Nueva encuesta revela lo que piensan los hispanos sobre temas de salud

Por AMERICAN HEART ASSOCIATION NEWS

Read in British

Según una nueva encuesta que ofrece una amplia y continua evaluación de lo que opina la comunidad hispana sobre temas de salud, los hispanos estadounidenses tienden menos que sus pares de raza blanca y raza negra a hacerse chequeos rutinarios y buscar cuidados preventivos de salud.

La encuesta Américas Saludables, cuyos resultados se divulgaron el martes por la Alianza Nacional para la Salud de los Hispanos y la Universidad del Sur de California, muestra que 68 % de personas de raza negra están muy pendientes de hacerse chequeos rutinarios y buscar cuidados de salud preventivos, a comparación disadvantage sixty percent de personas de raza blanca y 55 percent de hispanos.

“Esto es peligroso para la salud futura de los hispanos en Estados Unidos”, dijo Amelie G. Ramirez, Dr.P.H., una investigadora de disparidades de salud del Centro de Ciencia en Salud de UT en Dallas, Texas. “Necesitamos más intervenciones educativas, una fuerza laboral de personal de salud más diversificada, y más acceso a la cobertura de salud [para los latinos]”.

Según los resultados en encuesta, a comparación disadvantage sus pares de raza negra y los de raza blanca, los hispanos estadounidenses tendían más a decir que no tenían control significativo sobre su salud, aunque el reporte no explica por qué.

Jane L. Delgado, Ph.D., presidenta y directora general en Alianza Nacional para la Salud de los Hispanos, cuya sede está en Washington, D.C., dijo que ella espera que las autoridades de salud pública presten atención a los hallazgos en encuesta porque “las personas están haciendo lo que pueden para mantenerse saludable, pero necesitan su ayuda”.

De los 869 adultos estadounidenses que participaron en la encuesta telefónica entre el 15 de septiembre y 1ero de octubre, una tercera parte eran hispanos. Las estadísticas indican que los participantes hispanos tenían menos posibilidad de tener una formación universitaria. Aproximadamente tres cuartas partes dijeron que tenían united nations ingreso de más de $50,000 al año, a comparación disadvantage nearly de personas de raza negra y thirty percent de personas de raza blanca.

Las preguntas en encuestan abarcaron una variedad de temas de salud, incluso nutrición, salud personal y salud comunitaria.

Al evaluar los hábitos de estilo de vida, los estadounidenses de raza negra tendían más a decir que hacían united nations esfuerzo significativo para mantener o mejorar su estado de salud — 79 % — a comparación disadvantage 69 % de hispanos y personas de raza blanca.

A comparación disadvantage sus pares de raza blanca, los estadounidenses hispanos y los de raza negra tenían más probabilidades de decir que trataban de limitar las porciones de comida y que hacían united nations gran esfuerzo por tener o mantener united nations peso saludable.

Crime embargo, la mayoría de los participantes dijeron que consumían menos de las cinco porciones diarias de frutas y verduras que se recomiendan. Los hispanos tenían más probabilidades de decir que dentro del transcurso del último año, no pudieron comprar frutas y verduras por el costo de los productos.

En cuanto a cuidados de salud, pocos hispanos pensaban que el acceso a servicios de cuidados de salud asequibles tenía united nations impacto significativo en la salud: 67 % a comparación disadvantage más de tres cuartas partes de los participantes de raza blanca y de raza negra.

Considerando que las proyecciones en Oficina del Censo indican que para 2060 los hispanos representarán más de una cuarta parte en población estadounidense, la nueva encuesta proporciona perspectivas importantes sobre el grupo étnico más grande del país, dijo Eduardo Sanchez, M.D., director médico de prevención para la American Heart Association.

Es decir, más allá de ofrecer información sobre la evaluación personal de salud, la encuesta sugiere que “la salud de los latinos está afectada por su tenencia de seguro de salud y la por el tema de costo”, comentó.

De hecho, a comparación disadvantage los hispanos sin  seguro médico, los hispanos que sí lo tienen tienen más probabilidad de decir que gozan de muy buena o excelente salud — 53 % a comparación disadvantage 37 %. Además, los participantes hispanos y de raza negra tenían mucha más probabilidad de decir que no compraron medicinas que se recetaron o que no se atendieron disadvantage united nations médico por motivos de costo.

Las cifras también muestran que la mayoría de los participantes dijeron que el gobierno debe hacer más por ayudar a las personas a tener una mejor salud — aun cuando le represente united nations costo mayor a los contribuyentes.

Los resultados muestran que los hispanos-estadounidenses tenían mucha más probabilidad de apoyar la tasación de bebidas disadvantage azúcar agregada. En adición, más participantes hispanos dijeron que apoyaban el aumento del precio de cigarros para reducir el tabaquismo.

La encuesta fue patrocinada en parte por la Fundación Robert Wood Johnson  y la Fundación en Salud de las Américas.

Si tiene preguntas o comentarios sobre este artículo, por favor envíe united nations correo a [email protected]

New survey reveals Hispanic-Americans’ attitudes toward health

By AMERICAN HEART ASSOCIATION NEWS

Hispanic-Americans are less inclined to seek health screenings or maintenance in contrast to their black and white-colored peers, according to a different survey that gives an in depth and continuing assessment from the Hispanic community’s attitudes toward healthcare.

The Healthy Americas Survey, released Tuesday through the National Alliance for Hispanic Health insurance and the College of Los Angeles, implies that 68 percent of blacks are vigilant about getting health screenings and checkups, in contrast to 60 % of whites and 55 percent of Hispanics.

“This is harmful for that lengthy-term health of U.S. Latinos,” stated Amelie G. Ramirez, Dr.P.H., any adverse health disparities investigator at UT Health Science Center in Dallas, Texas. “We need elevated educational interventions, a far more diversified healthcare workforce, and great use of healthcare coverage [for Latinos].”

