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Abdominal Adiposity and Clustering of Multiple Metabolic Syndrome in White, Black and Hispanic Americans
Abstract
Purpose The aim of this study was to evaluate the association of abdominal adiposity assessed by waist circumference (WC) with clustering of multiple metabolic syndromes (MMS) in White, Black and Hispanic Americans. MMS was defined as the occurrence of two or more of either hypertension, type 2 diabetes mellitus, dyslipidemia, hypertriglyceridemia or hyperinsulinemia.Methods The number of MMS and fasting insulin (a surrogate measure of MMS) were each used as dependent variables in gender-specific multiple linear regression models, adjusting for age, smoking and alcohol intake. The contribution of WC to interethnic differences in clustering of MMS and fasting insulin concentration was assessed in gender-specific linear regression models. The risk of MMS due to large waist was estimated by comparing odds ratio for men with WC >/= 102 cm with those with WC < 102, and women with WC >/= 88 cm with women with WC < 88 cm in the logistic regression model adjusting for age, smoking and alcohol intake.Results WC was positively and independently associated with clustering of MMS and increased fasting insulin concentration adjusting for age, smoking and alcohol intake in the three ethnic groups (p < 0.01). Black ethnicity was associated with clustering of MMS and fasting insulin concentration (p < 0.01). Hispanic ethnicity was also associated with clustering of MMS in men and associated with fasting insulin concentration in both men and women (p < 0.01). In both men and women, the risk of MMS clustering was strongly associated with increased WC in all ethnic groups independent of BMI.Conclusion WC appears to be a marker for multiple metabolic syndromes in these ethnic groups. The results of this investigation lend support to the view that waist measurement should be considered as a clinical variable for assessing the risk of cardiovascular diseases.
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“Finally, considerable individual and ethnic variation exists in the clinical pattern of metabolic risk factors in obese/ insulin-resistant subjects.53,54”
From Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (2005) · cites this paper as [53]
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“When all anthropometric measures are considered, waist circumference appears to provide the most convenient and reliable anthropometric marker of clustering of clinical features of MS across gender (Okosun et al. 1998, 2000; Siani et al. 2002; Snijder et al. 2004).”
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“Insulin resistance, central obesity and disorders of adipose tissue were thought to be the etiologic factors of MS, with heredity, aging, lack of physical activity and the inflammatory response also contributing to the pathogenesis of this condition (Okosun et al., 2000).”
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“Hispanic women in the United States are more likely to be obese and physically inactive compared with their non-Hispanic counterparts,9 effectively rendering them at greater risk of MSY and obesity-related comorbidities.(33,34) Ervin et al(10) reported that Hispanic women are up to 150% more likely to have MSY compare…”
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“0,76-2 476 (35,4) 146 (34,0) 105 (26,1) 120 (27,5)”
InfluentialBasal Insulin Resistance and Secretion in Nigerians With Type 2 Diabetes Mellitus
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Self-citation
Metadata
- Authors
- Okosun, I. S., Liao, Y., Rotimi, C. N., Prewitt, T. E., & Cooper, R. S.
- Affiliations
- Mercer University (US)
- Loyola University Medical Center (US)
- Howard University (US)
- Corresponding author
- Okosun, Ike S
- Venue
- Annals of Epidemiology
- Publisher
- Elsevier BV
- Published
- 2000-07
- Volume
- 10
- Issue
- 5
- Pages
- 263-270
- ISSN
- 1047-2797 (ISSN-L)
- OpenAlex
- W2142867253
- Cited by
- 193
- References
- 52
- Citations by year
- 2024: 3 · 2022: 5 · 2021: 6 · 2020: 2 · 2019: 4 · 2018: 6 · 2017: 1 · 2016: 7 · 2015: 6 · 2014: 7 · 2013: 12 · 2012: 12
- FWCI
- 5.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Civil War Book Review (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL45508)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- abdominal fat, waist circumference, metabolic syndrome, fasting insulin, hyperinsulinemia, hypertension, type 2 diabetes, dyslipidemia, hypertriglyceridemia, ethnic differences, African Americans, Hispanic Americans, cardiovascular risk
- MeSH terms
- Abdomen, Adult, Aged, Analysis of Variance, Black or African American, Body Constitution, Diabetes Mellitus, Type 2, Female, Hispanic or Latino, Humans, Hyperinsulinism, Hyperlipidemias, Hypertension, Male, Middle Aged, Obesity, Predictive Value of Tests, Syndrome, United States, Hypertriglyceridemia, Body Mass Index, Odds Ratio, White People
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