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Association of physical activity, smoking, and alcohol intake with CVD-related hospital discharge in people of European, South Asian, or African descent.
Eur J Prev Cardiol 2013; 20(1):80-8EJ

Abstract

BACKGROUND

It is unclear whether the beneficial effects of certain lifestyle factors are equally strong in ethnic minority populations in Europe. This study explores whether this association of physical activity, smoking, and alcohol intake with cardiovascular disease (CVD)-related hospital discharge differs among South Asian Surinamese, African Surinamese, or Dutch descent living in the Netherlands.

DESIGN

Prospective cohort.

METHODS

We obtained baseline data from 370 South Asian, 689 African, and 567 Dutch participants (aged 35-60 years) of the SUNSET study (2001-2003). Follow up ended in December 2007. We used Cox proportional hazards models to study the associations of lifestyle factors with CVD-related hospital discharge.

RESULTS

In the overall study population, low amount of physical activity (hazard ratio, HR 1.88, 95% CI 1.23-2.86), current smoking (HR 1.63, 95% CI 1.20-2.22), and nondrinking (HR 1.52, 95% CI 1.04-2.23) were associated with CVD-related hospital admission. There was no statistically significant effect of ethnicity on these associations. For instance, the adjusted HR for CVD-related hospital discharge regarding a low amount of physical activity was 2.77 (95% CI 1.31-5.87) for Africans, 1.53 (95% CI 0.76-3.05) for South Asians, and 1.55 (95% CI 0.73-3.30) for the Dutch. The p-value for ethnicity by lifestyle interaction was 0.41.

CONCLUSION

We did not find a different association across ethnic groups of South Asian Surinamese, African Surinamese, or Dutch descent between physical activity, smoking, and alcohol intake and 5-year hazard of a CVD-related hospital discharge. We recommend confirmation in multiethnic studies in other contexts.

Authors+Show Affiliations

Academic Medical Center, University of Amsterdam, The Netherlands. j.s.demunter@amc.uva.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22345676

Citation

de Munter, Jeroen S l., et al. "Association of Physical Activity, Smoking, and Alcohol Intake With CVD-related Hospital Discharge in People of European, South Asian, or African Descent." European Journal of Preventive Cardiology, vol. 20, no. 1, 2013, pp. 80-8.
de Munter JS, Agyemang C, Stronks K, et al. Association of physical activity, smoking, and alcohol intake with CVD-related hospital discharge in people of European, South Asian, or African descent. Eur J Prev Cardiol. 2013;20(1):80-8.
de Munter, J. S., Agyemang, C., Stronks, K., & van Valkengoed, I. G. (2013). Association of physical activity, smoking, and alcohol intake with CVD-related hospital discharge in people of European, South Asian, or African descent. European Journal of Preventive Cardiology, 20(1), pp. 80-8. doi:10.1177/2047487311434232.
de Munter JS, et al. Association of Physical Activity, Smoking, and Alcohol Intake With CVD-related Hospital Discharge in People of European, South Asian, or African Descent. Eur J Prev Cardiol. 2013;20(1):80-8. PubMed PMID: 22345676.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of physical activity, smoking, and alcohol intake with CVD-related hospital discharge in people of European, South Asian, or African descent. AU - de Munter,Jeroen S l, AU - Agyemang,Charles, AU - Stronks,Karien, AU - van Valkengoed,Irene G M, Y1 - 2012/01/06/ PY - 2012/2/21/entrez PY - 2012/2/22/pubmed PY - 2013/6/26/medline SP - 80 EP - 8 JF - European journal of preventive cardiology JO - Eur J Prev Cardiol VL - 20 IS - 1 N2 - BACKGROUND: It is unclear whether the beneficial effects of certain lifestyle factors are equally strong in ethnic minority populations in Europe. This study explores whether this association of physical activity, smoking, and alcohol intake with cardiovascular disease (CVD)-related hospital discharge differs among South Asian Surinamese, African Surinamese, or Dutch descent living in the Netherlands. DESIGN: Prospective cohort. METHODS: We obtained baseline data from 370 South Asian, 689 African, and 567 Dutch participants (aged 35-60 years) of the SUNSET study (2001-2003). Follow up ended in December 2007. We used Cox proportional hazards models to study the associations of lifestyle factors with CVD-related hospital discharge. RESULTS: In the overall study population, low amount of physical activity (hazard ratio, HR 1.88, 95% CI 1.23-2.86), current smoking (HR 1.63, 95% CI 1.20-2.22), and nondrinking (HR 1.52, 95% CI 1.04-2.23) were associated with CVD-related hospital admission. There was no statistically significant effect of ethnicity on these associations. For instance, the adjusted HR for CVD-related hospital discharge regarding a low amount of physical activity was 2.77 (95% CI 1.31-5.87) for Africans, 1.53 (95% CI 0.76-3.05) for South Asians, and 1.55 (95% CI 0.73-3.30) for the Dutch. The p-value for ethnicity by lifestyle interaction was 0.41. CONCLUSION: We did not find a different association across ethnic groups of South Asian Surinamese, African Surinamese, or Dutch descent between physical activity, smoking, and alcohol intake and 5-year hazard of a CVD-related hospital discharge. We recommend confirmation in multiethnic studies in other contexts. SN - 2047-4881 UR - https://www.unboundmedicine.com/medline/citation/22345676/Association_of_physical_activity_smoking_and_alcohol_intake_with_CVD_related_hospital_discharge_in_people_of_European_South_Asian_or_African_descent_ L2 - http://journals.sagepub.com/doi/full/10.1177/2047487311434232?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -