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Review
. 2023 Aug;25(8):467-477.
doi: 10.1007/s11883-023-01119-w. Epub 2023 Jul 10.

Community-Based Interventions to Address Disparities in Cardiometabolic Diseases Among Minoritized Racial and Ethnic Groups

Victoria E Thomas  1 , Faith E Metlock  2 , Anika L Hines  3 , Yvonne Commodore-Mensah  2   4 , LaPrincess C Brewer  5   6
Affiliations
Review

Community-Based Interventions to Address Disparities in Cardiometabolic Diseases Among Minoritized Racial and Ethnic Groups

Victoria E Thomas et al. Curr Atheroscler Rep. 2023 Aug.

Abstract

Purpose of review: Cardiometabolic diseases (CMDs) are leading causes of death and disproportionally impact historically marginalized racial/ethnic groups in the United States. The American Heart Association developed the Life's Essential 8 (LE8) to promote optimal cardiovascular health (CVH) through eight health behaviors and health factors. The purpose of this review is to summarize contemporary community-engaged research (CER) studies incorporating the LE8 framework among racial/ethnic groups.

Review of findings: Limited studies focused on the interface of CER and LE8. Based on synthesis of articles in this review, the application of CER to individual/collective LE8 metrics may improve CVH and reduce CMDs at the population level. Effective strategies include integration of technology, group activities, cultural/faith-based practices, social support, and structural/environmental changes. CER studies addressing LE8 factors in racial/ethnic groups play an essential role in improving CVH. Future studies should focus on broader scalability and health policy interventions to advance health equity.

Keywords: Cardiometabolic disease; Community-based participatory research; Community-based research; Life’s Essential 8; Racial and ethnic minority groups; Social determinants of health.

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Conflict of interest statement

Conflict of Interest Dr. Thomas reports honorarium from Pfizer for speaking at their Heart to Heart for ATTR cardiomyopathy. The other authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Central illustration. Community-Based Interventions to Address Disparities in Cardiometabolic Disease Among Minoritized Racial and Ethnic Groups. The American Heart Association Life’s Essential 8 (LE8) framework promotes optimal cardiometabolic health through eight health behaviors and health factors. Our review of contemporary community-engaged research studies focused on the LE8 components indicates five key strategies/interventions (technology, group activities, cultural/faith-based practices, systematic changes and social support) that may improve cardiometabolic health for minoritized racial and ethnic populations
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