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Purpose: This study evaluated the impact of obesity on cardiometabolic risk factors (CRF) interrelationships and predictive efficiency of CVD development in older African (AA) and European Americans (EA).
Design: A comparative research design evaluated CRF risk profile differences between participant groups.
Setting: Seven neighborhoods in a southern US city.
Subjects: A sample of 179 older AA (n = 128) and EA (n = 51) adults.
Measures: Non-fasting blood samples were evaluated for lipids and lipoproteins, glycosylated hemoglobin, systolic -(SBP) and diastolic blood pressure (DBP), body mass index (BMI), body fat percentage (BF%) and physical function.
Analysis: Data were analysis with descriptive statistics, t-tests, and correlations.
Results: AA were heavier than EA although all had above average age-appropriate fitness. Means and relationships between CRF and other variables were different ( < .05) based on race. Both AA (41.3 + 5.8) and EA (38.6 + 6.4) BF% were CRF risks. Holding BMI constant, CRF were generally not related, and the relationships were different for AA and EA. AA had a range of 13.0 to 27.2% more favorable values for cholesterol, HDL-C, and triglyceride. EA had favorable A1c (EA 5.8 vs AA 6.2%) values.
Conclusions: A limitation of this report is the small sample size. Although further research is warranted, these findings suggest population specific CRF selections would improve CVD prediction in AA.
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http://dx.doi.org/10.1177/08901171241246310 | DOI Listing |
J Am Acad Audiol
May 2025
*Department of Otolaryngology, Thomas Jefferson University, Philadelphia, PA.
Although approximately 80 percent of hearing loss cases are treatable with hearing aids (HAs), only one in four individuals who may benefit from them pursue them. Along with audiologists, physicians are integral parts of the hearing-health care team. Whether patients with hearing loss are more likely to pursue HA use based on the physician recommendation is unknown.
View Article and Find Full Text PDFWorld J Surg
September 2025
Kids Operating Room, Edinburgh, Scotland.
Background: Although prior studies have estimated the burden of pediatric surgical disease in low- and middle-income countries (LMICs) through statistical modeling and hospital- or household-based surveys, few large-scale descriptions of procedures and outcomes have been published. We aimed to describe the epidemiology and outcomes of children's surgical care at multiple centers across Africa.
Methods: Perioperative clinical data were collected prospectively from 2018 to 2023 at 17 hospitals in 11 African countries using a preexisting tool.
J Racial Ethn Health Disparities
September 2025
Departments of Neurology and Ophthalmology, University of Virginia Health System, Charlottesville, VA, USA.
Background: Prior studies suggest a poorer prognosis in men and Black people with multiple sclerosis (pwMS). The possibility that delays in evaluation or diagnosis could contribute to worse outcomes remains underexplored. Our objective is to see if men or Black pwMS have delays in being evaluated for and diagnosed with multiple sclerosis (MS).
View Article and Find Full Text PDFAnn Epidemiol
September 2025
Department of Health Promotion Sciences, The University of Arizona.
Purpose: The association between social integration and mortality in older adults from historically excluded groups may not align with the patterns observed in predominately white samples. We modeled latent groups of social integration and their association with 10-year all-cause mortality in a cohort of older adults from historically excluded racial/ethnic groups.
Methods: In a sub-sample of a national cohort study of older adults, we used latent class analysis to model social integration using ten item indicators spanning couple status, network characteristics, and neighborhood and community connections.
J Allied Health
September 2025
National Commission on Certification of PAs, 12000 Findley Road, Suite 200, Johns Creek, GA 30097, USA.
The entry-level physician assistant/associate (PA) education offers a solid foundation for general medical knowledge and clinical skills. Yet, there has been an increasing trend for PAs to complete a postgraduate (PG) fellowship/residency to gain specialized expertise in specific medical disciplines. We analyzed national data and compared PAs' annual income, educational attainment, background, and professional attributes with a PG fellowship/residency and those without.
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