scholarly journals Predictors for Blood Pressure Reduction in American Latinos: Secondary Analysis of the Adelgaza Program Data

2019 ◽  
Vol 18 (2) ◽  
pp. 77-84
Author(s):  
Wen-Wen Li ◽  
Eric Vittinghoff ◽  
Yoshimi Fukuoka
Keyword(s):  
Blood Pressure ◽  
Energy Use ◽  
Blood Pressure Reduction ◽  
Daily Intake ◽  
Secondary Analysis ◽  
The United States ◽  
Average Daily Intake ◽  
Metabolic Equivalent Of Task ◽  
And Gender ◽  
Using Data

Little is known about factors that predict blood pressure (BP) reduction in overweight American Latinos. The aim of this secondary analysis was to explore predictors of changes in mean systolic and diastolic BPs over an 8-week weight loss intervention period in a sample of 54 overweight American Latinos using data collected during the Adelgaza trial. Baseline BP, exercise energy use (in units of metabolic equivalent of task), weight change, average daily intake of calories from beverages, average daily intake of calories from fat, age, and gender were considered as potential predictors of reductions in BP, as measured at baseline, 3, and 8 weeks. Baseline characteristics were as follows: mean age 45.3 ( SD = 10.8) years, 31.5% male, 61.1% born in the United States. Mean baseline systolic and diastolic BPs were 122.1 ( SD = 14.4) mmHg and 76.6 ( SD = 9.8) mmHg, respectively. Both baseline systolic and diastolic BPs predicted reductions in systolic BP after adjusting for other factors ( p < .001). None of the nine variables predicted reductions in diastolic BP ( p > .05). This finding suggests that overweight American Latinos with higher baseline systolic or diastolic BP should be identified and provided with early intervention education to achieve better hypertension management or prevention.

Introduction to Dietary Reference Intakes

2006 ◽  
Vol 31 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Susan I Barr
Keyword(s):  
Life Stage ◽  
Daily Intake ◽  
The United States ◽  
Reference Standards ◽  
Healthy Individuals ◽  
Gender Group ◽  
Dietary Reference Intakes ◽  
Intake Level ◽  
And Gender ◽  
Almost All

Dietary Reference Intakes (DRIs) are nutrient reference standards used for planning and assessing the diets of apparently healthy Canadians and Americans. The development of DRIs reflects a joint initiative by the United States and Canada to update, expand on, and replace the former Recommended Nutrient Intakes for Canadians and Recommended Dietary Allowances for Americans. DRIs include the Estimated Average Requirement (EAR), Recommended Dietary Allowance (RDA), Adequate Intake (AI), and Tolerable Upper Intake Level (UL). The EAR is the average daily intake level that meets the requirement of 50% of healthy individuals in a life stage and gender group, whereas the RDA is set at a level that will meet the requirements of almost all (97%-98%) individuals in that life stage and gender group. An AI is a recommended intake level that is thought to meet the needs of almost all healthy individuals, and is set when there are insufficient data to establish an EAR (and therefore an RDA). The UL represents a threshold above which adverse effects of excessive intake may increase. In addition to these DRIs, macro nutrients have an Acceptable Macro nutrient Distribution Range (AMDR) and, for energy, an Estimated Energy Requirement (EER) is described.Key words: nutrient reference standards, nutrient requirements, nutrient toxicity.

scholarly journals Straying from the Flock? A Look at How Americans’ Gender and Religious Identities Cross-Pressure Partisanship

2019 ◽  
Vol 73 (1) ◽  
pp. 169-183 ◽  
Author(s):  
Erin C. Cassese
Keyword(s):  
Republican Party ◽  
The United States ◽  
Political Climate ◽  
Religious Identities ◽  
Presidential Candidates ◽  
National Election Study ◽  
And Gender ◽  
White Evangelicals ◽  
Using Data ◽  
Social Sorting

White evangelicals–both men and women–are a mainstay of the Republican Party. What accounts for their ongoing loyalty, particularly when Republican candidates and leaders fail to embody closely held moral standards around sexual monogamy and propriety, as Donald Trump did in 2016? To answer this question, I draw on research about social sorting and polarization, as well as gender and religion gaps in public opinion, to theorize about the nature of the cross-pressures partisans may experience as a result of the religious and gender identifications they hold. Using data from the 2016 American National Election Study, I evaluate whether cross-cutting identities have a moderating effect on partisans’ thinking about gender issues, their evaluations of the presidential candidates, and their relationship to the parties. I find only modest evidence that gender and evangelical identification impact political thinking among white Republicans, including their reactions to the Access Hollywood tape. Other groups, however, experienced more significant cross-pressures in 2016. Both evangelical Democrats and secular Republicans reported less polarized affective reactions to the presidential candidates and the parties. The results highlight the contingent role that gender and religious identities play in the United States’ highly polarized political climate.

