Cited by 265Obesity, Physical Activity, DietDiabetes, Cardiovascular Risks, and LipoproteinsBody Composition Measurement Techniques

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Using appropriate body mass index cut points for overweight and obesity among Asian Americans

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Jih, Jane, Mukherjea, Arnab, Vittinghoff, Eric, Nguyen, Tung T., Tsoh, Janice Y., Fukuoka, Yoshimi, Bender, Melinda S., Tseng, Winston, Kanaya, Alka M.·2014·Preventive Medicine

DOI 10.1016/j.ypmed.2014.04.010PMC PMC4217157

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Abstract

Objective Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California. Method Secondary analysis of the 2009 adult California Health Interview Survey (n=45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight=23-27.5kg/m(2); obese≥27.5kg/m(2)) were used for Asian subgroups. Standard BMI cut points (overweight=25-29.9kg/m(2); obese≥30kg/m(2)) were applied for other groups. Results Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p<0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI=23-24.9kg/m(2) and Koreans, Filipinos and Japanese with BMI=27.5-29.9kg/m(2), the ranges WHO recommends as overweight or obese for Asians but not for other groups. Conclusions Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans.

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Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies
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Authors: Jih, J., Mukherjea, A., Vittinghoff, E., Nguyen, T. T., Tsoh, J. Y., Fukuoka, Y., Bender, M. S., Tseng, W., & Kanaya, A. M.
Affiliations: University of California, San Francisco (US)
University of California, Berkeley (US)
Corresponding author: Jih, Jane
ORCID: Jih, Jane
Mukherjea, Arnab
Vittinghoff, Eric
Nguyen, Tung T.
Tsoh, Janice Y.
Fukuoka, Yoshimi
Bender, Melinda S.
Tseng, Winston
Kanaya, Alka M.
Venue: Preventive Medicine
Publisher: Elsevier BV
Published: 2014-08
Volume: 65
Pages: 1-6
ISSN: 0091-7435 (ISSN-L)
DOI: 10.1016/j.ypmed.2014.04.010
PMC: PMC4217157
OpenAlex: W2053405913
Cited by: 264
References: 55
Citations by year: 2026: 22 · 2025: 30 · 2024: 33 · 2023: 23 · 2022: 29 · 2021: 22 · 2020: 23 · 2019: 18 · 2018: 18 · 2017: 9 · 2016: 24 · 2015: 10 · 2014: 2
FWCI: 14.93
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: Ruth L. Kirschstein National Research Service Award (T32HP19025)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
Keywords: Asian Americans, body mass index, overweight, obesity, diabetes prevalence, ethnic subgroups, Filipino Americans, obesity screening, California Health Interview Survey
MeSH terms: Adult, Asian, Black or African American, California, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Obesity, Reference Values, Time Factors, World Health Organization, Body Mass Index, Prevalence, White People, Asian People, Overweight

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Using appropriate body mass index cut points for overweight and obesity among Asian Americans

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