Williams, Richard Allen and Gavin, James R., III and Phillips, Robert A. and Sumner, Anne E. and Duncan, Alan K. and Hollar, Danielle and Hennekens, Charles H.
Coronary heart disease (CHD) is the second leading cause of death in the United States. Despite previous downward trends, whichhave not persisted, CHD mortality remains higher in African Americans than in Whites. Among African American and White adolescents and adults are trends of increased physical inactivity, smoking, and obesity. Approximately 47 million Americans have metabolic syndrome, a constellation of obesity, hypertension, dyslipidemia, and insulin resistance leading to diabetes. Despite a lower prevalence of metabolic syndrome, African Americans are more insulin resistant than Whites at similar degrees of adiposity, have higher blood pressures, and among women, have more obesity. Since African Americans tend to be diagnosed later and have more risk factors, which confers greater than additive risks, we propose the term ‘‘African American multiple risk patient (AAMRP).’’ The AAMRP poses clinical and public health challenges for healthcare providers. We provide clinical and public health strategies for early detection and aggressive management of AAMRP.
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|Uncontrolled Keywords:||African Americans; Cardiovascular Disease; High-Risk|
|Subjects:||Health > Public Health > Chronic Illness & Diseases > Cardiovascular Disease|
Health > Public Health > Chronic Illness & Diseases > Hypertension
Health > Public Health > Chronic Illness & Diseases > Obesity
Health > Public Health > Health Risk Factors
Health > Public Health > Health Risk Factors > Smoking & Tobacco Use
|Depositing User:||Users 141 not found.|
|Date Deposited:||09 Dec 2008|
|Last Modified:||26 May 2011 14:40|
|Link to this item (URI):||http://health-equity.lib.umd.edu/id/eprint/1203|
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