Asian Americans: diabetes prevalence across U.S. and World Health Organization weight classifications.

Asian Americans: diabetes prevalence across U.S. and World Health Organization weight classifications.
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DOI:
10.2337/dc09-0573
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发表时间:
2009-09
期刊:
影响因子:
16.2
通讯作者:
Narayan KM
Narayan KM
中科院分区:
医学1区
文献类型:
--
作者:
Oza-Frank R;Ali MK;Vaccarino V;Narayan KM

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根据世界卫生组织和美国BMI分类比较亚裔美国人的糖尿病患病率。分析了1997-2005年国家健康访谈调查中关于亚裔美国成年人(n=7,414)的数据。糖尿病患病率是在体重和种族阶层中进行评估的。不考虑BMI分类,亚裔印度人和菲律宾人的超重率最高(分别为34-47%和35-47%,而中国人为20%-38%;P<0.05)。与非西班牙裔白人相比,亚裔印度人的特定种族糖尿病患病率也最高(在正常体重中为6-7%,在肥胖者中为19-33%):经年龄和性别调整后的亚裔印度人的优势比(95%CI)为2.0(1.5-2.6),经BMI额外调整后的优势比为3.1(2.4-4.0)。亚裔印度裔,而不是其他亚裔,与糖尿病密切相关。体重分类作为糖尿病风险的标志,可能需要考虑到亚洲各亚组之间的差异。
To compare diabetes prevalence among Asian Americans by World Health Organization and U.S. BMI classifications. Data on Asian American adults (n = 7,414) from the National Health Interview Survey for 1997–2005 were analyzed. Diabetes prevalence was estimated across weight and ethnic group strata. Regardless of BMI classification, Asian Indians and Filipinos had the highest prevalence of overweight (34–47 and 35–47%, respectively, compared with 20–38% in Chinese; P < 0.05). Asian Indians also had the highest ethnic-specific diabetes prevalence (ranging from 6–7% among the normal weight to 19–33% among the obese) compared with non-Hispanic whites: odds ratio (95% CI) for Asian Indians 2.0 (1.5–2.6), adjusted for age and sex, and 3.1 (2.4–4.0) with additional adjustment for BMI. Asian Indian ethnicity, but not other Asian ethnicities, was strongly associated with diabetes. Weight classification as a marker of diabetes risk may need to accommodate differences across Asian subgroups.
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