Screening Strategies for Cardiovascular Disease in Asymptomatic Adults

Wallace, Mark C.; Ricco, Jason; Barrett, Bruce

doi:10.1016/j.pop.2014.02.010

Cited by 37 publications

(40 citation statements)

References 83 publications

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“…CVD risk assessment among persons diagnosed with TB should follow current guidelines and evidence regarding screening asymptomatic adults [55]. There is likely limited risk to TB patients in screening for CVD and modifiable CVD risk factors, although randomized trial risk-benefit data for systematic CVD screening among TB patients is currently unavailable.…”

Section: Plos Onementioning

confidence: 99%

Cardiovascular morbidity and mortality among persons diagnosed with tuberculosis: A systematic review and meta-analysis

et al. 2020

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Section: Plos Onementioning

confidence: 99%

Cardiovascular morbidity and mortality among persons diagnosed with tuberculosis: A systematic review and meta-analysis

et al. 2020

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“…Good vascular health improves working capacity and plays an important role in the prevention of CVD (Nystoriak and Bhatnagar, 2018). This study represents the overall routine of physical testing, cardiovascular checking is essential in health promotion of physical performance in younger adults (Wallace et al, 2014), persuading them to perceive their health through stopping tobacco smoking and controlling body fat by appropriate exercise rather than controlling their weight by smoking.…”

Section: Discussionmentioning

confidence: 99%

Effects of physical activity and smoking on cardio-ankle vascular index, respiratory muscle strength, and exercise performance in early normal weight adulthood: a cross-sectional study

et al. 2019

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Few studies have shown the impact of unhealthy habits on arterial stiffness, respiratory muscle strength and exercise performance in early normal weight adulthood. This study sought to determine the effects of physical activity and smoking on its parameters in normal weight male participants. Forty-eight participants were divided into four groups: physically inactive nonsmokers and smokers and physically active nonsmokers and smokers (n= 12 in each group). All of the participants were measured for body composition, arterial stiffness, respiratory muscle strength and exercise performance. Two-way analysis of variance design was used to test the main and interaction effects of physical activity by group (smokers vs. nonsmokers). P-value of less than 0.05 was considered as a statistically significant difference. As a result, cardio-ankle vascular index and respiratory muscle strength were diminished in smokers and physically inactive participants, while body and visceral fat mass were increased in both those groups. Fat-free mass was lower in only physically inactive participants. This study also found the interaction effects on body fat and arterial stiffness. In conclusion, participants with healthy normal weight, but smoked and performed inappropriate physical activity, exhibited body composition imbalance, decreased respiratory muscle strength, exercise performance, and increased arterial stiffness. Therefore, smoking cessation and exercise in younger adults are appropriate ways of improving body composition, respiratory muscle strength, aerobic capacity and arterial stiffness instead of trying to control their weight by smoking.

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“…The current guidelines for vascular screenings to detect CVD are blood pressure measurements which include multiple reads (3) for accuracy and electrocardiograms (Wallace, 2015). These screenings, along with treatment and lifestyle changes due to the information that the screening provide have been shown to significantly reduce the occurrence of CVD events.…”

Section: Discussionmentioning

confidence: 99%

Living Arrangement: a Contributor to Vascular Disease in Asymptomatic African American Women

Hall

Ofili

Lapu-Bula

et al. 2019

JGPHA

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Background: Diminished social support has shown to lead to worse cardiovascular outcomes and since cardiovascular disease (CVD) is the leading cause of death in the United States (U.S.), it is critical to non-invasively study its precursor-vascular disease (VD). Assessing the impact social support has on vascular outcomes can unveil potential CVD susceptibilities in at-risk populations. African American women exhibit the greatest burden of CVD morbidity and mortality; therefore, the purpose of this study is to examine the association between living arrangement/social support and impaired vascular function in asymptomatic African American women.Methods: Vascular function was assessed by a non-invasive screening tool, HDI/PulseWave CR-2000, during screenings at community outreach events on participants clinically free of CVD. Vascular disease was defined as abnormal/impaired vascular function. Living arrangement, a binary variable (living with someone/living alone), was determined by survey responses (N=67) and represented social support. Multivariable analyses were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (95% CIs) to determine the association between living arrangement and vascular disease after controlling for confounders. Analyses were conducted using SAS 9.2. Results:Of those who lived alone, 82% had vascular disease (p=0.03). After adjusting for family CVD, and other CVD risk factors, those who lived with a spouse/partner or relative were 78% (p=0.04) less likely to develop vascular disease (AOR=0.22; 95% CI=0.05, 0.98). Conclusions:Our study provides preliminary evidence to suggest that among African American women, clinically free of CVD, living arrangement is associated with vascular disease. While living alone may place individuals at an increased risk of CVD because of the association, living with a spouse/partner or relative may act as a protective factor against vascular disease and reduce the risk of CVD. Public health practitioners may use individuals' living arrangement as preventive measure for CVD risk.

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Screening Strategies for Cardiovascular Disease in Asymptomatic Adults

Cited by 37 publications

References 83 publications

Cardiovascular morbidity and mortality among persons diagnosed with tuberculosis: A systematic review and meta-analysis

Cardiovascular morbidity and mortality among persons diagnosed with tuberculosis: A systematic review and meta-analysis

Effects of physical activity and smoking on cardio-ankle vascular index, respiratory muscle strength, and exercise performance in early normal weight adulthood: a cross-sectional study

Living Arrangement: a Contributor to Vascular Disease in Asymptomatic African American Women

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