Clinical and Biochemical Determinants of Metabolic Syndrome among Roma and Non-Roma Subjects in the Eastern Part of Slovakia

Fedačko, Ján; Pella, Daniel; Jarčuška, Peter; Siegfried, Leonard; Janíčko, Martin; Veselíny, Eduard; Sabol, František; Jarčuška, Pavol; Mareková, Mária; Gecková, Andrea Madarasová; Pažinka, Peter; Jankajová, Monika; Kmeč, Ján; Babčák, Marian; Kalanin, Peter; Dražilová, Sylvia

doi:10.21101/cejph.a3905

Cited by 11 publications

(13 citation statements)

References 17 publications

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“…This finding indicates the presence of an increased low-grade systemic inflammation in Roma population compared to non-Roma counterparts most likely due to an increased cardiometabolic risk. These observations correlate well with previous findings [ 2 , 39 ] and further support the idea that the Roma are at increased risk for cardiovascular and metabolic diseases [ 4 , 5 ]. Other risk factors previously reported in Roma (smoking, obesity, lack of physical activity) could contribute to the low-grade systemic inflammation in the Roma population.…”

Section: Discussionsupporting

confidence: 92%

Roma Ethnicity and Sex-Specific Associations of Serum Uric Acid with Cardiometabolic and Hepatorenal Health Factors in Eastern Slovakian Population: The HepaMeta Study

Pallayová

Brenišin

Putrya

et al. 2020

IJERPH

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Background: Health characteristics associated with uric acid (UA) in the Roma minority remain less well known. The study sought to determine the ethnicity- and sex-specific associations of serum UA with health factors in Eastern Slovakian Roma and non-Roma populations. Methods: Data from the comparative cross-sectional HepaMeta study conducted in Slovakia in 2011 were used. The study enrolled 452 Roma subjects (35.2% men) and 403 non-Roma individuals (45.9% men) aged 18–55 years. Results: All study parameters differed between the sexes in both the Roma and non-Roma participants (p < 0.05). UA was related to sex with odds ratio for female sex 0.873, 95% CI 0.853–0.893 (p < 0.0001) per 10-unit increase of UA. Average level of UA ± standard deviation was lower in Roma than in non-Roma (226.54 ± 79.8 vs. 259.11 ± 84.53 umol/L; p < 0.0001). The Roma population presented with greater levels of high-sensitivity C-reactive protein (hsCRP) (3.07 ± 4 mg/L vs. 1.98 ± 2.83 mg/L; p < 0.0001) and ferritin in Roma males (403.78 ± 391.84 vs. 302.67 ± 236.26 mg/L; p < 0.0001). Conclusions: Serum UA is sex- and ethnicity specific. Elevated levels of hsCRP and ferritin particularly in Roma males can reflect low-grade systemic inflammation and thus serve as a marker of an increased cardiovascular risk.

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Section: Discussionsupporting

confidence: 92%

Roma Ethnicity and Sex-Specific Associations of Serum Uric Acid with Cardiometabolic and Hepatorenal Health Factors in Eastern Slovakian Population: The HepaMeta Study

Pallayová

Brenišin

Putrya

et al. 2020

IJERPH

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“…Metabolic syndrome was diagnosed in 29.2% of Roma population, but only in 20.7% of the majority population (17). Dyslipidemia with decreased levels of HDL cholesterol was also more prevalent in the Roma population compared to the majority (18).…”

Section: Editorial Low Socioeconomic Status and Unhealthy Lifestyle Lmentioning

confidence: 95%

Low Socioeconomic Status and Unhealthy Lifestyle Lead to High Morbidity in Young Roma of East Slovakia

