Impact of internal migration on cardiovascular disease risk factors: Insights from a large industrial cohort in Ludhiana

IF 2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian heart journal Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI:10.1016/j.ihj.2026.01.001

Bishav Mohan, Akash Batta, Sarit Sharma, Tarun Satija, Geeti Puri Arora, Sarvotham Ramanathan, Anusha Singhania, Sumeet Sharma, Navneet Kishore, R.K. Soni, Gautam Singal, Anshuman Gupta, Rohit Tandon, Abhishek Goyal, Shibba Takkar Chhabra, Naved Aslam, Roopa Shivashankar, Kavita Singh, Meenkashi Sharma, Gurpreet Singh Wander

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引用次数: 0

Abstract

Background

Amongst the various risk factors for, cardiovascular diseases (CVDs), the impact of migration is often underappreciated and underexplored. The aim of the study was to look into the CVD profiles of migrant industrial workers and to explore the impact of duration migration on CVD risk-factors.

Methods

This was an observational, prospective and a multi-center study which recruited migrant industrial workers working across 23 industries from the organized sector in Ludhiana. Age-adjusted regression models were prepared to determine if duration of migration was an independent risk factor for adverse CV health.

Results

A total of 11,151 migrant workers (9,158, 82.1 % males) were included in the analysis. The mean age of the cohort was 35.00 ± 10.89 years, with the majority (40.6 %, n = 4528) belonging to the <30 years age group. The prevalence of hypertension, diabetes and obesity in the cohort was 19.73 %,4.0 % and 25.9 % respectively. Duration since migration emerged as an independent risk factor for adverse CV health. Age-adjusted models revealed the independent risk of developing obesity, hypertension and diabetes beyond 3, 6 and 12 years since migration respectively [OR = 2.332, 1.401 & 3.462 respectively; p < 0.005 for all].

Conclusions

The overall age-adjusted prevalence of hypertension was higher amongst migrant workers compared to national average and state wise data for hypertension reflecting the aggravated risk in this cohort. Duration of migration emerged to be an independent predictor of CVD risk with a threshold effect for developing obesity emerging earliest at 3 years since migration.

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内部迁移对心血管疾病危险因素的影响：来自卢迪亚纳大型工业队列的见解

背景：在心血管疾病（cvd）的各种危险因素中，移民的影响往往未被充分认识和探索。本研究旨在了解流动产业工人的心血管疾病概况，并探讨流动时间对心血管疾病危险因素的影响。方法：这是一项观察性、前瞻性和多中心研究，招募了卢迪亚纳有组织部门23个行业的流动产业工人。准备年龄校正回归模型以确定迁移时间是否是心血管健康不良的独立危险因素。结果：共纳入农民工11,151人（9158人，男性82.1%）。该队列的平均年龄为35.00±10.89岁，大多数（40.6%,n=4,528）属于以下结论：与全国平均水平和各州高血压数据相比，农民工的总体年龄调整高血压患病率更高，反映了该队列中高血压风险的加剧。迁移时间是心血管疾病风险的独立预测因子，在迁移后3年出现肥胖的阈值效应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

52 days

期刊介绍： Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.