Overweight, Elevated Blood Pressure, Acanthosis Nigricans and Adherence to Recommended Dietary and Physical Activity Guidelines Among Hmong and White Middle School Students
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This cross-sectional study was conducted among low-income middle-school students (N = 426) in rural northern California to compare rates of overweight, elevated blood pressure and acanthosis nigricans (AN) between Hmong and white students. Associations among rates of overweight, elevated blood pressure, AN, and scores for adherence to recommended dietary guidelines were also examined. Fifty-two percent (52 %) of white students were overweight/obese compared to 38 % of Hmong students. Higher fruit consumption was associated with a lower BMI among white, but not Hmong students. Whereas 7 % of white students were classified as pre-hypertensive/hypertensive, the rate for Hmong students was 17 %. Additionally, at 13 versus 2 %, six-fold more Hmong students had an elevated blood pressure with a normal BMI compared to white students, respectively. Ethnicity was also an independent predictive factor for AN. Hmong students appear to be at higher risk for both hypertension and AN than white students irrespective of BMI.
- Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of high body mass index in US children and adolescents, 2007–2008. J Am Med Assoc. 2010;303(3):242–9. CrossRef
- Harrison GG, Kagawa-Singer M, Foerster SB, et al. Seizing the moment: California’s opportunity to prevent nutrition-related health disparities in low-income Asian American population. Cancer. 2005;104(12 Suppl):2962–8. CrossRef
- System UDH. Super-sizing Asian Americans. 2004. http://www.universityofcalifornia.edu/news/article/6707. Accessed on 4 Feb 2012.
- Agency for Healthcare Research and Quality US. Department of Health and Human Services. Diabetes disparities among racial and ethnic minorities fact sheet. 2001. http://www.ahrq.gov/research/diabdisp.htm. Accessed on 10 Feb 2012.
- Jahar TH. Children, obesity, and high blood pressure: Asian populations at high risk. Am J Hypertens. 2009;22(1):6–7. CrossRef
- Culhane-Pera KA, Her C, Her B. “We are out of balance here”: a Hmong cultural model of diabetes. J Immigr Minor Health. 2007;9(3):179–90. CrossRef
- Her C, Mundt M. Risk prevalence for type 2 diabetes mellitus in adult Hmong in Wisconsin: a pilot study. WI Med J. 2005;104(5):70–7.
- Culhane-Pera KA, Moua M, DeFor TA, Desai J. Cardiovascular disease risks in Hmong refugees from Wat Tham Krabok, Thailand. J Immigr Minor Health. 2009;11(5):372–9. CrossRef
- The Hmong. An introduction to their history and culture. http://www.cal.org/co/hmong/htoc.html. Accessed on 2 Feb 2012.
- Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. J Am Med Assoc. 2004;291(17):2107–13. CrossRef
- Burke JP, Hale DE, Hazuda HP, Stern MP. A quantitative scale of acanthosis nigricans. Diabetes Care. 1999;22(10):1655–9. CrossRef
- Mukhtar Q, Cleverley G, Voorhees RE, McGrath JW. Prevalence of acanthosis nigricans and its association with hyperinsulinemia in New Mexico adolescents. J Adolesc Health. 2001;28(5):372–6. CrossRef
- Yamazaki H, Ito S, Yoshida H. Acanthosis nigricans is a reliable cutaneous marker of insulin resistance in obese Japanese children. Pediatr Int. 2003;45(6):701–5. CrossRef
- Wolff C, Hoang S, Flannery D, Wermuth L. A preliminary study of diet, overweight, elevated blood pressure, and acanthosis nigricans among K-9th grade Native American students. CA J Health Promot. 2006;4(4):77–87.
- Munger RG, Gomez-Marin O, Prineas RJ, Sinaiko AR. Elevated blood pressure among Southeast Asian refugee children in Minnesota. Am J Epidemiol. 1991;133(12):1257–65.
- McCarty DJ. Glucose intolerance in Wisconsin’s Hmong population. WI Med J. 2005;104(5):13–4.
- Marty K, Wolff C, Morgan I. Overweight, diet, physical activity, and hypertension in low-income school-aged children. CA J Health Prom. 2006;4(2):47–58.
- McMurray RG, Harrell JS, Bangdiwala SI, Bradley CB, Deng S, Levine A. A school-based intervention can reduce body fat and blood pressure in young adolescents. J Adolesc Health. 2002;31(2):125–32. CrossRef
- Story M, Harris LJ. Food preferences, beliefs, and practices of Southeast Asian refugee adolescents. J Sch Health. 1988;58(7):273–6. CrossRef
- Carter SGK, Schuldberg J, Wolff C. Perceived barriers to dietary and physical activity changes in ethnically diverse middle school students. CA J Health Promot. 2007;5(4):21–31.
- Voorhees J, Goto K, Bianco-Simeral S, Wolff C. Impact of the Harvest of the Month program on low income Hmong and white middle school students. J Nutr Educ Behav. 2011;43(2 Suppl 4):S152–4.
- Cullen K, Baranowski T, et al. Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children’s dietary behavior. J Health Educ Behav. 2003;30(5):615–26. CrossRef
- Baranowski T, Davis M, Resnicow K, Baranowski J, Doyle C, Smith M, Lin L, Wang DT. Gimme 5 fruit and vegetables for fun and health: outcome evaluation. J Health Educ Behav. 2000;27(1):96–111. CrossRef
- Hoelscher DM, Day RS, Kelder SH, Ward JL. Reproducibility and validity of the secondary level school-based nutrition monitoring student questionnaire. J Am Diet Assoc. 2003;103(2):186–94. CrossRef
- The Network for a Healthy California. California Department of Public Health Impact Evaluation. Handbook a guide for network for a healthy California local incentive awards. 2010.
- USDA. Report of the dietary guidelines advisory committee on the dietary guidelines for Americans. 2010.
- Barlow SE, Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120(suppl 4):S164–92. CrossRef
- Kidney Disease Outcomes Quality Initiative. Clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease. Am J Kidney Dis. 2004;43(5 Suppl 1):S1–290.
- U.S. Department of Health and Human Services. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(2 Suppl 4th Report):555–76.
- Ogden C, Carroll M. Prevalence of obesity among children and adolescents: United States. Trends 1963–1965 through 2007–2008. Retrieved May 2011.
- U.S Department of Health and Human Services. Diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. http://www.nhlbi.nih.gov/health/prof/heart/hbp/hbp_ped.pdf. Accessed 12 Feb 2012.
- Kim L, Harrison G, Kagawa-Singer M. Perceptions of diet and physical activity among California Hmong adults and youths. Prev Chronic Dis. 2007;4(4):1–12.
- Goto K, Vue WM, Xiong T, Wolff C. Divergent perspectives on food, culture and health among Hmong mothers with middle school children. Food Culture Soc. 2010;13(2):181–200.
- Overweight, Elevated Blood Pressure, Acanthosis Nigricans and Adherence to Recommended Dietary and Physical Activity Guidelines Among Hmong and White Middle School Students
Journal of Immigrant and Minority Health
Volume 16, Issue 2 , pp 273-279
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