RT Journal Article
SR Electronic
T1 Asian Americans: Diabetes Prevalence Across U.S. and World Health Organization Weight Classifications
JF Diabetes Care
JO Diabetes Care
FD American Diabetes Association
SP 1644
OP 1646
DO 10.2337/dc09-0573
VO 32
IS 9
A1 Oza-Frank, Reena
A1 Ali, Mohammed K.
A1 Vaccarino, Viola
A1 Narayan, K.M. Venkat
YR 2009
UL http://care.diabetesjournals.org/content/32/9/1644.abstract
AB OBJECTIVE To compare diabetes prevalence among Asian Americans by World Health Organization and U.S. BMI classifications. RESEARCH DESIGN AND METHODS 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. RESULTS 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. CONCLUSIONS 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.