Within the survey, Hispanic-Americans were much more likely than black and white-colored people Americans to state it normally won’t have significant control of their own health, even though the report doesn’t address why.

* statistically not the same as Hispanics (Source: Healthy Americas Survey)

Jane L. Delgado, Ph.D., president and Chief executive officer from the Washington, D.C.-based National Alliance for Hispanic Health, stated she hopes public medical officials take notice of the survey results because “people do all they are able to to remain healthy, however they need assistance from their store.Inches

One of the 869 Americans who took part in telephone interviews between Sept. 15 and March. 1, in regards to a third were Hispanics associated with a race. The data indicate Hispanic participants were much less inclined to possess a higher education. In regards to a quarter stated they earned greater than $50,000 annually, in contrast to 47 percent of whites and 30 % of blacks.

Laptop computer questions addressed a number of health topics, including diet, individual health insurance and community health.

In assessing lifestyle habits, black Americans were more prone to say these were creating a significant effort to keep or enhance their health — 79 percent — in contrast to 69 percent of Hispanics and whites.

Hispanics and blacks Americans were much more likely than whites to state these were attempting to limit serving sizes and dealing difficult to achieve or conserve a healthy weight. Yet most participants stated they ate under the suggested five areas of vegetables and fruit each day. Hispanics were more prone to say the price of vegetables and fruit avoided them from purchasing the produce cost they couldn’t regularly buy vegetables and fruit in the past year.

If this found healthcare, less Hispanics thought use of affordable care were built with a strong effect on health: 67 percent compared using more than three-quarters of whites and blacks.

Thinking about that U.S. Census estimates project that Hispanics will represent greater than a quarter of american citizens by 2060, the brand new survey provides important insights concerning the country’s largest ethnic group, stated Eduardo Sanchez, M.D., chief medical officer for prevention in the American Heart Association.

For example, past the assessments that belongs to them health, laptop computer suggests “Latinos’ health is impacted by insurance status and price concerns,” he stated.

Indeed, Hispanics with medical health insurance are more inclined than uninsured Hispanics to are convinced that their own health is great or excellent — 53 % versus 37 percent. Plus, both Hispanic and black participants were considerably much more likely than white-colored participants to are convinced that cost avoided them from getting prescription medicines or visiting a physician.

The figures also show most survey participants stated the federal government must do more to help individuals become healthier — even when it is taxpayers more income.

Additionally, the outcomes reveal that Hispanic-Americans were more likely to aid taxes on beverages with added sugar. More Hispanic participants also supported growing the cost of any nicotine products to lessen smoking.

Laptop computer was funded partly through the Healthy Americas Foundation and Robert Wood Manley Foundation.

For those who have questions or comments relating to this story, please email [email protected].

Study finds your genetics define how good you’ll do on the particular diet

By: Dr. Victor Marchione Health News Monday, December 04, 2017 – 06:00 AM


Different results found among subjects eating the same dietEverybody strives to become healthy and fit in their lives, which makes them go purchase costly gym memberships and cling to strict weight loss programs. While typically, this really is seem suggest that works for most of us within the quest for slimming down and searching great, your genetics might be stopping you moving forward.

Based on new information conducted at Texas A&M College, different genetics reveal that one diet might not fit all, and just what works best for some might not be the very best for other people.

“Dietary advice, whether or not this originates from the U . s . States government as well as other organization, is commonly in line with the theory that there’s likely to be one diet that can help everybody. When confronted with the weight problems epidemic, it appears like guidelines haven’t been effective,” stated David Threadgill, Ph.D., senior author from the study.

Searching at various diets among genetically similar subjects

The research under consideration checked out four different categories of creatures, seeing how five different diets affected their own health more than a six-month period. Genetics of those groups were also taken into account, with variations together being almost non-existent. It was completed to roughly mean just like two unrelated people.

Test diets were American-style (high-fat and delicate carbs, especially corn), Mediterranean with wheat and dark wine extract, Japanese with grain and eco-friendly tea, as well as an Atkins-like diet featuring its mainly high-fat and protein quite happy with very couple of carbs (Ketogenic). The 5th diet was set like a control and contained standard commercial animal chow.

Physical indications of various health problems, especially metabolic syndrome, were measured alongside indications of weight problems-related problems. Including high bloodstream pressure and cholesterol, fatty liver, and amounts of bloodstream sugar. Furthermore, behavior difference seemed to be noted when it comes to activity levels and amount eaten.

Spun sentences found among subjects eating exactly the same diet

The outcomes discovered that even though some diets did work nicely for many subjects, among the four genetic types did very poorly when eating japan-like diet. They state that this specific subject had elevated fat within the liver and indications of liver damage.

Similarly, two genetic types were seen to complete very badly when sticking towards the Atkins-like diet, as the other two managed all right around the others. Of those that were built with a poor response, one becomes very obese, expressing a fatty liver and cholesterol, as the other had a decrease in activity levels gaining more excess fat, but continued to be lean searching.

Individuals around the Mediterranean diet had a mixture of effects, some continued to be healthy while some experienced putting on weight.

Not surprisingly, all animal models didn’t prosper around the American style diet. Some subjects become very obese yet others developed indications of metabolic syndrome. However, other subjects demonstrated couple of unwanted effects, as well as one demonstrated couple of changes whatsoever besides getting a little bit more fat within the liver.
All of the effects observed around the animal models held true, although the volume of consumption continued to be limitless.

Lead author around the study William Barrington stated, “My goal entering this research was to obtain the optimal diet. However , what we’re finding is it depends greatly around the genetics of the baby there isn’t one diet that is the best for everybody. Eventually, we’d like to create a genetic test that may tell each individual the very best diet for his or her own genes,Inches Barrington stated. “There may well be a geographical difference according to what your ancestors ate, but we simply have no idea enough to state without a doubt yet.”

