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Risk factors and prevention of cardiovascular disease among Asian-Indian men in a U.S. managed care organization

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TitleInfo
Title
Risk factors and prevention of cardiovascular disease among Asian-Indian men in a U.S. managed care organization
Name (type = personal)
NamePart (type = family)
Ghai
NamePart (type = given)
Nirupa Rajendra
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Nirupa Ghai
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RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Rhoads
NamePart (type = given)
George G.
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George G. Rhoads
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Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
DEMISSIE
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KITAW
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KITAW DEMISSIE
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Marcella
NamePart (type = given)
Stephen
DisplayForm
Stephen Marcella
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Quinn
NamePart (type = given)
Virginia P.
DisplayForm
Virginia P. Quinn
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2012
DateOther (qualifier = exact); (type = degree)
2012-05
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Researchers have reported higher rates of cardiovascular disease (CVD) clinical risk factors including diabetes mellitus (DM), hypertension, and dyslipidemia in Asian-Indians. We sought to examine lifestyle/behavioral CVD risk factors overall and by vegetarian/non-vegetarian status, as well as CVD clinical risk factors in Asian-Indian men compared to white non-Hispanic men (WNH). Eligible men were recruited from Kaiser Permanente Southern and Northern California into the California Men’s Health Study (CMHS) Cohort between 2002-2003. Asian-Indians more often reported a healthy BMI (18.5-24.9), and consumed <30% calories from fat compared to WNHs. Among healthy weight men, Asian-Indians were less likely to eat 5 or more fruit and vegetables a day. Overall, Asian-Indians were more likely to have never smoked and to abstain from alcohol. Asian-Indians were less likely to report moderate/vigorous physical activity > 3.5 hours/week. Vegetarians more often consumed a lower fat diet compared to non-vegetarians [Adjusted Odds Ratio (AOR) = 3.22; (95% Confidence Interval) (95% CI) 2.80-3.71]. Vegetarians reported consuming more fruits and vegetables; however a statistically significant difference was not detected among Asian-Indians. Further, WNH vegetarians reported less sedentary activity [AOR = 0.65; 95% CI 0.54-0.78] and more moderate/vigorous physical activity [AOR = 1.87; 95% CI 1.55-2.25] than WNH non-vegetarians, however this was not the case among Asian-Indians. We found Asian-Indians had higher rates of DM and dyslipidemia compared to WNHs. Asian-Indians more often had lower mean systolic, diastolic and low-density lipoprotein (LDL) levels compared to WNHs. Although control of hypertension and dyslipidemia was similar in the two populations, overall only 50% of men had LDL and triglyceride levels under the target values for control. Our examination of lifestyle related CVD risk factors found evidence for both potentially protective and harmful health behaviors among Asian-Indian men. Overall, we found that WNH vegetarians lead a healthier lifestyle (consuming lower fat diets and more fruits and vegetables, and participating in more physical activity and less sedentary behaviors) compared to non-vegetarians. Finally, our examination of clinical CVD risk factors found evidence for increased clinical risk factors (DM and dyslipidemia) and clustering of clinical risk factors for CVD among Asian-Indians.
Subject (authority = RUETD)
Topic
Public Health
Subject (authority = ETD-LCSH)
Topic
East Indian Americans--Health and hygiene--New Jersey
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_3873
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
viii, 52 p. : ill.
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = vita)
Includes vita
Note (type = statement of responsibility)
by Nirupa Rajendra Ghai
Subject (authority = ETD-LCSH)
Topic
Cardiovascular system--Diseases--Risk factors--New Jersey
Subject (authority = ETD-LCSH)
Topic
East Indians--Health and hygiene--New Jersey
Subject (authority = ETD-LCSH)
Topic
Men--Health and hygiene--New Jersey
Identifier (type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10001600001.ETD.000065143
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TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
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rucore19991600001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/T3DF6Q42
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Ghai
GivenName
Nirupa
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2012-04-06 18:51:05
AssociatedEntity
Name
Nirupa Ghai
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2012-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2014-05-31
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2014.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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