Abstract

Management of persons with Metabolic Syndrome (MetS) requires attention to hypertension, dyslipidemia, and therapeutic lifestyle changes (TLC). While clear guidelines exist for BP and lipid management, 183192strategies to promote TLCs of increased physical activity (PA), healthy diets, and weight loss are less clear. These issues are pertinent to health care of African Americans (AA) who experience greater difficulty in treated BP control, increased complications, disproportionately higher levels of obesity, and lower physical activity. 193-195196Clinical trials of TLC counseling in primary care have yielded inconsistent findings, and as a result, individually adapted health behavior programs and community based interventions are recommended. Thus, for this subproject, we will conduct a clinical investigation to: 1) facilitate health provider diagnosis and treatment of components of MetS in hypertensive AA in urban primary care settings, and 2) develop and test the effectiveness of a culturally sensitive self-management intervention on improving patient health behaviors and outcomes.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01HL079214-02
Application #
7118919
Study Section
Special Emphasis Panel (ZHL1)
Project Start
Project End
Budget Start
2005-09-01
Budget End
2006-08-31
Support Year
2
Fiscal Year
2005
Total Cost
$64,543
Indirect Cost

  Institution

Name
Morehouse School of Medicine
Department
Type
DUNS #
102005451
City
Atlanta
State
GA
Country
United States
Zip Code
30310

  Publications

Topel, Matthew L; Shen, Jia; Morris, Alanna A et al. (2018) Comparisons of the Framingham and Pooled Cohort Equation Risk Scores for Detecting Subclinical Vascular Disease in Blacks Versus Whites. Am J Cardiol 121:564-569
Kelli, Heval M; Hammadah, Muhammad; Ahmed, Hina et al. (2017) Association Between Living in Food Deserts and Cardiovascular Risk. Circ Cardiovasc Qual Outcomes 10:
Van Dyke, Miriam E; Vaccarino, Viola; Dunbar, Sandra B et al. (2017) Socioeconomic status discrimination and C-reactive protein in African-American and White adults. Psychoneuroendocrinology 82:9-16
Van Dyke, Miriam E; Vaccarino, Viola; Quyyumi, Arshed A et al. (2016) Socioeconomic status discrimination is associated with poor sleep in African-Americans, but not Whites. Soc Sci Med 153:141-7
Shen, Jia; Poole, Joseph C; Topel, Matthew L et al. (2015) Subclinical Vascular Dysfunction Associated with Metabolic Syndrome in African Americans and Whites. J Clin Endocrinol Metab 100:4231-9
Vaccarino, Viola; Kondwani, Kofi A; Kelley, Mary E et al. (2013) Effect of meditation on endothelial function in Black Americans with metabolic syndrome: a randomized trial. Psychosom Med 75:591-9
Morris, Alanna A; Patel, Riyaz S; Binongo, Jose Nilo G et al. (2013) Racial differences in arterial stiffness and microcirculatory function between Black and White Americans. J Am Heart Assoc 2:e002154
Morris, Alanna A; Zhao, Liping; Patel, Riyaz S et al. (2012) Differences in systemic oxidative stress based on race and the metabolic syndrome: the Morehouse and Emory Team up to Eliminate Health Disparities (META-Health) study. Metab Syndr Relat Disord 10:252-9
Patel, Riyaz S; Morris, Alanna A; Ahmed, Yusuf et al. (2012) A genetic risk variant for myocardial infarction on chromosome 6p24 is associated with impaired central hemodynamic indexes. Am J Hypertens 25:797-803
Morris, Alanna A; Ahmed, Yusuf; Stoyanova, Neli et al. (2012) The association between depression and leptin is mediated by adiposity. Psychosom Med 74:483-8

Showing the most recent 10 out of 12 publications