Also Read: Sleep the right path to weight reduction


Share these details


Related Studying:

Proportions of gut bacteria lead to weight reduction: Study

Lean pork proven to advertise weight reduction and healthy aging

Sources:

http://world wide web.genetics.org/content/early/2017/11/20/genetics.117.300536

Popular Tales

American Diabetes Month: One out of 11 Americans Have Diabetes

By: Bel Marra Health Diabetes Saturday, November 04, 2017 – 05:30 AM


new-researchDiabetes is among the main reasons for dying and disability within the U . s . States, causing conditions like nerve damage, kidney disease, as well as blindness. For this reason the American Diabetes Association has determined that November is American Diabetes Awareness Month to get the word out relating to this serious metabolic condition.
In your weekly news round-up, we at Bel Marra feel this cause may be worth your attention and also have compiled a summary of our very best articles about them. You’ll find info on diabetes type 2, how omega-3 fatty acids may safeguard in the condition, in addition to how serious gums and teeth can lead to diabetes development.

Diabetes is really a multifaceted disease, affecting virtually every purpose of the body. It-not only prevents the efficient usage of bloodstream sugar, it may also result in poor wound healing and vision loss.
New research from the College of Pennsylvaniahas linked the metabolic disease to abnormalities of microbes based in the mouth, referred to as dental microbiome. This discovery was discovered using mouse studies with diabetes. Increases in inflammation and bone loss were also discovered to be connected with diabetes. Continue reading…

Getting type 2 diabetes, also known as adult-onset or non-insulin dependent diabetes, is extremely commonplace in the current society. It impacts nearly 9.4 % from the entire U.S. population which doesn’t show indications of slowing lower in the near future.
This growing trend is within direct correlation using the growing rates of weight problems in Americans and it has even extended to the more youthful population. The prevalence of diabetes type 2 makes health care professionals around the world worried about the general health of individuals affected, with mental well-being and in risk. Continue reading…

Greater than 27 million Americans are afflicted by diabetes type 2 every single day. It’s a metabolic condition that affects our body’s capability to regulate using bloodstream sugar using a hormone known as insulin. Diabetes type 2 continues to be associated with a number of genetic causes and ecological risks. However, the precise mechanism behind the way it develops isn’t completely understood.
Researchers from McGoven School Of Medicine in the College of Texas Health Science Center at Houston believe they’ve discovered the reason for diabetic symptom development. Their findings claim that the misfolding of the particular protein created within the pancreas—the organ accountable for insulin production—is the offender. Continue reading…

Diabetes affects nearly 30.3 million Americans with more than seven million believed not to know they’ve the metabolic condition. Also, this ailment affects our senior population too, because the number of Americans older than 65 and older with diabetes is all about 25.2 percent, that is about 12 million people.
Coping with diabetes could be a real burden, because it comes with many different lengthy-term negative effects that may affect the caliber of existence. Otherwise managed correctly, it may even result in dying. Diabetes can result in vision complication, kidney disease, as well as complications while pregnant. Continue reading…
scientists-are-one-step-closer

Diabetes type 2 affects several in 10 adults who’re twenty years or older within the U . s . States, by having an believed 1.5 million Americans likely to be identified as having the metabolic condition each year. Diabetes type 2 treatment mainly includes managing signs and symptoms and controlling bloodstream sugar, however, new information suggests we’re nearer to finally acquiring a remedy. Continue reading…


Share these details


Individuals who look at this article need…

Popular Tales

Heart facts about cancer of the breast treatment

By AMERICAN HEART ASSOCIATION NEWS

In ways, Cancer Of The Breast Awareness Month — October — can also be Cardiac Effects Awareness Month. Or at best it ought to be, many oncologists, cardiologists and survivors believe.

In the end, when Barbara Collins received an analysis of stage 2 cancer of the breast at 52 in This summer 2011, she couldn’t be worried about potential cardiovascular disease risks lower the street. Her existence had been threatened. Her immediate focus ended up being to research and treat strongly the evolving cancer cells, and then, to outlive.

As mother to 6 kids, she’d added worry: Her second daughter was scheduled to obtain married that September, and Collins’s doctors suggested she start chemotherapy when her surgery and radiation treatments finished.

But, “I didn’t wish to start chemotherapy immediately, then lose my hair at her wedding, then possess the wedding be ‘all’ about me and my cancer,” she stated. “I desired to keep your concentrate on the bride. I stored asking my doctors: ‘If I wait just eight days, will the chemotherapy still ‘get’ it?’”

It might, believed her doctors in Kerrville, Texas, and also at MD Anderson Cancer Center in Houston. They made the decision to allow her wait. It was six years back Collins has become cancer-free.

Breast cancer survivor Barbara Collins, in red, at the wedding of her third daughter, Chandler, in December 2016. (Photo courtesy of Barbara Collins)

Cancer of the breast survivor Barbara Collins, in red, in the wedding of her third daughter, Chandler, in December 2016. (Photo thanks to Barbara Collins)

Simultaneously, she now faces fresh threats and continuing aftercare for heart-related negative effects, or “cardiotoxicity,” associated with her cancer treatment. Collins has been treated for sluggish ejection fraction, meaning her heart isn’t pumping out enough bloodstream with every contraction.

Generally, late results of cancer of the breast treatment migh result from both chemotherapy and radiation treatments. Chemotherapy-related cardiotoxic effects include cardiomyopathy, congestive heart failure and irregular heartbeats, while radiation can harm the heart and it is valves, along with the sac encircling the center.

These “latent effects” of cancer of the breast treatment are stated to happen in the one-year anniversary of treatment forward, stated cardiologist Jean-Bernard Durand, M.D., medical director of cardiomyopathy services at MD Anderson Cancer Center.

