Riesgo cardiovascular en Latinoamericanos en US según el tiempo de estancia: NHANES 2017-march 2020
| datacite.rights | http://purl.org/coar/access_right/c_16ec | eng |
| dc.contributor.advisor | Rua Osorio, Zenen | |
| dc.contributor.author | Urzola Suarez, María Rosa | |
| dc.contributor.author | Bonilla Aguirre, Ángelo Armando | |
| dc.date.accessioned | 2023-12-15T16:32:02Z | |
| dc.date.available | 2023-12-15T16:32:02Z | |
| dc.date.issued | 2023 | |
| dc.description.abstract | Las enfermedades cardiovasculares son un grave problema de salud pública. Los migrantes enfrentan un mayor riesgo debido a factores étnicos, ambiente de acogida y acceso limitado a servicios de salud. Objetivo: Evaluar el riesgo cardiovascular de los latinoamericanos en US según el tiempo de estancia basado en los datos de la Encuesta Nacional de Nutrición y Salud (NHANES) del Centro de Control de Enfermedades (CDC) entre los años 2017-March 2020. Metodología: Se realizó un estudio transversal con 321 adultos inscritos en NHANES de 2017 a marzo de 2020. Se realizaron resúmenes estadísticos y se aplicó la prueba de Kruskal-Wallis para comparar grupos según la estancia en US. Se empleó una regresión logística multivariada (ajuste Backward) para identificar factores de riesgo cardiovascular, reportando OR ajustados con IC del 95%. Se consideró significancia estadística con p <0.05. El software utilizado fue R-CRAN versión 4.3.0. Resultados: Se enrolaron 321 latinoamericanos residentes en US. La media de edad fue 57 años (IQR 35-74). El 55% eran mujeres. El 73% tenía ciudadanía estadounidense. En cuanto a la estadía en US, el 41% llevaba entre 10 y 30 años, mientras que el 17% tenía una estadía de 10 años o menos. Se observaron comorbilidades significativas, siendo la diabetes tipo 2 y el tabaquismo (45% y 37%, respectivamente). En cuanto a parámetros clínicos, la mayoría presentaba sobrepeso u obesidad. Al evaluar el riesgo cardiovascular mediante el Framingham-REGICOR score, siendo moderado en el 45% de los participantes. La evaluación del riesgo según tiempo de estadía reveló diferencias significativas en factores de riesgo, como la prevalencia de diabetes y tabaquismo. Conclusión: Los latinoamericanos en US tienen una alta prevalencia de factores de riesgo cardiovascular, y este va aumentando a medida que iba aumentando el tiempo de estadía y se correlaciona con cambios significativos en comorbilidades, índice de masa corporal, perfil lipídico, especialmente en la población masculina. | spa |
| dc.description.abstract | Cardiovascular diseases pose a significant public health challenge, with migrants facing heightened risks due to ethnic factors, host environment, and limited access to healthcare services. This study aimed to evaluate the cardiovascular risk among Latino Americans in the U.S. based on their duration of stay, utilizing data from the National Health and Nutrition Examination Survey (NHANES) conducted by the Centers for Disease Control and Prevention (CDC) between 2017 and March 2020. Methods: A cross-sectional study was conducted on 321 adults enrolled in NHANES from 2017 to March 2020. Statistical summaries were performed, and the Kruskal-Wallis test was applied to compare groups based on their duration of stay in the U.S. Multivariate logistic regression (Backward adjustment) was employed to identify cardiovascular risk factors, reporting adjusted odds ratios with 95% confidence intervals. Statistical significance was set at p < 0.05. R-CRAN software version 4.3.0 was used for analysis. Results: A total of 321 Latin-Americans residing in the U.S. were enrolled. The mean age was 57 years (IQR 35-74), with 55% being women. 73% held U.S. citizenship. Concerning their duration of stay, 41% had been in the U.S. for 10 to 30 years, while 17% had a stay of 10 years or less. Significant comorbidities were observed, with type 2 diabetes and smoking prevalent in 45% and 37% of participants, respectively. In terms of clinical parameters, the majority exhibited overweight or obesity. Assessment of cardiovascular risk using the Framingham-REGICOR score indicated a moderate risk in 45% of participants. Evaluation of risk based on duration of stay revealed significant differences in risk factors, such as the prevalence of diabetes and smoking. Conclusion: Latin-Americans in the U.S. exhibit a high prevalence of cardiovascular risk factors, which increases with prolonged duration of stay. This is correlated with significant changes in comorbidities, body mass index, and lipid profile, particularly among the male population. | eng |
| dc.format.mimetype | spa | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/13721 | |
| dc.language.iso | spa | spa |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.publisher | Facultad Ciencias de la Salud | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | eng |
| dc.rights.accessrights | info:eu-repo/semantics/restrictedAccess | eng |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | Riesgo cardiovascular | spa |
| dc.subject | Inmigrante | spa |
| dc.subject | Encuesta Nacional de Nutrición y Salud (NHANES) | spa |
| dc.subject | Inmigración | spa |
| dc.subject | Latinoamericanos | spa |
| dc.subject | Salud cardiovascular | spa |
| dc.subject | Cardiovascular Risk | eng |
| dc.subject | Immigrant | eng |
| dc.subject | National Health and Nutrition Examination Survey (NHANES) | eng |
| dc.subject | Immigration | eng |
| dc.subject | Latino Americans | eng |
| dc.subject | Cardiovascular Health | eng |
| dc.title | Riesgo cardiovascular en Latinoamericanos en US según el tiempo de estancia: NHANES 2017-march 2020 | spa |
| dc.type.driver | info:eu-repo/semantics/other | eng |
| dc.type.spa | Otros | spa |
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| oaire.version | info:eu-repo/semantics/acceptedVersion | eng |
| sb.programa | Especialización en Medicina Interna | spa |
| sb.sede | Sede Barranquilla | spa |