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Annu Rev Nurs Res. Patel J. Appropriate body-mass index for Asians. Support Center Support Center. External link. Please review our privacy policy. Cho and Juon, [13]. To examine the prevalence of being overweight and obesity in Korean Americans. To identify important factors of obesity.
Sociodemographic characteristics age, sex, marital status, education, employment, poverty , acculturation length of residence in the US , health behaviors drinking and smoking habits , and access to health care health insurance coverage.
From the analysis, most socioeconomic characteristics and length of residence were related with BMI. More importantly, the length of residence in the US was highly associated with obesity. Gee et al, [14]. To review the associations between racial discrimination - high BMI and being obese among Asian Americans. Authors argued that: 1 racial discrimination was related with being highly obese and having a high BMI controlling for other factors; and 2 in addition, the relationship between racial discrimination and high BMI is increasing among Asian Americans in the US.
Brown et al, [15]. This research examined ethnic differences among adults in Hawaii. Davis et al, [16]. To investigate any association between ethnicity and obesity in terms of health disparities between Asians and Pacific Islanders.
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Filipino men were the only subgroup to have a higher likelihood of obesity than non-Hispanic Whites. Variations among subgroups were also identified, with Chinese men less likely to be obese compared to all other Asian American subgroups, and Filipino men more likely to be obese than all other subgroups.
The current study aligns with substantial evidence that Filipinos are more likely to be obese in comparison to non-Hispanic Whites as well as other Asian American subgroups Barnes et al. This contrasts existing findings that Filipino men have a greater likelihood of both overweight and obesity Huang et al.
Among Asian American subgroups, Lauderdale and Rathouz utilized — NHIS data to determine that a higher percentage of Japanese men were overweight compared to Vietnamese men. The current findings corroborate existing literature that overweight and obesity prevalence varies by Asian American subgroup.
Literature reports that upon using Asian-specific cut points, the percentage of Asian American men categorized as overweight or obese becomes comparable to non-Hispanic Whites Maxwell et al. Yet, when examining prevalence by disaggregated Asian American subgroups using WHO-recommended Asian cut points, the current findings indicated that overweight prevalence was actually higher among Chinese, Asian Indian, and Other Asian men compared to non-Hispanic Whites, while Filipino men were more likely to be obese than non-Hispanic Whites.
The findings support existing evidence on the need for use of a WHO-recommended Asian-specific BMI cut points and b data disaggregated by Asian American subgroup, to provide a more accurate depiction of overweight and obesity rates and their associated health risks in this population Islam et al.
These perceptions were shared across Asian Americans and non-Asians, though the authors did not examine the basis for these observations within versus external to the Asian American community. Stronger emphasis should be placed on the need for culturally appropriate health interventions and patient-provider communications targeting increased awareness among men across all Asian American subgroups around the chronic health risks associated with being overweight and not just obese.
There are several limitations of this study. Because data were cross-sectional, assumptions about causality cannot be made. BMI-related data were self-reported and thus at risk of misreporting, though previous studies have demonstrated relatively high agreement between measured and self-reported height and weight Willett, Accuracy of the findings could be further improved given recent literature suggesting that usage of the WHO-recommended Asian BMI cut points, while better than standard cut points, may not be enough, as cut points differ even among specific Asian American subgroups Maxwell et al.
This impacts the observations and assessments that can be made about the health of men in these groups. Additional research is also needed to examine the effect of nativity on the current findings, given multiple studies indicating that BMI proportions among Asian Americans vary depending on whether an individual is foreign-born versus born in the United States Bates et al.
Despite these limitations, this study is one of only a few that have examined differences in overweight and obesity prevalence among Asian American men both among subgroups as well as in comparison to non-Hispanic Whites, at a national level, utilizing WHO-recommended Asian BMI cut points.
Oza-Frank et al. This builds on existing literature indicating the importance of using WHO-recommended Asian BMI cut points versus the standard to ensure greater accuracy in identifying risk for weight-related chronic diseases among Asian American men Jih et al. Moreover, this study contributes additional evidence toward the need for disaggregation of data on this population, to allow for better differentiation between Asian American subgroups of men and their respective risks for chronic disease while also accounting for the continually growing and changing Asian American population in the United States.
Caring for them requires an understanding of their unique health needs. With obesity on the rise across the nation, plus an increased risk at lower BMI cut points among Asian American men for chronic conditions such as cardiovascular disease and diabetes, it is important to acknowledge and understand how such risks differ across subgroups in this population. Additionally, utilizing WHO-recommended BMI cut points for Asians when developing treatment plans and policies could ensure greater accuracy when assessing health risks among Asian American men.
Statement on Ethics Approval and Informed Consent: All data for this study were obtained via public use data files and is thus exempt from institutional review board approval and informed consent requirements.
National Center for Biotechnology Information , U. Am J Mens Health. Published online Aug Hill , 1 and Roland J. Thorpe, Jr. Sarah E. Roland J. Author information Article notes Copyright and License information Disclaimer. Email: ude.
This article has been cited by other articles in PMC. Measures Outcome variable Overweight and obesity were based on BMI, which was calculated as self-reported weight kg divided by self-reported height m 2. Statistical Analysis Percentages, means and standard errors were calculated to describe the sample. Results The distribution of select demographic and health-related characteristics of Asian American and non-Hispanic White men ages 18—60 is displayed in Table 1.
Table 1. Open in a separate window. Table 2.
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