Five-year change in cardiovascular risk factors according to education level : the Australian diabetes, obesity and lifestyle (AusDiab) study

Beauchamp, A. J., Wolfe, R., Magliano, D. J., Turrell, G., Tonkin, A. M., Shaw, J. and Peeters, A. 2010, Five-year change in cardiovascular risk factors according to education level : the Australian diabetes, obesity and lifestyle (AusDiab) study, in ESC Congress 2010 : Proceedings of the European Society of Cardiology Congress, Oxford University Press, [Stockholm, Sweden], pp. 239-239.

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Title Five-year change in cardiovascular risk factors according to education level : the Australian diabetes, obesity and lifestyle (AusDiab) study
Author(s) Beauchamp, A. J.
Wolfe, R.
Magliano, D. J.
Turrell, G.
Tonkin, A. M.
Shaw, J.
Peeters, A.
Conference name European Society of Cardiology. Congress (2010 : Stockholm, Sweden)
Conference location Stockholm, Sweden
Conference dates 28 Aug.-1 Sep. 2010
Title of proceedings ESC Congress 2010 : Proceedings of the European Society of Cardiology Congress
Editor(s) [Unknown]
Publication date 2010
Conference series European Society of Cardiology. Congress
Start page 239
End page 239
Total pages 1
Publisher Oxford University Press
Place of publication [Stockholm, Sweden]
Summary Background: Lower socioeconomic status (SES) is strongly associated with a higher prevalence of major cardiovascular risk factors, but few studies have examined changes in these risk factors over time according to SES. We aimed to determine whether SES is a predictor of the change in cardiovascular risk factor levels in a contemporary Australian adult cohort

Methods: Participants in the population-based AusDiab study aged 25+ years who attended both baseline and 5-year follow-up examinations (n=5 954) were categorised according to their level of education at baseline. Cardiovascular risk factor data at both time points were ascertained through questionnaire and physical measurement. Analysis was stratified by gender.

Results: The mean levels of systolic blood pressure, total cholesterol and the prevalence of smoking decreased between the two time points across all educational categories. Increases were also seen in mean BMI and the prevalence of diabetes. For blood pressure, the smallest decrease was seen among men with lower education (age-adjusted difference from higher education 2.8 mmHg, 95% CI 1.0 to 4.6). For total cholesterol, the decrease was greatest among women with lower education (age-adjusted difference from higher education 0.11 mmol/l, 95% CI 0.19 to 0.02). Among those "not at risk" at baseline for each risk factor, women with lower education were more likely than those with higher education to progress to being "at risk" for BMI (age-adjusted odds ratio 1.60, 95% CI 1.09 to 2.35).

Conclusion: Educational gradients narrowed for total cholesterol in women, but widened for systolic blood pressure in men and remained static for other risk factors. Lower education was also associated with an earlier onset of overweight or obesity in women. Given current socioeconomic gradients in risk factors levels, these findings suggest that social inequalities in CVD will persist and may even widen in the future.
Notes European Heart Journal ( 2010 ) 31 ( Abstract Supplement ), 239
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category E3.1 Extract of paper
Copyright notice ©2010, Oxford University Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30046456

Document type: Conference Paper
Collection: Population Health
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