Country of birth, acculturation status and abdominal obesity in a national sample of Mexican-American women and men
Country of birth, acculturation status and abdominal obesity in a national sample of Mexican-American women and men
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DOI：
10.1093/ije/29.3.470
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发表时间：
2000-06-01
影响因子：
7.7
通讯作者：
Winkleby, M
中科院分区：
文献类型：
--
作者：
Sundquist, J;Winkleby, M
背景 很少有研究使用墨西哥裔美国女性和男性全国样本来检验出生国和文化适应状况对肥胖指标的影响。 方法 我们分析了来自第三次全国健康和营养检查调查（1988-1994）的 1387 名墨西哥裔美国女性和 1404 名墨西哥裔美国男性（年龄 25-64 岁）的数据。我们研究了腰围和腹部肥胖是否因出生国家和文化适应状态（主要语言）而变化，以及腹部肥胖者中相关心血管疾病（CVD）危险因素的数量是否因出生国家和文化适应状态而变化。结果出生国家和文化适应状态都与腰围和腹部肥胖显着相关。考虑到年龄、教育程度、膳食脂肪能量百分比、休闲体育活动和吸烟后，墨西哥出生的女性和男性的腰围最小（分别为 90.4 厘米和 94.0 厘米），美国出生的英语女性和男性的腰围中等（93.6 厘米，97.3 厘米），美国出生的西班牙语女性和男性的腰围最大（96.9 厘米，97.7 厘米）。所有女性的腹部肥胖患病率都很高，特别是在美国出生的西班牙语女性（68.7%）。此外，在美国出生的讲西班牙语的腹型肥胖女性比她们的同龄人更有可能患有以下一种或多种CVD危险因素：高血清胰岛素、非胰岛素依赖型糖尿病、高血脂和/或高血压。结论这些发现说明了墨西哥裔美国人人群的异质性，并表明出生国和缺乏对主流文化的文化适应以及继发性生活方式的改变，可以解释在墨西哥裔美国人人群中观察到的腹型肥胖的显着临床差异。亚组。
Background Few studies have examined the influence of country of birth and acculturation status on indicators of obesity using national samples of Mexican-American women and men.Methods We analysed data for 1387 Mexican-American women and 1404 Mexican-American men, ages 25-64, from the third National Health and Nutrition Examination Survey (1988-1994). We examined whether waist circumference and abdominal obesity varied by country of birth and acculturation status (primary language spoken), and whether among those with abdominal obesity number of associated cardiovascular disease (CVD) risk factors varied by country of birth and acculturation status.Results Both country of birth and, to a lesser degree, acculturation status were significantly associated with waist circumference and abdominal obesity. Mexican-born women and men had the smallest waist circumference (90.4 cm, 94.0 cm respectively), US-born English-speaking women and men had intermediate waist circumference (93.6 un, 97.3 cm), and US-born Spanish-speaking women and men had the largest waist circumference (96.9 cm, 97.7 cm), after accounting for age, education, per cent of energy from dietary fat, leisure-time physical activity, and smoking. All women had high prevalences of abdominal obesity, particularly US-born Spanish-speaking women (68.7%). In addition, US-born Spanish-speaking women with abdominal obesity were significantly more likely than their counter-parts to have one or more of the following CVD risk factors: high serum insulin, non-insulin dependent diabetes, high blood lipids, and/or hypertension.Conclusions These findings illustrate the heterogeneity of the Mexican-American population and suggest that country of birth and lack of acculturation to the majority culture, as well as secondary lifestyle changes, may explain the significant clinical differences observed in abdominal obesity within Mexican-American population subgroups.