Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center study
Abstract Background Diverse ethnic groups that exist in Iran may differ regarding the risk factors such as hypertension, hyperlipidemia, dyslipidemia, diabetes mellitus, and family history of non-communicable disease. Premature Coronary Artery Disease (PCAD) is more endemic in Iran than before. This...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-023-03192-0 |
| _version_ | 1797854057635774464 |
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| author | Media Babahajiani Ehsan Zarepur Alireza Khosravi Noushin Mohammadifard Feridoun Noohi Hasan Alikhasi Shima Nasirian Seyed Ali Moezi Bady Parisa Janjani Kamal Solati Masoud Lotfizadeh Samad Ghaffari Elmira Javanmardi Arsalan Salari Mahboobeh Gholipour Mostafa Dehghani Mostafa Cheraghi Ahmadreza Assareh Habib Haybar Seyedeh Mahdieh Namayandeh Reza Madadi Javad Kojuri Marjan Mansourian Nizal Sarrafzadegan |
| author_facet | Media Babahajiani Ehsan Zarepur Alireza Khosravi Noushin Mohammadifard Feridoun Noohi Hasan Alikhasi Shima Nasirian Seyed Ali Moezi Bady Parisa Janjani Kamal Solati Masoud Lotfizadeh Samad Ghaffari Elmira Javanmardi Arsalan Salari Mahboobeh Gholipour Mostafa Dehghani Mostafa Cheraghi Ahmadreza Assareh Habib Haybar Seyedeh Mahdieh Namayandeh Reza Madadi Javad Kojuri Marjan Mansourian Nizal Sarrafzadegan |
| author_sort | Media Babahajiani |
| collection | DOAJ |
| description | Abstract Background Diverse ethnic groups that exist in Iran may differ regarding the risk factors such as hypertension, hyperlipidemia, dyslipidemia, diabetes mellitus, and family history of non-communicable disease. Premature Coronary Artery Disease (PCAD) is more endemic in Iran than before. This study sought to assess the association between ethnicity and lifestyle behaviors in eight major Iranian ethnic groups with PCAD. Methods In this study, 2863 patients aged ≤ 70 for women and ≤ 60 for men who underwent coronary angiography were recruited in a multi-center framework. All the patients’ demographic, laboratory, clinical, and risk factor data were retrieved. Eight large ethnicities in Iran, including the Farses, the Kurds, the Turks, the Gilaks, the Arabs, the Lors, the Qashqai, and the Bakhtiari were evaluated for PCAD. Different lifestyle components and having PCAD were compared among the ethnical groups using multivariable modeling. Results The mean age of the 2863 patients participated was 55.66 ± 7.70 years. The Fars ethnicity with 1654 people, was the most subject in this study. Family history of more than three chronic diseases (1279 (44.7%) was the most common risk factor. The Turk ethnic group had the highest prevalence of ≥ 3 simultaneous lifestyle-related risk factors (24.3%), and the Bakhtiari ethnic group had the highest prevalence of no lifestyle-related risk factors (20.9%). Adjusted models showed that having all three abnormal lifestyle components increased the risk of PCAD (OR = 2.28, 95% CI: 1.04–1.06). The Arabs had the most chance of getting PCAD among other ethnicities (OR = 2.26, 95%CI: 1.40–3.65). While, the Kurds with a healthy lifestyle showed the lowest chance of getting PCAD (OR = 1.96, 95%CI: 1.05–3.67)). Conclusions This study found there was heterogeneity in having PACD and a diverse distribution in its well-known traditional lifestyle-related risk factors among major Iranian ethnic groups. |
| first_indexed | 2024-04-09T19:59:41Z |
| format | Article |
| id | doaj.art-7753e77b9ef8438fbb13371db1a18a8d |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-09T19:59:41Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-7753e77b9ef8438fbb13371db1a18a8d2023-04-03T05:15:40ZengBMCBMC Cardiovascular Disorders1471-22612023-03-012311910.1186/s12872-023-03192-0Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center studyMedia Babahajiani0Ehsan Zarepur1Alireza Khosravi2Noushin Mohammadifard3Feridoun Noohi4Hasan Alikhasi5Shima Nasirian6Seyed Ali Moezi Bady7Parisa Janjani8Kamal Solati9Masoud Lotfizadeh10Samad Ghaffari11Elmira Javanmardi12Arsalan Salari13Mahboobeh Gholipour14Mostafa Dehghani15Mostafa Cheraghi16Ahmadreza Assareh17Habib Haybar18Seyedeh Mahdieh Namayandeh19Reza Madadi20Javad Kojuri21Marjan Mansourian22Nizal Sarrafzadegan23Student Research Committee, Vice Chancellor for Research and Technology, Kurdistan University of Medical SciencesInterventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesHypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesThe Iranian Network of Cardiovascular Research (INCVR)Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesPediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesCardiovascular Diseases Research Center, Birjand