Cardiovascular Disease Risk Factors in the Native American Population

Native Americans are disproportionately affected by cardiovascular disease in comparison with other racial and ethnic groups in the United States. Previous research has analyzed risk factors, quantified prevalence rates, and examined outcomes of cardiovascular disease in Native Americans, yet few st...

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Main Authors: Krista Goerger, Karla Abbott, Mark K. Larson, Michael Holinstat
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/12/1/27
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author Krista Goerger
Karla Abbott
Mark K. Larson
Michael Holinstat
author_facet Krista Goerger
Karla Abbott
Mark K. Larson
Michael Holinstat
author_sort Krista Goerger
collection DOAJ
description Native Americans are disproportionately affected by cardiovascular disease in comparison with other racial and ethnic groups in the United States. Previous research has analyzed risk factors, quantified prevalence rates, and examined outcomes of cardiovascular disease in Native Americans, yet few studies have considered the role of societal and psychological factors on the increased burden of cardiovascular disease in Native Americans. Modifiable risk factors for cardiovascular disease, including poor nutrition, reduced physical activity, obesity, and increased substance use, are exacerbated in Native American communities due to cultural and historical factors. Further, Native Americans have endured historical trauma and continue to experience additional financial and healthcare stressors, resulting in increased levels of chronic stress. Chronic activation of stress responses through the hypothalamic–pituitary–adrenal and autonomic nervous system increases inflammation and cardiovascular dysfunction resulting in an increased risk for cardiovascular disease. Therefore, it is critical to examine the connection between these stressors and the cardiovascular health disparities in Native American communities to create effective strategies to improve health outcomes.
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series Journal of Cardiovascular Development and Disease
spelling doaj-art-33498c56c8ac4960a1802fe31f0f61652025-01-24T13:36:02ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252025-01-011212710.3390/jcdd12010027Cardiovascular Disease Risk Factors in the Native American PopulationKrista Goerger0Karla Abbott1Mark K. Larson2Michael Holinstat3Department of Pharmacology, University of Michigan, Ann Arbor, MI 48109, USANursing Department, Augustana University, Sioux Falls, SD 57197, USABiology Department, Augustana University, Sioux Falls, SD 57197, USADepartment of Pharmacology, University of Michigan, Ann Arbor, MI 48109, USANative Americans are disproportionately affected by cardiovascular disease in comparison with other racial and ethnic groups in the United States. Previous research has analyzed risk factors, quantified prevalence rates, and examined outcomes of cardiovascular disease in Native Americans, yet few studies have considered the role of societal and psychological factors on the increased burden of cardiovascular disease in Native Americans. Modifiable risk factors for cardiovascular disease, including poor nutrition, reduced physical activity, obesity, and increased substance use, are exacerbated in Native American communities due to cultural and historical factors. Further, Native Americans have endured historical trauma and continue to experience additional financial and healthcare stressors, resulting in increased levels of chronic stress. Chronic activation of stress responses through the hypothalamic–pituitary–adrenal and autonomic nervous system increases inflammation and cardiovascular dysfunction resulting in an increased risk for cardiovascular disease. Therefore, it is critical to examine the connection between these stressors and the cardiovascular health disparities in Native American communities to create effective strategies to improve health outcomes.https://www.mdpi.com/2308-3425/12/1/27cardiovascular diseaseNative AmericanAmerican Indianunder-representedchronic stress
spellingShingle Krista Goerger
Karla Abbott
Mark K. Larson
Michael Holinstat
Cardiovascular Disease Risk Factors in the Native American Population
Journal of Cardiovascular Development and Disease
cardiovascular disease
Native American
American Indian
under-represented
chronic stress
title Cardiovascular Disease Risk Factors in the Native American Population
title_full Cardiovascular Disease Risk Factors in the Native American Population
title_fullStr Cardiovascular Disease Risk Factors in the Native American Population
title_full_unstemmed Cardiovascular Disease Risk Factors in the Native American Population
title_short Cardiovascular Disease Risk Factors in the Native American Population
title_sort cardiovascular disease risk factors in the native american population
topic cardiovascular disease
Native American
American Indian
under-represented
chronic stress
url https://www.mdpi.com/2308-3425/12/1/27
work_keys_str_mv AT kristagoerger cardiovasculardiseaseriskfactorsinthenativeamericanpopulation
AT karlaabbott cardiovasculardiseaseriskfactorsinthenativeamericanpopulation
AT markklarson cardiovasculardiseaseriskfactorsinthenativeamericanpopulation
AT michaelholinstat cardiovasculardiseaseriskfactorsinthenativeamericanpopulation