Lifestyle risk factors and cardiovascular disease in cubans and cuban americans
Melissa S Burroughs Peña1, Dhaval Patel, Delfin Rodríguez Leyva
1Division of Cardiology, Duke University Medical Center, Durham, NC 27710, USA.
Insights
Lifestyle factors like poor diet, inactivity, and smoking increase cardiovascular disease (CVD) risk in Cuba. While Cuban Americans have higher obesity and diabetes rates, Cubans face rising CVD threats due to these modifiable risks.
Area of Science:
- Epidemiology
- Cardiovascular Health
- Public Health
Background:
- Cardiovascular disease (CVD) is the primary cause of death in Cuba.
- A comparison of lifestyle risk factors for coronary heart disease (CHD) between Cubans and Cuban Americans is lacking.
- Recent epidemiological data from Cuba contrasts with older data on Cuban Americans (HHANES, 1982-1984).
Purpose of the Study:
- To compare lifestyle risk factors for cardiovascular disease in Cubans and Cuban Americans.
- To identify trends and risk factors contributing to the rising CVD burden in Cuba.
Main Methods:
- Systematic review of articles published within the last 20 years.
- Analysis of epidemiological data from Cuba and the Hispanic Health and Nutrition Examination Survey (HHANES) for Cuban Americans.
Main Results:
- Cuban Americans exhibit higher prevalence of obesity and type 2 diabetes mellitus compared to Cubans.
- Dietary habits, physical inactivity, and tobacco use are escalating obesity, type 2 diabetes mellitus, and CHD rates in Cuba.
- These lifestyle factors are increasing cardiovascular risk among the Cuban population.
Conclusions:
- Comprehensive national strategies are needed for cardiovascular prevention in Cuba.
- Addressing modifiable lifestyle risk factors is crucial to mitigate the growing public health threat of CVD in Cuba.
Abstract:
Cardiovascular disease is the leading cause of mortality in Cuba. Lifestyle risk factors for coronary heart disease (CHD) in Cubans have not been compared to risk factors in Cuban Americans. Articles spanning the last 20 years were reviewed. The data on Cuban Americans are largely based on the Hispanic Health and Nutrition Examination Survey (HHANES), 1982-1984, while more recent data on epidemiological trends in Cuba are available. The prevalence of obesity and type 2 diabetes mellitus remains greater in Cuban Americans than in Cubans. However, dietary preferences, low physical activity, and tobacco use are contributing to the rising rates of obesity, type 2 diabetes mellitus, and CHD in Cuba, putting Cubans at increased cardiovascular risk. Comprehensive national strategies for cardiovascular prevention that address these modifiable lifestyle risk factors are necessary to address the increasing threat to public health in Cuba.
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