Differences in Obesity Among Men of Diverse Racial and Ethnic Background

Hill, Sarah; Bell, Caryn N.; Bowie, Janice V.; Kelley, Elizabeth A.; Furr‐Holden, Debra; LaVeist, Thomas A.; Thorpe, Roland J.

doi:10.1177/1557988315580348

Cited by 22 publications

(15 citation statements)

References 18 publications

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“…The covariates used in this study were based on prior work ( Hill et al, 2015 ). Covariates included: age, marital status, education, income, insurance status, physical activity, and nativity.…”

Section: Methodsmentioning

confidence: 99%

Overweight and Obesity Differences Across Ethnically Diverse Subgroups of Asian American Men

2018

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Asian Americans develop health complications at lower BMIs than other racial/ethnic groups. Given increasing overweight and obesity rates nationwide, growing numbers of Asian American men, and limited research on overweight and obesity in this population, understanding overweight and obesity differences across Asian subgroups of men is crucial to advancing health equity. This study examined overweight and obesity prevalence both among ethnic subgroups of Asian American men and compared to non-Hispanic White (NHW) men. Prevalence ratios were derived from 2002 to 2015 National Health Interview Survey data to determine associations between race/ethnicity and (a) overweight, and (b) obesity, across (n = 221,376) racial/ethnic groups of men (Chinese; Filipino; Asian Indian; Other Asian; NHW). Overweight and obesity for all Asian subgroups were defined using Asian-specific BMI cut points. Adjusted overweight prevalence was higher across all Asian subgroups compared to NHW men, except Filipinos. No significant pairwise relationships were observed for overweight prevalence among Asian subgroups. Filipinos had higher adjusted obesity prevalence compared to NHW men. Comparing among Asian American men, Asian Indians and Other Asians had higher adjusted obesity prevalence relative to Chinese. Filipinos had higher adjusted obesity prevalence compared to all other Asian subgroups (Chinese; Asian Indian; Other Asian). The current findings highlight the need for use of (a) WHO-recommended Asian-specific BMI cut points and (b) data disaggregated by Asian American subgroup, to provide more accurate depictions of overweight and obesity rates and associated health risks. Accounting for subgroup differences is necessary to ensure Asian American men receive equitable, appropriate care.

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Section: Methodsmentioning

confidence: 99%

Overweight and Obesity Differences Across Ethnically Diverse Subgroups of Asian American Men

2018

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“…Moreover, Hispanic men born in the United States are likely to be more obese than foreign-born men. 2 Among the lifestyle behaviors shown to influence obesity, diet has received the greatest attention perhaps because diet modification represents a behavior that is accessible, measurable, and translatable. Observational studies and dietary interventions using a dietary pattern approach with healthy food options (eg, Mediterranean diet and variations of plant-based diets) are gaining momentum.…”

Section: Purposementioning

confidence: 99%

Plant-Based Diets in Hispanic/Latino Adult Adventists in the United States and Their Association With Body Mass Index

et al. 2019

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Purpose: To characterize plant-based dietary practices and examine their relationship with body mass index (BMI) in Hispanic/Latino Seventh-day Adventists (SDA). Design: Cross-sectional analyses of data among Hispanics/Latinos in the Adventist Health Study-2 (AHS-2). Setting: The AHS-2 is a cohort of SDA adults (n = 96 592) in North America. Participants: A total of 3475 Hispanics/Latinos who provided demographic, dietary, anthropometric, and lifestyle data at enrollment. Measures: Plant-based dietary practices were determined from food frequency questionnaire; BMI, demographic, and lifestyle data were assessed by questionnaire. Analysis: In linear regression analysis, plant-based diets were modeled as dummy variables with nonvegetarian as the referent group and log(BMI) as the outcome adjusted for age, sex, education, exercise, nativity, alcohol use, smoking, and energy intake. Results: We identified 202 vegans, 664 vegetarians, 409 pesco-vegetarians, 227 semi-vegetarians, and 1973 nonvegetarians. Compared to the nonvegetarian referent (BMI = 27.50), estimated BMI were lower among vegans (23.58, P < .0001), vegetarians (25.24, P < .0001), pesco-vegetarians (26.36, P = .0002), and semi-vegetarians (26.69, P = .130). Other factors associated with lower BMI were being female ( P = .001), nativity (Mexico, P = .002; South America, P < .0001; Caribbean, P = .004), having a college degree or higher ( P = .01), exercise ( P < .0001), and never smoked ( P = .0006). Conclusion: Hispanic/Latino SDAs who consumed plant-based diets had lower BMI than nonvegetarians. The application of a plant-based diet as practiced by the Hispanic/Latino Adventists in this population may have public health impact on US Hispanic/Latinos.

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“…More than 1.9 billion people are overweight, and more than 600 million people are obese (8); further, diseases associated with obesity are the second-leading cause of death in the US (9). Moreover, obesity poses a major public health threat because it is a key risk factor for metabolic and cardiovascular diseases (e.g., type 2 diabetes, hypertension, and stroke, among others) (10, 11). Initially explained as a consequence of excessive dietary intake or inadequate energy utilization, it is now clear that additional factors (e.g., genetic inheritance, hormonal disorders, and aging) also contribute to obesity.…”

Section: Introductionmentioning

confidence: 99%

Restoration of lymphatic function rescues obesity in Prox1-haploinsufficient mice

Escobedo¹,

Proulx²,

Karaman³

et al. 2016

JCI Insight

118

108

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Prox1 heterozygous mice have a defective lymphatic vasculature and develop late-onset obesity. Chyle abnormally leaks from those vessels, accumulates in the surrounding tissues, and causes an increase in adipose tissue. We characterized the lymphatics of Prox1+/− mice to determine whether the extent of obesity correlated with the severity of lymphatic defects. The lymphatic vasculature in Prox1+/− mice exhibited reduced tracer clearance from the ear skin, dysfunctional perfusion of the lower legs, and reduced tracer uptake into the deep lymphatic collectors during mechanostimulation prior to the onset of obesity. Ear lymphatic vessels and leg collectors in Prox1+/− mice were disorganized and irregular, further confirming that defective lymphatic vessels are associated with obesity in Prox1+/− mice. We now provide conclusive in vivo evidence that demonstrates that leaky lymphatics mediate obesity in Prox1+/− mice, as restoration of lymphatic vasculature function was sufficient to rescue the obesity features in Prox1+/− mice. Finally, depth-lipomic profiling of lymph contents showed that free fatty acids induce adipogenesis in vitro.

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Differences in Obesity Among Men of Diverse Racial and Ethnic Background

Cited by 22 publications

References 18 publications

Overweight and Obesity Differences Across Ethnically Diverse Subgroups of Asian American Men

Overweight and Obesity Differences Across Ethnically Diverse Subgroups of Asian American Men

Plant-Based Diets in Hispanic/Latino Adult Adventists in the United States and Their Association With Body Mass Index

Restoration of lymphatic function rescues obesity in Prox1-haploinsufficient mice

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