International Journal of Cardiology
Volume 286, 2019, Pages 186-189

Variations in cardiovascular risk factors in people with and without migration background in Germany – Results from the STAAB cohort study (Article)

Morbach C. , Gelbrich G. , Tiffe T. , Eichner F. , Wagner M. , Heuschmann P.U. , Störk S.* , Frantz S. , Maack C. , Ertl G. , Fassnacht M. , Wanner C. , Leyh R. , Volkmann J. , Deckert J. , Faller H. , Jahns R. , On behalf of the STAAB consortium
  • a Comprehensive Heart Failure Center and Dept. of Medicine I, University Hospital and University of Würzburg, Germany
  • b Institute of Clinical Epidemiology and Biometry and Comprehensive Heart Failure Center, University of Würzburg, Germany
  • c Institute of Clinical Epidemiology and Biometry and Comprehensive Heart Failure Center, University of Würzburg, Germany
  • d Institute of Clinical Epidemiology and Biometry and Comprehensive Heart Failure Center, University of Würzburg, Germany
  • e Institute of Clinical Epidemiology and Biometry and Comprehensive Heart Failure Center, University of Würzburg, Germany
  • f Institute of Clinical Epidemiology and Biometry, Comprehensive Heart Failure Center, and Clinical Trial Center, University of Würzburg, Germany
  • g Comprehensive Heart Failure Center and Dept. of Medicine I, University Hospital and University of Würzburg, Germany
  • h Dept. of Medicine I, Div. of Cardiology, University Hospital Würzburg, Germany
  • i Comprehensive Heart Failure Center, University Hospital and University of Würzburg, Germany
  • j University Hospital Würzburg, Germany
  • k Dept. of Medicine I, Div. of Endocrinology, University Hospital Würzburg, Germany
  • l Dept. of Medicine I, University Hospital Würzburg, Germany
  • m Dept. of Cardiovascular Surgery, University Hospital Würzburg, Germany
  • n Dept. of Neurology, University Hospital Würzburg, Germany
  • o Dept. of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital Würzburg, Germany
  • p Dept. of Medical Psychology, University of Würzburg, Germany
  • q Interdisciplinary Bank of Biomaterials and Data Würzburg, University Hospital Würzburg, Germany
  • r [Affiliation not available]

Abstract

Background: About 20% of the German population have a migration background which might influence prevalence of preventable cardiovascular risk factors (CVRF). Methods: We report data of the prospective Characteristics and Course of Heart Failure Stages A-B and Determinants of Progression (STAAB) cohort study investigating a representative sample of inhabitants of the City of Würzburg, Germany, aged 30 to 79 years. Individuals without migration background were defined as follows: German as native language, no other native language, and/or born in Germany. All other participants were defined as individuals with migration background. Results: Of 2473 subjects (51% female, mean age 54 ± 12 years), 291 (12%) reported a migration background: n = 107 (37%) from a country within the EU, n = 117 (40%) from Russia, and n = 67 (23%) from other countries. Prevalence of hypertension, atherosclerotic disease, and diabetes mellitus was similar in individuals with and without migration background. By contrast, prevalence of obesity and metabolic syndrome was significantly higher in individuals with migration background, with the least favourable profile apparent in individuals from Russia (individuals without vs. with migration background: obesity 19 vs. 24%, p < 0.05; odds ratio: EU: 1.6, Russia: 2.2*, other countries: 0.6; metabolic syndrome 18 vs. 21%, p < 0.05; odds ratio: EU: 1.2, Russia: 1.7*, other countries: 1.5; *p < 0.05). Conclusion: Individuals with migration background in Germany might exhibit a higher CVRF burden due to a higher prevalence of obesity and metabolic syndrome. Strategies for primary prevention of heart failure may benefit from deliberately considering the migration background. © 2018

Author Keywords

Immigrant Migration background Heart failure Risk factor Prevalence Cardiovascular

Index Keywords

antidiabetic agent Germany Fasting cardiovascular risk metabolic syndrome X Waist Circumference human middle aged Odds Ratio diabetes mellitus obesity priority journal hypertension Aged hemoglobin A1c German (language) male female European Union prevalence Article glucose blood level major clinical study adult migration atherosclerosis high density lipoprotein triacylglycerol blood level antilipemic agent dyslipidemia antihypertensive agent triacylglycerol glucose body mass systolic blood pressure diastolic blood pressure Russian Federation

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064532748&doi=10.1016%2fj.ijcard.2018.10.098&partnerID=40&md5=fa7cc26e7a7dea511ac457d01757b0b6

DOI: 10.1016/j.ijcard.2018.10.098
ISSN: 01675273
Original Language: English