Clinical medicine insights. Women's health最新文献_第3页

Visual Representation of Body Shape in African-American and European American Women: Clinical Considerations. 非裔美国妇女和欧裔美国妇女体型的视觉表现:临床考虑。

Clinical medicine insights. Women's health Pub Date : 2016-07-20 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S37587

Patrice L Capers, Amber W Kinsey, Edrika L Miskell, Olivia Affuso

{"title":"Visual Representation of Body Shape in African-American and European American Women: Clinical Considerations.","authors":"Patrice L Capers, Amber W Kinsey, Edrika L Miskell, Olivia Affuso","doi":"10.4137/CMWH.S37587","DOIUrl":"https://doi.org/10.4137/CMWH.S37587","url":null,"abstract":"Background: Body mass index (BMI) has been used widely among clinicians to assess obesity in their patients due to its ease and availability. However, BMI has some diagnostic limitations and other measures related to health risks; in particular, body shape may be of greater relevance to health outcomes.Objective: The objective of this study was to illustrate the importance of body shape assessments above and beyond BMI and its relationship to health risk among a sample of African-American and European American women.Methods: African-American and European American women aged 19-78 years (n = 552) in Birmingham, Alabama, were recruited and stratified by menopausal status (ie, pre- or postmenopausal). Pictorial body shapes were derived from digital photographs, while body fat distribution defined by android-gynoid ratio (AGR) and body composition were obtained from dual-energy X-ray absorptiometry.Results: Images of BMI and age-matched women illustrate variability in fat distribution. Among both menopausal status groups, more than 50% of women had a pear body shape (AGR < 1). An apple body shape was associated with higher odds of having diabetes (unadjusted odds ratio [OR]: 4.1, 95% confidence interval [CI]: 1.9-9.3), hypertension (unadjusted OR: 3.1, 95% CI: 2.0-4.7), and high cholesterol (unadjusted OR: 3.0, 95% CI: 1.8-5.1).Conclusion: Use of visual cues alongside traditional methods of weight status assessment may help to facilitate weight management conversations between physicians and female patients. However, next steps should include the validation of visual assessments of body shape in women for use by physicians.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 Suppl 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2016-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CMWH.S37587","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34721842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Health Disparity among Latina Women: Comparison with Non-Latina Women. 拉丁裔妇女的健康差异:与非拉丁裔妇女的比较。

Clinical medicine insights. Women's health Pub Date : 2016-07-20 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S38488

Karen Paz, Kelly P Massey

引用次数: 26

Barriers to Obtaining Sera and Tissue Specimens of African-American Women for the Advancement of Cancer Research. 获取非洲裔美国妇女血清和组织标本以促进癌症研究的障碍。

Clinical medicine insights. Women's health Pub Date : 2016-07-14 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S34698

Katherine J Strissel, Dequina A Nicholas, Myriam Castagne-Charlotin, Naomi Ko, Gerald V Denis

{"title":"Barriers to Obtaining Sera and Tissue Specimens of African-American Women for the Advancement of Cancer Research.","authors":"Katherine J Strissel, Dequina A Nicholas, Myriam Castagne-Charlotin, Naomi Ko, Gerald V Denis","doi":"10.4137/CMWH.S34698","DOIUrl":"https://doi.org/10.4137/CMWH.S34698","url":null,"abstract":"African-American women, a historically understudied and underserved group, have increased risk for triple-negative breast cancer and obesity-associated disease. Obesity-associated metabolic diseases share a common link of low grade chronic inflammation, but not all obese women have metabolic disturbances or are inflamed. One goal of our ongoing research is to identify blood biomarkers that can predict increased risk of breast cancer in women who have obesity or metabolic dysfunction. However, vulnerable populations that stand to benefit most from advances in biomedical research are also underrepresented in research studies. The development of effective, novel approaches for cancer prevention and treatment will require significant basic medical research effort to establish the necessary evidence base in multiple populations. Work with vulnerable human subjects at a safety net hospital enabled us to comment on potential obstacles to obtaining serological and tissue specimens from African-American women. Here, we report some unexpected barriers to participation in our ongoing research study that might inform future efforts. ","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 Suppl 1","pages":"57-61"},"PeriodicalIF":0.0,"publicationDate":"2016-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CMWH.S34698","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34688227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Psychosocial Variables Related to Why Women are Less Active than Men and Related Health Implications. 与女性比男性少运动的原因相关的社会心理变量及其健康影响。

Clinical medicine insights. Women's health Pub Date : 2016-07-04 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S34668

