Chester Medical School, The Faculty of Medicine and Life Sciences, University of Chester, Chester, Cheshire, UK
Chester Medical School, The Faculty of Medicine and Life Sciences, University of Chester, Chester, Cheshire, UK.
BMJ Open. 2024 Jun 3;14(6):e084899. doi: 10.1136/bmjopen-2024-084899.
This study aims to assess the 10-year cardiovascular risk and physical activity among Syrians residing in England and compare them with the North West England population.
Cross-sectional study.
Bilingual online questionnaire distributed through social media platforms from 21 June to 23 July 2023.
Syrian individuals in England (aged 25-69, migrated post-2010) and residents of North West England within the same age bracket. All participants had no history of cardiovascular disease (CVD).
Primary outcome measures included differences in QRISK3 score, 10-year relative risk (RR), metabolic equivalent of task (MET) and self-reported physical activity between the two groups. Secondary outcome measures included subgroup analyses based on sex and age.
Of the 273 eligible participants (137 in the Syrian group and 136 in the Northwest England group), the QRISK3 score was twofold higher in the Syrian group (2.20, 5.50) than in the North West England group (1.20, 3.15) (p=0.042). The 10-year RR was approximately three times higher in the Syrian group (p<0.001), while MET was about twice as high in the Northwest England group (p<0.001).
Despite relocating to England, Syrians face substantially elevated cardiovascular risks attributed to an unhealthy lifestyle, including smoking, reduced physical activity, increased body mass index and diabetes, coupled with a strong family history of CVD in first-degree relatives under the age of 60. The study underscores the need for early assessment, risk factor identification and tailored interventions for this population. Raising awareness, particularly in the context of smoking, and promoting physical activity are crucial for mitigating cardiovascular risks. The findings emphasise the importance of culturally sensitive interventions to address the unique health challenges of Syrians in the UK.
本研究旨在评估居住在英国的叙利亚人 10 年心血管风险和身体活动，并将其与英格兰西北部人群进行比较。
横断面研究。
2023 年 6 月 21 日至 7 月 23 日通过社交媒体平台在线分发双语问卷。
在英国的叙利亚人（年龄 25-69 岁，2010 年后移民）和同年龄段的英格兰西北部居民。所有参与者均无心血管疾病（CVD）病史。
主要结果测量包括两组之间 QRISK3 评分、10 年相对风险（RR）、代谢当量（MET）和自我报告身体活动的差异。次要结果测量包括基于性别和年龄的亚组分析。
在 273 名符合条件的参与者中（叙利亚组 137 名，英格兰西北部组 136 名），叙利亚组的 QRISK3 评分是英格兰西北部组的两倍（2.20，5.50）（p=0.042）。叙利亚组的 10 年 RR 约为三倍（p<0.001），而英格兰西北部组的 MET 则高出约两倍（p<0.001）。
尽管移居英国，叙利亚人仍面临因生活方式不健康而导致的心血管风险大幅上升，包括吸烟、身体活动减少、体重指数增加和糖尿病，再加上一级亲属中 60 岁以下有 CVD 的强烈家族史。该研究强调了需要对这一人群进行早期评估、确定风险因素和采取有针对性的干预措施。提高认识，特别是在吸烟方面，并促进身体活动，对于降低心血管风险至关重要。研究结果强调了采取文化敏感的干预措施来解决英国叙利亚人独特健康挑战的重要性。
