Trends of cardiovascular health in Asian American individuals: A national health and nutrition examination survey study

Naman S. Shetty; Nirav Patel; Mokshad Gaonkar; Rajat Kalra; Peng Li; Gregory Pavela; Garima Arora; Pankaj Arora

doi:10.1016/j.ajpc.2023.100509

Trends of cardiovascular health in Asian American individuals: A national health and nutrition examination survey study

Naman S. Shetty, Nirav Patel, Mokshad Gaonkar, Rajat Kalra, Peng Li, Gregory Pavela, Garima Arora, Pankaj Arora

Medicine - Cardiology Division

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Objective: Oversampling of Asian American individuals in the National Health and Nutrition Examination Survey (NHANES) provides a unique opportunity to assess the population-level cardiovascular health (CVH) in the fastest-growing racial group in the US. Methods: The Life's Essential 8 (LE8) score and its components were calculated in self-reported Asian American individuals ≥20 years of age and free of cardiovascular disease in the NHANES cycles from 2011-March 2020. Multivariable adjusted linear and logistic regression models were used for analysis. Results: Among 2,059 Asian American individuals, the weighted mean LE8 score was 69.1 (0.4) with US-born [69.0 (0.8)] and foreign-born individuals [69.1 (0.4)] having similar CVH. From 2011 to March 2020, CVH in the overall population [69.7 (0.8) to 68.1 (0.8); P_trend: 0.009] and foreign-born individuals [69.7 (0.8) to 67.7 (0.8); P_trend: 0.005] declined. Decreasing trends were noted in the body mass index score irrespective of stratification and in the blood pressure scores in the overall population and foreign-born Asian American individuals. Compared with US-born individuals, the odds of ideal levels of smoking [OR_adj:<5 years: 2.23 (95%CI: 1.45–3.44); 5–15 years: 1.97 (95%CI: 1.27–3.05); 15–30 years: 1.61 (95%CI: 1.11–2.34); ≥30 years: 1.69(95%CI:1.20–2.36)] and diet [OR_adj: <5 years: 1.87 (95%CI: 1.26–2.79); 5–15 years: 2.00 (95%CI: 1.38–2.89); 15–30 years: 1.74 (95%CI: 1.14–2.68)] were higher in foreign-born individuals. Foreign-born individuals had lower odds of ideal physical activity levels [OR_adj: 5–15 years: 0.55 (95%CI: 0.39–0.79); 15–30 years: 0.68 (95%CI: 0.49–0.95)] and ideal cholesterol levels [OR_adj: 5–15 years: 0.59 (95%CI: 0.42–0.82); 15–30 years: 0.54 (95%CI: 0.38–0.76); ≥30 years: 0.52 (95%CI: 0.38–0.76)]. Conclusion: The CVH in Asian American individuals declined from 2011 to March 2020. The odds of ideal CVH decreased with increasing duration of stay in the US, with foreign-born individuals residing in the US for ≥30 years having ∼28% lower odds of ideal CVH compared with US-born individuals.

Original language	English (US)
Article number	100509
Journal	American Journal of Preventive Cardiology
Volume	14
DOIs	https://doi.org/10.1016/j.ajpc.2023.100509
State	Published - Jun 2023

Bibliographical note

Publisher Copyright:
© 2023 The Author(s)

Keywords

Acculturation
Asian American
Cardiovascular health
Life's essential 8
Sleep

PubMed: MeSH publication types

Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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@article{2fd89647e1f846dda0d86ebed6647307,

title = "Trends of cardiovascular health in Asian American individuals: A national health and nutrition examination survey study",

