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Risk factors for coronary heart disease among immigrant women from Iran and Turkey, compared to women of Swedish ethnicity
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Clinical Nutrition)
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2005 (English)In: Ethnicity & Disease, ISSN 1049-510X, E-ISSN 1945-0826, Vol. 15, no 2, 213-220 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES:

The aim of the study was to compare a group of immigrant women from the Middle East living in Sweden to Swedish-born controls regarding the prevalence of certain cardiovascular risk factors.

DESIGN:

Health survey of randomly selected foreign-born women and women native in Sweden.

SETTING:

Uppsala, Sweden.

SUBJECTS:

A total of 107 immigrant women aged 35-64 years from the Middle East (Iran [N=71] and Turkey [N=36]) living in Uppsala and residents in Sweden for at least three years and a control group of ethnic Swedish women (N=50).

MAIN OUTCOME MEASURES:

A questionnaire and a clinical examination specially directed towards measuring cardiovascular risk factors and prevalence of obesity, diabetes mellitus, and hypertension.

RESULTS:

A less beneficial cardiovascular risk profile was found among immigrant women than among ethnic Swedish women. Turkish women had substantially higher body mass index (BMI), larger waist, higher waist/hip ratio and sagittal abdominal diameter, higher levels of serum triglycerides, and lower HDL cholesterol concentration compared with Swedish-born women. A similar tendency was seen also for Iranian women.

CONCLUSION:

The present study shows important ethnic differences in cardiovascular disease risk factor pattern. Immigrant women from Iran and Turkey are heavier than women born in Sweden and have a higher prevalence of abdominal obesity, an unfavorable lipid profile, and a high degree of physical inactivity during leisure time, which may predispose for a higher incidence of diabetes and atherosclerotic cardiovascular disease.

Place, publisher, year, edition, pages
2005. Vol. 15, no 2, 213-220 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-94760PubMedID: 15825967OAI: oai:DiVA.org:uu-94760DiVA: diva2:168732
Available from: 2006-09-08 Created: 2006-09-08 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Diet and Metabolic Risk Factors in Immigrant Women from the Middle East and Swedish-Born Women: A Cross-Sectional Study of Women from Iran, Turkey and Sweden
Open this publication in new window or tab >>Diet and Metabolic Risk Factors in Immigrant Women from the Middle East and Swedish-Born Women: A Cross-Sectional Study of Women from Iran, Turkey and Sweden
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The increasing number of immigrants in Sweden during the past decades has brought the health of different ethnic groups into focus. Many groups of immigrants in Sweden have a higher risk of cardiovascular disease (CVD) and coronary heart disease (CHD) than a Swedish reference group. The objective of this thesis was to study the health status and prevalence of metabolic risk factors among immigrant women from Iran and Turkey in comparison with native-Swedish women. The analyses are based on a cross-sectional study of first-generation immigrant women and women born in Sweden aged 35-64. The women underwent a clinical examination, including blood sampling and anthropometric measurements. Dietary intake was assessed by four repeated 24-hour food intake recalls.

The results show important ethnic differences in risk factors for CHD and the metabolic syndrome between the immigrant and the Swedish-born women. Immigrant women from Iran and Turkey are heavier, with a higher prevalence of abdominal obesity and an unfavourable lipid profile and a high degree of physical inactivity during leisure-time, which may predispose for a higher incidence of diabetes and atherosclerotic CVD. The associations between dietary variables and metabolic risk factors were generally relatively weak. The degree of underreporting of the energy was significant, especially among immigrant women, which might have attenuated possible associations. The fatty acid profile of the diet and in serum among the immigrant women indicated both favourable and unfavourable features, despite a higher prevalence of obesity and dyslipidemia compared to the Swedish-born women. Signs of oxidative stress and inflammation are evident in the immigrant women from the Middle East.

With reference to ethnical differences in metabolic risk factors, as demonstrated in this thesis, increased emphasis should be given to modifying the underlying factors such as overweight/obesity and physical inactivity associated with the metabolic syndrome in various immigrant groups.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2006. 70 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 15
Keyword
Caring sciences, cardiovascular factors, metabolic risk factors, immigrants, Iranian, Turkish, Swedish, Middle East, dietary intake, underreporting, dietary fat, fat sources, antioxidant intake, oxidative stress, inflammation, C-reactive protein, isoprostanes, Vårdvetenskap
Identifiers
urn:nbn:se:uu:diva-7103 (URN)91-554-6631-1 (ISBN)
Public defence
2006-09-29, Maria salen, Stiftets Hus, Dragarbrunsgatan 71, Uppsala, 09:15
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Supervisors
Available from: 2006-09-08 Created: 2006-09-08Bibliographically approved

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Daryani, AchrafBecker, WulfVessby, Bengt

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