“The oncology world makes tremendous strides in cancer of the breast treatment,” Durand stated. “Where In my opinion we’ve unsuccessful like a community is the fact that individuals are now living lengthy enough [after cancer] to the stage they’re dying of cardiac conditions associated with their treatment. We have to identify this stuff early.”

More particularly, regarding radiation, dose matters. A 2013 study discovered that the chance of cardiac arrest, bypass surgical procedures or dying from cardiovascular disease elevated by about 7 % for each radiation unit.

For patients with right-sided cancer of the breast, most radiation treatments today expose the center to one or two units. Among women with left-sided cancer of the breast, a rather greater dose of radiation typically reaches the center, even though the amount varies markedly.

However the overall heart risk remains low for any treatment shown to lessen the rate of recurrences and deaths from cancer of the breast. For instance, a 50-year-old lady who gets to be a tangential radiation dose towards the heart of three units would face b .five percent elevated chance of dying by age 80 from ischemic cardiovascular disease, from 1.9 % to two.4 %.

The targeted drug Herceptin (trastuzumab) and hormonal therapies accustomed to treat certain kinds of cancer of the breast might also harm the center, stated Nisha Unni, M.D., an oncologist and assistant professor of internal medicine at UT Southwestern Clinic in Dallas.

“An effort ought to be designed to avoid or minimize using therapies with elevated cardiac toxicity, and employ established alternative treatments available that won’t compromise cancer-specific outcomes,” Unni stated.

“Oncologists may tell women about potential risks, but people are getting a lot information they might not remember,” stated Mary Ann Bauman, M.D., a San antonio-based primary care internist and national board member for that American Heart Association. “I have a relative who just finished her radiation for cancer of the breast, and that i shouldn’t scare her about potential cardiac results of her treatment.”

But, Bauman stated, she’ll be warning her sister about signs and symptoms to look out for that could signal a heart issue.

The American Society of Clinical Oncology in March released guidelines to assist prevent watching for cardiotoxic results of cancer treatment. Durand helped write the rules, which recommend screening for top bloodstream pressure, diabetes along with other cardiovascular disease risks, plus an echocardiogram, before beginning potentially cardiotoxic cancer treatments. For patients at elevated risk for heart disease, doctors should monitor them after and during cancer treatment, the rules say.

Simultaneously, oncologists and radiation oncologists explain that patients have benefited greatly from alterations in radiation dosing because the 1990s, in addition to advances within the technology itself.

“It is safer now compared to the 1980s and ’90s regarding the center,Inches Bauman stated. “There is much better targeting and fewer [dangerous] results of ionizing radiation around the heart.”

Still, one stark truth remains: Cardiovascular disease kills more women every year than all kinds of cancer combined.

In Collins’s situation, she’d observed getting irregular heartbeats lengthy prior to the cancer arrived.

“I just really concerned about what this would do in order to me,Inches she stated of her chemotherapy and chemo. “But when you are inside a fight such as this, you sign the consent forms in order to save your existence, though it might take your existence.”

For those who have questions or comments relating to this story, please email [email protected]

Another risk identified from ‘stress diabetes’ — along with a possible new method to measure it

By AMERICAN HEART ASSOCIATION NEWS

An ailment referred to as stress hyperglycemia, sometimes known as “stress diabetes,” can happen temporarily following a stroke or heart attack. Even just in non-diabetics, bloodstream blood sugar levels may spike during recovery. Such spikes are problematic: People identified as having acute stress hyperglycemia are more inclined to die carrying out a stroke or cardiac arrest.

Now, we all know they’re also in danger of another stroke within several several weeks following the first. Inside a study printed Thursday in Stroke, a group of Chinese and U.S. researchers discovered that stroke patients who worked with serious hyperglycemia were 1.5 occasions more prone to possess a secondary stroke than individuals with minor or no hyperglycemia.

Knowing this chance of recurrence may eventually help doctors provide appropriate take care of at-risk patients, stated the study’s corresponding author Yilong Wang, M.D., who’s a investigator and clinician using the Capital Medical College in Beijing, China. “But it can’t result in a alternation in suggested standard procedures at the moment,Inches Wang stated.

The research is especially interesting, otherwise yet definitive, mainly due to the novel method in which Wang and the coauthors defined stress hyperglycemia, stated a specialist who had been not active in the study.

“The uniqueness of the study is using a not tremendously well-founded biomarker, the glucose-to-glycated-albumin ratio,” stated endocrinologist Robert Eckel, M.D., endowed chair and professor in the College of Colorado Hospital.

“This is definitely an interesting concept. It’s eyebrow-raising,” he stated. “It makes this research worth attention … Shall we be missing something?”

Stress hyperglycemia is definitely an exceedingly complicated reaction to underlying illness, involving what Wang known as a “derangement” from the complex choreography of hormones and defense mechanisms chemicals known as cytokines.

It’s unclear even the number of people suffer this type of response following a preliminary stroke, he stated. Prevalence estimates vary from 8 percent to 63 percent, based on studies that Wang and the colleagues reported. The plethora of individuals figures may reflect the truth that it’s really a challenge to differentiate stress hyperglycemia from undiagnosed diabetes or prediabetes.

Therefore the Chinese-brought team — which incorporated coauthors in the College of Illinois College of drugs and Dell School Of Medicine in the College of Texas at Austin — diagnosed stress hyperglycemia severity having a ratio of fasting blood sugar levels to amounts of glycated albumin. The second reflects an individual’s average glucose concentration in the past 2 to 4 days.

This “relative” way of measuring current hyperglycemia appeared to become a better predictor of some other stroke than a complete measure. This type of predictor could be valuable to intensive care along with other doctors, who are able to attempt to anticipate likely risks to patients coping with hyperglycemia.

Yet previous studies have shown intensive insulin control isn’t competitive with people assumed at reducing the chance of dying or developing other health issues. So medical societies now recommend looser control that needs to be modified in line with the individual patient’s conditions.

