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2. Depressive symptoms are associated with leukocyte telomere length in American Indians: findings from the Strong Heart Family Study.

Author

Zhao, Qi, Zhu, Yun, Yeh, Fawn, Lin, Jue, Lee, Elisa, Cole, Shelley, Calhoun, Darren, and Zhao, Jinying

Subjects
American Indian, Strong Heart Study, depression, leukocyte telomere length, Adult, Depression, Female, Humans, Indians, North American, Leukocytes, Life Style, Male, Middle Aged, Severity of Illness Index, Symptom Assessment, Telomere, Young Adult
Abstract

Patients with depression have an increased risk for many aging-related disorders, but the biological mechanisms underlying this link remain to be determined. Here we examined the association between depressive symptoms and leukocyte telomere length (LTL), a marker of biological aging, among 2,175 American Indians participating in the Strong Heart Family Study. Depressive symptoms were assessed by the Center for Epidemiologic Studies of Depression Scale (CES-D), which was categorized into four levels: none (< 10), mild (10-15), moderate (16 -24), and severe (> 24). LTL (T/S ratio) was quantified by qPCR. The association between depressive symptoms and LTL was examined by multivariate generalized estimating equation models, adjusting for sociodemographic factors, lifestyle factors, and chronic conditions. Results showed that individuals with a higher level of depressive symptoms had shorter LTL. Specifically, LTL in participants reporting none, mild, moderate, and severe depressive symptoms were 1.000, 0.999, 0.988, and 0.966, respectively (P for trend = 0.0278). Moreover, gender appears to modulate the effect of reported depressive symptoms that fall in the severe range (CES-D > 24) on LTL (P for interaction = 0.0346). Our results suggest that depressive symptoms may accelerate biological aging through pathways beyond traditional risk factors in American Indians.

Published
2016

3. Impact of biological aging on arterial aging in American Indians: findings from the Strong Heart Family Study.

Author

Peng, Hao, Zhu, Yun, Yeh, Fawn, Cole, Shelley, Best, Lyle, Lin, Jue, Blackburn, Elizabeth, Devereux, Richard, Roman, Mary, Lee, Elisa, Howard, Barbara, and Zhao, Jinying

Subjects
American Indians, Strong Heart Family Study, arterial aging, arterial stiffness, biological aging, leukocyte telomere length, Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Aging, Alcohol Drinking, Biomarkers, Blood Glucose, Blood Pressure, Body Mass Index, Cross-Sectional Studies, Exercise, Female, Humans, Indians, North American, Leukocytes, Life Style, Lipids, Male, Middle Aged, Models, Cardiovascular, Risk Factors, Sex Factors, Smoking, Telomere Homeostasis, Vascular Stiffness, Young Adult
Abstract

Telomere length, a marker of biological aging, has been associated with cardiovascular disease (CVD). Increased arterial stiffness, an indicator of arterial aging, predicts adverse CVD outcomes. However, the relationship between telomere length and arterial stiffness is less well studied. Here we examined the cross-sectional association between leukocyte telomere length (LTL) and arterial stiffness in 2,165 American Indians in the Strong Heart Family Study (SHFS). LTL was measured by qPCR. Arterial stiffness was assessed by stiffness index β. The association between LTL and arterial stiffness was assessed by generalized estimating equation model, adjusting for sociodemographics (age, sex, education level), study site, metabolic factors (fasting glucose, lipids, systolic blood pressure, and kidney function), lifestyle (BMI, smoking, drinking, and physical activity), and prevalent CVD. Results showed that longer LTL was significantly associated with a decreased arterial stiffness (β=-0.070, P=0.007). This association did not attenuate after further adjustment for hsCRP (β=-0.071, P=0.005) or excluding participants with overt CVD (β=-0.068, P=0.012), diabetes (β=-0.070, P=0.005), or chronic kidney disease (β=-0.090, P=0.001). In summary, shorter LTL was significantly associated with an increased arterial stiffness, independent of known risk factors. This finding may shed light on the potential role of biological aging in arterial aging in American Indians.

Published
2016

18. Cost-effectiveness of lower targets for blood pressure and low-density lipoprotein cholesterol in diabetes: The Stop Atherosclerosis in Native Diabetics Study (SANDS)

Author

Wilson, Charlton, Huang, Chun-Chih, Shara, Nawar, Howard, Barbara V., Fleg, Jerome L., Henderson, Jeffrey A., Howard, Wm. James, Huentelman, Heather, Lee, Elisa T., Mete, Mihriye, Russell, Marie, Galloway, James M., Silverman, Angela, Stylianou, Mario, Umans, Jason, Weir, Matthew R., Yeh, Fawn, and Ratner, Robert E.

