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Diabetes and CVD Risk factors among Normal, Impaired, and Diabetic Asian Indian Immigrants in the US

Ranjita Misra, PhD, CHES, Health&Kinesiology Department, Texas A&M University, 4243 TAMU, 158P Read Building, College Station, TX 77843-4243, 979-845-8726, misra@hlkn.tamu.edu and T.G. Patel, MD, MACP, Renal Diseases, Oncology & Diabetes, Veteran Health Affairs, 810 Vermont Avenue, NW Washington DC 20420, Washington DC, WA 20420.

Asian Indians are the third largest and one of the fastest growing Asian immigrants in the US. However, there is a lack of information on prevalence and risk factors for diabetes and CVD for this population. As part of a national study, this study examines risk factors for CVD (homocysteine, C-reactive proteins, lipoprotein as, triglycerides, and lipid profile) and diabetes (fasting blood sugar (FBS), glycohemoglobin level, insulin resistance, and ƒ"-cell dysfunction) among Asian Indians. Data was collected from 234 randomly selected Asian Indians in Houston, TX. Sampling frame was created from telephone directory, temple directories, ethnic association directories, and area directories for this site. Data collection was done in two phases, a telephone interview followed by blood drawing at a community center during the weekends. The sample comprised of 65% males and 35% females with a mean age of 48.1 years (SD=11.6). Of the 19% self-reported diabetics, 12% had poor control (A1c „d 8.0). FBS among the self-reported non-diabetics showed 75% were in the normal range (FBS<110mg/dl), 17% had impaired fasting glucose (IFG) (FBS 110-125mg/dl), and 8% had diabetes (FBS„d126mg/dl). ANOVA test showed significant differences in insulin sensitivity, ƒ"-cell dysfunction, glycohemoglobin levels, triglycerides, total cholesterol, HDL, LDL, systolic blood pressure, and body mass index among normal, IFG, and diabetic individuals. However, no significant differences were noted in some of the novel risk factors: homocysteine, C-reactive proteins, lipoprotein a. Comparison of these values to the general population as well as implications for preventive health programs will be discussed.

Learning Objectives:

  • At the conclusion of the session, the participant (learner) in this session will be able to

    Keywords: Asian Americans, Diabetes

    Presenting author's disclosure statement:
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    Asian Americans and Pacific Islanders Across the Lifespan: Our Children to Our Elders

    The 132nd Annual Meeting (November 6-10, 2004) of APHA