I had to read it twice to make sure I read it correctly. How it got into
JAMA with such warped logic is beyond me. At least socioeconomic concerns
regarding health was introduced to the medical community as factor to be
considered in regards to heart and diabetes risk.
Sivan Bomze B.Sc., D.H.M.H.S., HD
Homeopathic Doctor
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-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Dennis Raphael
Sent: February 16, 2006 11:49 AM
To: [log in to unmask]
Subject: Re: [SDOH] Poverty Lowers Cardiac Stress Test Results: poor diet,
access to gyms
This is a really warped analysis! Thanks for posting it. They completely
ignore material deprivation as a cause of heart disease itself. How about
more money spent on people, Not facilities...?
dr
Sivan Bomze <[log in to unmask]>@YORKU.CA> on 02/16/2006 11:36:27 AM
Please respond to Social Determinants of Health <[log in to unmask]>
Sent by: Social Determinants of Health <[log in to unmask]>
To: [log in to unmask]
cc:
Subject: [SDOH] Poverty Lowers Cardiac Stress Test Results: poor diet,
access to gyms
Poverty Lowers Cardiac Stress Test Results: poor diet, access to gyms
14/02/2006 9:47:00 PM
(HealthDay News) - Poverty may play a part in lower scores on the exercise
stress tests doctors use to gauge heart health, a new study finds.
Researchers looked at data on more than 30,000 Ohioresidents whose doctors
had them take stress tests because they had symptoms of coronary disease.
After adjusting for such factors as smoking, other medical problems and
insurance status, they found a strong correlation between socioeconomic
status and poor performance on cardiac stress tests.
And those poor scores may translate into real danger. Strikingly, the
people in the lowest 25 percent of socioeconomic status were nearly twice
as likely to die in the following 12 years as the 25 percent who were
best-off were.
There could be many reasons for the link, the researchers said. "One is
that (poorer individuals) live in areas where they have less opportunity to
get to recreational facilities," said study co-author Dr. Michael S. Lauer,
a professor of medicine at the Cleveland Clinic. "Also, poorer
neighborhoods have a higher crime rate, so they are less willing to be
out."
The findings appear in the Feb. 15 issue of the Journal of the American
Medical Association.
It's been clear for a long time that there's a link between being poor and
having a higher risk of cardiovascular disease, Lauer said. "This gives us
an understanding of what that link is," he said. "One theory has been that
the link is related to physical activity, that people who are less well-off
are less well fit. We sought to test that speculation."
Lack of physical fitness is one major risk factor for heart problems, Lauer
said, and there are several possible explanations why poverty goes along
with poor physical fitness.
Besides a lack of access to fitness facilities, poor diet can also play a
role. "There are data showing that people who are less well off have a poor
diet, and there is definitely a link between diet and risk," he said.
Wealth seems to act as a kind of buffer against death risk - even when
patients don't do well on a stress test, Lauer added. "We found that those
who are physically unfit but relatively well-off have an increase in risk
that is not as great as those who are not well-off," he said.
The findings have obvious implications for public policy, according to
Lauer. He believes that money spent on recreational facilities in poorer
neighborhoods could pay dividends in better health.
There is also a lesson for doctors. When physicians try to assess
cardiovascular risk, they currently look at factors such as obesity,
smoking, cholesterol level and diabetes as measures of potential problems,
Lauer noted.
"They should consider a poor socioeconomic status as a marker of increased
risk, like diabetes or smoking," he said. "That is especially true for
people who are physically unfit."
Copyright 2006 ScoutNews, LLC. All rights reserved
Sivan BomzeB.Sc., D.H.M.H.S., HD
Homeopathic Doctor
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