Diabetes and diabetes care among non-obese South Asian Americans: Findings from a population-based study

Chan, Keith; Souza, Leanne R. De; Kobayashi, Karen; Fuller‐Thomson, Esme

doi:10.1016/j.dsx.2018.08.025

Cited by 7 publications

(3 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study results are consistent with previous research documenting significantly higher prevalence of diabetes at lower BMI levels among U.S. South Asian, Filipino, and Chinese adults compared to White adults [ 20 , 24 , 32 – 35 ]. In addition, a key finding of our study is the differential burden of diabetes risk among specific Asian American populations that was most notable at lower BMI levels; the largest differences in diabetes prevalence relative to White adults were observed among South Asian and Filipino adults in the healthy BMI range, both higher than for Chinese adults.…”

Section: Discussionsupporting

confidence: 93%

Prevalence of prediabetes and diabetes vary by ethnicity among U.S. Asian adults at healthy weight, overweight, and obesity ranges: an electronic health record study

Vicks

Guo

et al. 2022

BMC Public Health

View full text Add to dashboard Cite

Background Asian adults develop Type 2 diabetes at a lower body mass index (BMI) compared to other racial/ethnic groups. We examined the variation in prevalence of prediabetes and diabetes among Asian ethnic groups within weight strata by comparing middle-aged Chinese, Filipino, South Asian, and White adults receiving care in the same integrated healthcare delivery system. Methods Our retrospective cross-sectional U.S. study examined data from 283,110 (non-Hispanic) White, 33,263 Chinese, 38,766 Filipino, and 17,959 South Asian adults aged 45–64 years who were members of a Northern California health plan in 2016 and had measured height and weight. Prediabetes and diabetes were classified based on laboratory data, clinical diagnoses, or diabetes pharmacotherapy. Age-standardized prevalence of prediabetes and diabetes were compared by race/ethnicity within healthy weight, overweight, and obesity categories, using standard BMI thresholds for White adults (18.5 to < 25, 25 to < 30, ≥ 30 kg/m2) and lower BMI thresholds for Asian adults (18.5 to < 23, 23 to < 27.5, ≥ 27.5 kg/m2). Prevalence ratios (PRs) were used to compare the prevalence of diabetes and prediabetes for Asian groups to White adults in each weight category, adjusted for age and BMI. Results Across all weight categories, diabetes prevalence was higher for Asian than White adults, and among Asian groups it was highest for Filipino and South Asian adults. Compared to White, PRs for South Asian men/women at healthy BMI were 1.8/2.8 for prediabetes and 5.9/8.0 for diabetes, respectively. The PRs for Filipino men/women at healthy BMI were 1.8/2.6 for prediabetes and 5.0/7.5 for diabetes, respectively. For Chinese men/women at healthy BMI, the PRs for prediabetes (2.1/2.9) were similar to Filipino and South Asian, but the PRs for diabetes were lower (2.1/3.4). Conclusion Chinese, Filipino, and South Asian adults have higher prevalence of prediabetes and diabetes than White adults in all weight categories, despite using lower BMI thresholds for weight classification in Asian groups. Within Asian ethnic groups, Filipino and South Asian adults had considerably higher diabetes prevalence than Chinese adults. Our data emphasize the disproportionate metabolic risk among middle-aged Asian adults and underscore the need for diabetes screening among high-risk Asian groups at healthy BMI levels.

show abstract

Section: Discussionsupporting

confidence: 93%

Prevalence of prediabetes and diabetes vary by ethnicity among U.S. Asian adults at healthy weight, overweight, and obesity ranges: an electronic health record study

Vicks

Guo

et al. 2022

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…A positive finding of this study was that, once diagnosed, it appears that Japanese-Americans receive comparable levels of diabetes care as NHW and, in the case of regular eye exams, even appear to be at a slight advantage. Similarly, in a study comparing South Asian-Americans and NHWs using data from combined waves of the CHIS, despite the former group's higher propensity for diabetes, there were no significant differences between the two groups in the level of optimal care received by those with diabetes [9]. Although Japanese-Americans and NHWs were equally likely to receive foot exams and hemoglobin A1C checks, both groups would benefit from targeted outreach since more than a quarter of respondents had not received these treatments at an optimal frequency in the preceding year.…”

Section: Discussionmentioning

confidence: 99%

“…As has been described elsewhere [8, 9], data were taken from the combined 2007, 2009, 2011, 2013, 2014, 2015, and 2016 waves of the adult California Health Interview Survey (CHIS). Using a multistage sampling design, CHIS collected survey data using random-digit-dialing (RDD) with landline and cellular samples for respondents for a representative sample of Californian adults.…”

Section: Methodsmentioning

confidence: 99%

Diabetes and Diabetes Care among Nonobese Japanese-Americans: Findings from a Population-Based Study

Kobayashi

Chan

Roy

et al. 2019

Advances in Preventive Medicine

Self Cite

View full text Add to dashboard Cite

Objectives. The objectives of this study are as follows: (1) to determine the prevalence of diabetes among nonobese Japanese-Americans and to determine the adjusted odds of diabetes among nonobese Japanese-Americans compared to non-Hispanic Whites (NHWs); (2) to identify the risk factors associated with having diabetes in a large sample of nonobese Japanese-Americans; and (3) to determine the prevalence and adjusted odds of diabetes management behaviors among nonobese Japanese-Americans with diabetes in comparison to NHWs with diabetes. Methods. The combined 2007-2016 waves of the adult California Health Interview Survey (CHIS) were used to analyze a nonobese (BMI<30) sample of 2,295 Japanese-Americans and 119,651 NHWs. Chi-square and logistic regression analyses were performed using Stata. Results. The findings of this representative community study of nonobese Californians indicate that the prevalence of diabetes among Japanese-American respondents was higher than their NHW counterparts (8.0% versus 4.5%). Prevalence increased markedly with age; one-quarter of nonobese Japanese Americans aged 80 and older had diabetes. Conclusions. The prevalence of diabetes among nonobese Japanese-Americans is significantly higher than that among NHWs. There is an urgent need to develop appropriate intervention and prevention approaches with lifestyle modification specifically targeted towards nonobese Japanese-Americans.

show abstract

Diabetes Prevention Amongst South Asians: Current Evidence, Challenges, and a Way Forward

Goon

Gujral

2023

J Indian Inst Sci

View full text Add to dashboard Cite

Diabetes and diabetes care among non-obese South Asian Americans: Findings from a population-based study

Cited by 7 publications

References 34 publications

Prevalence of prediabetes and diabetes vary by ethnicity among U.S. Asian adults at healthy weight, overweight, and obesity ranges: an electronic health record study

Prevalence of prediabetes and diabetes vary by ethnicity among U.S. Asian adults at healthy weight, overweight, and obesity ranges: an electronic health record study

Diabetes and Diabetes Care among Nonobese Japanese-Americans: Findings from a Population-Based Study

Diabetes Prevention Amongst South Asians: Current Evidence, Challenges, and a Way Forward

Contact Info

Product

Resources

About