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Medicine and Health Sciences

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Selected Works

Noel Barengo

2019

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Smoking And Cancer, Cardiovascular And Total Mortality Among Older Adults: The Finrisk Study, Noel C. Barengo, Riitta Antikainen, Kennet Harald, Pekka Jousilahti Jul 2019

Smoking And Cancer, Cardiovascular And Total Mortality Among Older Adults: The Finrisk Study, Noel C. Barengo, Riitta Antikainen, Kennet Harald, Pekka Jousilahti

Noel Barengo

Little information is available about the deleterious effect of smoking in older adults The objective of this study was to assess the relationship of smoking habitswith cancer, CVD and all-cause mortality in late middle-age (45–64 years) and older (65–74) people. This cohort study of 6516 men and 6514 women studied the relationship of smoking habits with cancer, cardiovascular disease (CVD) and all-cause mortality among middle-aged and older Finnish men and women during 1997–2013. The study cohort was followed up until the end of 2013 (median follow-up time was 11.8 years). Mortality data were obtained from the National Causes of …


Predictors Of Long Term Weight Loss Maintenance In Patients At High Risk Of Type 2 Diabetes Participating In A Lifestyle Intervention Program In Primary Health Care: The De-Plan Study, Aleksandra Gilis-Januszewska, Noel C. Barengo, Jaana Lindstrom, Ewa Wojtowicz, Tonia Acosta, Jaakko Tuomilehto, Peter E.H. Schwarz, Beata Piwonska-Solska, Zbigniew Szybinski, Adam Windak, Alicja Hubalewska-Dydejczyk Jul 2019

Predictors Of Long Term Weight Loss Maintenance In Patients At High Risk Of Type 2 Diabetes Participating In A Lifestyle Intervention Program In Primary Health Care: The De-Plan Study, Aleksandra Gilis-Januszewska, Noel C. Barengo, Jaana Lindstrom, Ewa Wojtowicz, Tonia Acosta, Jaakko Tuomilehto, Peter E.H. Schwarz, Beata Piwonska-Solska, Zbigniew Szybinski, Adam Windak, Alicja Hubalewska-Dydejczyk

Noel Barengo

Lifestyle interventions in type 2 diabetes (DM2) prevention implementation studies can be effective and lasting. Long-term weight loss maintenance enhances the intervention effect through a significant decrease in diabetes incidence over time. Our objective was to identify factors predicting long-term successful weight reduction maintenance achieved during a DM2 prevention program in patients with high DM2 risk in primary health care. Study participants (n = 263), middle-aged, slightly obese with baseline increased DM2 risk (Finnish Diabetes Risk Score (FINDRISC)>14), but no diabetes were invited to receive 11 lifestyle counselling sessions, guided physical activity sessions and motivational support during 10- months. …


Predictors Of Hypertension In Mauritians With Normotension And Prehypertension At Baseline: A Cohort Study, Sudhirsen Kowlessur, Zhibin Hu, Jaysing Heecharan, Jianming Wang, Juncheng Dai, Jaakko O. Tuomilehto, Stefan Söderberg, Paul Zimmet, Noel C. Barengo Jul 2019

Predictors Of Hypertension In Mauritians With Normotension And Prehypertension At Baseline: A Cohort Study, Sudhirsen Kowlessur, Zhibin Hu, Jaysing Heecharan, Jianming Wang, Juncheng Dai, Jaakko O. Tuomilehto, Stefan Söderberg, Paul Zimmet, Noel C. Barengo

Noel Barengo

Information on the predictors of future hypertension in Mauritians with prehypertension is scant. The aim of this study was to analyze the 5-year and 11-year risk of hypertension and its predictors in people with normotension and prehypertension at baseline in Mauritius in 1987. This was a retrospective cohort study of 883 men and 1194 women of Mauritian Indian and Mauritian Creole ethnicity, aged 25–74 years old, free of hypertension at baseline in 1987 with follow-up examinations in 1992 and 1998 using the same methodology. The main outcome was 5- and 11-year risk of hypertension. Odds ratios (OR) and corresponding 95% …


Racial Disparities In Cancer-Related Survival In Patients With Squamous Cell Carcinoma Of The Esophagus In The Us Between 1973 And 2013, Alice Kim, Peter Ashman, Melissa Ward-Peterson, Juan Manuel Lozano, Noel C. Barengo Jul 2019

Racial Disparities In Cancer-Related Survival In Patients With Squamous Cell Carcinoma Of The Esophagus In The Us Between 1973 And 2013, Alice Kim, Peter Ashman, Melissa Ward-Peterson, Juan Manuel Lozano, Noel C. Barengo

Noel Barengo

Background

Esophageal cancer makes up approximately 1% of all diagnosed cancers in the US. There is a persistent disparity in incidence and cancer-related mortality rates among different races for esophageal squamous cell carcinoma (SCC). Most previous studies investigated racial disparities between black and white patients, occasionally examining disparities for Hispanic patients. Studies including Asians/Pacific Islanders (API) as a subgroup are rare. Our objective was to determine whether there is an association between race and cancer-related survival in patients with esophageal SCC.