Sedláková¹

2014

Cent Eur J Public Health

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Roma people constitute one of the oldest and largest minorities in Europe. In Slovakia, there are approximately 400,000 Roma, and represent 7.5% of total population (1). However, according to recent official census in 2010, only 105,738 (2% of total population) citizens declared themselves as Roma ethnic. Approximately one sixth of Roma people live in segregated settlements (1). This supplement contains results of the HepaMeta study, which has aimed to map the socioeconomic, lifestyle, selected anthropometric, and health-related aspects of young Roma people living in the settlements and their majority counterparts. This study was conducted in 2011 and its main goal was to explore the prevalence of hepatitis B and C and metabolic syndrome. A group of 452 Roma aged 18-55 years, living in settlements (mean age = 34.7; 35.2% men) was compared to a control group of 403 non-Roma randomly chosen (mean age = 33.5; 45.9% men) from the patient database of collaborating general practitioners. Data were obtained by questionnaire, anthropometric measures and analysed blood and urine samples (2). Roma population from segregated settlements live in significantly worse socioeconomic conditions compared to the majority, they have significantly worse education and higher unemployment rate. More than 80% of Roma have only basal education, higher education was attained by only 2.3% of this group compared to the majority population in which almost 80% completed higher education. More than 90% of Roma people are unemployed. Unemployment rate in the majority population in the studied East Slovakia region is approximately 25%. Two thirds of Roma people, but only 7.2% of the majority population receive social allowances. Approximately two thirds of Roma and one in 25 persons of the majority population cannot pay collection orders and current expenditures. Significant differences have been also found in the standard of living. Just half of Roma people have a stable water supply, toilet, bathroom or shower, whereas in the majority these utilities are available up to 95% of persons. One sixth of Roma people have no electricity (3). Significant differences were also demonstrated in the lifestyle of these groups. Roma men and women have less physical activity (sports, dance, walking) compared to the majority. On the other hand, higher physical activity associated with household was documented in Roma women, which is probably associated with higher number of children in Roma families. Roma people smoke cigarettes more often and are heavy smokers compared to the majority population. Alcohol use among Roma men was comparable to non-Roma men, but Roma women reported lower use of alcohol compared to the majority (4). People from segregated Roma settlements also reported unhealthy diet. They reported eating less fruits, vegetables and dairy products. Roma women reported higher consumption of meat and soft drinks. These differences in eating habits could be associated with higher prevalence of metabolic syndrome in younger age (5). Several significa...

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“…Earlier, the obesity and MetS were reported to depend on ethnicity and gender which prevalent more in the Russians than in the Chuvashes population in Chuvash Republic (Markova et al, 2014). Nevertheless, the MetS components values were reported to be different between Roma and non-Roma subjects in the eastern part of Slovakia (Fedacko et al, 2014). Earlier studies conducted on the northern part of Iran obesity was found less in Turkman group than in Fars-native group (Veghari & Mansurian, 2007;Veghari et al, 2010b).…”

Section: Methodsmentioning

confidence: 91%

“…The different cut-off point of WC for MetS was seen in different ethnic groups in African especially in men (Hoebel , 2013). In addition, the prevalence of MetS and some other related factors were reported to vary in some studies among different ethnic groups (Veghari , 2010b;Markova , 2014;Fedacko 2014;Veghari & Mansurian, 2007;Ford , 2002;Guo , 2014). The cut-off point of age for MetS had also not been reported in previous studies, however outstanding result of our study was the determine of age cut-off for MetS based on ethnic groups.…”

Section: Methodsmentioning

confidence: 99%

Age Cut-off Point for the Diagnosis of Metabolic Syndrome in Northern Adult Iranians: A New Approach in Prevention

Veghari¹,

Sedaghat²,

Banihashem³

et al. 2017

AMBIENT SCIENCE

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Clinical and Biochemical Determinants of Metabolic Syndrome among Roma and Non-Roma Subjects in the Eastern Part of Slovakia

Cited by 11 publications

References 17 publications

Roma Ethnicity and Sex-Specific Associations of Serum Uric Acid with Cardiometabolic and Hepatorenal Health Factors in Eastern Slovakian Population: The HepaMeta Study

Roma Ethnicity and Sex-Specific Associations of Serum Uric Acid with Cardiometabolic and Hepatorenal Health Factors in Eastern Slovakian Population: The HepaMeta Study

Low Socioeconomic Status and Unhealthy Lifestyle Lead to High Morbidity in Young Roma of East Slovakia

Age Cut-off Point for the Diagnosis of Metabolic Syndrome in Northern Adult Iranians: A New Approach in Prevention

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