Abstract
Little is known about body mass index (BMI) patterns by nativity and length of US residence among Asian American ethnic groups. We used linear regression to examine the association of BMI with nativity and length of residence across six ethnic groups (Filipinos, Japanese, Chinese, Koreans, South Asians, and Vietnamese) using data from the California Health Interview Study. There was significant heterogeneity in the nativity/length of residence patterns in unadjusted BMI across ethnic groups (p < 0.001). In fully adjusted models, heterogeneity was attenuated (p = 0.05) with BMI among all US-born ethnic groups significantly higher than BMI for immigrants with the exception of South Asians. Longer US residence was positively associated with BMI among all groups, though only significant among Filipinos and Koreans. Programs targeting Asian Americans should take into consideration BMI patterns by nativity and US length of residence among diverse Asian American ethnic groups.
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Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA. 2014;311:806–14.
Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA. 2012;307:491–7.
Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303:235–41.
Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295:1549–55.
Ogden CL, Fryar CD, Carroll MD, Flegal KM. Mean body weight, height, and body mass index, United States 1960–2002. Adv Data. 2004:1–17.
Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999–2000. JAMA. 2002;288:1723–7.
Singh GK, Siahpush M, Hiatt RA, Timsina LR. Dramatic increases in obesity and overweight prevalence and body mass index among ethnic-immigrant and social class groups in the United States, 1976–2008. J Community Health. 2011;36:94–110.
Wang Y, Beydoun MA. The obesity epidemic in the United States—gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29:6–28.
Bennett GG, Wolin KY, Askew S, Fletcher R, Emmons KM. Immigration and obesity among lower income blacks. Obesity (Silver Spring). 2007;15:1391–4.
Singh GK, Siahpush M. Ethnic-immigrant differentials in health behaviors, morbidity, and cause-specific mortality in the United States: an analysis of two national data bases. Hum Biol. 2002;74:83–109.
Barcenas CH, Wilkinson AV, Strom SS, et al. Birthplace, years of residence in the United States, and obesity among Mexican-American adults. Obesity (Silver Spring). 2007;15:1043–52.
Hazuda HP, Haffner SM, Stern MP, Eifler CW. Effects of acculturation and socioeconomic status on obesity and diabetes in Mexican Americans. The San Antonio Heart Study. Am J Epidemiol. 1988;128:1289–301.
Sundquist J, Winkleby MA. Cardiovascular risk factors in Mexican American adults: a transcultural analysis of NHANES III, 1988–1994. Am J Public Health. 1999;89:723–30.
Himmelgreen DA, Perez-Escamilla R, Martinez D, et al. The longer you stay, the bigger you get: length of time and language use in the U.S. are associated with obesity in Puerto Rican women. Am J Phys Anthropol. 2004;125:90–6.
Oza-Frank R, Cunningham SA. The weight of US residence among immigrants: a systematic review. Obes Rev: Off J Int Assoc Study Obes. 2010;11:271–80.
Holland AT, Palaniappan LP. Problems with the collection and interpretation of Asian-American health data: omission, aggregation, and extrapolation. Ann Epidemiol. 2012;22:397–405.
Center PR. The rise of Asian Americans, Updated Edition. Washington DC: Pew Research Center; 2013.
Hoeffel E, Rastogi S, Kim MO. The Asian population: 2010: US Census Bureau; 2012.
Schiller JS, Lucas JW, Ward BW, Peregoy JA. Summary health statistics for U.S. adults: National Health Interview Survey, 2010. Vital Health Stat Ser 10 Data Natl Health Surv. 2010;252:1–207.
Chandalia M, Lin P, Seenivasan T, et al. Insulin resistance and body fat distribution in South Asian men compared to Caucasian men. PLoS ONE. 2007;2:e812.
Araneta MR, Barrett-Connor E. Ethnic differences in visceral adipose tissue and type 2 diabetes: Filipino, African-American, and white women. Obes Res. 2005;13:1458–65.
Wen CP, David Cheng TY, Tsai SP, et al. Are Asians at greater mortality risks for being overweight than Caucasians? Redefining obesity for Asians. Public Health Nutr. 2009;12:497–506.
Wang S, Quan J, Kanaya AM, Fernandez A. Asian Americans and obesity in California: a protective effect of biculturalism. J Immigr Minor Health. 2011;13:276–83.
Sanchez-Vaznaugh EV, Kawachi I, Subramanian SV, Sanchez BN, Acevedo-Garcia D. Differential effect of birthplace and length of residence on body mass index (BMI) by education, gender and race/ethnicity. Soc Sci Med. 2008;67:1300–10.
Lauderdale D, Rathouz P. Body mass index in a US national sample of Asian Americans: effects of nativity, years since immgiration and socioeconomic status. Int J Obes. 2000;24:1118–94.
Goel MS, McCarthy EP, Phillips RS, Wee CC. Obesity among US immigrant subgroups by duration of residence. JAMA. 2004;292:2860–7.
Koya DL, Egede LE. Association between length of residence and cardiovascular disease risk factors among an ethnically diverse group of United States immigrants. J Gen Intern Med. 2007;22:841–6.
Park Y, Neckerman KM, Quinn J, Weiss C, Rundle A. Place of birth, duration of residence, neighborhood immigrant composition and body mass index in New York City. Int J Behav Nutr Phys Act. 2008;5:19.
Kaushal N. Adversities of acculturation? Prevalence of obesity among immigrants. Health Econ 2008;9999:n/a.
Oster A, Yung J. Dietary acculturation, obesity, and diabetes among Chinese immigrants in New York City. Diabetes Care. 2010;33:e109.
