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Nutritional factors and cardiovascular disease risk in Black African and Black Caribbean women: a cross-sectional study

Nutritional factors and cardiovascular disease risk in Black African and Black Caribbean women: a cross-sectional study

Evwierhoma, C., Moore, A. P., Goff, L. M., Aghili, A., Comegna, S., Begum, G. and Adegboye, A. R. A. ORCID: 0000-0003-2780-0350 (2019) Nutritional factors and cardiovascular disease risk in Black African and Black Caribbean women: a cross-sectional study. In: Proceedings of the Nutrition Society. Cambridge University Press (CUP), E34. ISSN 0029-6651 (Print), 1475-2719 (Online) (doi:

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People of Black African (BA) and Caribbean (BC) heritage form the third largest ethnic group in England and Wales. Evidence shows they experience higher rates of overweight/obesity, stroke and type 2 diabetes compared to the general population but lower risk of heart disease, which may be explained by the favourable lipid profile they exhibit (2,3). There are limited UK studies on their dietary habits and health. The aim of the current study was to assess nutritional intake and cardiovascular disease (CVD) risk factors in UK BA and BC women.

A convenience sample of self-ascribed BA and BC women, aged 19-64 years, were recruited (n = 44) from the ATTITUdinal DEterminants of diet and lifestyle (ATTITUDE) study. Cholesterol was measured using a portable CardioChek Blood Analyser, blood pressure using a digital blood pressure monitor and dietary intake via triple pass 24hr recall. Ethical approval was obtained from London Metropolitan University, King’s College London and Westminster University. Percentage energy, total fat, saturated fat, carbohydrate, and fibre and salt intake were calculated and under-reporting was assessed using the Goldberg equation. A sensitivity analysis conducted on nutrient intakes with under-reporters removed.

Nutritional intake and CVD risk factors are shown in Table 1. Sixty three percent of participants were overweight or obese. Analysis of the dietary data revealed higher intakes salt, free sugars, fat and saturated fat than recommendations and lower intake of carbohydrate. Sensitivity analysis was conducted to investigate the impact of under-reporting (n = 22). Reported data remained unchanged except for fibre intake, which was lower in the under-reporters (14.9g compared to 21.0g) (P = 0.004). Blood lipid profiles and blood pressure data were within recommendations. In conclusion, the anthropometric and certain dietary measures would indicate increased risk for developing CVD in BA and BC women, however, blood lipid profile and blood pressure measures were within healthy ranges.

Item Type: Conference Proceedings
Title of Proceedings: Proceedings of the Nutrition Society
Additional Information: Winter Meeting, 4–5 December 2018, Optimal diet and lifestyle strategies for the management of cardio-metabolic risk.
Uncontrolled Keywords: cardiovascular, nutrition, African, Caribbean
Faculty / Department / Research Group: Faculty of Education, Health & Human Sciences
Faculty of Education, Health & Human Sciences > Department of Psychology, Social Work & Counselling
Faculty of Education, Health & Human Sciences > Health & Society Research Group
Last Modified: 08 Mar 2020 01:38
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
Selected for GREAT 2019: None
Selected for REF2021: None

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