Patients' Knowledge of Risk and Protective Factors for Cardiovascular Disease

Wartak, Siddharth; Friderici, Jennifer; Lotfi, Amir; Verma, Ashish; Kleppel, Reva; Naglieri-Prescod, Deborah; Rothberg, Michael B.

doi:10.1016/j.amjcard.2011.01.023

Cited by 42 publications

(44 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although progress has been made to improve general CVD knowledge in the past decades [23,24], awareness of personal CVD risk remain relatively low, particularly among African Americans. The pattern of results from the present study suggest African Americans have lower knowledge of personal and target levels of CHI relative to whites.…”

Section: Discussionmentioning

confidence: 99%

Racial/Ethnic Differences in Knowledge of Personal and Target Levels of Cardiovascular Health Indicators

2015

J Community Health

View full text Add to dashboard Cite

This study aimed to examine ethnic differences in knowledge of personal and target levels of cardiovascular health indicators between non-Hispanic whites and African Americans. A secondary objective was to evaluate the associations between knowledge of cardiovascular health indicators and health promotion behaviors. Participants (66.7% female) consisted of 265 whites and 428 African Americans, ages 18 and older recruited from primary care clinics and churches. Respondents completed a brief survey on blood pressure (BP), total cholesterol, blood glucose, body mass index (BMI), diet, and physical activity. Whites were more likely than African Americans to report knowing their personal and target levels of cardiovascular health indicators. Knowledge of personal BP and/or BMI was positively associated with actual physical activity, and awareness of personal blood glucose was positively associated with healthy dietary practices for participants in both groups. Among whites, awareness of personal BP and knowledge of target levels for BP, total cholesterol, and BMI were also associated with healthy diet. Results suggest there are racial/ethnic disparities in knowledge of personal and ideal levels of cardiovascular health indicators, and that this knowledge is related to health promotion behaviors. Targeted educational efforts are warranted to enhance knowledge of personal risk indicators among African Americans.

show abstract

Section: Discussionmentioning

confidence: 99%

Racial/Ethnic Differences in Knowledge of Personal and Target Levels of Cardiovascular Health Indicators

2015

J Community Health

View full text Add to dashboard Cite

show abstract

“…26 Failure to recognize abnormal weight status and tolerance of overweight or obese status makes it less likely that calls for weight control are seen as personally relevant, and might be ignored by those who neither perceive their weight as abnormal nor recognize associated risks. 27,28 Many individuals who underestimate self-size recognize the variance between current size and ideal size. Overweight/ obese adults and children are more likely to be dissatisfied than their normal-weight counterparts.…”

Section: Discussionmentioning

confidence: 99%

Size Misperception Among Overweight and Obese Families

et al. 2014

View full text Add to dashboard Cite

BACKGROUND: Perception of body size is a key factor driving health behavior. Mothers directly influence children's nutritional and exercise behaviors. Mothers of ethnic minority groups and lower socioeconomic status are less likely to correctly identify young children as overweight or obese. Little evaluation has been done of the inverse-the child's perception of the mother's weight. OBJECTIVE: To determine awareness of weight status among mother-child dyads (n=506). DESIGN: Cross-sectional study conducted in an outpatient pediatric dental clinic of Columbia University Medical Center, New York, NY. PARTICIPANTS: Primarily Hispanic (82.2 %) mothers (n= 253), 38.8±7.5 years of age, and children (n=253), 10.5± 1.4 years of age, responding to a questionnaire adapted from the validated Behavioral Risk Factor Surveillance System. MAIN MEASURES: Anthropometric measures-including height, weight, and waist circumference-and awareness of self-size and size of other generation were obtained. KEY RESULTS: 71.4 % of obese adults and 35.1 % of overweight adults underestimated size, vs. 8.6 % of normal-weight (NW) adults (both p < 0.001). Among overweight and obese children, 86.3 % and 62.3 % underestimated their size, vs. 14.9 % NW children (both p<0.001). Among mothers with overweight children, 80.0 % underestimated their child's weight, vs. 7.1 % of mothers with NW children (p<0.001); 23.1 % of mothers with obese children also underestimated their child's weight (p < 0.01). Among children with obese mothers, only 13.0 % correctly classified the adult's size, vs. 76.5 % with NW mothers (p<0.001). Among obese mothers, 20.8 % classified overweight body size as ideal, vs. 1.2 % among NW mothers (p<0.001). CONCLUSION: Overweight/obese adults and children frequently underestimate their size. Adults misjudge overweight/obese children as being of normal weight, and children of obese mothers often underestimate the adult's size. Failure to recognize overweight/obesity status among adults and children can lead to prolonged exposure to obesity-related comorbidities.

show abstract

“…Most of the students (88%) properly defined four of the risk factors, which corresponds to the number of factors identified by adult patients over 40 years old who are not in any way connected with health care [18].…”

Section: Discussionmentioning

confidence: 99%