1. Acculturation is associated with left ventricular mass in a multiethnic sample: the Multi-Ethnic Study of Atherosclerosis.
- Author
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Effoe, Valery S, Chen, Haiying, Moran, Andrew, Bertoni, Alain G, Bluemke, David A, Seeman, Teresa, Darwin, Christine, Watson, Karol E, and Rodriguez, Carlos J
- Subjects
Humans ,Hypertrophy ,Left Ventricular ,Risk Factors ,Stress ,Psychological ,Acculturation ,Aged ,Middle Aged ,African Americans ,Asian Americans ,European Continental Ancestry Group ,Hispanic Americans ,Female ,Male ,Atherosclerosis ,Left ventricular mass index ,Cardiovascular risk ,Ethnic disparities ,Hypertrophy ,Left Ventricular ,Stress ,Psychological ,Cardiovascular System & Hematology ,Cardiorespiratory Medicine and Haematology - Abstract
BackgroundAcculturation involves stress-related processes and health behavioral changes, which may have an effect on left ventricular (LV) mass, a risk factor for cardiovascular disease (CVD). We examined the relationship between acculturation and LV mass in a multiethnic cohort of White, African-American, Hispanic and Chinese subjects.MethodsCardiac magnetic resonance assessment was available for 5004 men and women, free of clinical CVD at baseline. Left ventricular mass index was evaluated as LV mass indexed by body surface area. Acculturation was characterized based on language spoken at home, place of birth and length of stay in the United States (U.S.), and a summary acculturation score ranging from 0 = least acculturated to 5 = most acculturated. Mean LV mass index adjusted for traditional CVD risk factors was compared across acculturation levels.ResultsUnadjusted mean LV mass index was 78.0 ± 16.3 g/m(2). In adjusted analyses, speaking exclusively English at home compared to non-English language was associated with higher LV mass index (81.3 ± 0.4 g/m(2) vs 79.9 ± 0.5 g/m(2), p = 0.02). Among foreign-born participants, having lived in the U.S. for ≥ 20 years compared to
- Published
- 2015