Sri Lankans in Oslo have previously been shown to have lower risk of cardiovascular disease compared with those in Kandy, Sri Lanka. Here we present lifestyle risk factors for cardiovascular diseases: frequency and type of fat consumed, frequency of fruit and vegetable intake, alcohol consumption, and leisure time physical activity between 1145 Sri Lankans living in Oslo and 678 Tamils and Sinhalese Sri Lankans living in Kandy as possible explanatory factors for the differences observed. Those in Oslo were consuming healthier fats and reported higher levels of physical activity but frequency of vegetable and fruit consumption was lower. Alcohol consumption among women was negligible. Type of fats consumed might be protective for Oslo group compared with predominantly saturated fat diet in Kandy. Higher leisure time physical activity may also be protective for the Oslo group. Higher frequency of consumption of vegetables and fruits may be beneficial in Kandy.
PatelJVVyasACruickshankJK. Impact of migration on coronary heart disease risk factors: comparison of Gujaratis in Britain and their contemporaries in villages of origin in India. Atherosclerosis. 2006;185:297-306.
2.
MahajanDBerminghamMA. Risk factors for coronary heart disease in two similar Indian population groups, one residing in India, and the other in Sydney, Australia. Eur J Clin Nutr. 2004;58:751-760.
3.
LearSAHumphriesKHHage-MoussaSChockalingamAManciniGB. Immigration presents a potential increased risk for atherosclerosis. Atherosclerosis. 2009;205:584-589.
4.
NeuhouserMLThompsonBCoronadoGDSolomonCC. Higher fat intake and lower fruit and vegetables intakes are associated with greater acculturation among Mexicans living in Washington State. J Am Diet Assoc. 2004;104:51-57.
RamahiTM. Cardiovascular disease in the Asia Middle East region: global trends and local implications. Asia Pac J Public Health. 2010;22(3 suppl):83S-89S.
7.
TennakoonSKumarBNugegodaDMeyerH. Comparison of cardiovascular risk factors between Sri Lankans living in Kandy and Oslo. BMC Public Health. 2010;10(1):654.
8.
TennakoonSUBKumarBNSelmerRMikramMJMMeyerHE.Differences in cardiovascular risk in Sinhalese and Tamils in Sri Lanka compared to Sri Lankans in Norway. Asia Pac J Public Health. In press.
9.
KumarBNSelmerRLindmanASTverdalAFalsterKMeyerHE. Ethnic differences in SCORE cardiovascular risk in Oslo Norway. Eur J Cardiovasc Prev Rehabil. 2009;16:229-234.
10.
MendisSEkanayakeEMTB. Prevalence of coronary heart disease and cardiovascular risk factors in middle aged males in a defined population in central Sri Lanka. Int J Cardiol. 1994;46:135-142.
11.
MalavigeGNde AlwisNMWeerasooriyaNFernandoDJSiribaddanaSH. Increasing diabetes and vascular risk factors in a sub-urban Sri Lankan population. Diabetes Res Clin Pract. 2002;57:143-145.
12.
WijewardeneKMohideenMRMendisS. Prevalence of hypertension, diabetes and obesity: baseline findings of a population based survey in four provinces in Sri Lanka. Ceylon Med J. 2005;50:62-70.
13.
HackettA. Food frequency questionnaires: simple and cheap, but are they valid?Matern Child Nutr. 2011;7:109-111.
14.
World Health Organization. Global Status Report on Noncommunicable Diseases 2010. Geneva, Switzerland: World Health Organization; 2011.
15.
van PoppelMNChinapawMJMokkinkLBvan MechelenWTerweeCB. Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med. 2010;40:565-600.
16.
MeyerHESøgaardAJTverdalASelmerRM. Body mass index and mortality: the influence of physical activity and smoking. Med Sci Sports Exerc. 2002;34:1065-1070.
17.
SøgaardAJSelmerRBjertnessEThelleD. The Oslo Health Study: the impact of self-selection in a large, population-based survey. Int J Equity Health. 2004;3(1):3.
18.
PehowichDJGomesAVBarnesJA. Fatty acid composition and possible health effects of coconut constituents. West Indian Med J. 2000;49:128-133.
19.
AmarasiriWADissanayakeAS. Coconut fats. Ceylon Med J. 2006;51:47-51.
20.
MendisSSamarajeewaUThattilRO. Coconut fat and serum lipoproteins: effects of partial replacement with unsaturated fats. Br J Nutr. 2001;85:583-589.
21.
AbeywardaneMY. Dietary fats, carbohydrates and vascular disease: Sri Lankan perspectives. Atherosclerosis. 2003;171:157-161.
22.
Kris-EthertonPDanielsSREckelRH. Summary of the Scientific Conference on Dietary Fatty Acids and Cardiovascular Health: conference summary from the Nutrition Committee of the American Heart Association. Circulation. 2001;103:1034-1039.
23.
Fats and fatty acids in human nutrition. Proceedings of the Joint FAO/WHO Expert Consultation. November 10-14, 2008. Geneva, Switzerland. Ann Nutr Metab. 2009;55:5-300.
24.
MozaffarianDMichaRWallaceS. Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS Med. 2010;7(3): e1000252. doi:10.1371/journal.pmed.1000252.
25.
PriorIDavidsonFSalmondCCzochanskaZ. Cholesterol, coconuts, and diet on Polynesian atolls: a natural experiment: the Pukapuka and Tokelau island studies. Am J Clin Nutr. 1981;34:1552-1561.
26.
WandelMRåbergMKumarBHolmboe-OttesenG. Changes in food habits after migration among South Asians settled in Oslo: the effect of demographic, socio-economic and integration factors. Appetite. 2008;50:376-385.
27.
YusufSReddySOunpuuSAnandS. Global burden of cardiovascular diseases: part I. General considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation. 2001;104:2746-2753.
28.
GutholdROnoTStrongKLChatterjiSMorabiaA. Worldwide variability in physical inactivity: a 51-country survey. Am J Prev Med. 2008;34:486-494.
29.
SeoD-CTorabiMRJiangNFernandez-RojasXParkB-H. Correlates of college students’ physical activity: cross-cultural differences. Asia Pac J Public Health. 2009;21:421-432.
