Deepa Vasudevan1, Angela L Stotts, Sreedhar Mandayam, L Anabor Omegie. 1. Department of Family and Community Medicine, University of Texas Medical School at Houston, University of Texas Physicians, 6700 W. Loop South #520, Bellaire, TX 77401, USA. Deepa.A.Vasudevan@uth.tmc.edu
Abstract
OBJECTIVE: To compare the prevalence rates of obesity based on BMI/anthropometric measures, using WHO standard and ethnicity-specific criteria, the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPIII) and the International Diabetes Federation (IDF) definitions, among a migrant South Asian Indian population. DESIGN: Cross-sectional study conducted in October 2007. SUBJECTS: A total of 213 participants of South Asian descent over the age of 18 years. Measures included a questionnaire with basic demographic information and self-reported histories of diabetes, coronary artery disease and/or hypercholesterolaemia. Height, weight, waist and hip circumference and blood pressure measurements were obtained. SETTING: Houston and surrounding suburbs. RESULTS: WHO-modified (WHO-mod) BMI and IDF waist circumference (WC) criteria independently identified higher numbers of overweight/obese participants; however, when the WHO-mod BMI or IDF WC criteria were applied, nearly 75% of participants were categorized as overweight/obese--a proven risk factor for the future development of metabolic syndrome. CONCLUSIONS: Obesity is likely under-diagnosed using the standard WHO and NCEP-ATPIII guidelines. Stressing the use of modified criteria more universally to classify obesity among South Asian Indians may be optimal to identify obesity and help appropriately risk stratify for intervention to prevent chronic diseases.
OBJECTIVE: To compare the prevalence rates of obesity based on BMI/anthropometric measures, using WHO standard and ethnicity-specific criteria, the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPIII) and the International Diabetes Federation (IDF) definitions, among a migrant South Asian Indian population. DESIGN: Cross-sectional study conducted in October 2007. SUBJECTS: A total of 213 participants of South Asian descent over the age of 18 years. Measures included a questionnaire with basic demographic information and self-reported histories of diabetes, coronary artery disease and/or hypercholesterolaemia. Height, weight, waist and hip circumference and blood pressure measurements were obtained. SETTING: Houston and surrounding suburbs. RESULTS: WHO-modified (WHO-mod) BMI and IDF waist circumference (WC) criteria independently identified higher numbers of overweight/obeseparticipants; however, when the WHO-mod BMI or IDF WC criteria were applied, nearly 75% of participants were categorized as overweight/obese--a proven risk factor for the future development of metabolic syndrome. CONCLUSIONS:Obesity is likely under-diagnosed using the standard WHO and NCEP-ATPIII guidelines. Stressing the use of modified criteria more universally to classify obesity among South Asian Indians may be optimal to identify obesity and help appropriately risk stratify for intervention to prevent chronic diseases.
Authors: Deepa A Vasudevan; Thomas F Northrup; Sreedhar Mandayam; Oluwatosin O Bamidele; Angela L Stotts Journal: J Racial Ethn Health Disparities Date: 2016-04-29
Authors: Farheen Shaikh; Tazeen Shah; Norah Abdullah Bazekh Madkhali; Ahmed Gaber; Walaa F Alsanie; Sanum Ali; Shafaq Ansari; Muhammad Rafiq; R Z Sayyed; Nadir Ali Rind; Khalid Hussain Rind; Akhtar Hussain Shar; Syed Mohammed Basheeruddin Asdaq Journal: Saudi J Biol Sci Date: 2021-06-06 Impact factor: 4.219