Gender- and Race-Specific Metabolic Score and Cardiovascular Disease Mortality in Adults: A Structural Equation Modeling Approach—United States, 1988–2006
By Mercado, Carla I. ; Yang, Quanhe ; Ford, Earl S. ; ...
Title : Gender- and Race-Specific Metabolic Score and Cardiovascular Disease Mortality in Adults: A Structural Equation Modeling Approach—United States, 1988–2006 Personal Author(s) : Mercado, Carla I.;Yang, Quanhe;Ford, Earl S.;Gregg, Edward;Valderrama, Amy L.; Published Date : Sep 2015 Source : Obesity (Silver Spring). 23(9):1911-1919. URL : https://stacks.cdc.gov/view/cdc/44087
Mercado, Carla I. ; Yang, Quanhe ; Ford, Earl S. ; Gregg, Edward ; Valderrama, Amy L. ;
Mercado, Carla I. ; Yang, Quanhe ; Ford, Earl S. ; Gregg, Edward ; Valderrama, Amy L. ; Less -
Objective	Consider all metabolic syndrome (MetS) components [systolic (SBP) and diastolic (DBP) blood pressures, waist circumference, HDL cholesterol, triglycerides (TG), and fasting glucose] and gender/race differential risk when assessing cardiovascular disease (CVD) risk.	Methods	We estimated a gender- and race-specific continuous MetS score using structural equation modeling and tested its association with CVD mortality using data from National Health and Nutrition Examination Survey III linked with the National Death Index. Cox proportional hazard regression tested the association adjusted for sociodemographic and behavior characteristics.	Results	For men, continuous MetS components associated with CVD mortality were SBP (hazard ratio =1.50, 95% confidence interval =1.14–1.96), DBP (1.48, 1.16–1.90), and TG (1.15, 1.12–1.16). In women, SBP (1.44, 1.27–1.63) and DBP (1.24, 1.02–1.51) were associated with CVD mortality. MetS score was not significantly associated with CVD mortality in men; but significant associations were found for all women (1.34, 1.06–1.68), non-Hispanic white women (1.29, 1.01–1.64), non-Hispanic black women (2.03, 1.12–3.69), and Mexican-American women (3.57, 2.21–5.76). Goodness-of-fit and concordance were overall better for models with the MetS score than MetS (yes/no).	Conclusions	When assessing CVD mortality risk, MetS score provided additional information than MetS (yes/no).	
urn:sha256:c945ab93937f5421d52eb45826be9e8d29e69ede6489cce192103f4f7fa6720e	
Increasing Prevalence of Gestational Diabetes and Pregnancy-Related Hypertension in Los Angeles County, California, 1991–2003
Baraban, Elizabeth ; McCoy, Lucie ; ...	
IntroductionGestational diabetes and pregnancy-related hypertension can lead to adverse health effects in mothers and infants. We assessed recent tren...	
Parker, Samantha E. ; Yazdy, Mahsa M. ; ...	
Mandatory folic acid fortification in the United States corresponded with a decline in the prevalence of spina bifida (SB). The aim of this study was ...	