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000304589 041__ $$aEnglish
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000304589 1001_ $$aWalther, Glenna$$b0
000304589 245__ $$aMigration and Cardiovascular Disease: A Comparative Study of Prevalence and Risk Factor Profiles in Resettlers from the German National Cohort (NAKO).
000304589 260__ $$aAmsterdam [u.a.]$$bElsevier Science$$c2025
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000304589 520__ $$aResettlers from the former Soviet Union are one of the largest migrant groups in Germany. Previous studies found lower cardiovascular disease (CVD) mortality among resettlers compared to Germans without migration background (autochthonous). Other studies have shown a higher prevalence of CVD risk factors among resettlers, suggesting a higher CVD mortality. The German National Cohort (NAKO) provides an opportunity to explore these discrepancies.This study used baseline data from NAKO and compared age-adjusted percentages of self-reported CVD and associated risk factors between the two groups. Logistic regression models estimated adjusted odds ratios (OR) for associations between resettler status and outcomes.Among 204,751 participants aged 19-75, 3,580 were resettlers and 169,538 autochthonous Germans. Male resettlers had lower odds of risky alcohol consumption (OR: 0.55; 95%CI: 0.49-0.63) but higher odds of ever smoking (OR: 1.26; 95%CI: 1.13-1.41) compared to autochthonous German men. Female resettlers showed higher prevalence of hypertension, diabetes mellitus, obesity, and elevated cholesterol/triglycerides, but lower prevalence of risky alcohol consumption and smoking. In men, the odds of peripheral artery disease (PAD) (OR: 0.46; 95%CI: 0.21-0.97) and any CVD (OR: 0.81; 95%CI: 0.66-0.98) were lower among resettlers. No other notable differences in clinical CVDs were observed in men.Resettlers showed differences regarding CVD risk factor distribution compared to autochthonous Germans. These differences appear to balance out, leading to similar overall CVD prevalence, except for a lower prevalence of PAD and total CVD in male resettlers. Future longitudinal data will allow to explore long-term CVD trajectories.We compared the prevalence of cardiovascular diseases (CVD) in a special group of migrants (resettlers from the former Soviet Union; German: (Spät-)Aussiedler) and autochthonous Germans, using data from the German National Cohort (NAKO) and investigated risk factors frequencies for these diseases in both groups. We found that male resettlers had less of risky alcohol consumption but smoked more than autochthonous German men. Female resettlers showed higher prevalence of hypertension, diabetes mellitus, obesity, and elevated cholesterol and triglyceride levels, but lower prevalence of risky alcohol consumption and smoking. The prevalence of most CVDs was similar in both groups, except of peripheral artery disease and all CVDs combined which we found less frequent in male resettlers.
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000304589 650_7 $$2Other$$aCardiovascular diseases (CVDs)
000304589 650_7 $$2Other$$aGerman National Cohort (NAKO)
000304589 650_7 $$2Other$$aMigrant health
000304589 650_7 $$2Other$$aResettlers
000304589 650_7 $$2Other$$acardiovascular Risk factors
000304589 7001_ $$aBrand, Tilman$$b1
000304589 7001_ $$aDragano, Nico$$b2
000304589 7001_ $$aMeinke-Franze, Claudia$$b3
000304589 7001_ $$aFührer, Amand$$b4
000304589 7001_ $$0P:(DE-He78)e0ac0d57cdb66d87f2d95ae5f6178c1b$$aGreiser, Karin-Halina$$b5$$udkfz
000304589 7001_ $$aHovadorvska, Olga$$b6
000304589 7001_ $$aKiekert, Jamin$$b7
000304589 7001_ $$aKrist, Lilian$$b8
000304589 7001_ $$aLeitzmann, Michael$$b9
000304589 7001_ $$aLieb, Wolfgang$$b10
000304589 7001_ $$aMikolajczyk, Rafael$$b11
000304589 7001_ $$0P:(DE-He78)1b59582b6c05ac4e57aa8b90dd9667f9$$aMons, Ute$$b12$$udkfz
000304589 7001_ $$aNiedermayer, Fiona$$b13
000304589 7001_ $$aObi, Nadia$$b14
000304589 7001_ $$aÖvermöhle, Cara$$b15
000304589 7001_ $$aReuter, Marvin$$b16
000304589 7001_ $$aSchmidt, Börge$$b17
000304589 7001_ $$aVelásquez, Ilais Moreno$$b18
000304589 7001_ $$aVölzke, Henry$$b19
000304589 7001_ $$aWirkner, Kerstin$$b20
000304589 7001_ $$aZeeb, Hajo$$b21
000304589 7001_ $$aBärninghausen, Till$$b22
000304589 7001_ $$aFischer, Beate$$b23
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000304589 7001_ $$aHarth, Volker$$b25
000304589 7001_ $$aKarch, André$$b26
000304589 7001_ $$aLange, Berit$$b27
000304589 7001_ $$aPeters, Annette$$b28
000304589 7001_ $$aPischon, Tobias$$b29
000304589 7001_ $$aTeismann, Henning$$b30
000304589 7001_ $$aBecher, Heiko$$b31
000304589 7001_ $$aWinkler, Volker$$b32
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