Elizabeth Skidmore Edwards, Sarah Carson Sackett

{"title":"Psychosocial Variables Related to Why Women are Less Active than Men and Related Health Implications.","authors":"Elizabeth Skidmore Edwards, Sarah Carson Sackett","doi":"10.4137/CMWH.S34668","DOIUrl":"https://doi.org/10.4137/CMWH.S34668","url":null,"abstract":"This article reviews psychosocial influences on women's participation in physical activity as they differ from men and how associated activity differences impact women's risk for a number of chronic diseases. This topic directly aligns with the mission of this special edition related to disparities in women's health as the typically lower level of physical activity in females directly impacts their health. On average, females participate in physical activity at lower rates than their male counterparts. These lower rates of physical activity are directly related to both incidence of and outcomes from cardiovascular disease, type 2 diabetes, and breast and gynecological cancers. The relationship between psychosocial factors that are understood to affect physical activity differs between men and women. Specifically, self-efficacy, social support, and motivation are empirically substantiated factors that found to impact physical activity participation among women differently than men. Understanding these relationships is integral to designing effective interventions to target physical activity participation in women so that the related health risks are adequately addressed. ","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 Suppl 1","pages":"47-56"},"PeriodicalIF":0.0,"publicationDate":"2016-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CMWH.S34668","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34717997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 80

The Diabetic Health of African American Grandmothers Raising their Grandchildren. 非裔美国祖母养育孙辈的糖尿病健康状况。

Clinical medicine insights. Women's health Pub Date : 2016-06-28 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S34694

Dana L Carthron, Maria Rivera Busam

{"title":"The Diabetic Health of African American Grandmothers Raising their Grandchildren.","authors":"Dana L Carthron, Maria Rivera Busam","doi":"10.4137/CMWH.S34694","DOIUrl":"https://doi.org/10.4137/CMWH.S34694","url":null,"abstract":"Purpose: The purpose of this study is to compare the health of primary caregiving African American grandmothers with diabetes with African American women with diabetes who were not primary caregivers.Design: Using a comparative, descriptive, cross-sectional design, 34 African American primary caregiving grandmothers were compared with 34 non-caregiving women with diabetes mellitus; women aged 55-75 years were recruited for this study throughout the central Arkansas.Methods: To measure the overall health, data on blood pressure, body mass index measurements, HbA1c levels, total cholesterol, and urine protein and creatinine levels were collected from all the participants.Results: Statistically significant differences between the caregivers and non-caregivers groups in systolic pressure (t = -3.42, P = 0.001) and diastolic pressure (t = -3.790, P = 0.000) and urine protein (W = 294.00, P = 0.000) were noted. Additionally, a clinically significant difference in HbA1c was noted between groups.Conclusion: Differences in systolic and diastolic pressures, urine protein, and clinically significant differences in HbA1c suggest that African American primary caregiving grandmothers with diabetes mellitus may have more difficulty in maintaining their diabetic health than non-caregiving African American women.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 Suppl 1","pages":"41-6"},"PeriodicalIF":0.0,"publicationDate":"2016-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CMWH.S34694","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34717995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Psychosocial Clusters and their Associations with Well-Being and Health: An Empirical Strategy for Identifying Psychosocial Predictors Most Relevant to Racially/Ethnically Diverse Women's Health. 社会心理集群及其与福祉和健康的关联:确定与种族/民族多样化妇女健康最相关的社会心理预测因素的经验策略。

Clinical medicine insights. Women's health Pub Date : 2016-06-06 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S34692

Jennifer M Jabson, Deborah Bowen, Janice Weinberg, Candyce Kroenke, Juhua Luo, Catherine Messina, Sally Shumaker, Hilary A Tindle

{"title":"Psychosocial Clusters and their Associations with Well-Being and Health: An Empirical Strategy for Identifying Psychosocial Predictors Most Relevant to Racially/Ethnically Diverse Women's Health.","authors":"Jennifer M Jabson, Deborah Bowen, Janice Weinberg, Candyce Kroenke, Juhua Luo, Catherine Messina, Sally Shumaker, Hilary A Tindle","doi":"10.4137/CMWH.S34692","DOIUrl":"https://doi.org/10.4137/CMWH.S34692","url":null,"abstract":"Background: Strategies for identifying the most relevant psychosocial predictors in studies of racial/ethnic minority women's health are limited because they largely exclude cultural influences and they assume that psychosocial predictors are independent. This paper proposes and tests an empirical solution.Methods: Hierarchical cluster analysis, conducted with data from 140,652 Women's Health Initiative participants, identified clusters among individual psychosocial predictors. Multivariable analyses tested associations between clusters and health outcomes.Results: A Social Cluster and a Stress Cluster were identified. The Social Cluster was positively associated with well-being and inversely associated with chronic disease index, and the Stress Cluster was inversely associated with well-being and positively associated with chronic disease index. As hypothesized, the magnitude of association between clusters and outcomes differed by race/ethnicity.Conclusions: By identifying psychosocial clusters and their associations with health, we have taken an important step toward understanding how individual psychosocial predictors interrelate and how empirically formed Stress and Social clusters relate to health outcomes. This study has also demonstrated important insight about differences in associations between these psychosocial clusters and health among racial/ethnic minorities. These differences could signal the best pathways for intervention modification and tailoring.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 Suppl 1","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2016-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CMWH.S34692","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34561717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Body Composition, Fitness Status, and Health Behaviors Upon Entering College: An Examination of Female College Students From Diverse Populations. 进入大学后的身体成分、体能状况和健康行为：对来自不同人群的女大学生的研究。

