To review information on cardiovascular health and migration, to stress the attention of researchers that much needs to be done in the collection of sound data in Italy and to allow policy makers identifying this issue as an important public health concern.
In Italy, the rate of immigrants in the total number of residents increased from 2.5% in 1990 to 7.4% in 2010, and currently exceeds 10% in regions such as Lombardia, Emilia Romagna and Toscana.
A consensus statement was developed by approaching relevant Italian national scientific societies involved in cardiovascular prevention. Task force members were identified by the president and/or the boards of each relevant scientific society or working group, as appropriate. To obtain a widespread consensus, drafts were merged and distributed to the scientific societies for local evaluation and revision by as many experts as possible. The ensuing final draft was finally approved by scientific societies.
In several western European countries, the prevalence of hypertension, diabetes, chronic kidney disease, obesity and metabolic syndrome was found to be higher among immigrants than in the native population. Although migrants are often initially healthier than non-migrant populations in their host countries, genetic factors, and changing environments with lifestyle changes, social exclusion and insufficient medical control may expose them to health challenges. Cultural reasons may also hamper both the dissemination of prevention strategies and migrant communication with healthcare providers. However, great diversity exists across and within different groups of migrants, making generalizations very difficult and many countries do not collect registry or survey data for migrant's health.
In the present economic context, the European Union is placing great attention to improve data collection for migrant health and to support the implementation of specific prevention policies aimed at limiting the future burden of cardiovascular and renal disease, and the consequent load for health systems. Wider initiatives on the topic are awaited in Italy.
aDepartment of Medicina Sperimentale e Clinica, University of Florence, Florence
bDepartment of Medicina Interna, Nefrologia e Dialisi, Ospedali Riuniti di Livorno, Livorno
cDepartment of Scienze Mediche e Chirurgiche, S.Orsola-Malpighi University Hospital, Bologna
dDepartment of Malattie Cardiovascolari, University of Siena, Siena
eDepartment of Nephrology, Second University of Naples, Naples, Italy
fInstitute d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain
gDepartment of Emergenza e dei trapianti d’Organo DETO, Sezione di Malattie dell’Apparato Cardiovascolare, University of Bari, Bari
hDepartment of Scienze Cardiovascolari, Respiratorie, Geriatriche e Nefrologiche, University ‘La Sapienza’, Rome
iAS Department of Cardiology, Brindisi District
jDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia
kDivision of Cardiology, Dipartimanto di Medicina Interna, Malattie Cardiovascolari e Nefrourologiche, University of Palermo, Palermo
lDepartment of Medicina Sperimentale e Clinica, University of Florence, Florence
mDivision of Cardiology, ASL BR, Brindisi
nUOD Telemedicina, Dipartimento Cardiovascolare, A.O.San Camillo-Forlanini, Roma
oDivision of Cardiology, Department of Fisiopatologia Clinica - Sezione di Endocrinologia, University of Florence, Florence
pDivision of Cardiology, AOU Sassari, Sassari
qDepartment of Emergenza e dei trapianti d’Organo DETO, Sezione di Malattie dell’Apparato Cardiovascolare, University of Bari, Bari
rDepartment of Advanced Biomedical Sciences, Federico II University, Naples
sDivision of Cardiology, Department of Medicina Clinica e Molecolare, Facoltà di Medicina e Psicologia Università di Roma ‘Sapienza’ – Azienda Ospedaliera Sant’Andrea, and IRCCS Neuromed, Rome
tDepartment Cardio Toracico e Vascolare, University of Pisa, Pisa
uDepartment of Scienze Mediche e Chirurgiche, University of Foggia, Foggia, Italy
Correspondence to Prof. Pietro Amedeo Modesti, MD, PhD, Dept. Medicina Sperimentale e Clinica, University of Florence, Largo Brambilla 3, 50134 Florence, Italy Tel: +39 055 7949376; e-mail: email@example.com
Received 20 September, 2013
Revised 21 February, 2014
Accepted 21 February, 2014