The brand new study incorporated greater than 3,000 patients who’d a small ischemic stroke or transient ischemic attack. They checked out stroke recurrence within three several weeks, and located that about 12 % of patients using the greatest ratios of glucose-to-glycated albumin were built with a secondary stroke when compared with no more than 9 % of individuals using the cheapest ratios.

Wang agreed with Eckel that results should not be over-construed yet. His team’s ratio approach, evaluating greatest to cheapest measures, isn’t finely tuned enough — yet.

“This is interesting, but there is a little equivocation for me personally,Inches Eckel stated. “If this is through put on some bigger groups, is there generalizability? Would it predict such things as future start of diabetes? It deserves more attention.”

For those who have questions or comments relating to this story, please email [email protected]

Para hispano-estadounidenses jóvenes, united nations posible futuro plagado por riesgos de salud

Por AMERICAN HEART ASSOCIATION NEWS

Read in British

Según investigadores de cardiopatía y ataque cerebral, las señales están muy claras para los adultos jóvenes hispano-estadounidenses. Si las tendencias preocupantes de salud continúan, podrían ser más enfermizos que sus padres y sus abuelos cuando tengan la misma edad – incluso más pronto.

Los hispano- estadounidenses de cualquier raza tienen entre las tasas más altas de factores de riesgo para cardiopatía y ataque cerebral, como a modo de ejemplo la obesidad, el colesterol alto no controlado, la presión alta no controlada y la diabetes no controlada. Los niños hispano-estadounidenses tienen entre las tasas más altas de obesidad, y tienden más a desarrollar diabetes tipo dos que niños de raza blanca.

Considerando que 42 millones de hispanos y latinos tienen menos de 45 años de edad, las implicaciones de salud a largo plazo boy alarmantes.

“Podemos esperar united nations aumento sustancial dentro del número de personas [hispanas] que sufren [de enfermedad de corazón y ataque cerebral] si no prestamos atención y resolvemos el problema”, dijo Salvador Cruz-Flores, M.D., jefe del departamento de neurología en la Facultad de Medicina Paul L. Promote del Centro de Ciencias en Salud en Universidad Texas Tech dentro del Paso.

Según las cifras más recientes en Oficina del Censo, hay más de 57 millones hispano-estadounidenses y representan la minoría étnica más grande del país. Los pertenecientes al grupo demográfico de menos de 45 años representan casi tres cuartos de esa población – una proporción significativamente más alta a comparación disadvantage sus pares de raza blanca y de raza negra.

“En la gran mayoría de los casos, podemos marcar la diferencia para revertir la tendencia en calidad de salud pobre – pero tenemos que empezar en una edad temprana”, dijo Carlos J. Rodriguez, M.D., profesor agregado de epidemiología y prevención cardíaca en la Facultad de Medicina en Universidad de Wake Forest.

Los peritos dentro del tema dicen es difícil calcular el riesgo de cardiopatía y ataque cerebral en hispanos porque no hay suficiente información longitudinal de salud. También se dificulta estudiar las enfermedades en esa población porque existen muchos subgrupos étnicos disadvantage diferencias socioeconómicas entre y dentro de los mismos.

El cardiólogo Enrique García-Sayán, M.D. dijo que una herramienta de uso común para calcular el riesgo de una persona de desarrollar cardiopatía o ataque cerebral no es fiable para uso disadvantage los pacientes hispanos porque se desarrolló usando información de personas de raza blanca y de raza negra, y es posible que no calcule correctamente el riesgo en hispanos. Y los pacientes no se deberían formar una idea equivocada sobre su riesgo por las cifras de los Centros para el Control y la Prevención de Enfermedades que muestran que los hispano-estadounidenses viven por lo menos tres años más que los estadounidenses de raza blanca y de raza negra.

“El punto es que no debemos subestimar la importancia de cardiopatía en hispanos”, dijo García-Sayán, profesor adjunto de medicina cardiovascular dentro del Centro de Ciencias en Salud de UT en Houston.

United nations estudio que está proporcionando información es el Hispanic Community Health Study/Study of Latinos, conocido como SOL.

Alguna en información de más importancia del estudio, que empezó hace una década, muestra que la cardiopatía y el ataque cerebral afectan a los grupos étnicos hispanos de forma distinta, dijo Rodriguez, autor principal de united nations reporte en American Heart Association de 2014 sobre cardiopatía y ataque cerebral en hispanos en Estados Unidos.

A modo de ejemplo, los hallazgos de united nations estudio de 2014 dentro del que se usaron estadísticas de SOL mostraron que la diabetes era más común en mexicano-estadounidenses – el grupo étnico hispano más grande del país – y puertorriqueños, a comparación disadvantage los suramericanos. Los resultados de otro estudio indicaron que la obesidad era más común en puertorriqueños y menos común en suramericanos, mientras en otro estudio se determinó que los dominicanos y los puertorriqueños  tienden más a tener presión arterial alta que los hispanos de otra herencia.

Entre hispanos que boy adultos jóvenes, Rodriguez dijo que united nations análisis preliminar no publicado de united nations estudio auxiliar de SOL sugiere que, a comparación disadvantage sus pares de raza blanca y de raza negra, los hispanos tienen united nations índice más alto de presión arterial alta, de diabetes, de obesidad y de otras condiciones que pueden conllevar a la cardiopatía o al ataque cerebral.

Según united nations informe de SOL de 2013, los factores de riesgo tienden a ser más comunes entre los hombres jóvenes que en las mujeres. A modo de ejemplo, los hombres de 18 a 44 años tienden más a fumar, tener colesterol alto y ser prediabéticos que las mujeres hispanas en misma edad.

Para prevenir o controlar los factores de riesgo de cardiopatía o ataque cerebral en la comunidad hispana joven, los peritos dicen es crítico que esas personas tengan acceso a servicios de salud preventivos.

Porque los hispanos tienden a tener menos ingresos que otros estadounidenses y tienen una tasa alta de adultos crime seguro médico, el sector público y el sector privado deben hacer más para que los servicios básicos de salud sean más asequibles para los estadounidenses de escasos recursos, dijo Cruz-Flores.

Dijo que todos deben jugar su papel como corresponde, y apuntó que los grupos que promueven el cuidado en salud y los departamentos de salud federales, estatales y locales, deben continuar las campañas para educar a las personas sobre los riesgos y consecuencias en enfermedad del corazón y el ataque cerebral. Y los doctores de cabecera deben tomarse el tiempo para conocer más sobre la situación económica de sus pacientes, porque la condición económica impacta calidad en dieta en persona y qué medicinas pueden pagar.

Pero al final de cuentas, dijo García-Sayán, los pacientes deben responsabilizarse en calidad de su salud.

“No debo estar viendo a personas en sus 30 años [disadvantage enfermedadescardiovasculares]”, dijo. “Las tasas que estamos viendo de obesidad y diabetes e hipertensión boy, en parte, united nations resultado directo de united nations estilo de vida pobre en esta comunidad”.

Si tiene preguntas o comentarios sobre este artículo, por favor envíe united nations correo electrónico a [email protected]

Youthful Hispanic-Americans could face the next affected by health problems

By AMERICAN HEART ASSOCIATION NEWS

Lea en español

Cardiovascular disease and stroke researchers repeat the writing is on your wall for youthful Hispanic-Americans. If worrisome health trends continue, they might be sicker than their parents and grandma and grandpa once they achieve that age — or possibly sooner.

Hispanic-Americans associated with a race have one of the greatest rates of weight problems, out of control high bloodstream pressure, out of control diabetes and cholesterol — all risks for cardiovascular disease and stroke. Hispanic-American children have one of the greatest weight problems rates, and are more inclined to have Diabetes type 2 than white-colored children.

Thinking about that 42 million Hispanics and Latinos are more youthful than 45, the lengthy-term health implications are dire.

“We can get a considerable rise in the amount of Hispanic people who are afflicted by cardiovascular disease and stroke when we don’t give consideration and take proper care of the issue,Inches stated Salvador Cruz-Flores, M.D., chair of neurology in the Paul L. Promote Med school at Texas Tech College Health Sciences Center in El Paso.

There are other than 57 million Hispanic-Americans, based on the latest estimates in the U.S. Census Bureau, which makes them the country’s largest ethnic population. The under-45 age bracket represents almost three-quarters of this demographic — a substantially greater proportion than their black and white-colored peers.

“In most cases, the largest a positive change in reversing the popularity of illness — but we must start early,” stated Carlos J. Rodriguez, M.D., an affiliate professor of epidemiology and prevention cardiology at Wake Forest Med school.

Experts say it’s been hard to estimate cardiovascular disease and stroke risk in Hispanics since there isn’t enough lengthy-term health data. Plus, the numerous ethnic subgroups and socioeconomic variations included in this and within them causes it to be difficult to adequately study illnesses in individuals populations.

Cardiologist Enrique García-Sayán, M.D., stated a popular tool utilized by cardiologists to evaluate an individual’s chance of cardiovascular disease or stroke can’t be relied upon for Hispanic patients since it was created using data from whites and African-Americans and could miscalculate risk for Hispanic-Americans. And patients should not be fooled by CDC data that demonstrate Hispanic-Americans live a minimum of 3 years more than black and white-colored Americans.

“The final point here is, we ought to not underestimate the significance of cardiovascular disease in Hispanics,” stated García-Sayán, a helper professor of cardiovascular medicine at UT Health Sciences Center in Houston.

One study that’s supplying some insights may be the Hispanic Community Health Study/Study of Latinos, also referred to as SOL.

Probably the most important data in the decade-old study show cardiovascular disease and stroke risks affect Hispanic ethnic groups differently, stated Rodriguez, lead author of the 2014 American Heart Association advisory on cardiovascular disease and stroke in U.S. Hispanics.

For example, a 2014 study using data from SOL demonstrated diabetes was more widespread in Mexican-Americans — the biggest ethnic subpopulation of U.S. Hispanics — and Puerto Ricans than South Americans. Another study found weight problems was most typical among Puerto Ricans and fewer common among South Americans, while another found high bloodstream pressure is much more common among Dominicans and Puerto Ricans than other Hispanic ethnic groups.

Among Hispanic youthful adults, Rodriguez stated an initial unpublished analysis from the SOL ancillary project suggests there is a greater burden of high bloodstream pressure, diabetes, obesity and other concerns that can lead to cardiovascular disease and stroke in contrast to their white-colored and black counterparts.

Risks tend to be common among youthful Hispanic men than women, based on a 2013 report of SOL data. For instance, men ages 18 to 44 are more inclined to smoke, have high cholesterol levels and become prediabetic when compared with Hispanic women of the identical age.

Getting use of maintenance is crucial to prevent or manage cardiovascular disease and stroke risks one of the youthful Hispanic community, experts say.

Because Hispanics have a tendency to earn under other Americans and also have maximum uninsured adults, the private and public sectors must do more to create fundamental care less expensive to low-earnings Americans, Cruz-Flores stated.

But everybody must play their role, he stated, mentioning that federal, condition and native health departments and health groups must continue campaigns to teach people concerning the risks and effects of cardiovascular disease and stroke. And first care doctors should take time to find out more about patients’ economy, which impacts the caliber of their diet program and just what medications they are able to afford, he stated.

But ultimately, García-Sayán stated, patients will need to take responsibility for his or her health.

“I should not be seeing individuals their 30s [with cardiovascular illnesses],” he stated. “The rates of weight problems and hypertension and diabetes that we’re seeing have been in part a result of an undesirable lifestyle within this community.”