Published
2010
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19. Effect of lower targets for blood pressure and LDL cholesterol on atherosclerosis in diabetes: the SANDS randomized trial

Author

Howard, Barbara V., Roman, Mary J., Devereux, Richard B., Fleg, Jerome L., Galloway, James M., Henderson, Jeffrey A., Howard, James Wm., Lee, Elisa T., Mete, Mihriye, Poolaw, Bryce, Ratner, Robert E., Russell, Marie, Silverman, Angela, Stylianou, Mario, Umans, Jason, G., Wenyu Wang, Weir, Matthew R., Weissman, Neil J., Wilson, Charlton, Yeh, Fawn, and Jianhui Zhu

Subjects
Blood pressure -- Health aspects, Cardiovascular diseases -- Care and treatment, Diabetics -- Health aspects, Low density lipoproteins -- Health aspects, Type 2 diabetes -- Risk factors
Abstract

A study to differentiate the advancement of subclinical atherosclerotic disease in patients with type 2 diabetes is conducted. Results conclude that treatment of low-density lipoprotein (LDL) cholesterol and systolic blood pressure bettered alternate measures of cardiovascular disease.

Published
2008

21. Examination of lower targets for low-density lipoprotein cholesterol and blood pressure in diabetes - the Stop Atherosclerosis in Native Diabetics Study (SANDS)

Author

Russell, Marie, Fleg, Jerome L., Galloway, James, Henderson, Jeffrey A., Howard, Wm. James, Lee, Elisa T., Poolaw, Bryce, Ratner, Robert E., Roman, Mary J., Silverman, Angela, Stylianou, Mario, Weir, Matthew R., Wilson, Charlton, Yeh, Fawn, Zhu, Jianhui, and Howard, Barbara V.

Subjects
Diabetes -- Complications and side effects, Diabetes -- Care and treatment, Cardiovascular diseases -- Prevention, Low density lipoproteins -- Research, Blood pressure -- Research, Diabetes -- Research, Diabetes -- Reports, Health
Published
2006

26. Lung Function and Respiratory Symptoms after Tuberculosis in an American Indian Population. The Strong Heart Study

Author

Powers, Martha, primary, Sanchez, Tiffany R., additional, Welty, Thomas K., additional, Cole, Shelley A., additional, Oelsner, Elizabeth C., additional, Yeh, Fawn, additional, Turner, Joanne, additional, O’Leary, Marcia, additional, Brown, Robert H., additional, O’Donnell, Max, additional, Lederer, David, additional, and Navas-Acien, Ana, additional

Published
2020
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27. Associations of diet soda and non-caloric artificial sweetener use with markers of glucose and insulin homeostasis and incident diabetes: the Strong Heart Family Study

Author

Jensen, Paul N., primary, Howard, Barbara V., additional, Best, Lyle G., additional, O’Leary, Marcia, additional, Devereux, Richard B., additional, Cole, Shelley A., additional, MacCluer, Jean W., additional, Ali, Tauqeer, additional, Lee, Elisa T., additional, Yeh, Fawn L., additional, Yeh, Jeunliang, additional, Umans, Jason G., additional, and Fretts, Amanda M., additional

Published
2019
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31. Harmonization of Respiratory Data From 9 US Population-Based Cohorts

Author

Oelsner, Elizabeth C, primary, Balte, Pallavi P, additional, Cassano, Patricia A, additional, Couper, David, additional, Enright, Paul L, additional, Folsom, Aaron R, additional, Hankinson, John, additional, Jacobs, David R, additional, Kalhan, Ravi, additional, Kaplan, Robert, additional, Kronmal, Richard, additional, Lange, Leslie, additional, Loehr, Laura R, additional, London, Stephanie J, additional, Navas Acien, Ana, additional, Newman, Anne B, additional, O’Connor, George T, additional, Schwartz, Joseph E, additional, Smith, Lewis J, additional, Yeh, Fawn, additional, Zhang, Yiyi, additional, Moran, Andrew E, additional, Mwasongwe, Stanford, additional, White, Wendy B, additional, Yende, Sachin, additional, and Barr, R Graham, additional

Published
2018
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33. Late Breaking Abstract - Associations between lung function and incident cardiac events over 350,000 person-years: the NHLBI Pooled Cohorts Study

Author

Oelsner, Elizabeth, primary, Balte, Pallavi, additional, Cassano, Patricia, additional, Couper, David, additional, Folsom, Aaron, additional, Jacobs, David, additional, Kalhan, Ravi, additional, Kronmal, Richard, additional, Lange, Leslie, additional, Barr, R Graham, additional, Loehr, Laura, additional, London, Stephanie, additional, Navas Acien, Ana, additional, Newman, Anne, additional, O'Connor, George, additional, Schwartz, Joseph, additional, Smith, Lewis, additional, White, Wendy, additional, Yeh, Fawn, additional, and Yende, Sachin, additional

Published
2017
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37. Comparison of ADA and WHO Diagnostic Criteria for Predicting CHD Risk: The Strong Heart Study

Author

HU, DONGSHENG, ZHANG, YING, YEH, FAWN, WELTY, THOMAS K., and HOWARD, BARBARA V.

