Factors associated with cardiovascular disease: A comparative study of the UK Asian diaspora and residents of India.

<h4>Introduction</h4>The aim of this paper is to investigate what factors are associated to cardiovascular disease and what differences exists between Asians living in the UK (from the English Longitudinal Study of Ageing) and the Asians living in India (from the Longitudinal Ageing Stud...

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Main Authors: Mubarak Patel, Olalekan Uthman
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0301889&type=printable
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author Mubarak Patel
Olalekan Uthman
author_facet Mubarak Patel
Olalekan Uthman
author_sort Mubarak Patel
collection DOAJ
description <h4>Introduction</h4>The aim of this paper is to investigate what factors are associated to cardiovascular disease and what differences exists between Asians living in the UK (from the English Longitudinal Study of Ageing) and the Asians living in India (from the Longitudinal Ageing Study in India).<h4>Methods</h4>Logistic regression was used to investigate how demographic and physical performance factors were associated with cardiovascular disease using data from Wave 6 of the English Longitudinal Study of Ageing and Wave 1 of the Longitudinal Study of Ageing in India, with the main variable of interest being country of residence, Asians in England or Asians in India.<h4>Results</h4>A total of 83,997 participants were included in the analyses. In the primary analysis, 73,396 participants from LASI were compared to 171 Asians in ELSA. After adjusting for age, blood pressure, resting heart rate, sex, waist circumference, gait, handgrip strength and standing balance, there was a statistically significant difference for the outcome of CVD between Whites ELSA (reference) and the participants of LASI (odds ratio = 0.77; 95% confidence interval = 0.60 to 0.99). There were no significant differences in CVD between the LASI participants, Asian ELSA, and the Non-White but not Asian ELSA groups.<h4>Discussion</h4>No difference was found between Asians that live in India compared to ethnic minorities living in England, including Asians, after adjusting for confounders, but was found between Whites in ELSA compared to LASI participants. A key limitation was the massive disparity in sample sizes between the ELSA subgroups and LASI. Further work is required where comparable sample sizes and longitudinal analyses allow trends to be identified and to investigate the factors associated with the difference in CVD between two similar ethnicities living in distinct locations.<h4>Conclusion</h4>After adjusting for risk factors, there was no difference in CVD between localised Asians and the ethnic minorities in the UK, but there was a difference between the majority ethnicities in the respective countries.
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spelling doaj.art-2f63e09587a14c96bee71cf2205e97f02024-04-23T05:32:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01194e030188910.1371/journal.pone.0301889Factors associated with cardiovascular disease: A comparative study of the UK Asian diaspora and residents of India.Mubarak PatelOlalekan Uthman<h4>Introduction</h4>The aim of this paper is to investigate what factors are associated to cardiovascular disease and what differences exists between Asians living in the UK (from the English Longitudinal Study of Ageing) and the Asians living in India (from the Longitudinal Ageing Study in India).<h4>Methods</h4>Logistic regression was used to investigate how demographic and physical performance factors were associated with cardiovascular disease using data from Wave 6 of the English Longitudinal Study of Ageing and Wave 1 of the Longitudinal Study of Ageing in India, with the main variable of interest being country of residence, Asians in England or Asians in India.<h4>Results</h4>A total of 83,997 participants were included in the analyses. In the primary analysis, 73,396 participants from LASI were compared to 171 Asians in ELSA. After adjusting for age, blood pressure, resting heart rate, sex, waist circumference, gait, handgrip strength and standing balance, there was a statistically significant difference for the outcome of CVD between Whites ELSA (reference) and the participants of LASI (odds ratio = 0.77; 95% confidence interval = 0.60 to 0.99). There were no significant differences in CVD between the LASI participants, Asian ELSA, and the Non-White but not Asian ELSA groups.<h4>Discussion</h4>No difference was found between Asians that live in India compared to ethnic minorities living in England, including Asians, after adjusting for confounders, but was found between Whites in ELSA compared to LASI participants. A key limitation was the massive disparity in sample sizes between the ELSA subgroups and LASI. Further work is required where comparable sample sizes and longitudinal analyses allow trends to be identified and to investigate the factors associated with the difference in CVD between two similar ethnicities living in distinct locations.<h4>Conclusion</h4>After adjusting for risk factors, there was no difference in CVD between localised Asians and the ethnic minorities in the UK, but there was a difference between the majority ethnicities in the respective countries.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0301889&type=printable
spellingShingle Mubarak Patel
Olalekan Uthman
Factors associated with cardiovascular disease: A comparative study of the UK Asian diaspora and residents of India.
PLoS ONE
title Factors associated with cardiovascular disease: A comparative study of the UK Asian diaspora and residents of India.
title_full Factors associated with cardiovascular disease: A comparative study of the UK Asian diaspora and residents of India.
title_fullStr Factors associated with cardiovascular disease: A comparative study of the UK Asian diaspora and residents of India.
title_full_unstemmed Factors associated with cardiovascular disease: A comparative study of the UK Asian diaspora and residents of India.
title_short Factors associated with cardiovascular disease: A comparative study of the UK Asian diaspora and residents of India.
title_sort factors associated with cardiovascular disease a comparative study of the uk asian diaspora and residents of india
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0301889&type=printable
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