Low Level of Physical Activity in Two Roma Subgroups Compared to Non-Roma Population in Niraj Valley, Transylvania

Szabo, Monica Iudita Maria; Balázs, Anita; Máté, Beáta; Kelemen, Piroska

doi:10.2478/jim-2019-0002

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…All Roma participants involved in our study reported sedentary lifestyle and a lack of daily sport activity. These observations are in agreement with other authors who examined the level of physical activity among Roma from Romania (30).…”

Section: Discussionsupporting

confidence: 93%

Assessment of health status and cardiovascular risk factors in a Roma population sample from South Bulgaria

Delcheva¹,

Stankova²,

Stefanova³

et al. 2023

Cent Eur J Public Health

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Objectives: Roma population is one of the major ethnic groups in the Central and Eastern Europe, having high rates of chronic diseases and associated risk factors related to their poor social conditions, unhealthy lifestyle and low educational level. The purpose of our study was to assess the health status of Roma from South Bulgaria by means of blood indicators and determine the prevalence of some cardiovascular (CV) risk factors in the Roma population sample.Methods: The study group consisted of 60 Roma (23 men and 37 women), mean age 53.7 ± 15.9 years, and the control group consisted of 68 non-Roma from the majority population (29 men and 38 women), mean age 45.8 ± 12.2 years. The data were collected via questionnaire, anthropometric measures, and venous blood samples analyses after an overnight fasting.Results: The Roma population subjects were slightly but significantly older compared to the non-Roma group and both study groups included more women. The fasting glucose, body mass index (BMI), triglycerides (TG), total cholesterol (TC), and LDL-cholesterol (LDL-C) levels were significantly higher, and HDL-cholesterol (HDL-C) levels were significantly lower in Roma compared to the control non-Roma group. The values of cardiovascular risk markers such as TC/HDL-C and TG/HDL-C ratios, atherogenic index of plasma (AIP) and lipoprotein combine index (LCI) were significantly higher in Roma compared to non-Roma subjects. The prevalence of obesity in Roma was 35%, diabetes mellitus was recorded in 16.7% of the entire Roma sample, and hyperglycaemia in non-diabetics was recorded in 32%. Hypercholesterolaemia was found in 90% and hypertriglyceridaemia was found in 88.3%. The prevalence of cardiovascular diseases (CVD) was high and was encountered in 71.7% of the Roma participants and most of the subjects (96.7%) reported family history of CVD. The studied population showed high smoking rates with 33.3% active smokers.Conclusions: Our study confirmed high prevalence of CV risk factors among Roma population, such as abnormal lipid profile parameters, obesity and heavy smoking and very high cardiovascular morbidity rate. Therefore, adequate measures and healthcare programmes aiming at the early identification, treatment and prevention of CVD risks among Roma are necessary.

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Section: Discussionsupporting

confidence: 93%

Assessment of health status and cardiovascular risk factors in a Roma population sample from South Bulgaria

Delcheva¹,

Stankova²,

Stefanova³

et al. 2023

Cent Eur J Public Health

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“…al. [ 48 ]. They reported different results for Roma people living in Romania when they compared the physical activity patterns of two different Roma populations (Gabor Roma N = 231 and Băieși Roma n = 111) to that of the non-Roma population (N = 183).…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Pattern Characterized by Domains and Dimensions of the Roma Population in Comparison with That of the General Population in Northeast Hungary

Bába

Pikó

Müller

et al. 2022

IJERPH

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Our study focuses on examining physical activity, as one of the most influential health determinants by domains and dimensions among Roma, the largest vulnerable ethnic minority in Europe. The study was carried out on a sample representative of the Hungarian Roma (HR) population (n = 350) living in segregated colonies in Northeast Hungary in comparison with the Hungarian general (HG) population sample (n = 343) from the same region. Data were collected using the International Physical Activity Questionnaire (IPAQ) long-form and physical activity was quantified as MET-min/week. Scores were calculated for walking, moderate and vigorous-intensity activities for each domain (work, transport, domestic and gardening, leisure) and as an overall total. The HR population—similarly to the HG—is characterized by moderate or high physical activity; however, this level is achieved by work and housework/gardening instead of leisure time activities, which is worryingly low among HR females, but its prevalence is significantly (p < 0.001) lower in both sexes than among the HG population in the vigorous activity category. HR men move (walk and cycle) significantly more during transport than HG men. Our results may direct the attention of decision-makers to improve the health of Roma by increasing leisure-time physical activity.