Methods and findings

This was a retrospective cohort study using the National Cancer Institute’s Surveillance, Epidemiology, and End Result …


The Association Between Race And Survival In Glioblastoma Patients In The Us: A Retrospective Cohort Study, Andrew Bohn, Alexander Braley, Pura Rodríguez De La Vega, Juan C. Zevallos, Noel C. Barengo Jul 2019

The Association Between Race And Survival In Glioblastoma Patients In The Us: A Retrospective Cohort Study, Andrew Bohn, Alexander Braley, Pura Rodríguez De La Vega, Juan C. Zevallos, Noel C. Barengo

Noel Barengo

Background

Glioblastoma is the most common primary brain cancer in adults with an incidence of 3.4 per 100,000, making up about 15% of all brain tumors. Inconsistent results have been published in regard differences in survival between white and black glioblastoma patients. The objective of this to study the association between race and in Glioblastoma patients in the USA during 2010–2014.

Methods and findings

The National Cancer Institute’s Surveillance Epidemiology and End Results (SEER) database were used to evaluate race/ethnicity (White non-Hispanic, Black non-Hispanic, Asian/Pacific Islanders non-Hispanic (API)) and Hispanic) adults patients with first-time diagnosis of glioblastoma (International Classification of …


Patrones De Prescripción De Medicamentos Para La Diabetes Mellitus Tipo 2 En Cinco Departamentos De Colombia, En 2014, Noel C. Barengo, Sandra Camacho, Pilar Andrea Lopez, Paul Anthony Camacho, Angel Alberto Garcia, Jamie Alejandro Hincapie, Alexander Maceneth, Patricip Lopez-Jaramillo Jul 2019

Patrones De Prescripción De Medicamentos Para La Diabetes Mellitus Tipo 2 En Cinco Departamentos De Colombia, En 2014, Noel C. Barengo, Sandra Camacho, Pilar Andrea Lopez, Paul Anthony Camacho, Angel Alberto Garcia, Jamie Alejandro Hincapie, Alexander Maceneth, Patricip Lopez-Jaramillo

Noel Barengo

Objetive:

to describe the patterns of medicine prescriptions for diabetes mellitus type 2 (dm2) and the comorbidity of patients in five health care institutions in Colombia.

Methodology:

descriptive cross-sectional study carried out checking the medical records of 5098 patients with dm2 treated at the outpatient service centers in five Colombian cities between January 1 and December 31 of 2014. Each patient with dm2 had a record of at least two outpatient appointments registered during the time of this study. The information was collected through electronic surveys. National and international guides on diabetes treatment were used to categorize the medications. The …


Is Being Single A Risk Factor For Previously Undetected Abnormal Glucose Tolerance?, Labeena Wajahat, Raisa Uddin, Andrew Lai, Luisa Pombo, Noel C. Barengo Jul 2019

Is Being Single A Risk Factor For Previously Undetected Abnormal Glucose Tolerance?, Labeena Wajahat, Raisa Uddin, Andrew Lai, Luisa Pombo, Noel C. Barengo

Noel Barengo

Background: Type II diabetes represents a chronic disease with costly consequences. It is important to identify all risk factors to allow patients the opportunity to counter its progression. The aim of this study was to evaluate the association between marital status and previously undiagnosed abnormal glucose tolerance (AGT) in a northern Colombian population. Methods: Secondary data analysis of a cross-sectional screening study in a northern Colombian adult population ages 18-74 using healthcare insurance company data from 2014-2015. The main exposure was marital status, while the outcome was AGT. A descriptive analysis of the variables in the database was conducted, and …


Hispanic Ethnicity And The Risk Of Cardiovascular Disease In The United States: The Behavioral Risk Factor Surveillance System 2013, Valeria Gonzalez, Stephany Oscullo, Amardeep Kalsi, Esteban Ortiz-Prado, Noel C. Barengo, Juan C. Zevallos Jul 2019

Hispanic Ethnicity And The Risk Of Cardiovascular Disease In The United States: The Behavioral Risk Factor Surveillance System 2013, Valeria Gonzalez, Stephany Oscullo, Amardeep Kalsi, Esteban Ortiz-Prado, Noel C. Barengo, Juan C. Zevallos

Noel Barengo

BACKGROUND:

Although the leading cause of death among Hispanics living in the United States (US) is cardiovascular disease (CVD), the association between Hispanic ethnicity and CVD has been scarcely explored.

