Evidence map›Paper›PMID 34611645›Full record

ArticleAmerican journal of preventive cardiology2021

Heterogeneity in cardio-metabolic risk factors and atherosclerotic cardiovascular disease among Asian groups in the United States.

Priyanka Satish, Murrium I Sadaf, Javier Valero-Elizondo, Gowtham R Grandhi, Tamer Yahya, Hassan Zawahir, Zulqarnain Javed, Reed Mszar, Bashir Hanif, Ankur Kalra and 3 more

Open access · goldAbstract read
In one paragraph

Article in American journal of preventive cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  11. Cardiometabolic Health in Asian American Children.Journal of racial and ethnic health disparities · 2025
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  17. Review
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  20. Cardiometabolic Health in Asian American Children.medRxiv : the preprint server for health sciences · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Priyanka SatishHouston Methodist DeBakey Heart and Vascular Center, Houston, TX, United States.
Murrium I SadafYale New Haven Medical Center (Waterbury) Internal Medicine Residency Program, Waterbury, CT, United States.
Javier Valero-ElizondoDivision of Cardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart and Vascular Center, Houston, TX, United States.
Gowtham R GrandhiDepartment of Medicine, MedStar Union Memorial Hospital, Baltimore, MD, United States.
Tamer YahyaDivision of Cardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart and Vascular Center, Houston, TX, United States.
Hassan ZawahirHouston Methodist DeBakey Heart and Vascular Center, Houston, TX, United States.
Zulqarnain JavedCenter for Outcomes Research, Houston Methodist Research Institute, Houston, TX, United States.
Reed MszarYale/YNHH Center for Outcomes Research and Evaluation, New Haven, CT, United States.
Bashir HanifDean, Faculty of Cardiology, College of Physicians and Surgeons Pakistan (CPSP), Pakistan.
Ankur KalraDepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, OH, United States.
Salim ViraniSection of Cardiovascular Research, Baylor College of Medicine and the Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States.
Miguel Cainzos-AchiricaDivision of Cardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart and Vascular Center, Houston, TX, United States.
Khurram NasirDivision of Cardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart and Vascular Center, Houston, TX, United States.
Houston Methodist · USCleveland Clinic · USCollege of Physicians and Surgeons Pakistan · PKMedStar Union Memorial Hospital · USMichael E. DeBakey VA Medical Center · USWaterbury Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Asian American population in the U.S. comprises various, ethnically diverse subgroups. Traditionally, this population has been studied as a single, aggregated group, potentially masking differences in risk among subgroups. Analyses using disaggregated data can help better characterize the health needs of different Asian subpopulations and inform targeted, effective public health interventions. We assessed the prevalence of cardiovascular disease (CVD) risk factors and atherosclerotic CVD (ASCVD) and their associations with socioeconomic factors among Chinese, Asian Indian, Filipino and Other Asian subjects, compared with non-Hispanic White (NHW) subjects in the U.S.

methods: Cross-sectional study using data from 298,286 adults from the National Health Interview Survey (NHIS) from 2007 to 2018. We utilized chi-squared tests to compare characteristics across subgroups. Weighted proportions and unadjusted and adjusted logistic regression models were utilized to examine the associations between Asian subgroups, self-reported CVD risk factors and self-reported ASCVD, as well as between socioeconomic factors within each Asian subgroup.

results: Asian Indian subjects had the highest prevalence of diabetes (12.5%), while Filipino subjects had the highest prevalence of hyperlipidemia (27.7%), hypertension (29.8%) and obesity (19.8%). Despite this, the prevalence of self-reported ASCVD was lower in all Asian groups compared with NHWs. Chinese subjects had the lowest odds of having each of the CVD risk factors assessed.

conclusion: We found considerable heterogeneity in the distribution of risk factors as well as ASCVD among Asian subgroups in the US. Compared with health system or community-based reports, the prevalence of risk factors and ASCVD may be underestimated in some Asian NHIS subgroups. There is an urgent need for efforts to improve recruitment of Asian participants of heterogeneous socioeconomic backgrounds in national surveys, as well as to perform a thorough assessment of risk factors and disease in this population, not relying solely on self-report.

Indexed as

AHA, American Heart AssociationASCVDASCVD, atherosclerotic cardiovascular diseaseAsian Americanatherosclerotic cardiovascular diseaseCHD, coronary heart diseaseCI, confidence intervalCVD, cardiovascular diseaseFilipinoIndianNHIS, National Health Interview SurveyNHW, Non-Hispanic WhiteOR, odds ratioUS, United States

Identifiers

PMID34611645
PMCPMC8387290
OpenAlexW3173506982

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.