Assessment of vitamin D and its association with cardiovascular disease risk factors in an adult migrant population: an audit of patient records at a Community Health Centre in Kensington, Melbourne, Australia

BMC Cardiovascular Disorders

Research Article

Thilanga Ruwanpathirana¹  Christopher M Reid¹  Alice J Owen¹  David P S Fong²  Usha Gowda³  Andre M N Renzaho⁴ 

[1] Centre for Cardiovascular Research and Education in Therapeutics, Department of Epidemiology and Preventive Medicine, Monash University, The Alfred Centre, Melbourne, Victoria, Australia;Doutta Galla Community Health Service, Kensington, Victoria, Australia;Global Health and Society Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton, Australia;Global Health and Society Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton, Australia;Centre for International Health, Department of Epidemiology and Preventive Medicine, Monash University, Burnet Institute, Melbourne, Victoria, Australia;School of Social Sciences and Psychology, University of Western Sydney, Sydney, New South Wales, Australia;

关键词: Vitamin D deficiency;    Migrants;    Cardiovascular diseases;    Framingham 10 year risk score;   

DOI  :  10.1186/1471-2261-14-157

 received in 2014-06-19, accepted in 2014-09-05,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundVitamin D deficiency is a global public health problem associated with increased risk of cardio-metabolic diseases and osteoarthritis. Migrants with dark skin settled in temperate climates are at greater risk of both vitamin D deficiency and cardiovascular diseases. This study aims to identify the risk of vitamin D deficiency and associations with cardiovascular disease in a migrant population in Australia.MethodsAn audit was carried out at a Community Health Service in Kensington, Melbourne which, services a large migrant population. Data from the clinical records of all adults who visited the medical centre at least once during the period from 1st January 2010 to 31st December 2012 was extracted. The future (10 year) coronary heart disease risk was estimated using Framingham Risk Score.ResultsThe centre has given higher priority to vitamin D testing in migrants, those middle-aged, females and those with diabetes and osteoarthritis. Migrants from countries located in lower latitude regions (Latitude N230 to S230) were 1.48 (95% C.I. 1.32-1.65) times more likely to develop vitamin D deficiency post migration and 0.44 (95% C.I. 0.31-0.62) times less likely to have a >15% 10-year risk of coronary heart disease when compared to their Australian-born counterparts.ConclusionsAdherence to a high risk strategy for vitamin D testing was observed in the centre. Pre-migration latitude is an important factor for vitamin D deficiency (lower the latitude higher the risk) and in predicting future risk of cardiovascular disease in migrants. These findings suggest that a targeted approach for vitamin D testing, including zone of origin might better identify individuals at higher risk of both vitamin D deficiency and cardiovascular disease.

【 授权许可】

Unknown   
© Ruwanpathirana et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.