The prevalence of metabolic syndrome among low-income South Asian Americans

Abstract

Objective: The purpose of the present paper is to examine the prevalence of metabolic syndrome (MetS) and its components using the harmonized definition in an interviewed sub-sample of diverse, low-income, adult South Asians (SA) of both sexes residing in Maryland. We also wanted to derive a BMI cut-off value that was highly correlated with the recommended waist circumference (WC) that we could apply to a larger sample of SA Americans for whom only BMI values were available from clinic files. We also examined differences in MetS prevalence among various Asian ethnic groups (defined by country of origin) and the clustering pattern of their MetS components. Design: Clinical data extraction on subjects (n 1002) and interviewees (n 401) were used in a cross-sectional study of SA Americans. Setting: Two community health centres in Montgomery and Baltimore County, MD, USA. Subjects: SA adult males and females (n 1403) aged 20-68 years. Results: The prevalence of MetS using harmonized WC cut-offs (90 cm in men and 80 cm in women) was 47 % in men and 54 % in women. Using a BMI of 23·0 kg/m 2 gave a similar prevalence of MetS for males (48 %) and females (47 %). Of the five MetS components, the prevalence pattern differed among the ethnic groups, particularly for SA Indians. Conclusions: The prevalence of MetS in a diverse, low-income, SA American immigrant group using the harmonized definition was 51 %. Derived lowered BMI cut-off of 23·0 kg/m 2 should be used by clinicians in studies on SA when WC values are not available for detecting metabolic risk. SA Indians had a higher prevalence of abnormal TAG and blood glucose values compared with other SA, and therefore results for SA Indians should not be generalized to all SA ethnic groups.

Review: Metabolic Syndrome in Black South African Women

“…Ethn Dis. 2017 (27) 10,11 which is confirmed by data from the United Kingdom (Table 1). 12 In India 21 and Bangladesh 20 the prevalence of MetS is similarly high, especially ral and urban populations, showed a higher prevalence of MetS in females than males.…”

Prevalência Da Síndrome Metabólica E De Seus Componentes Em Pessoas Com Diabetes Mellitus Tipo 2

“…27 It is worth to consider that sedentarism, overweight and obesity are conditions that potentiate cardio metabolic alterations and promote the increase of the WC, a factor that determines the appearance of the MS, according to the IDF. 5,[15][16][17][18][19][20] The high values in this study for WC (62.0%) and FG (58.5%) were much above the mean values (48.67% and 19.8%, respectively) found in other prevalence investigations that addressed the theme. 24,17 Regarding the TG values, 55.8% of the participants presented high numbers of this marker, disagreeing with the percentages of other surveys.…”

“…29.2%, respectively. [15][16][17][18][19][20][21] It should be emphasized that due to the multicultural characteristics and the demographic and epidemiological variability of the Brazilian population, it is difficult to generalize the national results. What can be highlighted is that Brazilian studies involving the prevalence of the MS in patients with T2DM using the IDF criteria are still timid, making it impossible to greater results comparison.…”

“…24,17 Regarding the TG values, 55.8% of the participants presented high numbers of this marker, disagreeing with the percentages of other surveys. 15,17 In the United States, a country with a high number of obese individuals, a high prevalence of abdominal obesity is reported in a study that investigated the occurrence of the MS. 16 In Brazil, the values of abdominal obesity are increasing, and it is related to the evident socio-demographic transformations that the country faces.…”

Polyunsaturated fatty acids, inflammation, and metabolic syndrome in South Asian Americans in Maryland

“…Medical and chronic disease history, smoking, income categories, sociodemographic data (age, country of origin, smoking, physical activity, total years in the USA), and reason for clinic attendance were obtained. Physical activity was defined as activities above and beyond daily living (cleaning, cooking, and household chores) measured by four questions and has been described previously (Khan & Jackson, ).…”