OBJECTIVE: The aim of this study was to investigate the contribution of physical inactivity to the excess mortality from coronary heart disease (CHD) observed in the UK South Asian population. DESIGN: An observational longitudinal study with follow-up mortality data from NHS registries. SETTING: Data from the Health Survey for England, 1999 and 2004. PARTICIPANTS: 13 293 White and 2120 South Asian participants aged ≥35 years consented to the mortality follow-up. MAIN OUTCOME MEASURES: Deaths from CHD. RESULTS: South Asian participants were more likely to be physically inactive than white participants (47.0% vs 28.1%). Deaths from CHD were more common in UK South Asian participants, particularly among Pakistani and Bangladeshi groups (HR 2.87, 95% CI 1.74 to 4.73), than in UK white participants, and South Asian people experienced an event at an age on average 10 years younger than white people. Physical inactivity explained >20% of the excess CHD mortality in the South Asian sample, even after adjustment for potential confounding variables (including socioeconomic position, smoking, diabetes and existing cardiovascular disease). CONCLUSIONS: Physical inactivity makes a significant contribution to the excess CHD mortality observed in the South Asian population in the UK. This highlights the importance of prioritising the promotion of physical activity in this high-risk population.
OBJECTIVE: The aim of this study was to investigate the contribution of physical inactivity to the excess mortality from coronary heart disease (CHD) observed in the UK South Asian population. DESIGN: An observational longitudinal study with follow-up mortality data from NHS registries. SETTING: Data from the Health Survey for England, 1999 and 2004. PARTICIPANTS: 13 293 White and 2120 South Asian participants aged ≥35 years consented to the mortality follow-up. MAIN OUTCOME MEASURES: Deaths from CHD. RESULTS: South Asian participants were more likely to be physically inactive than white participants (47.0% vs 28.1%). Deaths from CHD were more common in UK South Asian participants, particularly among Pakistani and Bangladeshi groups (HR 2.87, 95% CI 1.74 to 4.73), than in UK white participants, and South Asian people experienced an event at an age on average 10 years younger than white people. Physical inactivity explained >20% of the excess CHD mortality in the South Asian sample, even after adjustment for potential confounding variables (including socioeconomic position, smoking, diabetes and existing cardiovascular disease). CONCLUSIONS: Physical inactivity makes a significant contribution to the excess CHD mortality observed in the South Asian population in the UK. This highlights the importance of prioritising the promotion of physical activity in this high-risk population.
Authors: Saravana Pillai Arjunan; Kevin Deighton; Nicolette C Bishop; James King; Alvaro Reischak-Oliveira; Alice Rogan; Matthew Sedgwick; Alice E Thackray; David Webb; David J Stensel Journal: Eur J Appl Physiol Date: 2015-10-05 Impact factor: 3.078
Authors: Ananya Tina Banerjee; Mireille Landry; Maha Zawi; Debbie Childerhose; Neil Stephens; Ammara Shafique; Jennifer Price Journal: J Immigr Minor Health Date: 2017-04