire ◽  
Terry A. Lennie ◽  
Debra K. Moser ◽  
Gia T. Mudd-Martin
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Health ◽  
Healthy Lifestyle ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Future Research ◽  
Adult Males ◽  
Cvd Risk ◽  
College Males ◽  
Healthy Behaviors

Among younger adults, risk for cardiovascular disease (CVD) is higher among men than women. Young adult males in college engage in multiple behaviors that are associated with CVD risk. Although researchers have previously explored perceptions of factors related to hypertension in African American college males, surprisingly little is known about perceptions of CVD risk in Caucasian college males. A better understanding of these perceptions may be helpful in creating interventions to improve cardiovascular health in college men. Therefore, the purpose of this study was to explore Caucasian male college students’ perceptions of CVD risk. A qualitative descriptive study using semistructured, individual interviews was conducted using a sample of 10 undergraduate Caucasian males in college (mean age 20 years) free of CVD and not enrolled in a health-related major. Interviews were audio recorded, transcribed verbatim, and analyzed for themes using content analysis. The data reflected two primary themes regarding perceptions related to cardiovascular risk: barriers to implementing healthy lifestyle choices and impact of behaviors on CVD risk. Barriers to implementing healthy lifestyles included availability of unhealthy foods, time constraints, convenience, social influences, and ignoring long-term consequences of behaviors. Students primarily emphasized the importance of diet and physical activity in reducing CVD risk. Future research should focus on interventions to overcome college-specific barriers to engaging in healthy behaviors among men.

scholarly journals Polyphenols and Microvascular Function in Humans: A Systematic Review

2018 ◽  
Vol 24 (2) ◽  
pp. 203-226 ◽  
Author(s):  
Kirsty A. Woodward ◽  
Richard Draijer ◽  
Dick H. J. Thijssen ◽  
David A. Low
Keyword(s):  
Systematic Review ◽  
Cardiovascular Disease ◽  
Cardiovascular Health ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Population Group ◽  
Microvascular Dysfunction ◽  
Microvascular Function ◽  
Healthy Individuals ◽  
Human Diet

Background: Polyphenol-rich dietary sources are acknowledged to have potential cardiovascular health benefits, particularly in reducing cardiovascular disease risk. Methods: This systematic review sought to determine the effect of polyphenol-rich foods and beverages upon microvascular function, which is of considerable importance in its contribution towards the pathophysiology of microvascular-related complications but also in the future development of (macro-vessel) cardiovascular disease. Results: Overall, consumption of polyphenol-rich foods and beverages demonstrate improved microvascular function, although this is dependent upon the polyphenol source, the dose of the product, the duration of consumption and the population group studied. Most subgroups reviewed suggest an overall beneficial effect on microvascular function, particularly grape-derived products, cocoa, tea, pine bark and Rutaceae aurantiae. Other groups remain equivocal and require further study due to the limited research performed to date. Conclusion: Polyphenols are abundant in the human diet and this systematic review demonstrates that they are an inexpensive, non-pharmacological approach for improving cardiovascular health in currently healthy individuals and in populations with microvascular dysfunction.

scholarly journals Long-Term Cardiovascular Disease Risk in Women After Hypertensive Disorders of Pregnancy: Recent Advances in Hypertension

Hypertension ◽  
2021 ◽  
Author(s):  
Kavia Khosla ◽  
Sarah Heimberger ◽  
Kristin M. Nieman ◽  
Avery Tung ◽  
Sajid Shahul ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Risk ◽  
Risk Reduction ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Hypertensive Disorders Of Pregnancy ◽  
Cardiovascular Risk Reduction ◽  
Hypertensive Disorders ◽  
History Of

Patients with a history of hypertensive disorders of pregnancy (HDP) suffer higher rates of long-term cardiovascular events including heart failure, coronary artery disease, and stroke. Cardiovascular changes during pregnancy can act as a natural stress test, subsequently unmasking latent cardiovascular disease in the form of HDP. Because HDP now affect 10% of pregnancies in the United States, the American Heart Association has called for physicians who provide peripartum care to promote early identification and cardiovascular risk reduction. In this review, we discuss the epidemiology, pathophysiology, and outcomes of HDP-associated cardiovascular disease. In addition, we propose a multi-pronged approach to support cardiovascular risk reduction for women with a history of HDP. Additional research is warranted to define appropriate blood pressure targets in the postpartum period, optimize the use of pregnancy history in risk stratification tools, and clarify the effectiveness of preventive interventions. The highest rates of HDP are in populations with poor access to resources and quality health care, making it a major risk for inequity of care. Interventions to decrease long-term cardiovascular disease risk in women following HDP must also target disparity reduction.

Sign in / Sign up

Export Citation Format

Share Document