Abstract
There remains limited research on cardiovascular disease (CVD) risk factors in Puerto Rican adults. We compared lifestyle
and CVD risk factors in Puerto Rican men and women with normal fasting glucose (NFG), impaired fasting glucose (IFG), or type
2 diabetes (T2D), and investigated achievement of American Diabetes Association (ADA) treatment goals in those with T2D. Baseline
data from the Boston Puerto Rican Health Study were analyzed, which included 1,287 adults aged 45–75 years. Obesity, hyperglycemia,
and dyslipidemia were prevalent and increased from NFG to IFG and T2D. In individuals without T2D, fasting insulin correlated
significantly with body mass index. Achievement of ADA goals was poor; LDL cholesterol was most achieved (59.4%), followed
by blood pressure (27.2%) and glycosylated hemoglobin (27.0%). Poverty, female sex, current alcohol use, and diabetes or anti-hypertensive
medication use were associated with not meeting goals. Puerto Rican adults living in the Boston area showed several metabolic
abnormalities and high CVD risk, likely due to pervasive obesity and socio-economic disparities.
and CVD risk factors in Puerto Rican men and women with normal fasting glucose (NFG), impaired fasting glucose (IFG), or type
2 diabetes (T2D), and investigated achievement of American Diabetes Association (ADA) treatment goals in those with T2D. Baseline
data from the Boston Puerto Rican Health Study were analyzed, which included 1,287 adults aged 45–75 years. Obesity, hyperglycemia,
and dyslipidemia were prevalent and increased from NFG to IFG and T2D. In individuals without T2D, fasting insulin correlated
significantly with body mass index. Achievement of ADA goals was poor; LDL cholesterol was most achieved (59.4%), followed
by blood pressure (27.2%) and glycosylated hemoglobin (27.0%). Poverty, female sex, current alcohol use, and diabetes or anti-hypertensive
medication use were associated with not meeting goals. Puerto Rican adults living in the Boston area showed several metabolic
abnormalities and high CVD risk, likely due to pervasive obesity and socio-economic disparities.
- Content Type Journal Article
- Pages 1-9
- DOI 10.1007/s10903-011-9448-7
- Authors
- Maria I. Van Rompay, Nutrition and Genomics Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA USA
- Carmen Castaneda-Sceppa, Department of Health Sciences, Northeastern University, 316 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115, USA
- Nicola M. McKeown, Nutritional Epidemiology Program, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA USA
- José M. Ordovás, Nutrition and Genomics Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA USA
- Katherine L. Tucker, Department of Health Sciences, Northeastern University, 316 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115, USA
- Journal Journal of Immigrant and Minority Health
- Online ISSN 1557-1920
- Print ISSN 1557-1912