For those who have questions or comments relating to this story, please email [email protected]

Searching past the heart in grown-ups with hereditary cardiovascular disease

By AMERICAN HEART ASSOCIATION NEWS

Laura Goldenschue takes antibiotics before you go to the dental professional, even for one routine cleaning. The 59-year-old from Texas assembles a group of specialists when facing a process as minor like a cyst removal. She has a small “health passport” that lists her doctors and explains she’s a grownup survivor of hereditary cardiovascular disease.

But may, everything doesn’t help. Emergencies happen.

In Wyoming in the past, Goldenschue had difficulty breathing, sweating and severe abdominal discomfort on her behalf left side. It had been a terrifying episode, though not unpredicted for somebody with hereditary cardiovascular disease. However in Cody, an urgent situation room physician was adamant on airlifting her towards the nearest major hospital, which in fact had no specialists in adult hereditary cardiovascular disease. Another hospital, a couple hundred miles further, had a grownup hereditary cardiovascular disease program and it was much better outfitted to know and cope with likely complications.

“That’s what’s hard sometimes, when doctors just don’t get sound advice,Inches stated Goldenschue.

A brand new report in the American Heart Association offers to help. It details the main organs — the kidneys, lung area and liver, for instance — along with other systems impacted by hereditary cardiovascular disease and describes evidence-based treatments.

George Lui, M.D., is lead author the brand new scientific statement printed in Circulation and stated he suggested writing it partially due to incredible advances in cardiac surgical techniques. Today, there are other adult survivors of hereditary cardiovascular disease than kids with the condition, he stated. A current assessment estimates about 1.4 million adults and a million children within the U . s . States live with CHD.

“So we’ve been effective, and individuals with hereditary cardiovascular disease live longer, larger lives,” stated Lui, medical director from the Adult Hereditary Heart Program at Stanford College, a Lucile Packard Children’s Hospital and Stanford Healthcare collaboration.

But individuals patients have ongoing health problems that be a consequence of their heart defects and from treatments through the years. Surgery to reroute major bloodstream vessels surely saved the lives of numerous cyanotic or “blue” babies, however the rearranged anatomy and physiology also left them susceptible to kidney along with other non-cardiac illnesses later in existence.

Furthermore, like everybody else, CHD patients get common colds and want tooth decay filled, but they’re frequently much more susceptible to complications than an average joe.

“The chance of infection persists lifelong,” the report notes, “with even small unoperated ventricular septal defects getting a danger of infective endocarditis that’s twenty to thirty occasions those of the overall population.”

Goldenschue was created with four heart defects that threatened her existence because her heart couldn’t deliver enough oxygenated bloodstream to her body or deoxygenated bloodstream to her lung area. She’d a shunt procedure before she switched 1, and much more corrective surgery at 9. Her heart remains imperfect, but Goldenschue stays active.

“I can’t hike a mountain, however i can ride a motorbike,Inches she stated.

Texan Laura Goldenschue is among the 1.4 million U.S. adults with congenital heart disease. (Photo courtesy of Laura Goldenschue)

Texan Laura Goldenschue is probably the 1.4 million U.S. adults with hereditary cardiovascular disease. (Photo thanks to Laura Goldenschue)

The brand new AHA statement on non-cardiac complications handles common, broadly understood impacts of hereditary cardiovascular disease — the lung troubles individuals patients frequently cope with as time passes, common bloodstream abnormalities in cyanotic patients, and the significance of regularly assessing for kidney disorder.

Additionally, it details other problems that are at the moment being acknowledged as important. For instance, it’s only lately that health care providers have recognized the level that CHD people are in danger of liver disease, endocrine abnormalities, atherosclerotic coronary disease and cancer, Lui stated.

“Non-cardiac complications in adult hereditary cardiovascular disease patients may have an affect on lengthy-term outcomes,” he stated. “Should we be screening these patients for atherosclerotic coronary disease or cirrhosis? I will tell you at this time we don’t in each and every patient. We want more research with what modifiable factors could be focused on prevention.”

Anitha John, M.D., Ph.D., director from the Washington Adult Hereditary Heart Program at Children’s National Health System in Washington, D.C., agreed. John, who had been not involved with writing the statement, known as it “incredibly comprehensive. It will an admirable job referring to many of the different, non-cardiac issues in addition to critical research needs.”

“This field is within evolution,” John stated. “Because people are surviving, they’re writing their very own natural history.” The brand new statement, she stated, is really a effective acknowledgement from the challenges these adult patients cope with for many years, which is an operating guide for health care providers.

John stated she found especially compelling the document’s demand better research in to the neurodevelopmental and cognitive impacts of hereditary cardiovascular disease. “We are learning that different treatments and behavior interventions could be implemented earlier to assist patients better deal with illness-related depression, anxiety and learning challenges in a few areas,” she stated.

A selection of non-heart complications in adults with congenital heart disease. (Credit: Circulation)

An array of non-heart complications in grown-ups with hereditary cardiovascular disease. (Credit: Circulation)

When Goldenschue worked having a harmful endocrine tumor a few years back, she accidently learned — again — a lesson that Lui known as probably the most essential in the brand new statement: Get the aid of experts.

Goldenschue had attempted to obtain the tumor, that was wrapped around a significant circulation system, treated near home. She eventually known as experts in the Boston Adult Hereditary Heart program, who recommended she send her charts and fly out.

“They were built with a whole group of doctors that i can talk to plus they required proper care of it,” Goldenschue stated. “But I needed to possess a special everything: cardiologist, endocrinologist, vascular surgeon. The guy who had been the anesthesiologist understood about hereditary heart defects.”

Lui and John stated a vital element in the and well-being of adult hereditary cardiovascular disease patients is use of quality care, with physicians who focus on their disease.

Goldenschue stated that on her, the one who fills that role and it has likely saved her existence is her adult hereditary heart physician, additionally a pediatric cardiologist. “I wouldn’t be around today [without him],” she stated.