OBJECTIVE:

To examine whether being Hispanic is associated with an increased risk of CVD compared with the non-Hispanic US adult population in 2013.

METHODS:

Secondary data analysis of a cross-sectional 2013 Behavioral Risk Factor Surveillance System survey in 2013 (n=486,905). The main exposure variable was Hispanic ethnicity (Mexican, Puerto Rican, Cuban or Spanish origin) and the main outcome variable was self-reported CVD (myocardial infarction/coronary artery disease/angina). The main covariates were …


Factors Related To Good Asthma Control Using Different Medical Adherence Scales In Latvian Asthma Patients: An Observational Study, Dins Smits, Girts Brigis, Jana Pavare, Baiba Maurina, Noel C. Barengo Jul 2019

Factors Related To Good Asthma Control Using Different Medical Adherence Scales In Latvian Asthma Patients: An Observational Study, Dins Smits, Girts Brigis, Jana Pavare, Baiba Maurina, Noel C. Barengo

Noel Barengo

One of the main challenges in asthma control is adherence to pharmaceutical treatment. The aim of this study was to test the association between adherence to asthma medication, control and medical beliefs, cognitive and emotional perceptions using three different validated questionnaires. Beliefs about asthma medicine, cognitive and emotional factors were determined in a cross-sectional survey of patients attending outpatient pulmonologist practices in Latvia (n = 352). The validated Beliefs about Medicines Questionnaire and the Brief Illness Perception Questionnaire were used. Adherence to asthma medication was assessed using the Morisky Medication Adherence Scale and two different versions of the Medication …


Factors Related To Poor Asthma Control In Latvian Asthma Patients Between 2013 And 2015, Dins Smits, Girts Brigis, Jana Pavare, Baiba Maurina, Noel C. Barengo Jul 2019

Factors Related To Poor Asthma Control In Latvian Asthma Patients Between 2013 And 2015, Dins Smits, Girts Brigis, Jana Pavare, Baiba Maurina, Noel C. Barengo

Noel Barengo

Objectives

To investigate whether beliefs about asthma medication, cognitive and emotional factors are related to poor asthma control in a sample of Latvian asthma patients in 2015.

Design

Cross-sectional, self-administered survey.

Subjects

Three hundred and fifty two asthma patients (mean age 57.5 years) attending outpatient pulmonologist consultations in Riga, Latvia during September 2013 to December 2015. The sample size was calculated to detect a prevalence of poor asthma control of 50% with a margin of error of 5% and a power of 95%.

Main outcome measures

The validated Beliefs about Medication Questionnaire (BMQ) and the Brief Illness Perception Questionnaire (brief …


Effect Of Charted Mental Illness On Reperfusion Therapy In Hospitalized Patients With An Acute Myocardial Infarction In Florida, Thomas R. Campri, Sharon George, Diego Villacis, Melissa Ward-Peterson, Noel C. Barengo, Juan C. Zevallos Jul 2019

Effect Of Charted Mental Illness On Reperfusion Therapy In Hospitalized Patients With An Acute Myocardial Infarction In Florida, Thomas R. Campri, Sharon George, Diego Villacis, Melissa Ward-Peterson, Noel C. Barengo, Juan C. Zevallos

Noel Barengo

Patients with mental illness carry risk factors that predispose them to excess cardiovascular mortality from an acute myocardial infarction (AMI) compared to the general population. The aim of this study was to determine if patients with AMI and charted mental illness (CMI) received less reperfusion therapy following an AMI, compared to AMI patients without CMI in a recent sample population from Florida.