abstract = "Objective: Oversampling of Asian American individuals in the National Health and Nutrition Examination Survey (NHANES) provides a unique opportunity to assess the population-level cardiovascular health (CVH) in the fastest-growing racial group in the US. Methods: The Life's Essential 8 (LE8) score and its components were calculated in self-reported Asian American individuals ≥20 years of age and free of cardiovascular disease in the NHANES cycles from 2011-March 2020. Multivariable adjusted linear and logistic regression models were used for analysis. Results: Among 2,059 Asian American individuals, the weighted mean LE8 score was 69.1 (0.4) with US-born [69.0 (0.8)] and foreign-born individuals [69.1 (0.4)] having similar CVH. From 2011 to March 2020, CVH in the overall population [69.7 (0.8) to 68.1 (0.8); Ptrend: 0.009] and foreign-born individuals [69.7 (0.8) to 67.7 (0.8); Ptrend: 0.005] declined. Decreasing trends were noted in the body mass index score irrespective of stratification and in the blood pressure scores in the overall population and foreign-born Asian American individuals. Compared with US-born individuals, the odds of ideal levels of smoking [ORadj:<5 years: 2.23 (95%CI: 1.45–3.44); 5–15 years: 1.97 (95%CI: 1.27–3.05); 15–30 years: 1.61 (95%CI: 1.11–2.34); ≥30 years: 1.69(95%CI:1.20–2.36)] and diet [ORadj: <5 years: 1.87 (95%CI: 1.26–2.79); 5–15 years: 2.00 (95%CI: 1.38–2.89); 15–30 years: 1.74 (95%CI: 1.14–2.68)] were higher in foreign-born individuals. Foreign-born individuals had lower odds of ideal physical activity levels [ORadj: 5–15 years: 0.55 (95%CI: 0.39–0.79); 15–30 years: 0.68 (95%CI: 0.49–0.95)] and ideal cholesterol levels [ORadj: 5–15 years: 0.59 (95%CI: 0.42–0.82); 15–30 years: 0.54 (95%CI: 0.38–0.76); ≥30 years: 0.52 (95%CI: 0.38–0.76)]. Conclusion: The CVH in Asian American individuals declined from 2011 to March 2020. The odds of ideal CVH decreased with increasing duration of stay in the US, with foreign-born individuals residing in the US for ≥30 years having ∼28% lower odds of ideal CVH compared with US-born individuals.",

keywords = "Acculturation, Asian American, Cardiovascular health, Life's essential 8, Sleep",

author = "Shetty, {Naman S.} and Nirav Patel and Mokshad Gaonkar and Rajat Kalra and Peng Li and Gregory Pavela and Garima Arora and Pankaj Arora",

note = "Publisher Copyright: {\textcopyright} 2023 The Author(s)",

year = "2023",

month = jun,

doi = "10.1016/j.ajpc.2023.100509",

language = "English (US)",

volume = "14",

journal = "American Journal of Preventive Cardiology",

issn = "2666-6677",

publisher = "Elsevier BV",

}

TY - JOUR

T1 - Trends of cardiovascular health in Asian American individuals

T2 - A national health and nutrition examination survey study

AU - Shetty, Naman S.

