Some Aspects of Cardio-vascular Mortality in South Africa

Adelstein, A. M.

doi:10.1136/jech.17.1.29

Cited by 11 publications

(5 citation statements)

References 20 publications

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“…Nevertheless, some researchers still believe that data on a relationship between selenium and CHD is too limited to draw definite conclusions. 13,14 An excess of coronary heart disease in Indians compared with other ethnic groups has been reported from Singapore, 15 Uganda, 16 South Africa, 17,18 Fiji, 19 Trinidad 20 and the UK. 21,22 Dhindsa and Sullivan 23 reported the risk of cardiovascular disease in a Sikh population in Sydney to be double the estimated value for the population without risk factors.…”

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confidence: 99%

Plasma selenium concentrations in a Sikh population in Sydney, Australia†

Dhindsa

Bermingham²,

Mierzwa³

et al. 1998

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Selenium is essential for humans because it protects the heart against cardiomyopathy. It may also reduce ischaemic heart disease owing to its antioxidant activity. It is known that Indian migrants in a number of countries have high incidences of ischaemic heart disease. In this study, fasting plasma selenium concentrations of Sikh migrants in Sydney (Australia) were measured to investigate whether selenium concentration is reduced in this community. The mean concentration of selenium in plasma (91.8 +/- 15.0 ng ml-1, n = 196) was within the normal range. A significantly higher plasma selenium concentration was demonstrated in males than in females (p < 0.01). This was mainly due to the difference in mean selenium concentrations between genders in vegetarians because no significant difference was observed in non-vegetarian males versus females. The mean concentration of selenium in teetotal males was similar to those who consumed alcohol. Despite significant variations with gender and diet, the selenium concentrations were within the normal range. The results suggest that selenium status is adequate in the Sikh community even though vegetarian diet is common and alcohol use is condones in males.

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confidence: 99%

Plasma selenium concentrations in a Sikh population in Sydney, Australia†

Dhindsa

Bermingham²,

Mierzwa³

et al. 1998

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“…1 Adelstein in 1963 pointed out that among South Africans, 'Asians' (almost entirely of Indian descent) showed the most unfavourable mortality rates from cardiovascular disease and that these rates were among the highest of the national rates ever documented on record. 3 Worryingly, Walker presented similar findings from South Africa 17 years later, as he examined the death certificates of members of different ethnic populations in Johannesburg who had died of ischaemic heart disease. The high mortality rate from CHD seen in white populations (especially among the Jewish sector) was matched and indeed exceeded by CHD rates in the Indians, while the rate among those deemed 'coloured' and 'black' was lower.…”

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confidence: 68%

Health risks in south Asian men: heightening awareness

Zaman

Patel

2012

Trends Urol & Men's Health

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“…We note that in other parts of the world, (Singapore, Trinidad, South Africa and Fiji), Asian Indians have a three-fold higher prevalence of cardiovascular disease (primarily coronary artery disease) than the corresponding native population [20][21][22][23][24][25][26][27]. A report on South Asian-Americans' health by the South Asian Public Health Association (http://www.sapha.net) states that in the USA, heart disease has a higher prevalence in Asian Indians than in other Asians and non-Hispanic whites, and that one of the top chronic illnesses concerns high BP [28].…”

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confidence: 83%

Circadian and circaseptan (about-weekly) aspects of immigrant Indians' blood pressure and heart rate in California, USA

Sundaram

Holley

Cornelissen

et al. 2005

Biomedicine & Pharmacotherapy

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Time structurally (chronomically) interpreted half-hourly monitoring of blood pressure (BP) and heart rate (HR) for at least 7 days and preferably for 17 days is recommended, separately for a diagnosis of BP disorders and when necessary again for the same or longer spans for treatment, whenever a positive diagnosis of a disorder is made. In this study, 30 clinically healthy subjects underwent 7-day monitoring and provided a series of findings, including the detection of Circadian Hyper-Amplitude-Tension (CHAT), that is blood pressure overswinging, which carries a high risk of hard cardiovascular events. The results specifically bear upon south-east Asian-Indian immigrants. They show that cardiovascular disease risk increases with age, with a positive family history of hypertension and/or other cardiovascular diseases and even with the duration of stay in the USA. A relation to body mass index is also shown. Such monitoring for prehabilitation may eventually reduce the need for rehabilitation.

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Some Aspects of Cardio-vascular Mortality in South Africa

Cited by 11 publications

References 20 publications

Plasma selenium concentrations in a Sikh population in Sydney, Australia†

Plasma selenium concentrations in a Sikh population in Sydney, Australia†

Health risks in south Asian men: heightening awareness

Circadian and circaseptan (about-weekly) aspects of immigrant Indians' blood pressure and heart rate in California, USA

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