Effect of intensive blood pressure lowering on cardiovascular outcomes based on cardiovascular risk: A secondary analysis of the SPRINT trial

2018 ◽  
Vol 26 (3) ◽  
pp. 238-245 ◽  
Author(s):  
Armin Attar ◽  
Mehrab Sayadi ◽  
Mansoor Jannati
Keyword(s):  
Blood Pressure ◽  
Primary Prevention ◽  
High Risk ◽  
Systolic Blood Pressure ◽  
Blood Pressure Reduction ◽  
Secondary Analysis ◽  
Low Risk ◽  
Blood Pressure Target ◽  
Intermediate Risk ◽  
Cardiovascular Morbidity And Mortality

Background It is not clear whether risk stratification can help choose the most favourable systolic blood pressure target for primary prevention of cardiovascular events. Design A secondary analysis of Systolic Blood Pressure Intervention Trial (SPRINT). Methods To perform a secondary analysis, we obtained the data from SPRINT from the National Heart, Lung, and Blood Institute data repository centre. In SPRINT, an open-label trial, participants without diabetes with systolic blood pressure of ≥130 mmHg were randomly assigned to intensive and standard treatment groups with systolic blood pressure targets of <120 and <140 mmHg, respectively. The primary composite outcome was myocardial infarction and other acute coronary syndromes, stroke, heart failure, or death from cardiovascular causes. Here, we have analysed data from participants without cardiovascular disease and chronic kidney disease aged under 75 years categorised based on the baseline 10-year Framingham risk score (<10% (low risk); ≥10% and <15% (intermediate risk); ≥15% (high risk)). Results A total of 4298 patients were included in the analysis. With intensive treatment, there was a significant reduction in the primary outcome events in patients at high risk (0.86% per year vs. 1.81% per year; hazard ratio (HR) 0.51; 95% confidence interval (CI) 0.31 to 0.85; P = 0.010), and at intermediate risk (0.60% per year vs. 1.46% per year; HR 0.37; 95% CI 0.17 to 0.82; P = 0.014) but not for those at low risk (0.75% per year vs. 0.57% per year; HR 1.14; 95% CI 0.55 to 2.38; P = 0.714). Conclusions Intensive systolic blood pressure reduction is beneficial for primary prevention of cardiovascular morbidity and mortality in patients without diabetes with more than low cardiac risk (above 10%).

scholarly journals EDUCATIONAL ATTAINMENT AND YOUNG ADULT HEALTH IN THE UNITED STATES: DIFFERENCES BY RACE AND GENDER

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S591-S591
Author(s):  
Grace A Noppert
Keyword(s):  
Health Outcome ◽  
The United States ◽  
Adult Health ◽  
Race And Gender ◽  
Logistic Regression Models ◽  
And Gender ◽  
Using Data ◽  
Young Adult Health ◽  
Ethnicity And Gender ◽  
The Relationship

Abstract There is compelling evidence to suggest that educational disparities in health differ by both race and gender. This study examines the relationship between respondents’ education and six health outcomes related to cardiometabolic and inflammatory outcomes using data from Wave IV of the National Longitudinal Study of Adolescent to Adult Health (ages 24-32 years; N = 13,458). We used logistic regression models to examine the relationship between education and the odds of each health outcome. Models were stratified by race and gender. We found that the association between education and each health outcome differed by race/ethnicity and gender. While among whites we observed an association between education and each health outcome, for blacks we observed no such associations. It may be that the benefits of education are particularly salient for those in more structurally advantaged positions, pointing to the continued need to address structural inequalities by both gender and race.

Blood pressure reduction and outcome after endovascular therapy: a secondary analysis of the BEST study

2020 ◽  
pp. neurintsurg-2020-016494
Author(s):  
Mohammad Anadani ◽  
Adam de Havenon ◽  
Shadi Yaghi ◽  
Tapan Mehta ◽  
Niraj Arora ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Endovascular Therapy ◽  
Blood Pressure Reduction ◽  
Secondary Analysis ◽  
Absolute Difference ◽  
Pressure Reduction ◽  
Poor Outcome ◽  
Outcome Group ◽  
Elevated Systolic Blood Pressure

