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Cardiovascular disease risk factors and menopausal status in midlife women from the former Soviet Union.

Authors
Miller-AM; Wilbur-J; Chandler-PJ; Sorokin-O
Source
Women Health 2003 Jul; 38(3):19-36
NIOSHTIC No.
20039186
Abstract
The purpose of this cross-sectional analysis is to examine modifiable CVD risk factors in relation to menopausal status, age, and length of residence in the U.S. of midlife women from the former Soviet Union. The analysis includes baseline data for 193 women, aged 40-70, who lived in the U.S. fewer than 8 years and were enrolled in an ongoing four-year study of post-immigration health and behavior change. Data collection was conducted in women's homes or other community locations. The presence of seven health risk indicators (obesity, dyslipidemia, high blood pressure, diabetes mellitus, sedentary lifestyle, smoking, and excessive alcohol use) was assessed. In addition, Framingham 10 year risk scores for heart disease, and the presence of metabolic syndrome, were calculated using recent National Cholesterol Education Program (ATP-III) guidelines. Consistent with the age distribution, 60% of the women were postmenopausal. Four risk indicators (obesity, dyslipidemia, high blood pressure, and sedentary lifestyle) were identified as significant areas of concern. Although the Framingham risk scores did not seem excessively high, almost 25% of the women had metabolic syndrome. Older and postmenopausal women had significantly higher scores on all risk estimates. When age and menopausal status were held constant, menopausal status remained an independent contributor for the number of CVD risk indicators. Issues specific to this group of women because of their pre- and post-migration lifestyles are discussed in relation to their CVD risk status.
Keywords
Women; Metabolic-disorders; Age-groups; Estrogenic-hormones; Epidemiology; Risk-factors; Weight-factors; Blood-pressure; Author Keywords: Cardiovascular disease; menopause; immigrants; women's health
Contact
Arlene Michaels Miller, PhD, RN, University of Illinois at Chicago, College of Nursing, M/C 802, 845 South Damen, Room 1016, Chicago, IL 60612
CODEN
WOHEDI
Publication Date
20030701
Document Type
Journal Article
Email Address
arlenem@uic.edu
Funding Type
Grant
Fiscal Year
2003
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-OH-008672
Issue of Publication
3
ISSN
0363-0242
Source Name
Women and Health
State
IL; CT
Performing Organization
University of Illinois-Chicago
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