Macronutrient intake and glycemic control in a population-based sample of American Indians with diabetes: the Strong Heart Study.

Background: Little research has explored the association of macronutrient intake and glycated hemoglobin (HbA(1c)) in adults with diabetes.

Objective: The objective of the study was to examine the cross-sectional association between macronutrient intake and HbA(1c) in diabetic American Indians.

Design: A total of 1284 participants aged 47-80 y who had diabetes for >or=1 y at the second examination (1993-1995) of the Strong Heart Study were included in this study.

Dietary fat intake and risk of coronary heart disease: the Strong Heart Study.

Background: The results of previous studies on the association between dietary fat intake and coronary heart disease (CHD) incidence are inconsistent.

Objective: The aim of this study was to examine the association between dietary fat intake and CHD incidence in American Indians in the Strong Heart Study.

Design: A total of 2938 participants aged 47-79 y and free of CHD at the second examination (1993-1995) were examined and followed for CHD, nonfatal CHD, and fatal CHD events to 31 December 2002.

Dietary intakes of nutrients thought to modify cardiovascular risk from three groups of American Indians: The Strong Heart Dietary Study, Phase II.

Background: Cardiovascular disease (CVD) is the leading cause of mortality among American Indians. Rates of CVD appear to be increasing among American Indians while they are decreasing among other racial and ethnic groups in the United States. Rates of comorbid conditions associated with CVD, such as obesity, impaired glucose tolerance, and hypertension, are also higher among American Indians than among other racial and ethnic groups in the United States.