Rajpathak SN, Wylie-Rosett J. High prevalence of diabetes and impaired fasting glucose among Chinese immigrants in New York City. J Immigr Minor Health. 2011;13:181–3.
Albrecht SS, Roux AV, Kandula NR, Osypuk TL, Ni H, Shrager S. Immigrant assimilation and BMI and waist size: a longitudinal examination among hispanic and chinese participants in the multi-ethnic study of atherosclerosis. Obesity (Silver Spring) 2012.
Sin MK, Chae YR, Choe MA, Murphy P, Kim J, Jeon MY. Perceived health, life satisfaction, and cardiovascular risk factors among elderly Korean immigrants and elderly Koreans. J Gerontol Nurs. 2011;37:43–52.
Cho J, Juon HS. Assessing overweight and obesity risk among Korean Americans in California using World Health Organization body mass index criteria for Asians. Prev Chronic Dis. 2006;3:A79.
Lesser IA, Gasevic D, Lear SA. The association between acculturation and dietary patterns of South Asian immigrants. PLoS ONE. 2014;9:e88495.
Klatsky AL, Armstrong MA. Cardiovascular risk factors among Asian Americans living in Northern California. Am J Public Health. 1991;81:1423–8.
Bates LM, Acevedo-Garcia D, Alegria M, Krieger N. Immigration and generational trends in body mass index and obesity in the United States: results of the National Latino and Asian American Survey, 2002–2003. Am J Public Health. 2008;98:70–7.
Kaushal N. Adversities of acculturation? Prevalence of obesity among immigrants. Health Econ 2008.
Survey CHI. CHIS 2003 methodlogy series: report 4—response rates. Los Angeles, CA: UCLA Center for Health Policy Research; 2004.
Survey CHI. CHIS 2005 Methodology Series: Report 4 - Response Rates. Los Angeles, CA: UCLA Center for Health Policy Research 2006.
Survey CHI. CHIS 2001 Methodology Series Report 4 - Response Rates. Los Angeles, CA: UCLA Center for Health Policy Research; 2002.
Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.
Standards of medical care in diabetes–2006. Diabetes Care. 2006;29 Suppl 1:S4–42. 44.
Williams DR. Race and health: basic questions, emerging directions. Ann Epidemiol. 1997;7:322–33.
Buhmann B, Rainwater L, Schmaus G, Smeeding T. Equivalence scales, well being, inequality, and poverty: Sensitivity estimates across ten countries using the Luxembourg Income Study database. Rev Income Wealth. 1988;34:115–42.
Lee WP, Lingard J, Bermingham M. Change in diet and body mass index in Taiwanese women with length of residence in Australia. Asia Pac J Clin Nutr. 2007;16:56–65.
Bureau UC. Race reporting for the Asian population by selected categories. Washington, DC: US Census Bureau; 2010.
Bureau UC. 2010–2012 American Community Survey 3-year estimates: Asian Alone by Selected Groups; 2012.
Gupta R, Guptha S, Gupta VP, Agrawal A, Gaur K, Deedwania PC. Twenty-year trends in cardiovascular risk factors in India and influence of educational status. Eur J Prev Cardiol. 2012;19:1258–71.
Wang Y, Chen HJ, Shaikh S, Mathur P. Is obesity becoming a public health problem in India? Examine the shift from under- to overnutrition problems over time. Obes Rev Off J Int Assoc Study Obes. 2009;10:456–74.
Acevedo-Garcia D, Sanchez-Vaznaugh EV, Viruell-Fuentes EA, Almeida J. Integrating social epidemiology into immigrant health research: a cross-national framework. Soc Sci Med. 2012;75:2060–8.
Study CHI. CHIS 2003 Benchmarking of key estimates with those from the National Health Interview Survey and the Medical Expenditure Panel Survey: UCLA Center for Health Policy Research; 2008.
Gillum RF, Sempos CT. Ethnic variation in validity of classification of overweight and obesity using self-reported weight and height in American women and men: the Third National Health and Nutrition Examination Survey. Nutr J. 2005;4:27.
Stewart AW, Jackson RT, Ford MA, Beaglehole R. Underestimation of relative weight by use of self-reported height and weight. Am J Epidemiol. 1987;125:122–6.
Connor Gorber S, Tremblay M, Moher D, Gorber B. A comparison of direct versus self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev: Off J Int Assoc Study Obes. 2007;8:307–26.
Villanueva EV. The validity of self-reported weight in US adults: a population based cross-sectional study. BMC Public Health. 2001;1:11.
Braveman PA, Cubbin C, Egerter S, et al. Socioeconomic status in health research: one size does not fit all. JAMA. 2005;294:2879–88.
Acknowledgments
This study was supported by funding from the Kellogg Health Scholars Program and support from the Kaiser Permanente’s Chris Burch Minority Leadership Program provided to Dr. Sanchez-Vaznaugh. The authors retain full responsibility for the content of this article, and acknowledge the content does necessarily represent the official views of the aforementioned funders. LGR, EVSV, and BSN declare no financial competing interests. The authors thank Dr. Dolly John, Harvard School of Public Health for providing critical review and feedback on earlier versions of this manuscript.
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Rosas, L.G., Sanchez-Vaznaugh, E.V. & Sánchez, B.N. Nativity, US Length of Residence, and BMI Among Diverse Asian American Ethnic Groups. J Immigrant Minority Health 17, 1496–1503 (2015). https://doi.org/10.1007/s10903-014-0096-6
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DOI: https://doi.org/10.1007/s10903-014-0096-6