Hyperglycemia and type 2 diabetes among Filipino women in the Philippines, Hawaii, and San Diego

Araneta, Maria Rosario G.; Morton, Deborah J.; Lantion-Ang, Lina C.; Grandinetti, Andrew; Lim-Abrahan, Mary Anne; Chang, Healani K.; Barrett‐Connor, Elizabeth; Rodriguez, B L; Wingard, Deborah L.

doi:10.1016/j.diabres.2005.07.012

Cited by 27 publications

(29 citation statements)

References 16 publications

(27 reference statements)

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“…Prevalence of T2DM, as derived by the sum of the proportion of patients with known history of diabetes and that of patients with FBG ≥110 mg/dL, was 24.5%, abundantly higher than the 5.1% prevalence emerged from the latest National Diabetes Survey carried out in Luzon [12], comparable to the 24.9% prevalence observed in Filipino women in Hawaii [8], but lower than the 31.6-36% prevalence reported in Filipino women in San Diego [9][10][11]. Only approximately onefourth of subjects were aware of this diagnosis before this study was conducted.…”

Section: Discussionmentioning

confidence: 43%

“…Mean age was comparable to that of the Filipino population studied in Houston (mean age: 46.1 ± 12 years) [8], in which females represented 61.3% of the sample, but significantly lower than those of the Filipino women studied in San Diego and Hawaii (mean age: from 57.6 to 64.4 years) [9][10][11]. Mean waist circumference, hip girth, and BMI were comparable to those of Filipinos studied in Houston, San Diego, and Hawaii [8][9][10][11].…”

Section: Discussionmentioning

confidence: 61%

“…However, while duration of residence, weight gain, and BMI were associated with hypertension by univariate analysis, the same factors were not associated with diabetes not even by univariate analysis. BMI has been found poorly predictive of diabetes in previous studies in Filipino-American women, properly defined as a high-risk non-obese population according to western standards [9,10], even if mean BMI, comparable to that observed in the present study, was abundantly higher than that observed for Filipinos in their own country [12]. This suggests the possibility of a nonlinear relationship between BMI and T2DM in the Filipino population, with a threshold of mean BMI over which a plateau in the risk of T2DM is reached.…”

Section: Discussionmentioning

confidence: 99%

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Westernization of the Filipino population resident in Rome: obesity, diabetes and hypertension

Gentilucci¹,

Picardi

Manfrini

et al. 2008

Diabetes Metabolism Res

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Section: Discussionmentioning

confidence: 43%

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

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Westernization of the Filipino population resident in Rome: obesity, diabetes and hypertension

Gentilucci¹,

Picardi

Manfrini

et al. 2008

Diabetes Metabolism Res

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“…Unlike cohorts where diabetes prevalence is higher in migrant than native populations, the diabetes prevalence in this study is similar to that of women in the Philippines and longer-term migrants and U.S.-born Filipinas in Hawaii (26,27). Socioeconomic disadvantage from childhood to adulthood was strongly and linearly associated with diabetes in this study, in addition to the effects of family history and waist circumference.…”

