Aboagye-Mensah Emmanuela B, Azap Rosevine A, Odei James B, Gray Darrell M, Nolan Timiya S, Elgazzar Rana, White DeVeonne, Gregory John, Joseph Joshua J
The Ohio State University College of Medicine, United States.
The Ohio State University College of Public Health, United States.
Prev Med Rep. 2020 Jun 26;19:101151. doi: 10.1016/j.pmedr.2020.101151. eCollection 2020 Sep.
African American (AA) men have the highest age-adjusted all-cause mortality rate in the United States of America (US) and a high burden of cardiovascular risk factors. The African American Male Wellness Walk (AAMWW) seeks to reduce such health disparities among AA males. The association of a combination of ideal cardiovascular health (ICH) metrics (blood pressure, glucose, cholesterol, body mass index (BMI), physical activity, and smoking) with self-reported health, diabetes, and body fat percentage was examined among 729 AA male participants from the 2017 and 2018 AAMWWs. Six metrics of ICH were categorized into a three-tiered ICH score 0-2, 3-4, 5-6. Linear and logistic regression modeling was performed with adjustment for age and insurance. Seven percent of men attained 5-6 ICH metrics at baseline. Participants with 5-6 ICH metrics versus 0-2 had 256% higher odds of excellent self-reported health compared to good, fair or poor (p < 0.0001). After exclusion of glucose from the ideal cardiovascular health score, participants with 3-4 versus 0-2 ICH metrics had a 48% lower odds of diabetes (p < 0.0031). After exclusion of BMI from the ICH score, participants with 5 ICH metrics had a 14.1% lower body fat percentage versus participants with 0-2 ICH metrics (p = 0.0057). Attainment of higher ideal cardiovascular health scores is associated with higher odds of self-reported health, lower odds of diabetes and lower body fat percentage among AA men. Future strategies leading to greater attainment of cardiovascular health in AA males will be important to advance health equity.
非裔美国男性的年龄调整全因死亡率在美国最高，且心血管危险因素负担沉重。非裔美国男性健康步行活动（AAMWW）旨在减少非裔美国男性之间的此类健康差异。在2017年和2018年AAMWW的729名非裔美国男性参与者中，研究了理想心血管健康（ICH）指标（血压、血糖、胆固醇、体重指数（BMI）、身体活动和吸烟）的组合与自我报告的健康状况、糖尿病和体脂百分比之间的关联。ICH的六个指标被分为0 - 2、3 - 4、5 - 6三个等级的ICH分数。进行了线性和逻辑回归建模，并对年龄和保险进行了调整。7%的男性在基线时达到了5 - 6个ICH指标。与0 - 2个指标相比，达到5 - 6个ICH指标的参与者自我报告健康状况良好、一般或较差的可能性高出256%（p < 0.0001）。从理想心血管健康评分中排除血糖后，与0 - 2个ICH指标相比，达到3 - 4个ICH指标的参与者患糖尿病的可能性降低了48%（p < 0.0031）。从ICH评分中排除BMI后，与0 - 2个ICH指标的参与者相比，达到5个ICH指标的参与者体脂百分比降低了14.1%（p = 0.0057）。在非裔美国男性中，达到更高的理想心血管健康评分与自我报告健康状况良好的可能性更高、患糖尿病的可能性更低以及体脂百分比更低相关。未来促进非裔美国男性更大程度实现心血管健康的策略对于推进健康公平至关重要。
