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

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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.

Summary

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.

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Abbreviations

AA:

African American

AHA:

American Heart Association

AI/AN:

American Indian/Alaska Native

BMI:

Body mass index

BP:

Blood pressure

CBPR:

Community-based participatory research

CER:

Community-engaged research

CMD:

Cardiometabolic disease

CSC:

Community Steering Committee

CVD:

Cardiovascular disease

CVH:

Cardiovascular health

FAITH:

Fostering African-American Improvement in Total Health

LE8:

Life’s Essential 8

LS7:

Life’s Simple 7

PA:

Physical activity

PSE:

Policy, systems, and environmental

RCT:

Randomized controlled trial

SDoH:

Social determinants of health

SES:

Socioeconomic status

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Acknowledgements

We would like to thank Rachel Walden from the Vanderbilt University Eskind Biomedical Library Sciences for her expertise and assistance with the development of our search strategies.

Funding

Dr. Brewer was supported by the American Heart Association-Amos Medical Faculty Development Program (grant no. 19AMFDP35040005), the Robert A. Winn Career Development Award (Bristol Myers Squibb Foundation), and the Centers for Disease Control and Prevention (CDC; grant no. CDC-DP18-1817) during the implementation of this work. Dr. Metlock was supported by the National Institute of Nursing Research of the National Institute of Health (grant no. T32NR020315). Dr. Commodore-Mensah was supported by the National Institute on Minority Health and Health Disparities (5P50MD017348-02–8183). Dr. Thomas was supported by the American College of Cardiology/Association Black Cardiologists Merck Research Fellowship Award. Dr. Hines was supported by the National Heart, Lung, and Blood Institute (NHLBI) (1K01HL152011) and AHA Career Development Award (940494).

Author information

Authors and Affiliations

  1. Division of Cardiovascular Medicine, Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA

    Victoria E. Thomas

  2. John Hopkins University School of Nursing, Baltimore, MD, USA

    Faith E. Metlock & Yvonne Commodore-Mensah

  3. Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA, USA

    Anika L. Hines

  4. Department of Epidemiology, John Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Yvonne Commodore-Mensah

  5. Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN, 55905, USA

    LaPrincess C. Brewer

  6. Mayo Clinic Center for Health Equity and Community Engagement Research, Rochester, MN, USA

    LaPrincess C. Brewer

Authors
  1. Victoria E. Thomas
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  2. Faith E. Metlock
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  3. Anika L. Hines
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  4. Yvonne Commodore-Mensah
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  5. LaPrincess C. Brewer
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Corresponding author

Correspondence to LaPrincess C. Brewer.

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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.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

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Thomas, V.E., Metlock, F.E., Hines, A.L. et al. Community-Based Interventions to Address Disparities in Cardiometabolic Diseases Among Minoritized Racial and Ethnic Groups. Curr Atheroscler Rep 25, 467–477 (2023). https://doi.org/10.1007/s11883-023-01119-w

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