BACKGROUND: Based on recent epidemiological studies the need for a similar approach towards management of cardiovascular risk factors in type 2 diabetics with different ethnic background can be questioned. We compared the prevalence of cardiovascular risk factors and 10-year absolute risk for a coronary heart disease between Turkish and Dutch type 2 diabetes patients. METHODS: A cross-sectional study was performed using databases from three Dutch studies on type 2 diabetes, comparing 147 Turkish to 294 Dutch diabetes patients, matched for age and gender. Main outcome measures were: total (t-) cholesterol, high-density lipoprotein cholesterol (HDL), low-density lipoprotein cholesterol (LDL), triglyceride, blood pressure, and smoking. The 10-year absolute risk for a coronary event was calculated by means of the Framingham risk equation. RESULTS: In Turkish diabetics t-cholesterol was lower than in Dutch (5.4 vs. 5.9 mmol/l; p < 0.001), in Turkish males HDL was lower than in Dutch male patients (0.94 vs. 1.08 mmol/l; p = 0.04). The total/HDL-cholesterol ratio in Turkish and Dutch diabetics was equal (5.4 vs. 5.4). Less Turkish than Dutch females smoked (9% vs. 23%; p<0.01). The 10-year absolute risk for a coronary event in both Turkish and Dutch male patients was 24%; the risk in Turkish vs. Dutch females was 13% vs. 15% (not significant). CONCLUSION: The absolute risk for a coronary event in Turkish type 2 diabetes patients is similar to the risk in Dutch diabetes patients, although important differences in the risk profile exist, in particular, the lipid profile and smoking habits differ.
BACKGROUND: Based on recent epidemiological studies the need for a similar approach towards management of cardiovascular risk factors in type 2 diabetics with different ethnic background can be questioned. We compared the prevalence of cardiovascular risk factors and 10-year absolute risk for a coronary heart disease between Turkish and Dutch type 2 diabetespatients. METHODS: A cross-sectional study was performed using databases from three Dutch studies on type 2 diabetes, comparing 147 Turkish to 294 Dutch diabetespatients, matched for age and gender. Main outcome measures were: total (t-) cholesterol, high-density lipoprotein cholesterol (HDL), low-density lipoprotein cholesterol (LDL), triglyceride, blood pressure, and smoking. The 10-year absolute risk for a coronary event was calculated by means of the Framingham risk equation. RESULTS: In Turkish diabetics t-cholesterol was lower than in Dutch (5.4 vs. 5.9 mmol/l; p < 0.001), in Turkish males HDL was lower than in Dutch male patients (0.94 vs. 1.08 mmol/l; p = 0.04). The total/HDL-cholesterol ratio in Turkish and Dutch diabetics was equal (5.4 vs. 5.4). Less Turkish than Dutch females smoked (9% vs. 23%; p<0.01). The 10-year absolute risk for a coronary event in both Turkish and Dutch male patients was 24%; the risk in Turkish vs. Dutch females was 13% vs. 15% (not significant). CONCLUSION: The absolute risk for a coronary event in Turkish type 2 diabetespatients is similar to the risk in Dutch diabetespatients, although important differences in the risk profile exist, in particular, the lipid profile and smoking habits differ.
Authors: M Porsch-Oezçueruemez; Y Bilgin; M Wollny; A Gediz; A Arat; E Karatay; A Akinci; K Sinterhauf; H Koch; I Siegfried; R von Georgi; G Brenner; H U Kloer Journal: Atherosclerosis Date: 1999-05 Impact factor: 5.162
Authors: T P Bersot; G L Vega; S M Grundy; K E Palaoglu; P Atagündüz; S Ozbayrakçi; O Gökdemir; R W Mahley Journal: J Lipid Res Date: 1999-03 Impact factor: 5.922
Authors: P J M Uitewaal; M A Bruijnzeels; R M D Bernsen; A J J Voorham; A W Hoes; S Thomas Journal: Eur J Public Health Date: 2004-03 Impact factor: 3.367
Authors: Gözde Duran-Kiraç; Özgül Uysal-Bozkir; Ronald Uittenbroek; Hein van Hout; Marjolein I Broese van Groenou Journal: Dementia (London) Date: 2021-12-08