Large differences found in heart risks and stroke between American Asian, Hawaii and Pacific Islander groups

The frequency of traditional cardiovascular risk factors, such as high blood pressure and high cholesterol, and the overall risk of heart attack or stroke varies greatly among American, Native Hawaii and Pacific populations, even if these groups are usually grouped for research purposes, new research shows.

finding Last week were presented at the epidemiology and prevention/lifestyle of the Heart Heart Association Association and the Scientific Cardiometabolic Health sessions in New Orleans. They are considered preliminary until the full results are published in an peer revised journal.

The practice of data aggregation for these distinct groups “masks important variations both in the prevalence of the risk factor and in the charge of the disease,” said the author of the main Rishi V. Parikh study in a press release. Parikh is a senior research analyst at the Kaiser Permanent Research Division in northern California in Pleasanton.

“Despite the fact that it is the fastest growth population in the US, existing studies on Asian subgroups remain limited by the inadequate size of the sample and the exclusion of major major subgroups, as well as the lack of long -term pursuit,” he said.

Previous research has noticed the differences between AANHPI subgroups, including a higher death rate due to cardiovascular disease in adults in Hawaii and Pacific Pacific, compared to US non-Hispanic adults

In the new study – the island of the Pacific, the domestic cardiovascular health epidemiology in Hawaii and Asian American or Panache – the researchers analyzed the health records from 2012-2022 for over 2.6 million adults, in private health systems, from California and Hawaii, which had an average of 49 years, without a history of a cord, a history of a cord. heart failure or atrial fibrillation. About 677,500 participants self-identified as Chinese, Filipino, Native Hawaiian or Other Pacific Islander, Japanese, Korean, Vietnamese, Other Southeast Asian (Including Thai, Laotian, Cambodian, Burmese, Indonesian, Malaysian Orgaporean) (Including Indian, Pakistani, Sri Lankan, Bangladeshi, Nepali or Bhutanese).

The researchers compared the prevalence of traditional cardiovascular risk factors, including high blood pressure, high cholesterol, type 2 diabetes, chronic renal diseases and smoking, among adults belonging to a unique AANHPI subgroup to nearly 2 million non-Hispanic white adults. They also used AHA Prevent the risk computer to predict the 10 -year risk of participants for a cardiovascular event.

Compared to non-Hispanic white adults, all AANHPI subgroups had higher diabetes and high cholesterol, and all adults in Hawaii/Pacific Pacific, except for natives, had lower smoking rates. But there have been significant variations between subgroups in the prevalence of risk factors for cardiovascular disease.

High blood pressure ranged from 12% of Chinese adults to a high level of 30% among Philippine adults. Chinese and Philippines also had the lowest (20%) and the highest (33%) high cholesterol rates. Chinese adults also had the lowest type 2 diabetes rate, only 5%, compared to 14% for native Hawaii/Pacific Icelander.

There has been a wider disappearance of obesity rates, which ranged from 11% in Vietnamese adults to 41% in native adults in Hawaii/Pacific, who also had the highest risk among subgroups to experience a heart attack or a stroke within 10 years.

“At the individual level of the patient, our conclusions, together with previous works, suggest that regular monitoring of risk factors such as blood pressure and cholesterol can be helpful in the early risk detection and prevention of cardiovascular disease among American Asia populations, Native Hawaiian and Pacific Islander,” said Dr. Go is an associate director of the research research division, cardiovascular and metabolic conditions Kaiser Permanent, California.

GO said that a next step for the Panache study would be a population-based survey to describe the risk factors that are not commonly available in an electronic health register. These could include the history of immigration, the generational status, the history of employment, discrimination experiences, acculturation, diet, physical activity and access to health care services and other resources that can be unique for each subgroup.

The additional data, GO said: “They will help us to understand sources of health disappears and inform the cardiovascular prevention strategies adapted to AANHPI people, both in the clinic and in the community.”

Dr. Sadiya S. Khan said in the press release that because cardiovascular disease remains the main cause of death for all Americans, “understanding the differences between specific population groups can identify gaps in monitoring and risk factors, such as obesity, hypertension and diabetes type 2.”

Khan drove the writing group for Aha Scientific statement Regarding the risk computer prevention in 2023, but was not involved in new research. He is a preventive cardiologist at Northwestern Medicine in Chicago.

“These discoveries continue to point out that Asian Americans are a diverse and heterogeneous group, and research should give priority to the adequate including Asian Americans and various subgroups to improve cardiovascular health,” Khan said.

American Heart Association News covers the health of the heart and brain. Not all the opinions expressed in this story reflect the official position of the American Heart Association. Copyright is owned or owned by the American Heart Association, Inc. and all rights are reserved.