Lipids, lipoproteins and coronary heart disease in minority populations

Harris‐Hooker, Sandra; Sanford, Gary L.

doi:10.1016/0021-9150(94)90155-4

Cited by 28 publications

(11 citation statements)

References 44 publications

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“…A number of factors such as high blood pressure, elevated plasma lipids and lipoproteins, diabetes, obesity, and diets high in saturated and trans-fatty acids increase the risk of CVD (42)(43)(44)(45)(46). In this study, we observed significant differences in CVD risk factor levels among the three populations.…”

Section: Discussionmentioning

confidence: 37%

“…The adjustment for age of CVD risk factor levels did not change the lower CVD risk level observed among the Inuit population compared with Cree and Quebec populations. High triacylglycerol and low HDL cholesterol concentrations are now well recognized as key risk factors for CVD (43,46). A number of intervention studies have demonstrated the triacylglycerol-lowering effect of n-3 fatty acids (47)(48)(49)(50)(51)(52).…”

Section: Discussionmentioning

confidence: 99%

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Fish consumption and blood lipids in three ethinic groups of Québec (canada)

Dewailly

Blanchet

Gingras

et al. 2003

Lipids

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The purpose of this study was to compare fish intake and plasma phospholipid concentrations of n-3 fatty acids, in particular of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), among representative population samples of Québecers, James Bay Cree, and Inuit of Nunavik (Canada). The relationships between these concentrations and cardiovascular disease (CVD) risk factors were also investigated and compared in the three populations. In 1990-1992, the study subjects had participated in the extensive Santé Québec health surveys conducted in southern Québec, James Bay, and Nunavik. Significant differences in levels of CVD risk factors were found among these three populations. Globally, Inuit showed the lowest risk status for CVD compared with Cree and Québecers, despite the high prevalence of cigarette smoking and obesity. Daily fish intakes varied significantly among the three groups, averaging 13, 60, and 131 g for Québecers, Cree, and Inuit, respectively. Concentrations of EPA + DHA in plasma phospholipids were highest among Inuit (8.0%), second-highest among Cree (3.9%), and lowest among Québecers (1.8%). When the three populations were grouped together, there was a positive association between concentrations of EPA + DHA stratified into quartiles and HDL cholesterol, with a significant relation in quartile 4 (EPA + DHA > or = 4.04%). An inverse relation was also found between EPA + DHA and triacylglycerols in quartile 4. Our results indicate that increased consumption of fish as a source of n-3 fatty acids is beneficially associated with levels of HDL cholesterol and triacylglycerols.

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Section: Discussionmentioning

confidence: 37%

Section: Discussionmentioning

confidence: 99%

Fish consumption and blood lipids in three ethinic groups of Québec (canada)

Dewailly

Blanchet

Gingras

et al. 2003

Lipids

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“…Although the U.S. Census Bureau collects race data by Asian-American subgroup, many national health surveys do not, classifying race only at the aggregated level of “Asian.” Most major epidemiologic cohort studies for chronic disease have not included Asian Americans, such as the Framingham Heart Study and the Cancer Prevention Study (19–23). Those cohort studies that have included Asian Americans have often focused on one Asian-American subgroup, such as the Ni-Hon-San study for cardiovascular disease (Japanese in different countries) (24), or have included only one Asian-American subgroup, such as the Multi-ethnic Cohort Study for cancer (Japanese Americans) (25).…”

Section: History Of Data Collection For Asian Americansmentioning

confidence: 99%

Problems With the Collection and Interpretation of Asian-American Health Data: Omission, Aggregation, and Extrapolation

Holland

Palaniappan

2012

Annals of Epidemiology

223

194

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Asian-American citizens are the fastest growing racial/ethnic group in the United States. Nevertheless, data on Asian American health are scarce, and many health disparities for this population remain unknown. Much of our knowledge of Asian American health has been determined by studies in which investigators have either grouped Asian-American subjects together or examined one subgroup alone (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese). National health surveys that collect information on Asian-American race/ethnicity frequently omit this population in research reports. When national health data are reported for Asian-American subjects, it is often reported for the aggregated group. This aggregation may mask differences between Asian-American subgroups. When health data are reported by Asian American subgroup, it is generally reported for one subgroup alone. In the Ni-Hon-San study, investigators examined cardiovascular disease in Japanese men living in Japan (Nippon; Ni), Honolulu, Hawaii (Hon), and San Francisco, CA (San). The findings from this study are often incorrectly extrapolated to other Asian-American subgroups. Recommendations to correct the errors associated with omission, aggregation, and extrapolation include: oversampling of Asian Americans, collection and reporting of race/ ethnicity data by Asian-American subgroup, and acknowledgement of significant heterogeneity among Asian American subgroups when interpreting data.

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“…It is well established that persons of African descent have signifi cantly higher HDL-C levels than those of European descent ( 34 ). It was previously suggested that a variant in HL that is more common in Africans might contribute to the higher HDL-C levels ( 35 ).…”

Section: S-g26s El Versusmentioning

confidence: 99%