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@ARTICLE{Walther:304589,
      author       = {G. Walther and T. Brand and N. Dragano and C. Meinke-Franze
                      and A. Führer and K.-H. Greiser$^*$ and O. Hovadorvska and
                      J. Kiekert and L. Krist and M. Leitzmann and W. Lieb and R.
                      Mikolajczyk and U. Mons$^*$ and F. Niedermayer and N. Obi
                      and C. Övermöhle and M. Reuter and B. Schmidt and I. M.
                      Velásquez and H. Völzke and K. Wirkner and H. Zeeb and T.
                      Bärninghausen and B. Fischer and L. Koch-Gallenkamp$^*$ and
                      V. Harth and A. Karch and B. Lange and A. Peters and T.
                      Pischon and H. Teismann and H. Becher and V. Winkler},
      title        = {{M}igration and {C}ardiovascular {D}isease: {A}
                      {C}omparative {S}tudy of {P}revalence and {R}isk {F}actor
                      {P}rofiles in {R}esettlers from the {G}erman {N}ational
                      {C}ohort ({NAKO}).},
      journal      = {Annals of epidemiology},
      volume       = {nn},
      issn         = {1047-2797},
      address      = {Amsterdam [u.a.]},
      publisher    = {Elsevier Science},
      reportid     = {DKFZ-2025-01912},
      pages        = {nn},
      year         = {2025},
      note         = {epub},
      abstract     = {Resettlers 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.},
      keywords     = {Cardiovascular diseases (CVDs) (Other) / German National
                      Cohort (NAKO) (Other) / Migrant health (Other) / Resettlers
                      (Other) / cardiovascular Risk factors (Other)},
      cin          = {C020 / C120 / C070},
      ddc          = {610},
      cid          = {I:(DE-He78)C020-20160331 / I:(DE-He78)C120-20160331 /
                      I:(DE-He78)C070-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40946730},
      doi          = {10.1016/j.annepidem.2025.09.008},
      url          = {https://inrepo02.dkfz.de/record/304589},
}