Clinical medicine insights. Women's health Pub Date : 2016-06-01 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S34697

Amanda A Price, Melicia C Whitt-Glover, Caroline L Kraus, Michael J McKenzie

{"title":"Body Composition, Fitness Status, and Health Behaviors Upon Entering College: An Examination of Female College Students From Diverse Populations.","authors":"Amanda A Price, Melicia C Whitt-Glover, Caroline L Kraus, Michael J McKenzie","doi":"10.4137/CMWH.S34697","DOIUrl":"10.4137/CMWH.S34697","url":null,"abstract":"Although poor health-related behaviors that impact development of chronic diseases begin much earlier than when actual disease is evident, few studies have examined health behaviors in college students, who may be at an important transitional period where early intervention could prevent development of chronic diseases. The purpose of this study was to examine health-related factors in female college students (N = 61) by race/ethnicity and weight status. We found significant differences in health profiles between non-Hispanic White (White) and African American students, including greater physical fitness and healthier diets among White students. Overweight/obese students had worse health profiles than healthy BMI students. Furthermore, weight status was significantly associated with cardiovascular fitness. This supports a focus on PA promotion for interventions in the period of emerging adulthood, alongside the other healthy behaviors, to elicit improvements in weight status and potential reduction of chronic disease risks. ","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 Suppl 1","pages":"23-9"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4892202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34560707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstetric, Sociodemographic, and Psychosocial Problems of Postpartum Adolescents of Huambo, Angola. 安哥拉万博青少年产后的产科、社会人口和社会心理问题。

Clinical medicine insights. Women's health Pub Date : 2016-05-19 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S27161

Hamilton Dos Prazeres Tavares, Suelma Beatriz Marques Prata Tavares, Daniel Pires Capingana, Silvana Granado Nogueira da Gama, Luiz Guilherme Pessoa da Silva

引用次数: 0

Activity in Pregnancy for Patients with a History of Preterm Birth. 有早产史患者的妊娠活动。

Clinical medicine insights. Women's health Pub Date : 2016-05-19 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S34684

Nichelle Satterfield, Edward R Newton, Linda E May

{"title":"Activity in Pregnancy for Patients with a History of Preterm Birth.","authors":"Nichelle Satterfield, Edward R Newton, Linda E May","doi":"10.4137/CMWH.S34684","DOIUrl":"https://doi.org/10.4137/CMWH.S34684","url":null,"abstract":"Preterm birth remains a leading cause of neonatal morbidity and mortality throughout the world. Numerous risk factors for preterm birth have been identified, including non-Hispanic black race, a variety of social and behavioral factors, infections, and history of a prior preterm delivery. Of these, a history of prior spontaneous preterm birth is one of the strongest risk factors. Traditionally, women with a history of preterm birth or those deemed at high risk for preterm delivery have been placed on bed rest or a reduced activity regimen during their pregnancy. However, there is little evidence to support this recommendation. Recent research has suggested that regular physical activity and exercise during pregnancy is safe and does not increase the risk of preterm delivery. Therefore, physicians should encourage women with a history of preterm birth to exercise throughout pregnancy according to guidelines published by the American College of Obstetricians and Gynecologists as long as they are receiving regular prenatal care and their current health status permits exercise. However, there are no randomized controlled trials evaluating exercise prescription in women with a history of preterm birth, hence additional research is needed in this area. ","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 Suppl 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2016-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CMWH.S34684","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34519336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Health Promotion and Health Behaviors of Diverse Ethnic/Racial Women Cosmetologists: A Review. 不同民族/种族女性美容师的健康促进与健康行为研究综述

Clinical medicine insights. Women's health Pub Date : 2016-05-12 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S34688

Naomi Thelusma, Penny Ralston

引用次数: 4