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Subject: search.filters.subject.Heart diseases in women

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    Filipino women's health study : a thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Nutrition and Dietetics at Massey University, Albany, New Zealand
    (Massey University, 2017) Norrish, Liana
    Background: Western acculturation has been shown to be detrimental to health outcomes. Recently, more Filipinos are migrating to New Zealand, which may increase lifestyle-related chronic diseases. Furthermore, Filipino populations already have a higher incidence of chronic disease and less favourable health outcomes than their Western counterparts. Understanding their risk will assist development of public health initiatives which can be utilised to protect the health of the growing Filipino New Zealand migrant population. Aim: The aim of this study was to investigate the risk of developing type 2 diabetes mellitus and cardiovascular disease among recently immigrated Filipino women Method: 62 recently-immigrated Filipino women, aged 19-45, were recruited from Auckland, New Zealand. A health and demographic information questionnaire was completed. Anthropometric measurements (height, weight, and waist circumference) and blood pressure were measured. Both total and percent body fat were determined using dual energy X-ray absorptiometry. Fasting glucose, insulin, and lipids were measured. Physical activity data was monitored by accelerometers and two-day food diaries were completed. Homeostasis Model Assessment 2 was used to quantify insulin resistance. The 30-year Framingham Risk Score was used to classify participants into low-, medium-, or high-risk of developing cardiovascular disease. Prevalence of metabolic syndrome according to the modified National Cholesterol Education Programme criteria was determined. Results: Body mass index, waist circumference, and percent body fat were positively correlated with higher insulin resistance. Smokers had higher insulin resistance than non-smokers. However, 90% of participants had a low long-term risk of developing cardiovascular disease and 10% of participants met the metabolic syndrome criteria. This study was cross-sectional and provided used self-selection sampling. Conclusion: Anthropometric measures and smoking were associated with higher insulin resistance in participants. Participants with metabolic syndrome (10%) were at a greater risk of developing type 2 diabetes mellitus. This study highlights the risk of diabetes and cardiovascular disease development, and the need for further research, in this Filipino migrant population. These findings also create a platform for improving New Zealand health programmes by targeting appropriate risk factors to improve insulin sensitivity and reduce risk of developing diabetes, and will help to raise awareness in the Filipino community.
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    Reframing everydayness: a grounded theory study of women's perceptions of the contribution of cardiac rehabilitation to their recovery from a heart attack : a thesis submitted in partial fulfilment of the requirements for the degree of Master of Arts in Nursing at Massey University
    (Massey University, 2003) Day, Wendy K
    Coronary heart disease (CHD) is a serious health issue for women but, in the past, women have been under-represented in research related to this condition. Instead, research using male populations has been used as a basis for the diagnosis and treatment of CHD in women. This has resulted in men and women being treated the same despite the presence of physiological and social differences. To ensure future diagnosis and treatment is based on appropriate research related to women and CHD. Grounded theory was used to explore women's perceptions of the contribution of cardiac rehabilitation to their recovery from a heart attack. The constant comparative method of data analysis was used to develop categories from the data. Overall the experience of suffering a heart attack caused disruption to everyday life and functioning. This included interruption to activities and social roles and shock at having suffered a heart attack. Recovery was characterised by 'reframing' their lives based on the alterations caused by their heart attack experience. The women in this study attempted to return to their everyday roles and responsibilities through the basic social process of "regaining everydayness". Most women did not recognise that they had received phase one cardiac rehabilitation, and although phase two cardiac rehabilitation met some of the education needs of the women in this study, it did not provide the support that all participants required. For some participants social needs were met by attending cardiac rehabilitation sessions. Phase two cardiac rehabilitation attendance was affected by transport, time, family and social issues, such as work commitments. Although some aspects of cardiac rehabilitation were beneficial for most participants, it did not appear to aid recovery for all of them.