Asian Americans have greater prevalence of metabolic syndrome despite lower body mass index View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-03

AUTHORS

Latha P. Palaniappan, Eric C. Wong, Jessica J. Shin, Stephen P. Fortmann, Diane S. Lauderdale

ABSTRACT

OBJECTIVE: To examine the relationship between body mass index (BMI) and metabolic syndrome for Asian Americans and non-Hispanic Whites (NHWs), given that existing evidence shows racial/ethnic heterogeneity exists in how BMI predicts metabolic syndrome. RESEARCH DESIGN AND METHODS: Electronic health records of 43,507 primary care patients aged 35 years and older with self-identified race/ethnicity of interest (Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese or NHW) were analyzed in a mixed-payer, outpatient-focused health-care organization in the San Francisco Bay Area. RESULTS: Metabolic syndrome prevalence is significantly higher in Asians compared with NHWs for every BMI category. For women at the mean age of 55 and BMI of 25 kg m(-2), the predicted prevalence of metabolic syndrome is 12% for NHW women compared with 30% for Asians; similarly for men, the predicted prevalence of metabolic syndrome is 22% for NHWs compared with 43% of Asians. Compared with NHW women and men with a BMI of 25 kg m(-2), comparable prevalence of metabolic syndrome was observed at BMI of 19.6 kg m(-2) for Asian women and 19.9 kg m(-2) for Asian men. A similar pattern was observed in disaggregated Asian subgroups. CONCLUSIONS: In spite of the lower BMI values and lower prevalence of overweight/obesity than NHWs, Asian Americans have higher rates of metabolic syndrome over the range of BMI. Our results indicate that BMI ranges for defining overweight/obesity in Asian populations should be lower than for NHWs. More... »

PAGES

393

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/ijo.2010.152

DOI

http://dx.doi.org/10.1038/ijo.2010.152

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046854925

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20680014


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