Subjects
Coronary heart disease -- Diagnosis, Diabetes -- Diagnosis, Health, American Diabetes Association -- Standards, World Health Organization -- Standards
Abstract

The revised American Diabetes Association (ADA) diagnostic criteria for diabetes are more easily applied in a clinical setting than the World Health Organization (WHO) criteria. However, it is not clear [...]

Published
2000

38. Comparison of ADA and WHO Diagnostic Criteria for Predicting Risk for Diabetes: The Strong Heart Study

Author

HU, DONGSHENG, ZHANG, YING, YEH, FAWN, WELTY, THOMAS K., and HOWARD, BARBARA V.

Subjects
Diabetes -- Diagnosis, Health, American Diabetes Association -- Standards, World Health Organization -- Standards
Abstract

The revised American Diabetes Association (ADA) diagnostic criteria for diabetes are more easily applied in a clinical setting than the World Health Organization (WHO) criteria. We studied whether the new [...]

Published
2000

41. Short leukocyte telomere length predicts incidence and progression of carotid atherosclerosis in American Indians: The Strong Heart Family Study

Author

Chen, Shufeng, primary, Lin, Jue, additional, Matsuguchi, Tet, additional, Blackburn, Elizabeth, additional, Yeh, Fawn, additional, Best, Lyle G., additional, Devereux, Richard B., additional, Lee, Elisa T., additional, Howard, Barbara V., additional, Roman, Mary J., additional, and Zhao, Jinying, additional

Published
2014
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43. Abstract 59: Age-Specific Probabilities of Transitioning between Ideal, Intermediate, and Poor Levels of Physical Activity in the United States: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and the National Health and Nutrition Examination Survey (NHANES)

Author

Holliday, Katelyn M, primary, Lin, Danyu, additional, Chakladar, Sujatro, additional, Daviglus, Martha L, additional, Evenson, Kelly R, additional, Heiss, Gerardo, additional, Reis, Jared P, additional, Schreiner, Pamela J, additional, Shay, Christina M, additional, Yeh, Fawn, additional, Youngblood, Marston, additional, Zeng, Donglin, additional, Zhang, Ying, additional, and Avery, Christy L, additional

Published
2014
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44. Abstract P113: The Probability of Maintaining Ideal Levels of Glucose in US Populations: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and the National Health and Nutrition Examination Survey (NHANES)

Author

Avery, Christy L, primary, Zeng, Donglin, additional, Chakladar, Sujatro, additional, Holliday, Katelyn M, additional, Lin, Dan Yu, additional, Daviglus, Martha L, additional, Reis, Jared P, additional, Schreiner, Pamela J, additional, Shay, Christina M, additional, Yeh, Fawn, additional, Youngblood, Marston E, additional, Zhang, Ying, additional, and Heiss, Gerardo, additional

Published
2014
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46. E-006

Author

Zheng, Laura, primary, Umans, Jason, additional, Tellez-Plaza, Maria, additional, Howard, Barbara, additional, Yeh, Fawn, additional, Francesconi, Kevin, additional, Goessler, Walter, additional, Silbergeld, Ellen, additional, Guallar, Eliseo, additional, Weaver, Virginia, additional, and Navas-Acien, Ana, additional

Published
2012
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48. Safety and Feasibility of Achieving Lower Systolic Blood Pressure Goals in Persons With Type 2 Diabetes: The SANDS Trial

Author

Weir, Matthew R., primary, Yeh, Fawn, additional, Silverman, Angela, additional, Devereux, Richard B., additional, Galloway, James M., additional, Henderson, Jeffrey A., additional, Howard, William J., additional, Russell, Marie, additional, Wilson, Charlton, additional, Ratner, Robert, additional, Sorkin, John, additional, Umans, Jason G., additional, Fleg, Jerome L., additional, Stylianou, Mario, additional, Lee, Elisa, additional, and Howard, Barbara V., additional

Published
2009
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49. Effect of Lower Targets for Blood Pressure and LDL Cholesterol on Atherosclerosis in Diabetes: The SANDS Randomized Trial

Author

Howard, Barbara V., primary, Roman, Mary J., additional, Devereux, Richard B., additional, Fleg, Jerome L., additional, Galloway, James M., additional, Henderson, Jeffrey A., additional, Howard, Wm James, additional, Lee, Elisa T., additional, Mete, Mihriye, additional, Poolaw, Bryce, additional, Ratner, Robert E., additional, Russell, Marie, additional, Silverman, Angela, additional, Stylianou, Mario, additional, Umans, Jason G., additional, Wang, Wenyu, additional, Weir, Matthew R., additional, Weissman, Neil J., additional, Wilson, Charlton, additional, Yeh, Fawn, additional, and Zhu, Jianhui, additional

Published
2008
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