Ethnic differences on cardiovascular disease risk and quality of life in Selangor

Malaysia is currently experiencing an epidemiologic and demographic transition. Rapid urbanization and vast changes in lifestyles among the population has led to widespread cardiovascular disease (CVD) outcomes. Also, until now, the most prevalent cardiovascular risk factor has remained unknown among the Malaysian population. This study aimed to identify the most significant cardiovascular risk factor among multiethnic adults in Dengkil, Selangor. A case-control retrospective study comparing past exposure (retrospective) between the case (total cholesterol (TC) ≥ 5.18 mmol/L) and control groups (TC < 5.18 mmol/L) on CVD risk via guided questionnaire comprised of International Physical Activity Questionnaire (IPAQ), Food Frequency Questionnaire (FFQ), Depression, Anxiety and Stress Scales (DASS)-21 and SF-12 was carried out among 180 respondents aged 20 to 56 years in Dengkil, Selangor. In the present study, purposive and consecutive sampling were both applied to recruit respondents and also considering ethnic as a factor; thus, quota sampling was also conducted. The data were analyzed using Mann-Whitney, Kruskal-Wallis, Chi-Square, Independent Samples t-test and multiple logistic regression tests. The findings indicated there were no significant differences (p > 0.05) regarding all the risk factors between the case and control groups except for personal medical history (p < 0.05). Chinese possessed the highest number of significant risk and protective factors. Lastly, the quality of life of Malay controls was higher than that of cases in terms of Physical Component Summary (PCS). Generally, all the risk factors were independent in terms of total cholesterol status, except for personal medical history. The significance of risk factors and protective factors varies according to ethnicity.