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The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
The beneficial influence of positive affect (e.g., joy) remains unexplored in relation to heart health in adults with chronic kidney disease (CKD)—a population at increased risk for poor cardiovascular health (CVH). Therefore, we evaluated the association of positive affect and CVH in a diverse U.S....
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6595078/ https://www.ncbi.nlm.nih.gov/pubmed/31293880 http://dx.doi.org/10.1016/j.pmedr.2019.100916 |
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author | Hernandez, Rosalba Lash, James P. Burrows, Brett Wilund, Kenneth R. Mattix-Kramer, Holly J. Peralta, Carmen Durazo-Arvizu, Ramon A. Talavera, Gregory A. Penedo, Frank J. Khambaty, Tasneem Moncrieft, Ashley E. Chen, Jinsong Daviglus, Martha L. |
author_facet | Hernandez, Rosalba Lash, James P. Burrows, Brett Wilund, Kenneth R. Mattix-Kramer, Holly J. Peralta, Carmen Durazo-Arvizu, Ramon A. Talavera, Gregory A. Penedo, Frank J. Khambaty, Tasneem Moncrieft, Ashley E. Chen, Jinsong Daviglus, Martha L. |
author_sort | Hernandez, Rosalba |
collection | PubMed |
description | The beneficial influence of positive affect (e.g., joy) remains unexplored in relation to heart health in adults with chronic kidney disease (CKD)—a population at increased risk for poor cardiovascular health (CVH). Therefore, we evaluated the association of positive affect and CVH in a diverse U.S. population of Hispanics/Latinos with CKD. We analyzed cross-sectional data of adults ages 18–74 enrolled between 2008 and 2011 in the Hispanic Community Health Study/Study of Latinos with prevalent CKD (N = 1712). Positively worded items from the Center for Epidemiologic Studies Depression Scale were used to create a composite positive affect score (0–6; higher scores indicate greater positive affect). Prevalent CKD was defined as estimated glomerular filtration <60 ml/min/1.73 m(2) or urine albumin-to-creatinine ratio ≥30 mg/g. A composite CVH score was calculated using diet, body mass index, physical activity, cholesterol, blood pressure, fasting glucose, and smoking status. Each metric was defined as ideal, intermediate, or poor to compute an additive score. Linear regression was used for continuous scores of CVH and logistic regression for binary treatment (e.g., ≥4 Ideal). In participants with CKD, each unit increase in the positive affect score was associated with higher CVH scores when modeling CVH as a continuous outcome (β = 0.06, 95% CI = 0.01, 0.11). Similarly, a 1-unit increase in positive affect was associated with 1.15 times the odds of having >4 (vs. <4) ideal CVH indicators. Positive affect is associated with favorable CVH profiles in Hispanics/Latinos with CKD. Replication and prospective studies are needed to elucidate whether emotional well-being is a potential therapeutic target for intervention. |
format | Online Article Text |
id | pubmed-6595078 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-65950782019-07-10 The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Hernandez, Rosalba Lash, James P. Burrows, Brett Wilund, Kenneth R. Mattix-Kramer, Holly J. Peralta, Carmen Durazo-Arvizu, Ramon A. Talavera, Gregory A. Penedo, Frank J. Khambaty, Tasneem Moncrieft, Ashley E. Chen, Jinsong Daviglus, Martha L. Prev Med Rep Regular Article The beneficial influence of positive affect (e.g., joy) remains unexplored in relation to heart health in adults with chronic kidney disease (CKD)—a population at increased risk for poor cardiovascular health (CVH). Therefore, we evaluated the association of positive affect and CVH in a diverse U.S. population of Hispanics/Latinos with CKD. We analyzed cross-sectional data of adults ages 18–74 enrolled between 2008 and 2011 in the Hispanic Community Health Study/Study of Latinos with prevalent CKD (N = 1712). Positively worded items from the Center for Epidemiologic Studies Depression Scale were used to create a composite positive affect score (0–6; higher scores indicate greater positive affect). Prevalent CKD was defined as estimated glomerular filtration <60 ml/min/1.73 m(2) or urine albumin-to-creatinine ratio ≥30 mg/g. A composite CVH score was calculated using diet, body mass index, physical activity, cholesterol, blood pressure, fasting glucose, and smoking status. Each metric was defined as ideal, intermediate, or poor to compute an additive score. Linear regression was used for continuous scores of CVH and logistic regression for binary treatment (e.g., ≥4 Ideal). In participants with CKD, each unit increase in the positive affect score was associated with higher CVH scores when modeling CVH as a continuous outcome (β = 0.06, 95% CI = 0.01, 0.11). Similarly, a 1-unit increase in positive affect was associated with 1.15 times the odds of having >4 (vs. <4) ideal CVH indicators. Positive affect is associated with favorable CVH profiles in Hispanics/Latinos with CKD. Replication and prospective studies are needed to elucidate whether emotional well-being is a potential therapeutic target for intervention. Elsevier 2019-06-07 /pmc/articles/PMC6595078/ /pubmed/31293880 http://dx.doi.org/10.1016/j.pmedr.2019.100916 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Regular Article Hernandez, Rosalba Lash, James P. Burrows, Brett Wilund, Kenneth R. Mattix-Kramer, Holly J. Peralta, Carmen Durazo-Arvizu, Ramon A. Talavera, Gregory A. Penedo, Frank J. Khambaty, Tasneem Moncrieft, Ashley E. Chen, Jinsong Daviglus, Martha L. The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) |
title | The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) |
title_full | The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) |
title_fullStr | The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) |
title_full_unstemmed | The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) |
title_short | The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) |
title_sort | association of positive affect and cardiovascular health in hispanics/latinos with chronic kidney disease: results from the hispanic community health study/study of latinos (hchs/sol) |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6595078/ https://www.ncbi.nlm.nih.gov/pubmed/31293880 http://dx.doi.org/10.1016/j.pmedr.2019.100916 |
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