AU - Patel, Nirav

AU - Gaonkar, Mokshad

AU - Kalra, Rajat

AU - Li, Peng

AU - Pavela, Gregory

AU - Arora, Garima

AU - Arora, Pankaj

PY - 2023/6

Y1 - 2023/6

N2 - Objective: Oversampling of Asian American individuals in the National Health and Nutrition Examination Survey (NHANES) provides a unique opportunity to assess the population-level cardiovascular health (CVH) in the fastest-growing racial group in the US. Methods: The Life's Essential 8 (LE8) score and its components were calculated in self-reported Asian American individuals ≥20 years of age and free of cardiovascular disease in the NHANES cycles from 2011-March 2020. Multivariable adjusted linear and logistic regression models were used for analysis. Results: Among 2,059 Asian American individuals, the weighted mean LE8 score was 69.1 (0.4) with US-born [69.0 (0.8)] and foreign-born individuals [69.1 (0.4)] having similar CVH. From 2011 to March 2020, CVH in the overall population [69.7 (0.8) to 68.1 (0.8); Ptrend: 0.009] and foreign-born individuals [69.7 (0.8) to 67.7 (0.8); Ptrend: 0.005] declined. Decreasing trends were noted in the body mass index score irrespective of stratification and in the blood pressure scores in the overall population and foreign-born Asian American individuals. Compared with US-born individuals, the odds of ideal levels of smoking [ORadj:<5 years: 2.23 (95%CI: 1.45–3.44); 5–15 years: 1.97 (95%CI: 1.27–3.05); 15–30 years: 1.61 (95%CI: 1.11–2.34); ≥30 years: 1.69(95%CI:1.20–2.36)] and diet [ORadj: <5 years: 1.87 (95%CI: 1.26–2.79); 5–15 years: 2.00 (95%CI: 1.38–2.89); 15–30 years: 1.74 (95%CI: 1.14–2.68)] were higher in foreign-born individuals. Foreign-born individuals had lower odds of ideal physical activity levels [ORadj: 5–15 years: 0.55 (95%CI: 0.39–0.79); 15–30 years: 0.68 (95%CI: 0.49–0.95)] and ideal cholesterol levels [ORadj: 5–15 years: 0.59 (95%CI: 0.42–0.82); 15–30 years: 0.54 (95%CI: 0.38–0.76); ≥30 years: 0.52 (95%CI: 0.38–0.76)]. Conclusion: The CVH in Asian American individuals declined from 2011 to March 2020. The odds of ideal CVH decreased with increasing duration of stay in the US, with foreign-born individuals residing in the US for ≥30 years having ∼28% lower odds of ideal CVH compared with US-born individuals.

AB - Objective: Oversampling of Asian American individuals in the National Health and Nutrition Examination Survey (NHANES) provides a unique opportunity to assess the population-level cardiovascular health (CVH) in the fastest-growing racial group in the US. Methods: The Life's Essential 8 (LE8) score and its components were calculated in self-reported Asian American individuals ≥20 years of age and free of cardiovascular disease in the NHANES cycles from 2011-March 2020. Multivariable adjusted linear and logistic regression models were used for analysis. Results: Among 2,059 Asian American individuals, the weighted mean LE8 score was 69.1 (0.4) with US-born [69.0 (0.8)] and foreign-born individuals [69.1 (0.4)] having similar CVH. From 2011 to March 2020, CVH in the overall population [69.7 (0.8) to 68.1 (0.8); Ptrend: 0.009] and foreign-born individuals [69.7 (0.8) to 67.7 (0.8); Ptrend: 0.005] declined. Decreasing trends were noted in the body mass index score irrespective of stratification and in the blood pressure scores in the overall population and foreign-born Asian American individuals. Compared with US-born individuals, the odds of ideal levels of smoking [ORadj:<5 years: 2.23 (95%CI: 1.45–3.44); 5–15 years: 1.97 (95%CI: 1.27–3.05); 15–30 years: 1.61 (95%CI: 1.11–2.34); ≥30 years: 1.69(95%CI:1.20–2.36)] and diet [ORadj: <5 years: 1.87 (95%CI: 1.26–2.79); 5–15 years: 2.00 (95%CI: 1.38–2.89); 15–30 years: 1.74 (95%CI: 1.14–2.68)] were higher in foreign-born individuals. Foreign-born individuals had lower odds of ideal physical activity levels [ORadj: 5–15 years: 0.55 (95%CI: 0.39–0.79); 15–30 years: 0.68 (95%CI: 0.49–0.95)] and ideal cholesterol levels [ORadj: 5–15 years: 0.59 (95%CI: 0.42–0.82); 15–30 years: 0.54 (95%CI: 0.38–0.76); ≥30 years: 0.52 (95%CI: 0.38–0.76)]. Conclusion: The CVH in Asian American individuals declined from 2011 to March 2020. The odds of ideal CVH decreased with increasing duration of stay in the US, with foreign-born individuals residing in the US for ≥30 years having ∼28% lower odds of ideal CVH compared with US-born individuals.

KW - Acculturation

KW - Asian American

KW - Cardiovascular health

KW - Life's essential 8

KW - Sleep

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DO - 10.1016/j.ajpc.2023.100509

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VL - 14

JO - American Journal of Preventive Cardiology

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ER -

Trends of cardiovascular health in Asian American individuals: A national health and nutrition examination survey study

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

Access

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