High-risk African Americans with multiple risk factors for cardiovascular disease: Challenges in prevention, diagnosis, and treatment

Research output: Contribution to journalReview article

Richard Allen Williams, James R. Gavin, Robert A. Phillips, Anne E. Sumner, Alan K. Duncan, Danielle Hollar, Charles H. Hennekens

Coronary heart disease (CHD) is the second leading cause of death in the United States. Despite previous downward trends, which have 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.

Original languageEnglish (US)
Pages (from-to)633-639
Number of pages7
JournalEthnicity and Disease
Volume16
Issue number3
StatePublished - Dec 1 2006

PMID: 16937598

Cite this

Standard

High-risk African Americans with multiple risk factors for cardiovascular disease : Challenges in prevention, diagnosis, and treatment. / Williams, Richard Allen; Gavin, James R.; Phillips, Robert A.; Sumner, Anne E.; Duncan, Alan K.; Hollar, Danielle; Hennekens, Charles H.

In: Ethnicity and Disease, Vol. 16, No. 3, 01.12.2006, p. 633-639.

Research output: Contribution to journalReview article

Harvard

Williams, RA, Gavin, JR, Phillips, RA, Sumner, AE, Duncan, AK, Hollar, D & Hennekens, CH 2006, 'High-risk African Americans with multiple risk factors for cardiovascular disease: Challenges in prevention, diagnosis, and treatment' Ethnicity and Disease, vol. 16, no. 3, pp. 633-639.

APA

Williams, R. A., Gavin, J. R., Phillips, R. A., Sumner, A. E., Duncan, A. K., Hollar, D., & Hennekens, C. H. (2006). High-risk African Americans with multiple risk factors for cardiovascular disease: Challenges in prevention, diagnosis, and treatment. Ethnicity and Disease, 16(3), 633-639.

Vancouver

Williams RA, Gavin JR, Phillips RA, Sumner AE, Duncan AK, Hollar D et al. High-risk African Americans with multiple risk factors for cardiovascular disease: Challenges in prevention, diagnosis, and treatment. Ethnicity and Disease. 2006 Dec 1;16(3):633-639.

Author

Williams, Richard Allen ; Gavin, James R. ; Phillips, Robert A. ; Sumner, Anne E. ; Duncan, Alan K. ; Hollar, Danielle ; Hennekens, Charles H. / High-risk African Americans with multiple risk factors for cardiovascular disease : Challenges in prevention, diagnosis, and treatment. In: Ethnicity and Disease. 2006 ; Vol. 16, No. 3. pp. 633-639.

BibTeX

@article{e84fd9db90644bcaa6e8a760b2c6bcb2,
title = "High-risk African Americans with multiple risk factors for cardiovascular disease: Challenges in prevention, diagnosis, and treatment",
abstract = "Coronary heart disease (CHD) is the second leading cause of death in the United States. Despite previous downward trends, which have 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.",
keywords = "African Americans, Cardiovascular disease, High-risk",
author = "Williams, {Richard Allen} and Gavin, {James R.} and Phillips, {Robert A.} and Sumner, {Anne E.} and Duncan, {Alan K.} and Danielle Hollar and Hennekens, {Charles H.}",
year = "2006",
month = "12",
day = "1",
language = "English (US)",
volume = "16",
pages = "633--639",
journal = "Ethnicity and Disease",
issn = "1049-510X",
publisher = "ISHIB",
number = "3",

}

RIS

TY - JOUR

T1 - High-risk African Americans with multiple risk factors for cardiovascular disease

T2 - Ethnicity and Disease

AU - Williams, Richard Allen

AU - Gavin, James R.

AU - Phillips, Robert A.

AU - Sumner, Anne E.

AU - Duncan, Alan K.

AU - Hollar, Danielle

AU - Hennekens, Charles H.

PY - 2006/12/1

Y1 - 2006/12/1

N2 - Coronary heart disease (CHD) is the second leading cause of death in the United States. Despite previous downward trends, which have 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.

AB - Coronary heart disease (CHD) is the second leading cause of death in the United States. Despite previous downward trends, which have 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.

KW - African Americans

KW - Cardiovascular disease

KW - High-risk

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UR - http://www.scopus.com/inward/citedby.url?scp=33749344490&partnerID=8YFLogxK

M3 - Review article

VL - 16

SP - 633

EP - 639

JO - Ethnicity and Disease

JF - Ethnicity and Disease

SN - 1049-510X

IS - 3

ER -

ID: 16835724