Jane Jih1, Arnab Mukherjea2, Eric Vittinghoff3, Tung T Nguyen4, Janice Y Tsoh5, Yoshimi Fukuoka6, Melinda S Bender7, Winston Tseng8, Alka M Kanaya4. 1. Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA; Asian American Research Center on Health, San Francisco, CA, USA. Electronic address: jane.jih@ucsf.edu. 2. Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA; Asian American Research Center on Health, San Francisco, CA, USA; Department of Health Sciences, College of Science, California State University, East Bay, Hayward, CA, USA. 3. Division of Biostatistics, Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA. 4. Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA; Asian American Research Center on Health, San Francisco, CA, USA. 5. Asian American Research Center on Health, San Francisco, CA, USA; Department of Psychiatry, University of California San Francisco, San Francisco, CA, USA. 6. Asian American Research Center on Health, San Francisco, CA, USA; Institute for Health & Aging/Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, CA, USA. 7. Asian American Research Center on Health, San Francisco, CA, USA; Department of Family Health Care Nursing, University of California San Francisco, San Francisco, CA, USA. 8. Asian American Research Center on Health, San Francisco, CA, USA; School of Public Health, University of California Berkeley, Berkeley, CA, USA.
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=23-27.5kg/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. 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=23-24.9kg/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. 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.
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=23-27.5kg/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. 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=23-24.9kg/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. 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.
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