University of Medical SciencesCardiovascular Research Center, Health Institute, Kermanshah University of Medical SciencesDepartment of Psychiatry, Shahrekord University of Medical SciencesSocial Determinants of Health Research Center, Shahrekord University of Medical SciencesThe Iranian Network of Cardiovascular Research (INCVR)Department of Cardiovascular Medicine, Amiralmomenin Hospital, Maragheh University Medical SciencesDepartment of cardiology, Healthy heart research center, Heshmat hospital, School of medicine, Guilan University of Medical SciencesDepartment of Cardiology, Healthy Heart Research Center, Heshmat Hospital, School of Medicine, Guilan University of Medical SciencesDepartment of Cardiovascular research Center, Shahid Rahimi Hospital, Lorestan university of Medical ScienceDepartment of Cardiovascular Research Center, Shahid Rahimi Hospital, Lorestan university of Medical ScienceThe Iranian Network of Cardiovascular Research (INCVR)Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical SciencesYazd Cardiovascular Research Center, Shahid Sadooghi University of Medical ScienceZanjan University of Medical SciencesThe Iranian Network of Cardiovascular Research (INCVR)Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesThe Iranian Network of Cardiovascular Research (INCVR)Abstract Background Diverse ethnic groups that exist in Iran may differ regarding the risk factors such as hypertension, hyperlipidemia, dyslipidemia, diabetes mellitus, and family history of non-communicable disease. Premature Coronary Artery Disease (PCAD) is more endemic in Iran than before. This study sought to assess the association between ethnicity and lifestyle behaviors in eight major Iranian ethnic groups with PCAD. Methods In this study, 2863 patients aged ≤ 70 for women and ≤ 60 for men who underwent coronary angiography were recruited in a multi-center framework. All the patients’ demographic, laboratory, clinical, and risk factor data were retrieved. Eight large ethnicities in Iran, including the Farses, the Kurds, the Turks, the Gilaks, the Arabs, the Lors, the Qashqai, and the Bakhtiari were evaluated for PCAD. Different lifestyle components and having PCAD were compared among the ethnical groups using multivariable modeling. Results The mean age of the 2863 patients participated was 55.66 ± 7.70 years. The Fars ethnicity with 1654 people, was the most subject in this study. Family history of more than three chronic diseases (1279 (44.7%) was the most common risk factor. The Turk ethnic group had the highest prevalence of ≥ 3 simultaneous lifestyle-related risk factors (24.3%), and the Bakhtiari ethnic group had the highest prevalence of no lifestyle-related risk factors (20.9%). Adjusted models showed that having all three abnormal lifestyle components increased the risk of PCAD (OR = 2.28, 95% CI: 1.04–1.06). The Arabs had the most chance of getting PCAD among other ethnicities (OR = 2.26, 95%CI: 1.40–3.65). While, the Kurds with a healthy lifestyle showed the lowest chance of getting PCAD (OR = 1.96, 95%CI: 1.05–3.67)). Conclusions This study found there was heterogeneity in having PACD and a diverse distribution in its well-known traditional lifestyle-related risk factors among major Iranian ethnic groups.https://doi.org/10.1186/s12872-023-03192-0Premature coronary artery diseaseEthnic groupLifestyleIran |
| spellingShingle | Media Babahajiani Ehsan Zarepur Alireza Khosravi Noushin Mohammadifard Feridoun Noohi Hasan Alikhasi Shima Nasirian Seyed Ali Moezi Bady Parisa Janjani Kamal Solati Masoud Lotfizadeh Samad Ghaffari Elmira Javanmardi Arsalan Salari Mahboobeh Gholipour Mostafa Dehghani Mostafa Cheraghi Ahmadreza Assareh Habib Haybar Seyedeh Mahdieh Namayandeh Reza Madadi Javad Kojuri Marjan Mansourian Nizal Sarrafzadegan Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center study BMC Cardiovascular Disorders Premature coronary artery disease Ethnic group Lifestyle Iran |
| title | Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center study |
| title_full | Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center study |
| title_fullStr | Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center study |
| title_full_unstemmed | Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center study |
| title_short | Ethnic differences in the lifestyle behaviors and premature coronary artery disease: a multi-center study |
| title_sort | ethnic differences in the lifestyle behaviors and premature coronary artery disease a multi center study |
| topic | Premature coronary artery disease Ethnic group Lifestyle Iran |
| url | https://doi.org/10.1186/s12872-023-03192-0 |
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