PMID- 36653902 OWN - NLM STAT- MEDLINE DCOM- 20230609 LR - 20230612 IS - 1552-4175 (Electronic) IS - 1099-8004 (Linking) VI - 25 IP - 3 DP - 2023 Jul TI - Electrocardiogram Abnormalities Associated With Metabolic Syndrome: The Hispanic Community Health Study/Study of Latinos. PG - 469-479 LID - 10.1177/10998004231152849 [doi] AB - BACKGROUND: Metabolic syndrome (MetS) is a prognostic cluster of physiologic risk factors that may develop into cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM). Electrocardiogram abnormalities (ECGA) can be instrumental in identifying the early stages of disease and may be associated with MetS in Hispanic Americans. OBJECTIVE: To explore the relationships between MetS and major and minor ECGA in the Hispanic population (Hypothesis 1) and determine whether gender-ethnic subgroups moderate these relationships (Hypothesis 2). METHODS: This secondary data analysis was conducted using large-scale data from the cohort study Hispanic Community Health Study/Study of Latinos (N = 13,628; 59% women and 41% men). Major ECGA encompassed 9 abnormalities including pathologic Q waves and left ventricular hypertrophy. Minor ECGA were tested independently of major ECGA. MetS was classified into 4 categories delineating metabolic abnormalities and related medication use. Multinomial logistic regression and Hayes' PROCESS macro were used for statistical analysis. RESULTS: Major ECGA were significantly associated with the presence of MetS and/or related medication use, whereas minor ECGA abnormalities were associated with MetS for participants who also took MetS-related medications only. Gender moderated the association between MetS and minor ECGA such that women with minor ECGA had a higher likelihood of MetS when compared to men. CONCLUSIONS: Findings suggest that early recognition and associated treatment of major and minor ECGA can be important to prevent MetS and further morbidities in the Hispanic population. FAU - Richard, Shannon L AU - Richard SL AUID- ORCID: 0000-0003-2841-9156 AD - University of Nevada, Las Vegas, NV, USA. FAU - Feng, Du AU - Feng D AUID- ORCID: 0000-0003-0333-2687 AD - University of Nevada, Las Vegas, NV, USA. FAU - Kim, Jinyoung AU - Kim J AD - University of Nevada, Las Vegas, NV, USA. FAU - Tran, Dieu-My T AU - Tran DT AUID- ORCID: 0000-0001-9956-8664 AD - University of Nevada, Las Vegas, NV, USA. FAU - Renn, Brenna N AU - Renn BN AD - University of Nevada, Las Vegas, NV, USA. LA - eng PT - Journal Article DEP - 20230118 PL - United States TA - Biol Res Nurs JT - Biological research for nursing JID - 9815758 SB - IM MH - Female MH - Humans MH - Male MH - Cohort Studies MH - *Electrocardiography MH - Hispanic or Latino MH - *Metabolic Syndrome/epidemiology MH - Public Health MH - Risk Factors OTO - NOTNLM OT - Hispanic OT - electrocardiogram abnormalities OT - metabolic syndrome EDAT- 2023/01/19 06:00 MHDA- 2023/06/09 06:42 CRDT- 2023/01/18 23:53 PHST- 2023/06/09 06:42 [medline] PHST- 2023/01/19 06:00 [pubmed] PHST- 2023/01/18 23:53 [entrez] AID - 10.1177/10998004231152849 [doi] PST - ppublish SO - Biol Res Nurs. 2023 Jul;25(3):469-479. doi: 10.1177/10998004231152849. Epub 2023 Jan 18.