For those who have questions or comments relating to this story, please email [email protected]

Dos ataques cerebrales, disadvantage 19 años de diferencia, y united nations diagnóstico de cáncer

Por AMERICAN HEART ASSOCIATION NEWS

Belinda De La Rosa, superviviente de dos ataques cerebrales y cáncer, con su esposo, Joe y, de izquierda a derecha, sus hijos Michael y Jonathan. (Foto courtesía de Belinda De La Rosa)

Belinda En Rosa, superviviente de dos ataques cerebrales y cáncer, disadvantage su esposo, Joe y, de izquierda a derecha, sus hijos Michael y Jonathan. (Foto cortesía de Belinda En Rosa)

Read in British

Belinda En Rosa iba camino a una cita disadvantage united nations médico porque pensaba que tenía codo de tenista. Llevaba días disadvantage united nations dolor persistente dentro del brazo izquierdo.

Iba pasando por united nations hospital ose día en 1997 cuando el dolor se convirtió en united nations entumecimiento que se le trasladó del brazo izquierdo a su cuello y cara, united nations síntoma clásico de ataque cerebral. Fue directamente a la sala de emergencia.

Las pruebas que le hicieron mostraron que En Rosa, quien tenía 41 años de edad, estaba teniendo united nations ataque cerebral isquémico causado por united nations coágulo. Los médicos descubrieron que sufría de síndrome antifosfolípido, una condición de deficiencia autoinmune que puede causar que el cuerpo forme coágulos. Hasta entonces, no se le había diagnosticado.

Para prevenir otro ataque cerebral, empezó a tomar united nations anticoagulante y united nations medicamento para controlar la presión arterial alta, una condición que tampoco se le había sido diagnosticada. Luchó meses disadvantage la debilidad que sentía dentro del lado izquierdo de su cuerpo, que la obligaba a arrastrar su pierna cuando caminaba, y tenía la cara ligeramente caída.

Sus hijos tenían 5 y 12 años, y En Rosa se dedicó de lleno a cuidarlos para distraerse del trauma en experiencia.

“Tenía tanta ansiedad”, recordó. “Me despertaba gritando, ‘no quiero morir’”.

El ataque cerebral es la quinta causa de discapacidad a nivel nacional. Según united nations informe reciente de los Centros para el Control y la Prevención de Enfermedades, a pesar de que el índice de mortalidad por ataque cerebral en adultos estadounidenses disminuyó por united nations thirty-eight percent entre 2000 y 2015, el ritmo disminuyó o se revirtió en la mayoría de estados entre 2013 y 2015.

Las conclusiones del informe indican que los estadounidenses de raza negra boy los que más probabilidad tienen de morir por united nations ataque cerebral, pero entre los hispanos, los índices de mortalidad por ataque cerebral aumentaron 5.eight percent cada año entre 2013 y 2015.

Según los CDC, la mayoría de los casi 800.000 ataques cerebrales al año se pueden prevenir cambiando los hábitos de vida.

Mitchell S. V. Elkind, M.D., united nations profesor de neurología y epidemiología en la Universidad de Columbia, dijo que el aumento a índices de mortalidad apuntan a la importancia de crear más conciencia sobre los riesgos del ataque cerebral. Dijo que también indican que se deben considerar otros factores que pueden impactar, como a modo de ejemplo el acceso a cuidados de salud o alimentos saludables.

“Si las personas no pueden obtener el medicamento o tienen dificultades económicas y no pueden hacer ejercicio o comprar comidas saludables, eso aumentará sus riesgos”, dijo Elkind, quien es el presidente en American Stroke Association. “Es united nations problema multi-dimensional y todas este tipo de están enlazadas disadvantage factores socioeconómicos”.

Elkind dijo que se necesitan mejores iniciativas de concientización en la comunidad hispana que toman en cuenta las diferencias culturales y regionales.

En algunas áreas urbanas, a modo de ejemplo, es difícil encontrar frutas y verduras de buena calidad. Pero las bebidas disadvantage azúcar agregada y comidas fritas y disadvantage united nations alto contenido de sodio boy fáciles de encontrar. La familia, la comunidad en general y los grupos religiosos pueden jugar united nations papel importante en la salud, particularmente para los inmigrantes recién llegados, comentó.

“Puede ser difícil crear united nations vínculo entre la comunidad médica y la comunidad inmigrante”, dijo Elkind. “Tenemos que identificar a individuos en la comunidad que pueden ser promotores de hábitos saludables en la comunidad”.

En Rosa tiene ahora 61 años y vive en Victoria, Texas. Después de recibir tratamiento para cáncer del colon en 2006, cambió radicalmente su dieta. Limita la carne roja que come, cocina los platillos tradicionales mexicanos de forma más saludable, y ya no toma bebidas disadvantage azúcar agregada. En lugar de té, a modo de ejemplo, toma agua.

En Rosa tuvo otro ataque cerebral en abril – 19 años después del primero. Su médico le cambió los medicamentos y ella modificó su dieta aun más, y le agregó más verduras verdes y redujo su consumo de sodio.

También empezó hacer más ejercicio, y usa united nations medidor de actividad física para lograr por lo menos 10.000 pasos diarios.

“No tiene 1 que malmatarse disadvantage los ejercicios de cardio, pero se debe hacer algo para ser activo”, dijo En Rosa, quien fue nominada por su hijo Michael para el premio Héroe de Stroke en American Stroke Association.

“[La fe] es lo que me motiva a seguir adelante”, dijo. “Mantén siempre la cabeza levantada y mantente positivo. Disadvantage la gracia de Dios, estarás bien. Quizás no físicamente, pero mentalmente”.

Si tiene una pregunta o united nations comentario sobre este artículo, por favor mande united nations correo electrónico a [email protected]