Cent Eur J Public Health 2014, 22(Supplement):S69-S74 | DOI: 10.21101/cejph.a3904

Prevalence of Cardiovascular Risk Factors in Relation to Metabolic Syndrome in the Roma Population Compared with the Non-Roma Population in the Eastern Part of Slovakia

Ján Fedačko1, Daniel Pella1, Peter Jarčuška1, Leonard Siegfried2, Martin Janičko1, Eduard Veselíny1, Jozef Pella1, František Sabol3, Pavol Jarčuška4, Mária Mareková5, Andrea Madarasová Gecková6,12, Peter Pažinka7, Monika Jankajová8, Ján Kmec9, Marián Babčák9, Peter Kalanin10, Sylvia Dražilová11, Ingrid Babinská12, Beáta Čečetková13
1 1st Department of Internal Medicine, P. J. Šafárik University in Košice, Faculty of Medicine and L. Pasteur University Hospital, Košice, Slovakia
2 Department of Medical Microbiology, P. J. Šafárik University in Košice, Faculty of Medicine and L. Pasteur University Hospital, Košice, Slovakia
3 Department of Cardiosurgery, Eastern Slovak Cardiovascular Institute, Košice, Slovakia
4 Department of Infectious Diseases, P. J. Šafárik University in Košice, Faculty of Medicine and L. Pasteur University Hospital, Košice, Slovakia
5 Department of Medical Biochemistry, P. J. Šafárik University in Košice, Faculty of Medicine and L. Pasteur University Hospital, Košice, Slovakia
6 Olomouc University Social Health Institute, Palacký University in Olomouc, Olomouc, Czech Republic
7 1st Department of General Surgery, P. J. Šafárik University in Košice, Faculty of Medicine and L. Pasteur University Hospital, Košice, Slovakia
8 Department of Cardiology, Eastern Slovak Cardiovascular Institute, Košice, Slovakia
9 Department of Cardiology and General Internal Medicine, J. A. Reiman Hospital, Prešov, Slovakia
10 Department of Family Medicine, P. J. Šafárik University in Košice, Faculty of Medicine and L. Pasteur University Hospital, Košice, Slovakia
11 Department of Internal Medicine, Poprad Hospital, Poprad, Slovakia
12 Health Psychology Unit, Department of Public Health, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovakia
13 Department of Epidemiology, Faculty of Military Health Sciences, University of Defence, Hradec Králové, Czech Republic

Background: Obesity-induced metabolic syndrome is a multiple risk factor for cardiovascular (CV) risk factors and type 2 diabetes, and ethnic minorities seem to have unfavourable medical risk factors in general more frequently than majority populations.

Objective: The aim of this study was to evaluate the prevalence of cardiovascular risk factors in relation to metabolic syndrome in the Roma population compared with the non-Roma population residing in the eastern part of Slovakia.

Results: 123 Roma and 79 non-Roma patients with metabolic syndrome were evaluated. Men between 40-55 years of age had 4.76-times higher odds and women 5.26-times higher odds for metabolic sydrome compared with the younger population. We found statistically significant higher waist circumference in the Roma subpopulation and higher body mass index as well, although in selected population with metabolic syndrome. HDL cholesterol was significantly lower in both Roma men and women, and LDL cholesterol was not significant in men and women with metabolic syndrome. Triglycerides levels were significantly higher in non-Roma women only. High-sensitivity C-reactive protein (hsCRP) values were not in correlation with age but were associated with the increasing number of fulfilled criteria for metabolic syndrome in both subgroups (Roma, non-Roma), independently of gender.

Conclusion: Our study confirmed higher prevalence of obesity, metabolic syndrome and other CV risk factors associated with metabolic syndrome among younger Roma population, which may be associated with increased cardiovascular disease (CVD) morbidity and mortality among elderly Roma compared with non-Roma.

Keywords: metabolic syndrome, Roma population, cardiovascular risk factors, obesity, dyslipidemia, inflammation

Published: March 1, 2014  Show citation

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Fedačko J, Pella D, Jarčuška P, Siegfried L, Janičko M, Veselíny E, et al.. Prevalence of Cardiovascular Risk Factors in Relation to Metabolic Syndrome in the Roma Population Compared with the Non-Roma Population in the Eastern Part of Slovakia. Cent Eur J Public Health. 2014;22(Supplement):S69-74. doi: 10.21101/cejph.a3904. PubMed PMID: 24847618.
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