BackgroundElevated systolic blood pressure (SBP) in the acute phase after endovascular therapy (EVT) is associated with worse outcome. However, the association between systolic blood pressure reduction (SBPr) and the outcome of EVT is not well understood.ObjectiveTo determine the association between SBPr and clinical outcomes after EVT in a prospective multicenter cohort.MethodsA post hoc analysis of the Blood Pressure after Endovascular Stroke Therapy (BEST) prospective observational cohort study was carried out. SBPr was defined as the absolute difference between admission SBP and mean SBP in the first 24 hours after EVT. Logistic regression was used to assess the association between SBPr and poor functional outcome (modified Rankin Scale score 3–6) at 90 days.ResultsA total of 259/433 (58.5%) patients had poor outcome. SBPr was higher in the poor outcome group than in the good outcome group (26.6±27.4 vs 19.0±22.3 mm Hg; p<0.001). However, in adjusted models, SBPr was not independently associated with poor outcome (OR=1.00 per 1 mm Hg increase, 95% CI 0.99 to 1.01) or death (OR=0.9 per 1 mm Hg increase; 95% CI 0.98 to 1.00). No association remained when SBPr was divided into tertiles. Subgroup analyses based on history of hypertension, revascularization status, and antihypertensive treatment yielded similar results.ConclusionThe reduction in baseline SBP following EVT was not associated with poor functional outcomes. Most of the cohort (88%) achieved successful recanalization, and therefore, these results mainly apply to patients with successful recanalization.

Molybdenum in the diet: an estimate of average daily intake in the United States

1980 ◽  
Vol 33 (5) ◽  
pp. 1103-1107 ◽  
Author(s):  
T A Tsongas ◽  
R R Meglen ◽  
P A Walravens ◽  
W R Chappell
Keyword(s):  
United States ◽  
Daily Intake ◽  
The United States ◽  
Average Daily Intake

Variation in Subjective Aging by Sexual Minority Status

2016 ◽  
Vol 85 (1) ◽  
pp. 44-66 ◽  
Author(s):  
Anne Barrett ◽  
Harry Barbee
Keyword(s):  
Sexual Minority ◽  
The United States ◽  
Least Square ◽  
Minority Status ◽  
Ordinary Least Square ◽  
Theoretical Perspectives ◽  
Ordinary Least Square Regression ◽  
And Gender ◽  
Using Data ◽  
Subjective Aging

The past few decades have seen increased scholarly attention to gay and lesbian individuals' aging experiences; however, few studies examine differences in subjective aging by sexual minority status. We identify four perspectives on the association between sexual minority status and subjective aging—double jeopardy, crisis competence, gender interactive, and limited salience perspectives. We examine each perspective’s predictions using data from the first wave of Midlife in the United States (1995–1996; MIDUS). Ordinary least square regression models reveal strongest support for the limited salience perspective, suggesting that sexual minority status has weaker effects on subjective aging than do other social factors, such as age, health, and gender. However, some results provide support for the gender interactive perspective, positing that the effect of sexual minority status on subjective aging varies by gender. Our study provides an organizational framework of theoretical perspectives that can guide further examinations of variation in aging experiences by sexual minority status.

scholarly journals A global assessment of street network sprawl

2019 ◽  
Author(s):  
Christopher Paul Barrington-Leigh ◽  
Adam Millard-Ball
Keyword(s):  
Energy Use ◽  
Dendritic Tree ◽  
The United States ◽  
Street Network ◽  
Cross Sectional ◽  
Standard Deviation Increase ◽  
Urban Street ◽  
Graph Theoretic ◽  
Low Levels ◽  
Using Data

Disconnected urban street networks, which we call “street-network sprawl,” are strongly associated with increased vehicle travel, energy use and CO_{2} emissions, as shown by previous research in Europe and North America. In this paper, we provide the first systematic and globally commensurable measures of street-network sprawl based on graph-theoretic and geographic concepts. Using data on all 46 million km of mapped streets worldwide, we compute these measures for the entire Earth at the highest possible resolution. We generate a summary scalar measure for street-network sprawl, the Street-Network Disconnectedness index (SNDi), as well as a data-driven multidimensional classification that identifies eight empirical street-network types that span the spectrum of connectivity, from gridiron to dendritic (tree-like) and circuitous networks. Our qualitative validation shows that both the scalar and multidimensional measures are meaningfully comparable within and across countries, and successfully capture varied dimensions of walkability and urban development. We further show that in select high-income countries, our measures explain cross-sectional variation in household transportation decisions, and a one standard-deviation increase in SNDi is associated with an extra 0.25 cars owned per household. We aggregate our measures to the scale of countries, cities, and smaller geographies and describe patterns in street-network sprawl around the world. Latin America, Japan, South Korea, much of Europe and North Africa stand out for their low levels of street-network sprawl, while the highest levels are found in south-east Asia, the United States and the British Isles.

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