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Zelenina A.A.
National Medical Research Center for Therapy and Preventive Medicine
Shalnova S.A.
National Medical Research Center for Therapy and Preventive Medicine
Muromtseva G.A.
National Medical Research Center for Therapy and Preventive Medicine
Kapustina A.V.
National Medical Research Center for Therapy and Preventive Medicine
Balanova Yu.A.
National Medical Research Center for Therapy and Preventive Medicine
Evstifeeva S.E.
National Medical Research Center for Therapy and Preventive Medicine
Maksimov S.A.
National Medical Research Center for Therapy and Preventive Medicine
Drapkina O.M.
National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Association of regional deprivation and metabolic syndrome in Russian adults
Journal: Russian Journal of Preventive Medicine. 2022;25(12): 37‑45
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To cite this article:
Zelenina AA, Shalnova SA, Muromtseva GA, et al. . Association of regional deprivation and metabolic syndrome in Russian adults. Russian Journal of Preventive Medicine.
2022;25(12):37‑45. (In Russ.)
https://doi.org/10.17116/profmed20222512137
Metabolic syndrome (MetS) contributes to increased morbidity and mortality from cardiovascular diseases (CVDs). However, not only MetS in general but also its components, such as abdominal obesity, hyperglycemia, dyslipidemia, and high blood pressure, increase cardiovascular risk. Many studies have established the association between region deprivation and MetS using individual deprivation variables (e.g., income, education) and complex models (indices) that include several variables. However, the association of environmental and socio-economic deprivation with MetS among Russian adults remains poorly studied to date.
To analyze the association between regional deprivation and MetS in the Russian adult population.
The data from the study “Epidemiology of cardiovascular diseases and their risk factors in the regions of the Russian Federation” were used for the analysis. The study included 21.921 participants (males and females aged 25-64). MetS was diagnosed according to the criteria of the International Diabetes Federation (2009). The indicators for calculating the deprivation index are taken from the Federal State Statistics Service data for 2010. The index includes 17 indicators reflecting socio-economic and environmental deprivation at the regional level. The index measures overall deprivation, and its elements are designed to measure regions’ social, economic, and environmental deprivation. Generalized estimating equations were used to study the association of regional deprivation with MetS and its criteria.
The odds of having MetS are higher in regions with high levels of general deprivation and, conversely, lower in the most socially deprived regions.
The development and implementation of preventive programs aimed at reducing morbidity and mortality from CVDs in the population should consider regional well-being.
Authors:
Zelenina A.A.
National Medical Research Center for Therapy and Preventive Medicine
Shalnova S.A.
National Medical Research Center for Therapy and Preventive Medicine
Muromtseva G.A.
National Medical Research Center for Therapy and Preventive Medicine
Kapustina A.V.
National Medical Research Center for Therapy and Preventive Medicine
Balanova Yu.A.
National Medical Research Center for Therapy and Preventive Medicine
Evstifeeva S.E.
National Medical Research Center for Therapy and Preventive Medicine
Maksimov S.A.
National Medical Research Center for Therapy and Preventive Medicine
Drapkina O.M.
National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Received:
10.08.2022
Accepted:
14.09.2022
List of references:
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