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Published in: Current Diabetes Reports 3/2022

01-03-2022 | Obesity | Macrovascular Complications in Diabetes (R SHAH, Section Editor)

Racial Disparities and Cardiometabolic Risk: New Horizons of Intervention and Prevention

Authors: Eftitan Y. Akam, Akua A. Nuako, Afkera K. Daniel, Fatima Cody Stanford

Published in: Current Diabetes Reports | Issue 3/2022

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Abstract

Purpose of Review

Cardiometabolic diseases are a leading cause of morbidity and mortality in the USA and disproportionately impact racial and ethnic minorities. Multiple factors contribute to this disparity including genetic and socioeconomic factors, the latter of which contributes to disparities both through systemic barriers such as healthcare access and by directly impacting metabolism through epigenetics and environment-related alterations in the gut microbiome. This review will discuss advances in medicine that can be used to identify, prognosticate, and treat cardiometabolic diseases, and how these may be used to address existing disparities.

Recent Findings

There is growing research aimed at identifying novel cardiometabolic disease targets and expanding the use of existing pharmacotherapies based on comorbidities. Advances in metabolomics and genomics can give insight into an individual’s unique biochemical profile, providing the means for earlier identification of disease and specific treatment targets. Moreover, developments in telehealth and related medical device technologies can expand access to underserved minority populations and improve control of chronic conditions such as diabetes and hypertension.

Summary

Precision medicine may be integral to bridging the racial gap in cardiometabolic disease outcomes. Developments in genomics, metabolomics, wearable medical devices, and telehealth can result in personalized treatments for patients that account for the socioeconomic and genetic factors that contribute to poor health outcomes in minorities. As research in this field rapidly progresses, special efforts must be made to ensure inclusion of racial and ethnic minority populations in clinical research and equal access to all treatment modalities.
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Metadata
Title
Racial Disparities and Cardiometabolic Risk: New Horizons of Intervention and Prevention
Authors
Eftitan Y. Akam
Akua A. Nuako
Afkera K. Daniel
Fatima Cody Stanford
Publication date
01-03-2022
Publisher
Springer US
Keywords
Obesity
Obesity
Published in
Current Diabetes Reports / Issue 3/2022
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-022-01451-6