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Cardiometabolic Disease in Rural Southeastern Communities.

Christopher M Smith, Carolyn E Horne, Brittany Butts

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    Lower educational attainment and insufficient sleep are linked to higher cardiometabolic risk factors like blood pressure and glucose in rural adults. These modifiable factors, particularly in younger individuals, highlight the need for targeted community health interventions.

    Keywords:
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    Area of Science:

    • Cardiovascular Health
    • Public Health
    • Epidemiology

    Background:

    • Cardiometabolic disease poses a significant health burden in rural populations.
    • Early indicators of cardiometabolic risk are understudied in these communities.

    Purpose of the Study:

    • To characterize cardiometabolic health in a rural southeastern U.S. community.
    • To assess blood pressure and glycemic alterations and their association with sleep, nutrition, and education.
    • To gauge community interest in hypertension research.

    Main Methods:

    • Cross-sectional study at a rural community health screening.
    • Non-probability convenience sampling with surveys and clinical screenings.
    • Regression and moderation analyses to examine predictors of blood pressure.

    Main Results:

    • High school education correlated with higher systolic blood pressure (SBP) and mean arterial pressure (MAP).
    • Sleeping ≤ 6 hours predicted elevated SBP, MAP, and glucose levels.
    • Younger adults showed higher blood pressure; education and sleep effects on BP were stronger in men, while women had higher BP overall.

    Conclusions:

    • Education and sleep are associated with early cardiometabolic risk in rural settings.
    • Findings support biobehavioral models for early risk detection, especially in young adults.
    • Nurses can lead initiatives addressing rural cardiometabolic risk; prevention strategies targeting young adults are crucial.