A secondary analysis of data was conducted using the Florida Agency for Health Care Administration (FL-AHCA) hospital discharge registry. Adults hospitalized with an AMI from 01/01/2010 to 12/31/2015 were included for the analysis. The dependent variable was administration …


Association Between Race And Cancer-Related Mortality Among Patients With Colorectal Cancer In The United States: A Retrospective Cohort Study, Sayaf H. Alshareef, Nasser A. Alsobaie, Salman A. Aldeheshi, Sultan T. Alturki, Juan C. Zevallos, Noel C. Barengo Jul 2019

Association Between Race And Cancer-Related Mortality Among Patients With Colorectal Cancer In The United States: A Retrospective Cohort Study, Sayaf H. Alshareef, Nasser A. Alsobaie, Salman A. Aldeheshi, Sultan T. Alturki, Juan C. Zevallos, Noel C. Barengo

Noel Barengo

Colorectal cancer (CRC) is the third most common cause of mortality in the United States (US). Differences in CRC mortality according to race have been extensively studied; however, much more understanding with regard to tumor characteristics’ effect on mortality is needed. The objective was to investigate the association between race and mortality among CRC patients in the US during 2007–2014. A retrospective cohort study using data from the Surveillance, Epidemiology, and End Results (SEER) Program, which collects cancer statistics through selected population-based cancer registries during in the US, was conducted. The outcome variable was CRC-related mortality in adult patients (≥18 …


Association Of Ventricular Arrhythmia And In-Hospital Mortality In Stroke Patients In Florida: A Nonconcurrent Prospective Study, Arielle A. Dahlin, Chase C. Parsons, Noel C. Barengo, Juan Gabriel Ruiz, Melissa Ward-Peterson, Juan Carlos Zevallos Jul 2019

Association Of Ventricular Arrhythmia And In-Hospital Mortality In Stroke Patients In Florida: A Nonconcurrent Prospective Study, Arielle A. Dahlin, Chase C. Parsons, Noel C. Barengo, Juan Gabriel Ruiz, Melissa Ward-Peterson, Juan Carlos Zevallos

Noel Barengo

Stroke remains one of the leading causes of death in the United States. Current evidence identified electrocardiographic abnormalities and cardiac arrhythmias in 50% of patients with an acute stroke. The purpose of this study was to assess whether the presence of ventricular arrhythmia (VA) in adult patients hospitalized in Florida with acute stroke increased the risk of in-hospital mortality.

Secondary data analysis of 215,150 patients with ischemic and hemorrhagic stroke hospitalized in the state of Florida collected by the Florida Agency for Healthcare Administration from 2008 to 2012. The main outcome for this study was in-hospital mortality. The main exposure …


A Demonstration Area For Type 2 Diabetes Prevention In Barranquilla And Juan Mina (Colombia), Tania Acosta, Noel C. Barengo, Astrid Arrieta, Carlos Ricaurte, Jaakko O. Tuomilehto Jul 2019

A Demonstration Area For Type 2 Diabetes Prevention In Barranquilla And Juan Mina (Colombia), Tania Acosta, Noel C. Barengo, Astrid Arrieta, Carlos Ricaurte, Jaakko O. Tuomilehto

Noel Barengo

Type 2 diabetes (T2D) imposes a heavy public health burden in both developed and developing countries. It is necessary to understand the effect of T2D in different settings and population groups. This report aimed to present baseline characteristics of study participants in the demonstration area for the “Type 2 Diabetes Prevention in Barranquilla and Juan Mina” (DEMOJUAN) project after randomization and to compare their fasting and 2-hour glucose levels according to lifestyle and T2D risk factor levels.

The DEMOJUAN project is a randomized controlled field trial. Study participants were recruited from study sites using population-wide screening using the Finnish Diabetes …


Demographic Variation In The Frequency Of Gliomas In Florida, Dharam Persaud, Joseph Burns, Jeran Trangle, Grettel Castro, Noel C. Barengo, Sabyasachi Moulik, Juan Manuel Lozano Jul 2019

Demographic Variation In The Frequency Of Gliomas In Florida, Dharam Persaud, Joseph Burns, Jeran Trangle, Grettel Castro, Noel C. Barengo, Sabyasachi Moulik, Juan Manuel Lozano

Noel Barengo

Background and objectives: Glial brain cancers affect nearly 20,000 individuals in the United States (USA) annually. SEER database data exploring the relationship between race and gliomas is now available and have shown that cerebral gliomas occur at a higher frequency in Caucasian men. However, such analyses did not include demographic data specific to the state of Florida. This study assessed the association between race and glial vs. non-glial Central Nervous System (CNS) cancers in Florida, USA. Materials and Methods: This case-control study utilized the Florida Cancer Data Registry (FCDS), in which race was considered the exposure and development of glioma …