Barriers, Opportunities, and Challenges in Addressing Disparities in Diet‐Related Cardiovascular Disease in the United States

Kris‐Etherton, Penny M.; Petersen, Kristina S.; Velarde, Gladys; Barnard, Neal D.; Miller, Michael; Ros, Emilio; O'Keefe, James H.; Williams, Kim; Horn, Linda Van; Na, Muzi; Shay, Christina; Douglass, Paul; Katz, David L.; Freeman, Andrew M.

doi:10.1161/jaha.119.014433

Cited by 132Nutritional Studies and DietCardiovascular Health and Risk FactorsNutrition, Health, and Society Studies

Barriers, Opportunities, and Challenges in Addressing Disparities in Diet‐Related Cardiovascular Disease in the United States

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Kris‐Etherton, Penny M., Petersen, Kristina S., Velarde, Gladys, Barnard, Neal D., Miller, Michael, Ros, Emilio, O'Keefe, James H., Williams, Kim +6 more·2020·Journal of the American Heart Association

DOI 10.1161/jaha.119.014433PMC PMC7428614

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Abstract

In the United States, cardiovascular disease (CVD) is the leading cause of death and disability. Suboptimal diet quality is responsible for a greater percentage of CVD‐related morbidity and mortality than any other modifiable risk factor. Further troubling are the stark racial/ethnic and socioeconomic disparities in diet quality. This represents a major public health concern that urgently requires a coordinated effort to better characterize the barriers to healthy dietary practices in population groups disproportionally affected by CVD and poor diet quality to inform multifaceted approaches at the government (policy), community environment, sociocultural, and individual levels. This paper reviews the barriers, opportunities, and challenges involved in shifting population behaviors, especially in underserved populations, toward healthy dietary practices. It is imperative that public health policies address the social determinants of nutrition more intensively than previously in order to significantly decrease CVD on a population‐wide basis.

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Healthful dietary patterns have been positively associated with cardiovascular health in observational epidemiological studies.
“Furthermore, healthful dietary patterns have been positively associated with CVH in observational epidemiological studies.[99][100][101][102][103][104]”
From Popular dietary patterns: alignment with American Heart Association 2021 dietary guidance: a scientific statement from the American Heart Association. (2023) · cites this paper as [99]

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Strategies to improve the dietary qualtiy of Supplemental Nutrition Assistance Program (SNAP) beneficiaries: an assessment of stakeholder opinionsPreprint
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Empirical Bayes Shrinkage Estimates of State Supplemental Nutrition Assistance Program Participation Rates in Fiscal Year 2010 to Fiscal Year 2012 for All Eligible People and the Working PoorPreprint
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Authors: Kris‐Etherton, P. M., Petersen, K. S., Velarde, G., Barnard, N. D., Miller, M., Ros, E., O'Keefe, J. H., Williams, K., Horn, L. V., Na, M., Shay, C., Douglass, P., Katz, D. L., & Freeman, A. M.
Affiliations: Pennsylvania State University (US)
University of Florida (US)
Physicians Committee for Responsible Medicine (US)
University of Maryland, Baltimore (US)
Instituto de Salud Carlos III (ES)
Saint Luke's Mid America Heart Institute School of Medicine University of Missouri–Kansas City MO
Rush University Medical Center Chicago IL
Northwestern University (US)
American Heart Association (US)
WellStar Health System (US)
Yale Griffin Prevention Research Center (US)
National Jewish Health (US)
Corresponding author: Kris‐Etherton, Penny M.
Petersen, Kristina S.
ORCID: Kris‐Etherton, Penny M.
Petersen, Kristina S.
Velarde, Gladys
Barnard, Neal D.
Miller, Michael
Ros, Emilio
Horn, Linda Van
Na, Muzi
Shay, Christina
Katz, David L.
Freeman, Andrew M.
Venue: Journal of the American Heart Association
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2020-04-09
Volume: 9
Issue: 7
Pages: e014433-e014433
ISSN: 2047-9980 (ISSN-L)
DOI: 10.1161/jaha.119.014433
PMC: PMC7428614
OpenAlex: W3012736759
Cited by: 132
References: 116
Citations by year: 2026: 14 · 2025: 20 · 2024: 29 · 2023: 27 · 2022: 20 · 2021: 19 · 2020: 3
FWCI: 2.89
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Journal of the American Heart Association (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: Instituto de Salud Carlos III
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Life Sciences › Agricultural and Biological Sciences › Food Science › Nutrition, Health, and Society Studies
Keywords: diet quality, health disparities, racial and ethnic disparities, socioeconomic disparities, barriers to healthy eating, underserved populations, social determinants of nutrition, public health policy, community environment, sociocultural factors, dietary behavior change
MeSH terms: Diet, Healthy, Race Factors, Adult, Aged, Cardiovascular Diseases, Diet, Female, Humans, Male, Middle Aged, Nutritive Value, Risk Factors, Socioeconomic Factors, United States, Health Behavior, Risk Assessment, Risk Reduction Behavior, Health Status Disparities, Young Adult, Food Assistance, Social Determinants of Health, Protective Factors

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Barriers, Opportunities, and Challenges in Addressing Disparities in Diet‐Related Cardiovascular Disease in the United States

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