{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:26:08Z","timestamp":1790375168780,"version":"4.1.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2018,5,15]]},"abstract":"\n Background<\/jats:title>\n \n Lifestyle behaviors influence atherosclerotic cardiovascular disease (\n ASCVD<\/jats:styled-content>\n ) risk. We examined race and sex differences in the association of\n ASCVD<\/jats:styled-content>\n risk with obesity and lifestyle behaviors.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n We used multivariable logistic regression to examine the association of race\/ethnicity and sex with obesity and lifestyle behaviors among 12\u00a0351 adults in the National Health and Nutrition Examination Surveys cycles 2005 to 2014. Ten\u2010year\n ASCVD<\/jats:styled-content>\n risk was estimated using the 2013 American College of Cardiology\/American Heart Association pooled cohort equations. Among overweight\/obese subjects, whites were more likely to consider themselves overweight, to report a desire to weigh less, and to report a healthy diet, and physical activity. Despite higher body mass index and\/or\n ASCVD<\/jats:styled-content>\n risk, black women (adj odds ratio [\n OR<\/jats:styled-content>\n ] 0.8, 95% confidence interval [\n CI<\/jats:styled-content>\n ], 0.7\u20130.9) were less likely to attempt weight loss, and Hispanic women (\n OR<\/jats:styled-content>\n 0.8, 95%\n CI<\/jats:styled-content>\n 0.6\u20130.9) were less likely to report physical activity than white women. Black women (adj\n OR<\/jats:styled-content>\n 0.6, 95%\n CI<\/jats:styled-content>\n 0.5\u20130.7) were less likely than white women, and Hispanics (women adj\n OR<\/jats:styled-content>\n 0. 6, 95%\n CI<\/jats:styled-content>\n 0.5\u20130.7; men adj\n OR<\/jats:styled-content>\n 0.7, 95%\n CI<\/jats:styled-content>\n 0.6\u20130.9) were less likely than whites to report a healthy diet. Among those with\n ASCVD<\/jats:styled-content>\n risk >7.5%, there were even greater disparities in the likelihood of healthy diet between black and Hispanic versus white women, and among Hispanic versus white men.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Race\/ethnic minorities are less likely to engage in healthy lifestyle behaviors despite higher body mass index and\n ASCVD<\/jats:styled-content>\n risk. These findings underscore the need for culturally sensitive recommendations to improve cardiovascular outcomes in high\u2010risk populations, particularly minority women.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.117.008250","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T09:20:16Z","timestamp":1525339216000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":46,"title":["Race\/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors"],"prefix":"10.1161","volume":"7","author":[{"given":"Alanna A.","family":"Morris","sequence":"first","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010An","family":"Ko","sequence":"additional","affiliation":[{"name":"Emory Rollins School of Public Health, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah H.","family":"Hutcheson","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arshed","family":"Quyyumi","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000485"},{"key":"e_1_3_3_3_2","volume-title":"Prevalence of Obesity Among Adults And Youth: United States, 2011\u20132014. 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