Ethnic Dis
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To compare the prevalence, agreement and phenotypic characteristics in three ethnic groups of the new International Diabetes Federation (IDF) definition of metabolic syndrome (MS) to the World Health Organization (WHO) and national cholesterol education program (NCEP) definitions. ⋯ Agreement between the IDF and other definitions is better in women than men. The phenotype is similar within each ethnic group whatever the definition, but differs between groups suggesting that risks associated with MS differ by ethnic group.
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Diabetes mellitus disproportionately affects ethnic minorities and has serious economic, social, and personal implications. This study examines the effect of diabetes disease burden and social resources on health-related quality of life (HRQOL) among older rural adults with diabetes. Data come from a population-based cross-sectional survey of 701 adults (age > or =65 years) with diabetes in North Carolina from three ethnic groups: African American, Native American, and White. ⋯ Aspects of rural social milieu may help to keep mental HRQOL high, even in the face of severe chronic disease. Ethnic differences in HRQOL are largely accounted for by diabetes disease burden and, to a lesser extent, social resources. Strategies to reduce diabetes-related complications (long term) and assist mobility (short term) may reduce ethnic disparities in HRQOL.
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This article presents results of a community-based participatory study (DASH of Soul) designed to produce soul food that meets the nutrient criteria of the DASH diet plan. DASH of Soul was tested during a 10-month period with two sub-groups of low-income African American women: (1) a focus group cooking club recruited from among "early adopters" of a previous intervention; and (2) a broader peer group dinner club recruited through a health center serving the neighborhood of the focus group. ⋯ Based on computer software analysis, the nutrient composition of a sample MS-DASH menu developed by the cooking club was consistent with nutrient levels for the DASH diet plan. The authors concluded from the focus group interviews and intercept surveys that, with continued motivation, the potential is good for the study population to make MS-DASH a lifestyle choice, reducing their risks for diet-related diseases that cluster to comprise metabolic syndrome.
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The 7th Episcopal District African Methodist Episcopal Church represents 23% of African Americans in South Carolina. We describe lessons learned when a large faith community and two research universities collaborate. In 2001, the bishop of the 7th Episcopal District and the president of the Medical University of South Carolina signed a memorandum of understanding on how to collaborate, including the principles of sharing resources, credit, and responsibility. ⋯ Open communications and trust are keys to a successful partnership. This partnership requires people who are dedicated to the principles in the memorandum of understanding, are open to new ideas, and have positive attitudes. Culture clashes present opportunities to strengthen partnerships and new activities to achieve mutual goals.