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Ethnic Differences in the Lifestyle Behaviors and Premature Coronary Artery Disease: A Multi-Center Study Publisher Pubmed



Babahajiani M1 ; Zarepur E2, 3 ; Khosravi A4, 5 ; Mohammadifard N6 ; Noohi F5, 7 ; Alikhasi H8 ; Nasirian S9 ; Moezi Bady SA10, 11 ; Janjani P12 ; Solati K13 ; Lotfizadeh M14 ; Ghaffari S5, 15 ; Javanmardi E16 ; Salari A17 Show All Authors
Authors
  1. Babahajiani M1
  2. Zarepur E2, 3
  3. Khosravi A4, 5
  4. Mohammadifard N6
  5. Noohi F5, 7
  6. Alikhasi H8
  7. Nasirian S9
  8. Moezi Bady SA10, 11
  9. Janjani P12
  10. Solati K13
  11. Lotfizadeh M14
  12. Ghaffari S5, 15
  13. Javanmardi E16
  14. Salari A17
  15. Gholipour M17
  16. Dehghani M18
  17. Cheraghi M18
  18. Assareh A5, 19
  19. Haybar H19
  20. Namayandeh SM20
  21. Madadi R21
  22. Kojuri J5, 22
  23. Mansourian M6
  24. Sarrafzadegan N5, 6, 23
Show Affiliations
Authors Affiliations
  1. 1. Student Research Committee, Vice Chancellor for Research and Technology, Kurdistan University of Medical Sciences, Sanandaj, Iran
  2. 2. Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Cardiology, Medicine School, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. The Iranian Network of Cardiovascular Research (INCVR), Isfahan, Iran
  6. 6. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Shahid Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
  8. 8. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  9. 9. Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  10. 10. Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
  11. 11. Clinical Research Development Unit, Imam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran
  12. 12. Cardiovascular Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
  13. 13. Department of Psychiatry, Shahrekord University of Medical Sciences, Shahrekord, Iran
  14. 14. Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
  15. 15. Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  16. 16. Department of Cardiovascular Medicine, Amiralmomenin Hospital, Maragheh University Medical Sciences, Maragheh, Iran
  17. 17. Department of Cardiology, Healthy Heart Research Center, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  18. 18. Department of Cardiovascular Research Center, Shahid Rahimi Hospital, Lorestan university of Medical Science, Khorramabad, Iran
  19. 19. Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  20. 20. Yazd Cardiovascular Research Center, Shahid Sadooghi University of Medical Science, Yazd, Iran
  21. 21. Zanjan University of Medical Sciences, Zanjan, Iran
  22. 22. Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  23. 23. Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, Canada

Source: BMC Cardiovascular Disorders Published:2023


Abstract

Background: Diverse ethnic groups that exist in Iran may differ regarding the risk factors such as hypertension, hyperlipidemia, dyslipidemia, diabetes mellitus, and family history of non-communicable disease. Premature Coronary Artery Disease (PCAD) is more endemic in Iran than before. This study sought to assess the association between ethnicity and lifestyle behaviors in eight major Iranian ethnic groups with PCAD. Methods: In this study, 2863 patients aged ≤ 70 for women and ≤ 60 for men who underwent coronary angiography were recruited in a multi-center framework. All the patients’ demographic, laboratory, clinical, and risk factor data were retrieved. Eight large ethnicities in Iran, including the Farses, the Kurds, the Turks, the Gilaks, the Arabs, the Lors, the Qashqai, and the Bakhtiari were evaluated for PCAD. Different lifestyle components and having PCAD were compared among the ethnical groups using multivariable modeling. Results: The mean age of the 2863 patients participated was 55.66 ± 7.70 years. The Fars ethnicity with 1654 people, was the most subject in this study. Family history of more than three chronic diseases (1279 (44.7%) was the most common risk factor. The Turk ethnic group had the highest prevalence of ≥ 3 simultaneous lifestyle-related risk factors (24.3%), and the Bakhtiari ethnic group had the highest prevalence of no lifestyle-related risk factors (20.9%). Adjusted models showed that having all three abnormal lifestyle components increased the risk of PCAD (OR = 2.28, 95% CI: 1.04–1.06). The Arabs had the most chance of getting PCAD among other ethnicities (OR = 2.26, 95%CI: 1.40–3.65). While, the Kurds with a healthy lifestyle showed the lowest chance of getting PCAD (OR = 1.96, 95%CI: 1.05–3.67)). Conclusions: This study found there was heterogeneity in having PACD and a diverse distribution in its well-known traditional lifestyle-related risk factors among major Iranian ethnic groups. © 2023, The Author(s).
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