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Ideal Cardiovascular Health in Mexican Adults with CKD Living in Mexico City Versus Chicago

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Abstract

Evidence suggests that Mexican adults living in Mexico have a more favorable cardiovascular risk profile than Mexican adults living in the U.S. However, this relationship has not been evaluated among patients with chronic kidney disease (CKD), which is a question of importance given the high risk for cardiovascular disease among patients with CKD. Using data from two ongoing observational cohort studies, we compared the prevalence of ideal cardiovascular health metrics (assessed by the American Heart Association “Life’s Simple 7” criteria) in 309 Mexican adults with CKD living in Mexico City to 343 Mexican adults with CKD living in Chicago. Mexican adults with CKD living in Mexico City had a significantly higher prevalence of ideal body mass index (25 vs. 10%), diet (17 vs. 8%), total cholesterol (80 vs. 63%), blood pressure (43 vs. 25%), and fasting glucose (54 vs. 42%). Mexican adults with CKD living in both Mexico City and Chicago had low levels of cardiovascular health scores. Future work is needed to better understand the lower prevalence of ideal cardiovascular health metrics in Chicago as compared to Mexico City.

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Funding

Funding for the CRIC Study was obtained under a cooperative agreement from National Institute of Diabetes and Digestive and Kidney Diseases (U01DK060990, U01DK060984, U01DK061022, U01DK061021, U01DK061028, U01DK060980, U01DK060963, U01DK060902 and U24DK060990). In addition, this work was supported in part by: the Perelman School of Medine at the University of Pennsylvania Clinical and Translational Science Award NIH/NCATS UL1TR000003, Johns Hopkins University UL1 TR-000424, University of Maryland GCRC M01 RR-16500, Clinical and Translational Science Collaborative of Cleveland, UL1TR000439 from the National Center for Advancing Translational Sciences (NCATS) component of the National Institutes of Health and NIH roadmap for Medical Research, Michigan Institute for Clinical and Health Research (MICHR) UL1TR000433, University of Illinois at Chicago CTSA UL1RR029879, Tulane COBRE for Clinical and Translational Research in Cardiometabolic Diseases P20 GM109036, Kaiser Permanente NIH/NCRR UCSF-CTSI UL1 RR-024131, Department of Internal Medicine, University of New Mexico School of Medicine Albuquerque, NM R01DK119199. Dr. Lash is funded by the NIDDK K24DK092290, R01DK072231-91, and Fogarty International Center 5R03TW009441. Dr. Ricardo is funded by NIDDK grant R01 DK118736. Dr. Madero is funded by the Fundación Gonzalo Río Arronte.

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Authors and Affiliations

  1. Division of Nephrology, Department of Medicine, University of Illinois at Chicago, 820 South Wood Street, Chicago, IL, 60612-7315, US

    Claire T. Larkin, Eunice Carmona-Powell, Natalie Meza, Jinsong Chen, Ana C. Ricardo & James P. Lash

  2. Department of Nephrology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico

    Ana K. Fernández-Yepez, Julio C. Guerrero González, Verónica Esteban Hernández, Diego Izquierdo Veraza & Magdalena Madero

  3. College of Population Health, University of New Mexico, TREE Center, Albuquerque, NM, US

    Carlos Lineares-Koloffon

Authors
  1. Claire T. Larkin
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  2. Ana K. Fernández-Yepez
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  3. Eunice Carmona-Powell
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  4. Natalie Meza
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  5. Jinsong Chen
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  6. Julio C. Guerrero González
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  7. Verónica Esteban Hernández
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  8. Diego Izquierdo Veraza
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  9. Carlos Lineares-Koloffon
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  10. Ana C. Ricardo
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  11. Magdalena Madero
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  12. James P. Lash
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Consortia

on behalf of the CRIC Study Investigators

Contributions

CTL, ACR, MM and JPL conceived and designed the study, material preparation. Data collection and.

analysis were performed by CTL, AKF-Y, EC‐P, NM, JC, JCGG, VEH, DIV, MM, JPL. The first draft of the.

manuscript was written by CTL and JPL. Revising the manuscript performed by CTL, AKF-Y, EC‐P, NM, JC,

JCGG, VEH, DIV, CL-L, MM, and JPL. All authors read and approved the final draft.

CRIC Investigators include Lawrence J. Appel, MD, MPH; Jing Chen, MD, MMSc, MSc; Debbie L. Cohen, MD; Harold I. Feldman, MD, MSCE; Alan S. Go, MD; Robert G. Nelson, MD, PhD, MS; Mahboob Rahman, MD; Vallabh O Shah, PhD, MS; Mark L. Unruh, MD, MS.

Corresponding author

Correspondence to James P. Lash.

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Larkin, C.T., Fernández-Yepez, A.K., Carmona-Powell, E. et al. Ideal Cardiovascular Health in Mexican Adults with CKD Living in Mexico City Versus Chicago. J Immigrant Minority Health 25, 1488–1492 (2023). https://doi.org/10.1007/s10903-023-01524-y

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  • DOI: https://doi.org/10.1007/s10903-023-01524-y

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