Cardiovascular Risk Factors in Turkish Immigrants with Type 2 Diabetes Mellitus: Comparison with Dutch Patients

Background: Based on recent epidemiological studies the need for a similar approach towards management of cardiovascular risk factors in type 2 diabetics with different ethnic background can be questioned. We compared the prevalence of cardiovascular risk factors and 10-year absolute risk for a coro...

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Bibliographic Details
Published in:European journal of epidemiology 2004-10, Vol.19 (10), p.923-929
Main Authors: Paul J. M. Uitewaal, Goudswaard, Alex N., Ubnik-Veltmaat, Lielith J., Ubink-Veltmaat, Lielith J., Bruijnzeels, Marc A., Hoes, Arno W., Thomas, Siep
Format: Article
Language:English
Subjects:
Age groups
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Blood pressure
Cardiology. Vascular system
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Epidemiology
Cholesterol
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Cholesterols
Comparative analysis
Coronary artery disease
Cross-Sectional Studies
Diabetes
Diabetes complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetic Angiopathies - epidemiology
Epidemiology
Ethnicity
Female
General practice
Health risks
Humans
Lipids
Male
Medical sciences
Middle Aged
Miscellaneous
Netherlands - epidemiology
Predisposing factors
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Smoking
Triglycerides - blood
Turkey - ethnology
Type 2 diabetes mellitus
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Summary:Background: Based on recent epidemiological studies the need for a similar approach towards management of cardiovascular risk factors in type 2 diabetics with different ethnic background can be questioned. We compared the prevalence of cardiovascular risk factors and 10-year absolute risk for a coronary heart disease between Turkish and Dutch type 2 diabetes patients. Methods: A cross-sectional study was performed using databases from three Dutch studies on type 2 diabetes, comparing 147 Turkish to 294 Dutch diabetes patients, matched for age and gender. Main outcome measures were: total (t-) cholesterol, high-density lipoprotein cholesterol (HDL), low-density lipoprotein cholesterol (LDL), triglyceride, blood pressure, and smoking. The 10-year absolute risk for a coronary event was calculated by means of the Framingham risk equation. Results: In Turkish diabetics t-cholesterol was lower than in Dutch (5.4 vs. 5.9 mmol/l; p < 0.001), in Turkish males HDL was lower than in Dutch male patients (0.94 vs. 1.08 mmol/l; p = 0.04). The total/HDL-cholesterol ratio in Turkish and Dutch diabetics was equal (5.4 vs. 5.4). Less Turkish than Dutch females smoked (9% vs. 23%; p
ISSN:0393-2990
1573-7284
DOI:10.1007/s10654-004-5193-8