Family income in shaping cardiometabolic risk profile: a prospective analysis including gender-related differences

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dc.contributor.authorOnat, Altan
dc.contributor.authorOzhan, Hakan
dc.contributor.authorCan, Guay
dc.contributor.authorHergenc, Gulay
dc.contributor.authorKarabulut, Ahmet
dc.contributor.authorAlbayrak, Sinan
dc.date.accessioned2024-09-25T19:57:31Z
dc.date.available2024-09-25T19:57:31Z
dc.date.issued2006
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractObjectives: We investigated the extent to which family income predicts smoking, metabolic syndrome (MS) and its components, elevated levels of apolipoprotein (hyperapo) B and C-reactive protein (CRP), and incident coronary heart disease (CHD), with reference to gender-related differences. Study design: A total of 3,273 participants (1610 males, 1630 females; mean age 48.3 +/- 12 years, minimum age 28 years) of the TEKHARF surveys 1997/98 and 2002/03 were prospectively evaluated during a mean of 5.9 years. Monthly family incomes were grouped into four categories. Elevated apoB and CRP levels were based on the cutoff values of 120 mg/dl and 3 mg/l, respectively. Identification of MS was made according to the Adult Treatment Panel III criteria modified by the TEKHARF study. Diagnosis of CHD was based on history, physical examination, and the Minnesota coding of resting electrocardiograms. Results: In age-adjusted logistic regression analyses, men with higher income brackets had an increased incidence of diabetes, hypertension, and elevated hyperapo B. In women, income was positively associated with smoking and elevated hyperapo B, and inversely related with obesity, abdominal obesity, and - at borderline significance - triglyceride/HDL dyslipidemia; diabetes and hypertension were not predicted by income. Lower income brackets (<910 NTL) predicted elevated CRP levels in both genders (relative risk 1.47, p<0.002). Income exhibited an insignificant relative risk (1.27) for incident CHD. Conclusion: The level of family income contributes to the development of an adverse risk profile in Turks. Given increased smoking in women and its inhibitory effect on (abdominal) obesity, rising income seems to predict improvement in some elements of the cardiometabolic risk profile.en_US
dc.identifier.endpage478en_US
dc.identifier.issn1016-5169
dc.identifier.issue8en_US
dc.identifier.scopus2-s2.0-35348841121en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage471en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13462
dc.identifier.volume34en_US
dc.identifier.wosWOS:000421490300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherTurkish Soc Cardiologyen_US
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivi-Archives of The Turkish Society of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectCoronary disease/epidemiologyen_US
dc.subjectC-reactive proteinen_US
dc.subjectdyslipidemiasen_US
dc.subjecthealth surveysen_US
dc.subjectincome/classificationen_US
dc.subjectmetabolic syndrome Xen_US
dc.subjectrisk factorsen_US
dc.subjectsmokingen_US
dc.subjectsocioeconomic factorsen_US
dc.titleFamily income in shaping cardiometabolic risk profile: a prospective analysis including gender-related differencesen_US
dc.typeArticleen_US

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