Section: Discussionmentioning

confidence: 59%

Diabetes and Coronary Heart Disease in Filipino-American Women

et al. 2007

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OBJECTIVE -To investigate associations between adult markers of childhood growth and the prevalence of diabetes and coronary heart disease (CHD) in Filipino-American women and to determine the role of social and educational differences, including the influence of social mobility between childhood and adulthood.RESEARCH DESIGN AND METHODS -Socioeconomic disadvantage and poor infant growth, resulting in short leg length, may contribute to the dramatically increased risk of diabetes and CHD in Filipino-American women, but this has not been investigated. This study is a cross-sectional study of 389 Filipino-American women (age 58.7 Ϯ 9.4 years [mean Ϯ SD]). Diabetes was defined by 1999 World Health Organization criteria and CHD by ischemic electrocardiogram changes, Rose angina, a history of myocardial infarction, or revascularization surgery. A score of social mobility (0 -4) was calculated by summarizing childhood and adult financial circumstances.RESULTS -Diabetes prevalence (31.4%) was not associated with measures of growth but was significantly lower in women with greater education, childhood and adult income, or social mobility score. Compared with Filipinas who were poorest in childhood and adulthood, respective odds ratios (95% CI) for diabetes were 0.55 (0.18 -1.68), 0.19 (0.06 -0.62), and 0.11 (0.03-0.42), down to 0.07 (0.01-0.51) in the most advantaged women (P Ͻ 0.0001). Family history of diabetes [5.14 (2.72-9.70)] and larger waist [1.07 per cm (1.03-1.10)] were also significant predictors in multiple adjusted models. In contrast, CHD prevalence (22.4%) was most strongly associated with leg length, but not trunk length; compared with individuals with the shortest legs, respective odds ratios (95% CI) for CHD were 0.60 (0.31-1.19), 0.53 (0.26 -1.05), and 0.44 (0.22-0.91) in the tallest group, in age-(P trend ϭ 0.02) and multiple-adjusted models (P trend ϭ 0.01).CONCLUSIONS -Socioeconomic disadvantage contributes to the high prevalence of diabetes in Filipinas. Factors limiting early growth of the legs may increase the risk of CHD in this comparatively short population. Diabetes Care 30:535-541, 2007I mmigrant populations and nonCaucasians, such as African Americans, Latinos, American Indians, and Native Hawaiians in the U.S., have an increased risk for obesity, type 2 diabetes, and coronary heart disease (CHD) compared with Caucasians (1). Less is known about those risks in Filipinos (2,3), the third largest immigrant population in the U.S. (4). Results from this study have recently demonstrated that FilipinoAmerican women had sixfold greater odds of having diabetes and threefold greater odds of having the metabolic syndrome than Caucasian women, despite similar body size (5).Early chronic or intermittent malnutrition, leading to impaired development of the endocrine system and followed by exposure to a Western diet with an abundance of food, has been suggested to be responsible for the greater levels of metabolic disorders in immigrant populations (6). In addition to genetic influences on height, early ...

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“…Although searches were conducted for studies with Bangladeshi, Bhutanese, Nepalese, Pakistani, or Sri Lankan individuals, no articles were found for these groups. Of the 97 articles in the systematic review, nearly half (n=46) were analyses of one of the following seven studies: Multi-Ethnic Study of Atherosclerosis [8-25] (MESA, n=18), Study of Women's Health Across the Nation [26-37] (SWAN, n=12), Filipino Women's Health Study [38-44] (n=7), Kōhala Health Research Project/Native Hawaiian Health Research Project [41, 45, 46] (NHHR, n=3), Behavioral Risk Factor Survey in Guam [47, 48] (BRFS, n=2), University of California San Diego (UCSD) Rancho Bernardo Study [49, 50] (n=2), and National Health Interview Survey [5, 7] (NHIS, n=2). Almost all articles reported cross-sectional data for the variables of interest; only two SWAN studies [27, 33] provided longitudinal data.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Overweight, Obesity, and Type 2 Diabetes Among Asian American Subgroups

Staimez¹,

Weber²,

Narayan³

et al. 2013

CDR

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This systematic review synthesizes data published between 1988 and 2009 on mean BMI and prevalence of overweight, obesity, and type 2 diabetes among Asian subgroups in the U.S. We conducted systematic searches in PubMed for peer-reviewed, English-language citations that reported mean BMI and percent overweight, obesity, and diabetes among South Asians/Asian Indians, Chinese, Filipinos, Koreans, and Vietnamese. We identified 647 database citations and 23 additional citations from hand-searching. After screening titles, abstracts, and full-text publications, 97 citations remained. None were published between 1988 and 1992, 28 between 1993 and 2003, and 69 between 2004 and 2009. Publications were identified for the following Asian subgroups: South Asian (n=8), Asian Indian (n=20), Chinese (n=44), Filipino (n=22), Korean (n= 8), and Vietnamese (n=3). The observed sample sizes ranged from 32 to 4245 subjects with mean ages from 24 to 78 years. Among samples of men and women, the lowest reported mean BMI was in South Asians (22.1 kg/m2), and the highest was in Filipinos (26.8 kg/m2). Estimates for overweight (12.8 - 46.7%) and obesity (2.1 – 59.0%) were variable. Among men and women, the highest rate of diabetes was reported in Asian Indians with BMI ≥ 30 kg/m2 (32.9%, age and sex standardized). This review suggests heterogeneity among U.S. Asian populations in cardiometabolic risk factors, yet comparisons are limited due to variability in study populations, methods, and definitions used in published reports. Future efforts should adopt standardized methods to understand overweight, obesity and diabetes in this growing U.S. ethnic population.

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Hyperglycemia and type 2 diabetes among Filipino women in the Philippines, Hawaii, and San Diego

Cited by 27 publications

References 16 publications

Westernization of the Filipino population resident in Rome: obesity, diabetes and hypertension

Westernization of the Filipino population resident in Rome: obesity, diabetes and hypertension

Diabetes and Coronary Heart Disease in Filipino-American Women

A Systematic Review of Overweight, Obesity, and Type 2 Diabetes Among Asian American Subgroups

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