Using appropriate body mass index cut points for overweight and obesity among Asian Americans
Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American sub...
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| Veröffentlicht in: | Preventive medicine Jg. 65; S. 1 - 6 |
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| Hauptverfasser: | , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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Amsterdam
Elsevier Inc
01.08.2014
Elsevier |
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| ISSN: | 0091-7435, 1096-0260, 1096-0260 |
| Online-Zugang: | Volltext |
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| Abstract | Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California.
Secondary analysis of the 2009 adult California Health Interview Survey (n=45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight=23–27.5kg/m2; obese≥27.5kg/m2) were used for Asian subgroups. Standard BMI cut points (overweight=25–29.9kg/m2; obese≥30kg/m2) were applied for other groups.
Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p<0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI=23–24.9kg/m2 and Koreans, Filipinos and Japanese with BMI=27.5–29.9kg/m2, the ranges WHO recommends as overweight or obese for Asians but not for other groups.
Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans.
•The WHO advises lower BMI cut points for overweight/obesity in Asians.•Using these cut points, Filipinos have the highest prevalence of overweight/obesity.•Most Asian subgroups have higher diabetes prevalence at lower BMI cut points.•Filipinos should be a priority population for overweight/obesity screening.•WHO Asian BMI cut points may be useful to identify at-risk Asian Americans. |
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| AbstractList | Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California.
Secondary analysis of the 2009 adult California Health Interview Survey (n=45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight=23–27.5kg/m2; obese≥27.5kg/m2) were used for Asian subgroups. Standard BMI cut points (overweight=25–29.9kg/m2; obese≥30kg/m2) were applied for other groups.
Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p<0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI=23–24.9kg/m2 and Koreans, Filipinos and Japanese with BMI=27.5–29.9kg/m2, the ranges WHO recommends as overweight or obese for Asians but not for other groups.
Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans.
•The WHO advises lower BMI cut points for overweight/obesity in Asians.•Using these cut points, Filipinos have the highest prevalence of overweight/obesity.•Most Asian subgroups have higher diabetes prevalence at lower BMI cut points.•Filipinos should be a priority population for overweight/obesity screening.•WHO Asian BMI cut points may be useful to identify at-risk Asian Americans. Objective: Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California. Method: Secondary analysis of the 2009 adult California Health Interview Survey (n = 45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight = 23-27.5 kg/m super(2); obese greater than or equal to 27.5 kg/m super(2)) were used for Asian subgroups. Standard BMI cut points (overweight = 25-29.9 kg/m super(2); obese greater than or equal to 30 kg/m super(2)) were applied for other groups. Results: Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p < 0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI = 23-24.9 kg/m super(2) and Koreans, Filipinos and Japanese with BMI = 27.5-29.9 kg/m super(2), the ranges WHO recommends as overweight or obese for Asians but not for other groups. Conclusions: Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans. Abstract Objective Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California. Method Secondary analysis of the 2009 adult California Health Interview Survey ( n = 45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight = 23–27.5 kg/m2 ; obese ≥ 27.5 kg/m2 ) were used for Asian subgroups. Standard BMI cut points (overweight = 25–29.9 kg/m2 ; obese ≥ 30 kg/m2 ) were applied for other groups. Results Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs ( p < 0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI = 23–24.9 kg/m2 and Koreans, Filipinos and Japanese with BMI = 27.5–29.9 kg/m2 , the ranges WHO recommends as overweight or obese for Asians but not for other groups. Conclusions Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans. Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California. Secondary analysis of the 2009 adult California Health Interview Survey (n=45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight=23-27.5kg/m(2); obese≥27.5kg/m(2)) were used for Asian subgroups. Standard BMI cut points (overweight=25-29.9kg/m(2); obese≥30kg/m(2)) were applied for other groups. Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p<0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI=23-24.9kg/m(2) and Koreans, Filipinos and Japanese with BMI=27.5-29.9kg/m(2), the ranges WHO recommends as overweight or obese for Asians but not for other groups. Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans. Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California.OBJECTIVEAsian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California.Secondary analysis of the 2009 adult California Health Interview Survey (n=45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight=23-27.5kg/m(2); obese≥27.5kg/m(2)) were used for Asian subgroups. Standard BMI cut points (overweight=25-29.9kg/m(2); obese≥30kg/m(2)) were applied for other groups.METHODSecondary analysis of the 2009 adult California Health Interview Survey (n=45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight=23-27.5kg/m(2); obese≥27.5kg/m(2)) were used for Asian subgroups. Standard BMI cut points (overweight=25-29.9kg/m(2); obese≥30kg/m(2)) were applied for other groups.Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p<0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI=23-24.9kg/m(2) and Koreans, Filipinos and Japanese with BMI=27.5-29.9kg/m(2), the ranges WHO recommends as overweight or obese for Asians but not for other groups.RESULTSAmong Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p<0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI=23-24.9kg/m(2) and Koreans, Filipinos and Japanese with BMI=27.5-29.9kg/m(2), the ranges WHO recommends as overweight or obese for Asians but not for other groups.Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans.CONCLUSIONSFilipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans. Objective: Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California. Method: Secondary analysis of the 2009 adult California Health Interview Survey (n = 45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight = 23-27.5 kg/m2; obese >= 27.5 kg/m2) were used for Asian subgroups. Standard BMI cut points (overweight = 25-29.9 kg/m2; obese >= 30 kg/m2) were applied for other groups. Results: Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p < 0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI = 23-24.9 kg/m2 and Koreans, Filipinos and Japanese with BMI = 27.5-29.9 kg/m2, the ranges WHO recommends as overweight or obese for Asians but not for other groups. Conclusions: Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans. [Copyright Elsevier B.V.] |
| Author | Mukherjea, Arnab Vittinghoff, Eric Nguyen, Tung T. Tseng, Winston Kanaya, Alka M. Fukuoka, Yoshimi Tsoh, Janice Y. Jih, Jane Bender, Melinda S. |
| AuthorAffiliation | d Division of Biostatistics, Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA b Asian American Research Center on Health, San Francisco, CA, USA f Institute for Health & Aging/Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, CA, USA c Department of Health Sciences, College of Science, California State University, East Bay, Hayward, CA, USA a Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA g Department of Family Health Care Nursing, University of California San Francisco, San Francisco, CA, USA e Department of Psychiatry, University of California San Francisco, San Francisco, CA, USA h School of Public Health, University of California Berkeley, Berkeley, CA, USA |
| AuthorAffiliation_xml | – name: d Division of Biostatistics, Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA – name: c Department of Health Sciences, College of Science, California State University, East Bay, Hayward, CA, USA – name: g Department of Family Health Care Nursing, University of California San Francisco, San Francisco, CA, USA – name: f Institute for Health & Aging/Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, CA, USA – name: a Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA – name: h School of Public Health, University of California Berkeley, Berkeley, CA, USA – name: b Asian American Research Center on Health, San Francisco, CA, USA – name: e Department of Psychiatry, University of California San Francisco, San Francisco, CA, USA |
| Author_xml | – sequence: 1 givenname: Jane surname: Jih fullname: Jih, Jane email: jane.jih@ucsf.edu organization: Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA – sequence: 2 givenname: Arnab surname: Mukherjea fullname: Mukherjea, Arnab organization: Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA – sequence: 3 givenname: Eric surname: Vittinghoff fullname: Vittinghoff, Eric organization: Division of Biostatistics, Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA – sequence: 4 givenname: Tung T. surname: Nguyen fullname: Nguyen, Tung T. organization: Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA – sequence: 5 givenname: Janice Y. surname: Tsoh fullname: Tsoh, Janice Y. organization: Asian American Research Center on Health, San Francisco, CA, USA – sequence: 6 givenname: Yoshimi surname: Fukuoka fullname: Fukuoka, Yoshimi organization: Asian American Research Center on Health, San Francisco, CA, USA – sequence: 7 givenname: Melinda S. surname: Bender fullname: Bender, Melinda S. organization: Asian American Research Center on Health, San Francisco, CA, USA – sequence: 8 givenname: Winston surname: Tseng fullname: Tseng, Winston organization: Asian American Research Center on Health, San Francisco, CA, USA – sequence: 9 givenname: Alka M. surname: Kanaya fullname: Kanaya, Alka M. organization: Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28680103$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/24736092$$D View this record in MEDLINE/PubMed |
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| Snippet | Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of... Abstract Objective Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined... Objective: Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the... |
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| SubjectTerms | Adult Asian - ethnology Asian - statistics & numerical data Asian Americans Asian People - ethnology Asian People - statistics & numerical data Biological and medical sciences Black or African American Body Mass Index California - epidemiology Cross-Sectional Studies Diabetes Diabetes Mellitus, Type 2 - ethnology Female Humans Internal Medicine Male Medical sciences Metabolic diseases Middle Aged Minority health Miscellaneous Obesity Obesity - classification Obesity - ethnology Overweight Overweight - classification Overweight - ethnology Philippino Prevalence Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Reference Values Time Factors Type 2 diabetes mellitus White People - statistics & numerical data World Health Organization |
| Title | Using appropriate body mass index cut points for overweight and obesity among Asian Americans |
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