Prevalence and change of central obesity among US Asian adults: NHANES 2011–2014

BMC Public Health

Research Article

Nicole L. Boucher¹  Amy E. Rothberg²  Yang Chen³  Xuefeng Liu⁴ 

[1] Department of Health Behavior and Biological Sciences, University of Michigan, 48109, Ann Arbor, MI, USA;Department of Internal Medicine, Division of Metabolism, Endocrinology & Diabetes, University of Michigan, 48109, Ann Arbor, MI, USA;Department of Nutritional Sciences, School of Public Health, University of Michigan, 48109, Ann Arbor, MI, USA;Department of Systems, Population, and Leadership, University of Michigan, 48109, Ann Arbor, MI, USA;Department of Systems, Population, and Leadership, University of Michigan, 48109, Ann Arbor, MI, USA;Frankel Cardiovascular Center, University of Michigan School of Medicine, 48109, Ann Arbor, MI, USA;Department of Systems, Population, and Leadership, University of Michigan School of Nursing, 400 N. Ingalls, 48109-5482, Ann Arbor, MI, USA;

关键词: Central obesity;    Prevalence;    Asian adults;   

DOI  :  10.1186/s12889-017-4689-6

 received in 2017-07-24, accepted in 2017-08-21,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundCentral obesity is a major risk factor for cardiometabolic diseases. The prevalence of central obesity has not been reported fully among Asian adults in the United States (US).MethodsCross-sectional data of 1288 Asian adults aged 20 years or over was selected from the US National Health and Nutrition Examination Survey with a stratified multi-stage sampling design. The prevalence of central obesity was calculated with 95% confidence intervals (CIs) and Chi-square tests were conducted to test the significance of the prevalence differences across characteristic groups.ResultsThe overall prevalence of central obesity among US Asian adults was 58.1% in 2011–2014. The prevalence of central obesity was higher in older adults (73.5%) than in young adults (45.4%) (p < 0.0001). Women had 13.4% higher prevalence than men (64.4% vs 51.0%, p < 0.0001). The prevalence increased over time (2011–2012 vs 2013–2014) in young adults (39.2% vs 51.5%), men (45.4% vs 56.6%), adults with college education or above (54.2% vs 61.7%) and non-poor adults (55.4% vs 62.4%). Compared with men, women had higher prevalence in each subgroup of age, education, poverty, and length of time (except for the subgroup of “born in the US”) (all p < 0.05) and in the subgroup of “married or living with partner” for marital status (p < 0.0001).ConclusionCentral obesity is prevalent in Asian adults, particularly in older adults and women. More efforts are needed to prevent and treat obesity in Asian adults as Asians are incurring the greatest increase in type 2 diabetes in parallel with the rising rate of central adiposity.

【 授权许可】

CC BY   
© The Author(s). 2017