ArticleJournal of epidemiology and community health1997
Low levels of cardiovascular risk factors and coronary heart disease in a UK Chinese population.
Article in Journal of epidemiology and community health, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Cardiovascular diseases and risk factors among Chinese immigrants.Internal and emergency medicine · 2016Pooled it
- A Chinese Immigrant Paradox? Low Coronary Heart Disease Incidence but Higher Short-Term Mortality in Western-Dwelling Chinese Immigrants: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2015Pooled it
- Do variations in blood pressures of South Asian, African and Chinese descent children reflect those of the adult populations in the UK? A review of cross-sectional data.Journal of human hypertension · 2004Pooled it
- Ethnic disparity in metabolic syndrome and related obesity and health behavior: a community study in Taiwan.Diabetology & metabolic syndrome · 2021Article
- All-cause and cause-specific mortality of different migrant populations in Europe.European journal of epidemiology · 2016Article
- Article
- Ethnicity and risk of cardiovascular disease (CVD): 4.8 year follow-up of patients with type 2 diabetes living in Scotland.Diabetologia · 2015Article
- Need for better blood pressure measurement in developing countries to improve prevention of cardiovascular disease.Journal of epidemiology · 2015Review
- Article
- Myocardial infarction incidence and survival by ethnic group: Scottish Health and Ethnicity Linkage retrospective cohort study.BMJ open · 2013Article
- Article
- Cardiovascular diseases after kidney transplantation in Korea.Journal of Korean medical science · 2010Article
- Ethnicity and cardiovascular disease prevention in the United Kingdom: a practical approach to management.Journal of human hypertension · 2007Review
- Anaemia in Chinese, South Asian, and European populations in Newcastle upon Tyne: cross sectional study.BMJ (Clinical research ed.) · 2001Article
- Heterogeneity of coronary heart disease risk factors in Indian, Pakistani, Bangladeshi, and European origin populations: cross sectional study.BMJ (Clinical research ed.) · 1999Article
- Implications of applying widely accepted cholesterol screening and management guidelines to a British adult population: cross sectional study of cardiovascular disease and risk factors.BMJ (Clinical research ed.) · 1998Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the prevalence of cardiovascular risk factors and coronary heart disease in Chinese and Europid adults.
designPopulation based, cross sectional survey.
settingNewcastle upon Tyne, UK, 1991-93. SUBJECTS: Altogether 380 Chinese and 625 Europid adults, aged 25-64 years.
main outcome measuresFasting lipid levels, blood pressure, body mass index (BMI), the proportions who smoked, and the prevalence of coronary heart disease based on the Rose angina questionnaire and major electrocardiographic abnormalities on resting 12 lead electrocardiogram (Minnesota codes 1.1-1.2). All figures were age adjusted to the 1991 England and Wales population.
resultsAltogether 183 and 197 Chinese, and 310 and 315 Europid men and women respectively were seen. Compared with Europid men, Chinese men had a lower mean total cholesterol concentration (5.1 versus 5.6 mmol/l, p < 0.001) and LDL cholesterol (3.2 versus 3.6 mmol/l, p < 0.001); lower BMI values (23.8 versus 26.1 kg/m-2, p < 0.001); and smoked less (23% versus 35%, p < 0.01)). Compared with Europid women, Chinese women also had lower mean lipid levels (total cholesterol: 4.9 versus 5.4 mmol/l p < 0.001, LDL cholesterol: 2.8 versus 3.1 mmol/l p < 0.001); BMI values (23.5 versus 26.1 kg/m-2, p < 0.001); and far fewer were smokers (1.4% versus 33%, p < 0.001). Chinese women, however, had higher mean systolic (121 versus 117 mmHg, p > 0.05) and diastolic (75 versus 68 mmHg, p < 0.001) blood pressures. The prevalence of coronary heart disease was significantly lower in Chinese than Europid men (4.9% versus 16.6%, p < 0.001) but not significantly different in women (7.3% versus 11.1%, p = 0.16).
conclusionStrategies for UK Chinese are needed to maintain this favourable risk factor profile and prevent any potential increase in the risk of coronary heart disease associated with increasing acculturation.
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