To investigate the determinants of cardiovascular diseases and other chronic conditions in Central and Eastern Europe, we are conducting a prospective cohort study in Russia, Poland, the Czech Republic and Lithuania. The study will investigate the following specific hypotheses:
• Socioeconomic factors are key determinants of health in CEE/FSU; we will examine the pathways involved in their action, including factors hypothesised below.
• Psychosocial factors, both at individual and population level, are related to CVD and other non-communicable diseases.
• Low consumption of fresh fruits and vegetables and their nutrient biomarkers are associated with increased risk of CVD;
• Binge drinking and heavy alcohol consumption are related to all-cause mortality, CVD and injury;
• Elevated concentration of homocysteine and low levels of folate and related B vitamins are associated with increased risk of CVD;
• Interactions between different groups of risk factors, in particular between heavy drinking and folate deficiency, and between the MTHFR genotype and folate deficiency, are associated with CVD.
In addition to these specific hypotheses, the study will also investigate several more general questions:
• The role of childhood socioeconomic circumstances and biological markers of their effects, such as leg length and lung functions, in the risk of CVD and other conditions in adulthood;
• Biological, social, economic and psychosocial determinants of healthy ageing (cognitive function, physical functioning, and quality of life of elderly persons);
• Genetic predictors and non-conventional biomarkers of CVD and other chronic diseases.
• Socioeconomic factors are key determinants of health in CEE/FSU; we will examine the pathways involved in their action, including factors hypothesised below.
• Psychosocial factors, both at individual and population level, are related to CVD and other non-communicable diseases.
• Low consumption of fresh fruits and vegetables and their nutrient biomarkers are associated with increased risk of CVD;
• Binge drinking and heavy alcohol consumption are related to all-cause mortality, CVD and injury;
• Elevated concentration of homocysteine and low levels of folate and related B vitamins are associated with increased risk of CVD;
• Interactions between different groups of risk factors, in particular between heavy drinking and folate deficiency, and between the MTHFR genotype and folate deficiency, are associated with CVD.
In addition to these specific hypotheses, the study will also investigate several more general questions:
• The role of childhood socioeconomic circumstances and biological markers of their effects, such as leg length and lung functions, in the risk of CVD and other conditions in adulthood;
• Biological, social, economic and psychosocial determinants of healthy ageing (cognitive function, physical functioning, and quality of life of elderly persons);
• Genetic predictors and non-conventional biomarkers of CVD and other chronic diseases.
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