Lean Yet Unhealthy: Asian American Adults Had Higher Risks for Metabolic Syndrome than Non-Hispanic White Adults with the Same Body Mass Index: Evidence from NHANES 2011-2016.
Lean Yet Unhealthy: Asian American Adults Had Higher Risks for Metabolic Syndrome than Non-Hispanic White Adults with the Same Body Mass Index: Evidence from NHANES 2011-2016.
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DOI：
10.3390/healthcare9111518
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发表时间：
2021-11-08
期刊：
影响因子：
--
通讯作者：
Ma GX
中科院分区：
文献类型：
--
作者：
Zhu L;Yang WJ;Spence CB;Bhimla A;Ma GX
(1)背景资料：尽管亚裔美国人（AAs）的肥胖率一直低于其他种族，但他们更有可能被确定为代谢性肥胖，这表明BMI与心脏代谢结局之间存在种族特异性相关性。本研究的目的是使用全国调查数据估计AA中代谢综合征（MetS）的患病率，并将其与BMI连续体中的非西班牙裔白人（NHW）进行比较。(2)研究方法：使用NHANES 2011-2016年数据，我们计算了年龄调整的MetS及其三个BMI类别的个体组分的性别特异性患病率。此外，我们进行了多变量二元Logistic回归，以检查与NHWs相比，AAs中MetS的风险，控制社会人口统计学和生活方式因素。分析样本包括2121个AA和6318个NHW。(3)结果如下：在AA中，MetS及其组分的患病率随BMI水平的升高而升高，男性中BMI < 23的总患病率为5.23%，BMI 23 ~ 27.4的总患病率为38.23%，BMI ≥ 27.5的总患病率为77.68%;女性BMI < 23者占18.61%，BMI在23 ~ 27.4者占47.82%，BMI ≥ 27.5者占67.73%。我们还发现，对于那些BMI > 23的人，AA的MetS预测风险高于相同BMI水平的NHW，无论男性还是女性。(4)结论：我们的研究结果支持在亚洲人群中使用较低的BMI范围来定义超重和肥胖，这将允许更早和更适当地筛查MetS，并可能更好地促进预防工作。
(1) Background: Despite having consistently lower rates of obesity than other ethnic groups, Asian Americans (AAs) are more likely to be identified as metabolically obese, suggesting an ethnic-specific association between BMI and cardiometabolic outcomes. The goal of this study was to provide an estimate of metabolic syndrome (MetS) prevalence among AAs using national survey data and to compare this rate to that of non-Hispanic Whites (NHWs) over the BMI continuum. (2) Methods: Using the NHANES 2011–2016 data, we computed age-adjusted, gender-specific prevalence of MetS and its individual components for three BMI categories. Furthermore, we conducted multivariate binary logistic regression to examine the risk of MetS in AAs compared to NHWs, controlling for sociodemographic and lifestyle factors. The analysis sample consisted of 2121 AAs and 6318 NHWs. (3) Results: Among AAs, the prevalence of MetS and its components increased with higher BMI levels, with overall prevalence being 5.23% for BMI < 23, 38.23% for BMI of 23–27.4, and 77.68% for BMI ≥ 27.5 in men; and 18.61% for BMI < 23, 47.82% for BMI of 23–27.4, and 67.73% for BMI ≥ 27.5 in women. We also found that for those with a BMI > 23, AAs had a higher predicted risk of MetS than their NHW counterparts of the same BMI level, in both men and women. (4) Conclusions: Our findings support the use of lower BMI ranges for defining overweight and obesity in Asian populations, which would allow for earlier and more appropriate screening for MetS and may better facilitate prevention efforts.
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