Krajcovicova-Kudlackova M, Blazicek P, Spustova V, Valachovicova M, Ginter E
Research Base of the Slovak Medical University, Institute of Preventive and Clinical Medicine, Bratislava, Slovakia.
Bratisl Lek Listy. 2004;105(7-8):256-9.
Lipid and non-lipid cardiovascular risk parameters (cholesterol, HDL- and LDL-cholesterol, triglycerides, homocysteine, C-reactive protein, insulin resistance) and data about blood pressure, smoking, body mass index were assessed in two ethnic groups aged 19-35 years--the Gypsy group (n=122) and the Slovak group (n=137) of two regions with a high density of Gypsy population. In the Gypsy group, the values of triglycerides, atherogenic index, insulin, insulin resistance were significantly increased and the level of HDL-cholesterol was significantly decreased. The risk value of atherogenic index was found in 27 % of Gypsy vs 13 % of majority subjects, and 28 % vs 24 % of subjects had hypertriglyceridemia. Risk value of insulin resistance (HOMA) was presented in 11 % of the Gypsy vs 5 % of the majority group. More obese subjects (20 % vs 8 %), more smokers (55 % vs 25 %) and more subjects with low education (85 % vs 27 %) were recorded in the minority group. The greater occurrence of dyslipidemia, obesity and insulin resistance in young Gypsy subjects is influenced with lifestyle (nutrition /prevalence of animal fat consumption, low consumption of food with low glycemic index and soluble fibre/, smoking, low physical activity) as well as low educational status. (Tab. 2, Ref. 22.).
在两个吉普赛人口高密度地区,对年龄在19至35岁的两个种族群体——吉普赛组(n = 122)和斯洛伐克组(n = 137)——评估了脂质和非脂质心血管风险参数(胆固醇、高密度脂蛋白和低密度脂蛋白胆固醇、甘油三酯、同型半胱氨酸、C反应蛋白、胰岛素抵抗)以及有关血压、吸烟、体重指数的数据。在吉普赛组中,甘油三酯、致动脉粥样硬化指数、胰岛素、胰岛素抵抗的值显著升高,而高密度脂蛋白胆固醇水平显著降低。27%的吉普赛人有致动脉粥样硬化指数风险值,而多数群体中这一比例为13%;28%的吉普赛人与24%的多数群体受试者患有高甘油三酯血症。11%的吉普赛人有胰岛素抵抗(HOMA)风险值,而多数群体中这一比例为5%。在少数群体中,记录到更多肥胖受试者(20%对8%)、更多吸烟者(55%对25%)以及更多低学历受试者(85%对27%)。年轻吉普赛受试者中血脂异常、肥胖和胰岛素抵抗的发生率更高,这受到生活方式(营养/动物脂肪消费的流行情况、低血糖指数和可溶性纤维食物的低消费量/、吸烟、低体力活动)以及低教育水平的影响。(表2,参考文献22。)