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Increased Metabolic Risk among Asian vs. Non-Hispanic White Adults in the United States: NHANES 2011-2012
Methods: This study used the NHANES 2011-2012 adult data for Asians (n=827) and Non-Hispanic Whites (n=2108). Linear regression was used to calculate mean differences between Asian and Non-Hispanic Whites. Logistic regression models were used to compare the odds of metabolic dysfunction among Asians vs. Non-Hispanic Whites, using standardized cutoffs of risk threshold for blood pressure, lipids and glucose. All models were adjusted for age, gender, race/ethnicity, country of birth, education level, marital status, BMI, waist circumference, and serum cotinine exposure (for smoking).
Results: Compared to Non-Hispanic Whites, Asians have higher mean levels of triglycerides (p=0.04) and systolic blood pressure (p<0.01), after adjusting for covariates. In addition, Asians are at increased risk for triglycerides ≥ 150 mg/dL (OR=1.51, 95%CI=1.00-2.27); HDL < 40 mg/dL (men) or < 50 mg/dL (women) (OR=1.91, 95% CI=1.10-3.33); and HbA1c ≥ 6.5% (OR=3.60, 95% CI=2.19-5.90), after adjusting for covariates.
Conclusions: This is the first analysis of metabolic risk profile between Asian and Non-Hispanic white adults in the U.S. using nationally representative data. Asian adults are at significantly higher risk for hypertriglyceridemia, type 2 diabetes and low HDL.
Learning Areas:
Diversity and cultureEpidemiology
Learning Objectives:
Compare differences in metabolic risk profile between Asian and Non Hispanic White adults in the United States.
Keyword(s): Asian Americans, Obesity
Qualified on the content I am responsible for because: Principal investigator on dissertation manuscript addressing Asian/PI health. I was trained in social and behavioral sciences and health behavior.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.