挪威和索马里兰的索马里人心血管危险因素比较。

Comparison of Cardiovascular Risk Factors among Somalis Living in Norway and Somaliland.

机构信息

Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, 0318 Oslo, Norway.

College of Medicine & Health Science, University of Hargeisa, 002563 Hargeisa, Somaliland.

出版信息

Int J Environ Res Public Health. 2019 Jul 3;16(13):2353. doi: 10.3390/ijerph16132353.

DOI:10.3390/ijerph16132353

PMID:31277276

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6650937/

Abstract

OBJECTIVE

We aimed to assess and compare cardiovascular disease (CVD) risk factors and predict the future risk of CVD among Somalis living in Norway and Somaliland.

METHOD

We included participants (20-69 years) from two cross-sectional studies among Somalis living in Oslo ( = 212) and Hargeisa ( = 1098). Demographic data, history of CVD, smoking, alcohol consumption, anthropometric measures, blood pressure, fasting serum glucose, and lipid profiles were collected. The predicted 10-year risk of CVD was calculated using Framingham risk score models.

RESULTS

In women, systolic and diastolic blood pressure were significantly higher in Hargeisa compared to Oslo ( < 0.001), whereas no significant differences were seen in men. The ratio of total cholesterol to high-density lipoprotein (HDL) cholesterol was significantly higher in Hargeisa compared to Oslo among both men (4.4 versus 3.9, = 0.001) and women (4.1 versus 3.3, < 0.001). Compared to women, men had higher Framingham risk scores, but there were no significant differences in Framingham risk scores between Somalis in Oslo and Hargeisa.

CONCLUSION

In spite of the high body mass index (BMI) in Oslo, most CVD risk factors were higher among Somali women living in Hargeisa compared to those in Oslo, with similar patterns suggested in men. However, the predicted CVD risks based on Framingham models were not different between the locations.

摘要

目的

我们旨在评估和比较生活在挪威和索马里兰的索马里人患心血管疾病（CVD）的风险因素，并预测其未来 CVD 风险。

方法

我们纳入了两项在奥斯陆（n=212）和哈尔格萨（n=1098）进行的横断面研究中的参与者（20-69 岁）。收集了人口统计学数据、CVD 病史、吸烟、饮酒、人体测量学指标、血压、空腹血糖和血脂谱。使用 Framingham 风险评分模型计算了 CVD 的 10 年预测风险。

结果

在女性中，与奥斯陆相比，哈尔格萨的收缩压和舒张压显著更高（<0.001），而男性则没有显著差异。与奥斯陆相比，在男性（总胆固醇与高密度脂蛋白胆固醇的比值为 4.4 对 3.9，=0.001）和女性（4.1 对 3.3，<0.001）中，哈尔格萨的总胆固醇与高密度脂蛋白胆固醇的比值均显著更高。与女性相比，男性的 Framingham 风险评分更高，但在奥斯陆和哈尔格萨的索马里人中，Framingham 风险评分没有显著差异。