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Article: Canadian global village reality: Anthropometric surrogate cutoffs and metabolic abnormalities among Canadians of East Asian, South Asian, and European descent

TitleCanadian global village reality: Anthropometric surrogate cutoffs and metabolic abnormalities among Canadians of East Asian, South Asian, and European descent
Authors
Issue Date2010
PublisherCollege of Family Physicians of Canada. The Journal's web site is located at http://www.cfpc.ca/cfp/
Citation
Canadian Family Physician, 2010, v. 56 n. 5, p. e174-e182 How to Cite?
AbstractOBJECTIVE: To test the appropriateness of body mass index (BMI) and waist circumference (WC) cutoff points derived in largely white populations (ie, those of European descent) for detecting obesity-related metabolic abnormalities among East Asian and South Asian Canadians. DESIGN: Cross-sectional survey. SETTING: Primary care and community settings in Ontario. PARTICIPANTS: Canadians of East Asian (n = 130), South Asian (n = 113), and European (n = 111) descent. MAIN OUTCOME MEASURES: Variables for metabolic syndromes, including BMI, WC, body fat percentage, blood pressure, lipid profile, and fasting blood glucose and insulin levels, were measured. Receiver operating characteristics curve analysis was used to generate BMI and WC cutoff points based on various criteria for metabolic syndromes. RESULTS: Adjusting for sex and age, East Asian Canadians had a significantly lower mean BMI (23.2 kg/m 2) and mean WC (79.6 cm) than did those of South Asian (26.1 kg/m 2 and 90.3 cm) and European (26.5 kg/m 2 and 89.3 cm) descent (P < .05). The BMI cutoffs for an increased risk of metabolic abnormalities ranged from 23.1 to 24.4 kg/m 2 in East Asian Canadians; 26.6 to 26.8 kg/m 2 in South Asian Canadians; and 26.3 to 28.2 kg/m 2 in European Canadians. Waist circumference cutoffs for increased risk of metabolic abnormalities were relatively low in East Asian men (83.3 to 85.2 cm) and women (74.1 to 76.7 cm), compared with South Asian men (98.8 cm) and women (90.1 to 93.5 cm), as well as European men (91.6 to 95.2 cm) and women (82.8 to 88.3 cm). CONCLUSION: The BMI and WC cutoffs used for defining risk of metabolic abnormalities should be lowered for East Asian Canadians but not for South Asian Canadians. The World Health Organization ethnic-specific BMI and WC cutoffs should be used with caution, particularly with Asian migrants who have resided in Canada for a long period of time.
Persistent Identifierhttp://hdl.handle.net/10722/179190
ISSN
2015 Impact Factor: 1.584
2015 SCImago Journal Rankings: 0.406
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHe, Men_US
dc.contributor.authorLi, ETSen_US
dc.contributor.authorHarris, Sen_US
dc.contributor.authorHuff, MWen_US
dc.contributor.authorYau, CYen_US
dc.contributor.authorAnderson, GHen_US
dc.date.accessioned2012-12-19T09:52:43Z-
dc.date.available2012-12-19T09:52:43Z-
dc.date.issued2010en_US
dc.identifier.citationCanadian Family Physician, 2010, v. 56 n. 5, p. e174-e182en_US
dc.identifier.issn0008-350Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/179190-
dc.description.abstractOBJECTIVE: To test the appropriateness of body mass index (BMI) and waist circumference (WC) cutoff points derived in largely white populations (ie, those of European descent) for detecting obesity-related metabolic abnormalities among East Asian and South Asian Canadians. DESIGN: Cross-sectional survey. SETTING: Primary care and community settings in Ontario. PARTICIPANTS: Canadians of East Asian (n = 130), South Asian (n = 113), and European (n = 111) descent. MAIN OUTCOME MEASURES: Variables for metabolic syndromes, including BMI, WC, body fat percentage, blood pressure, lipid profile, and fasting blood glucose and insulin levels, were measured. Receiver operating characteristics curve analysis was used to generate BMI and WC cutoff points based on various criteria for metabolic syndromes. RESULTS: Adjusting for sex and age, East Asian Canadians had a significantly lower mean BMI (23.2 kg/m 2) and mean WC (79.6 cm) than did those of South Asian (26.1 kg/m 2 and 90.3 cm) and European (26.5 kg/m 2 and 89.3 cm) descent (P < .05). The BMI cutoffs for an increased risk of metabolic abnormalities ranged from 23.1 to 24.4 kg/m 2 in East Asian Canadians; 26.6 to 26.8 kg/m 2 in South Asian Canadians; and 26.3 to 28.2 kg/m 2 in European Canadians. Waist circumference cutoffs for increased risk of metabolic abnormalities were relatively low in East Asian men (83.3 to 85.2 cm) and women (74.1 to 76.7 cm), compared with South Asian men (98.8 cm) and women (90.1 to 93.5 cm), as well as European men (91.6 to 95.2 cm) and women (82.8 to 88.3 cm). CONCLUSION: The BMI and WC cutoffs used for defining risk of metabolic abnormalities should be lowered for East Asian Canadians but not for South Asian Canadians. The World Health Organization ethnic-specific BMI and WC cutoffs should be used with caution, particularly with Asian migrants who have resided in Canada for a long period of time.en_US
dc.languageengen_US
dc.publisherCollege of Family Physicians of Canada. The Journal's web site is located at http://www.cfpc.ca/cfp/en_US
dc.relation.ispartofCanadian Family Physicianen_US
dc.subject.meshAdulten_US
dc.subject.meshAsian Continental Ancestry Groupen_US
dc.subject.meshBody Mass Indexen_US
dc.subject.meshCanadaen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshEuropean Continental Ancestry Groupen_US
dc.subject.meshFar East - Ethnologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia - Ethnologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMetabolic Diseases - Ethnologyen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRoc Curveen_US
dc.subject.meshReference Valuesen_US
dc.subject.meshSex Factorsen_US
dc.subject.meshWaist Circumferenceen_US
dc.titleCanadian global village reality: Anthropometric surrogate cutoffs and metabolic abnormalities among Canadians of East Asian, South Asian, and European descenten_US
dc.typeArticleen_US
dc.identifier.emailLi, ETS: etsli@hku.hken_US
dc.identifier.authorityLi, ETS=rp00737en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid20463258-
dc.identifier.pmcidPMC2868628-
dc.identifier.scopuseid_2-s2.0-77952962155en_US
dc.identifier.hkuros182639-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77952962155&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume56en_US
dc.identifier.issue5en_US
dc.identifier.spagee174en_US
dc.identifier.epagee182en_US
dc.identifier.isiWOS:000277653400019-
dc.publisher.placeCanadaen_US
dc.identifier.scopusauthoridHe, M=8635101000en_US
dc.identifier.scopusauthoridLi, ETS=14018169600en_US
dc.identifier.scopusauthoridHarris, S=35500171900en_US
dc.identifier.scopusauthoridHuff, MW=7102157816en_US
dc.identifier.scopusauthoridYau, CY=36164675900en_US
dc.identifier.scopusauthoridAnderson, GH=7404223441en_US

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