Journal of Public Health Management and Practice
Volume 25, Issue 1, 2019, Pages 45-52

Metabolic Syndrome among Asian Indians in the United States (Article)

Savadatti S.S.* , Bell E.M. , Gates M.A. , Hosler A.S. , Yucel R.M. , Misra R.
  • a Department of Epidemiology and Biostatistics, University at Albany, School of Public Health, 1 University Place, Rensselaer, NY 12144, United States, New York State Department of Health, Albany, NY, United States
  • b Department of Epidemiology and Biostatistics, University at Albany, School of Public Health, 1 University Place, Rensselaer, NY 12144, United States
  • c Department of Epidemiology and Biostatistics, University at Albany, School of Public Health, 1 University Place, Rensselaer, NY 12144, United States, New York State Department of Health, Albany, NY, United States
  • d Department of Epidemiology and Biostatistics, University at Albany, School of Public Health, 1 University Place, Rensselaer, NY 12144, United States
  • e Department of Epidemiology and Biostatistics, University at Albany, School of Public Health, 1 University Place, Rensselaer, NY 12144, United States
  • f Department of Social and Behavioral Sciences, School of Public Health West Virginia University, Morgantown, WV, United States

Abstract

Introduction: Metabolic syndrome (MetS), a clustering of cardiometabolic risk factors of type 2 diabetes and cardiovascular disease, disproportionately affects Asian Indians (AIs). We examined prevalence of MetS using 3 ethnicity-specific MetS criteria among immigrant AIs in the United States. We also examined associations between MetS and health promotion behaviors. Objective: To present MetS prevalence estimates by the 3 ethnicity-specific criteria and investigate differences in health promotion behaviors among AIs with and without MetS to highlight the critical need for lifestyle modification strategies for this population. Design: We analyzed data from a national cross-sectional study of 1037 AIs in the United States (2004-2006). We used the consensus criteria, International Diabetes Federation criteria, and modified criteria to estimate MetS prevalence. The Health Promotion Lifestyle Profile II scale measured health promotion behaviors. Bioclinical data (fasting blood glucose, triglyceride levels) were collected. Directed acyclic graphs and Likelihood Ratio Test assisted with model selection. Multiple imputation inference incorporated uncertainty due to missing data and made use of all available data. Adjusted multivariable logistic regression analysis tested for associations. Results: Out of all participants, 40.3% met the consensus criteria, 34.8% met the International Diabetes Federation criteria, and 52.5% met the modified criteria. We found no statistically significant associations between engagement in health promotion measures and the prevalence of MetS and its criteria. Conclusion: Our study confirmed the high prevalence of MetS in the immigrant AI population in the United States. Our results showed that AIs with MetS did not exhibit an increased level of engagement in health promotion behaviors. We recommend continued refining of criteria for diagnosis and culturally suitable, age-appropriate strategies to increase engagement in healthier lifestyles among this high-risk population. © 2019 The Authors. Published by Wolters Kluwer Health, Inc.

Author Keywords

emigrants and immigrants Metabolic syndrome Health promotion risk factors minority groups

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047727992&doi=10.1097%2fPHH.0000000000000738&partnerID=40&md5=fbb462438c07baa6f5fb5ab9ce3d156d
DOI: 10.1097/PHH.0000000000000738
ISSN: 10784659
Cited by: 2
Original Language: English