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Epidemiology, risk factors, and opportunities for prevention of cardiovascular disease in individuals of South Asian ethnicity living in Europe
Journal article   Open access   Peer reviewed

Epidemiology, risk factors, and opportunities for prevention of cardiovascular disease in individuals of South Asian ethnicity living in Europe

Miguel Cainzos-Achirica, Ugo Fedeli, Naveed Sattar, Charles Agyemang, Anne K. Jenum, John W. McEvoy, Jack D. Murphy, Carlos Brotons, Roberto Elosua, Usama Bilal, …
Atherosclerosis, v 286, pp 105-113
Jul 2019
DOI: https://doi.org/10.1016/j.atherosclerosis.2019.05.014
PMID: 31128454
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299475View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Cardiovascular disease Coronary heart disease Diabetes Physical activity Prevention South Asian
South Asian (SA) individuals represent a large, growing population in a number of European countries. These individuals, particularly first-generation SA immigrants, are at higher risk of developing type 2 diabetes, atherogenic dyslipidaemia, and coronary heart disease than most other racial/ethnic groups living in Europe. SAs also have an increased risk of stroke compared to European-born individuals. Despite a large body of conclusive evidence, SA-specific cardiovascular health promotion and preventive interventions are currently scarce in most European countries, as well as at the European Union level. In this narrative review, we aim to increase awareness among clinicians and healthcare authorities of the public health importance of cardiovascular disease among SAs living in Europe, as well as the need for tailored interventions targeting this group – particularly, in countries where SA immigration is a recent phenomenon. To this purpose, we review key studies on the epidemiology and risk factors of cardiovascular disease in SAs living in the United Kingdom, Italy, Spain, Denmark, Norway, Sweden, and other European countries. Building on these, we discuss potential opportunities for multi-level, targeted, tailored cardiovascular prevention strategies. Because lifestyle interventions often face important cultural barriers in SAs, particularly for first-generation immigrants; we also discuss features that may help maximise the effectiveness of those interventions. Finally, we evaluate knowledge gaps, currently available risk stratification tools such as QRISK-3, and future directions in this important field. [Display omitted] •South Asian (SA) individuals represent a large, growing population in a number of European countries.•SAs living in Europe are at increased risk of developing diabetes, atherogenic dyslipidaemia, and coronary heart disease.•SA-specific cardiovascular health promotion and preventive interventions are currently scarce in most European countries.•In this review, we aim to increase awareness within Europe of the public health importance of cardiovascular disease in SAs.•We discuss potential opportunities for multi-level, targeted, tailored cardiovascular prevention strategies.

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15 Record Views
51 citations in Web of Science
54 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Peripheral Vascular Disease
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