OBJECTIVE: To investigate ethnic difference in the associations of BMI with comorbidity, mortality, and body composition between mainland Chinese and U.S. whites. METHODS: Ethnic-comparison study using data from China Health and Nutrition Survey, U.S. National Health and Nutrition Examination Survey, and data from Zhejiang University (China) and Columbia University (U.S.). RESULTS: Chinese people experienced greater odds of comorbidities than whites for a given BMI after standardizing for age and sex: 43% for diabetes, 30% for dyslipidemia, 28% for hypertension, 38% for metabolic syndrome, and 48% for hyperuricemia. Comparisons of BMI-mortality associations found that the U-shaped BMI-mortality curve shifted 1-2 kg m(-2) to the left in Chinese compared to whites. Compared to whites at BMIs of 25 and 30 kg m(-2), corresponding cutoffs in Chinese were 22.5 and 25.9 kg m(-2) in men, and 22.8 and 26.6 kg m(-2) in women after both fat and fat distribution were taken into account. CONCLUSIONS: Comorbidity, mortality, and body composition data consistently support the use of lower BMI cutoffs in Chinese than those in whites.
OBJECTIVE: To investigate ethnic difference in the associations of BMI with comorbidity, mortality, and body composition between mainland Chinese and U.S. whites. METHODS: Ethnic-comparison study using data from China Health and Nutrition Survey, U.S. National Health and Nutrition Examination Survey, and data from Zhejiang University (China) and Columbia University (U.S.). RESULTS: Chinese people experienced greater odds of comorbidities than whites for a given BMI after standardizing for age and sex: 43% for diabetes, 30% for dyslipidemia, 28% for hypertension, 38% for metabolic syndrome, and 48% for hyperuricemia. Comparisons of BMI-mortality associations found that the U-shaped BMI-mortality curve shifted 1-2 kg m(-2) to the left in Chinese compared to whites. Compared to whites at BMIs of 25 and 30 kg m(-2), corresponding cutoffs in Chinese were 22.5 and 25.9 kg m(-2) in men, and 22.8 and 26.6 kg m(-2) in women after both fat and fat distribution were taken into account. CONCLUSIONS: Comorbidity, mortality, and body composition data consistently support the use of lower BMI cutoffs in Chinese than those in whites.
Authors: Hualiang Lin; Yanfei Guo; Yang Zheng; Qian Di; Tao Liu; Jianpeng Xiao; Xing Li; Weilin Zeng; Lenise A Cummings-Vaughn; Steven W Howard; Michael G Vaughn; Zhengmin Min Qian; Wenjun Ma; Fan Wu Journal: Hypertension Date: 2017-03-27 Impact factor: 10.190
Authors: A G LeBlanc; P T Katzmarzyk; T V Barreira; S T Broyles; J-P Chaput; T S Church; M Fogelholm; D M Harrington; G Hu; R Kuriyan; A Kurpad; E V Lambert; C Maher; J Maia; V Matsudo; T Olds; V Onywera; O L Sarmiento; M Standage; C Tudor-Locke; P Zhao; M S Tremblay Journal: Int J Obes Suppl Date: 2015-12-08
Authors: Louise W Lu; Marta P Silvestre; Ivana R Sequeira; Lindsay D Plank; Meika Foster; Nikki Middleditch; Alejandra Acevedo-Fani; Kieren G Hollingsworth; Sally D Poppitt Journal: J Nutr Sci Date: 2021-04-23