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“…Several studies have examined the prevalence of cardiovascular risk factors among the Roma minority and compared it with that of the general population [13][14][15] . Obesity (France 16 , Hungary 17 , Romania 15 , Slovakia [18][19][20] , Spain 21 ), diabetes (France 16 , Hungary 17 , Serbia 22 , Slovakia 19 ), insulin resistance (Slovakia 20 ), smoking (Croatia 23 , France 16 , Romania 15,24 , Slovakia 20,25 ), physical inactivity (Romania 26 , Slovakia 27 ), hypertension (France 16 , Hungary 17 , Slovakia 19 ), abnormal lipid profile (Hungary 17 , Romania 15 , Slovakia 19 ), and metabolic syndrome (Hungary 17 , Slovakia 14,19 ) have high prevalence and were significantly more common among the Roma, regardless of the country in which they live. Roma CHD patients have a worse risk profile at the entry of care and seem to be undertreated compared with non-Roma CHD patients 28 .…”

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confidence: 99%

Comparative risk assessment for the development of cardiovascular diseases in the Hungarian general and Roma population

Pikó

Kósa

Sándor

et al. 2021

Sci Rep

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Cardiovascular diseases (CVDs) are the number one cause of death globally, and the early identification of high risk is crucial to prevent the disease and to reduce healthcare costs. Short life expectancy and increased mortality among the Roma are generally accepted (although not indeed proven by mortality analyses) which can be partially explained by the high prevalence of cardiovascular risk factors (CVRF) among them. This study aims to elaborate on the prevalence of the most important CVD risk factors, assess the estimation of a 10-year risk of development of fatal and nonfatal CVDs based on the most used risk assessment scoring models, and to compare the Hungarian general (HG) and Roma (HR) populations. In 2018 a complex health survey was accomplished on the HG (n = 380) and HR (n = 347) populations. The prevalence of CVRS was defined and 10-year cardiovascular risk was estimated for both study populations using the following systems: Framingham Risk Score for hard coronary heart disease (FRSCHD) and for cardiovascular disease (FRSCVD), Systematic COronary Risk Evaluation (SCORE), ACC/AHA Pooled Cohort Equations (PCE) and Revised Pooled Cohort Equations (RPCE). After the risk scores had been calculated, the populations were divided into risk categories and all subjects were classified. For all CVD risk estimation scores, the average of the estimated risk was higher among Roma compared to the HG independently of the gender. The proportion of high-risk group in the Hungarian Roma males population was on average 1.5–3 times higher than in the general one. Among Roma females, the average risk value was higher than in the HG one. The proportion of high-risk group in the Hungarian Roma females population was on average 2–3 times higher compared to the distribution of females in the general population. Our results show that both genders in the Hungarian Roma population have a significantly higher risk for a 10-year development of cardiovascular diseases and dying from them compared to the HG one. Therefore, cardiovascular interventions should be focusing not only on reducing smoking among Roma but on improving health literacy and service provision regarding prevention, early recognition, and treatment of lipid disorders and diabetes among them.

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Low Level of Physical Activity in Two Roma Subgroups Compared to Non-Roma Population in Niraj Valley, Transylvania

Cited by 5 publications

References 14 publications

Assessment of health status and cardiovascular risk factors in a Roma population sample from South Bulgaria

Assessment of health status and cardiovascular risk factors in a Roma population sample from South Bulgaria

Physical Activity Pattern Characterized by Domains and Dimensions of the Roma Population in Comparison with That of the General Population in Northeast Hungary

Comparative risk assessment for the development of cardiovascular diseases in the Hungarian general and Roma population

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