Abstract
Obesity has been declared a global epidemic by the World Health Organization, and rates have also been rising among Asian Americans. In this chapter, we will discuss how obesity is defined and measured and if current definitions of obesity apply to Asian Americans; how prevalent obesity is among Asian Americans; why obesity is such a major public health concern today; what factors increase risk for obesity especially in the Asian American population; and ideas for future research.
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References
Abrams, P., & Katz, L. E. L. (2011). Metabolic effects of obesity causing disease in childhood. Current Opinion in Endocrinology, Diabetes, and Obesity, 18(1), 23–27.
Afable-Munsuz, A., Ponce, N. A., RodrÃguez, M., & Perez-Stable, E. J. (2010). Immigrant generation and physical activity among Mexican, Chinese & Filipino adults in the U.S. Social Science & Medicine, 70(12), 1997–2005.
Anderson, S. E., & Whitaker, R. C. (2009). Prevalence of obesity among U.S. preschool children in different racial and ethnic groups. Archives of Pediatrics & Adolescent Medicine, 163(4), 344–348.
Au, L., Kwong, K., Chou, J. C., Tso, A., & Wong, M. (2009). Prevalence of overweight and obesity in Chinese American children in New York City. Journal of Immigrant and Minority Health, 11(5), 337–341. Epub 2009 Jan 21.
Björntorp, P., & Rosmond, R. (2000). Obesity and cortisol. Nutrition, 16(10), 924–936.
Block, J. P., He, Y., Zaslavsky, A. M., Ding, L., & Ayanian, J. Z. (2009). Psychosocial stress and change in weight among U.S. adults. American Journal of Epidemiology, 170(2), 181–192.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.
Canoy, D. (2010). Coronary heart disease and body fat distribution. Current Atherosclerosis Reports, 12(2), 125–133.
Centers for Disease Control and Prevention [CDC]. (2012). Obesity and overweight for professionals: Adult defining. Retrieved (n.d.) from http://www.cdc.gov/obesity/adult/defining.html
Centers for Disease Control and Prevention [CDC]. (2011). Web-based injury statistics query and reporting system (WISQARS). Retrieved (n.d.).
Centers for Disease Control and Prevention [CDC]. (2010). Growth charts. Retrieved (n.d.) from http://www.cdc.gov/growthcharts/cdc_charts.htm
Chambers, E. C., Tull, E. S., Fraser, H. S., Mutunhu, N. R., Sobers, N., & Niles, E. (2004). The relationship of Âinternalized racism to body fat distribution and insulin resistance among African adolescent youth. Journal of the National Medical Association, 96(12), 1594–1598.
Chandola, T., Brunner, E., & Marmot, M. (2006). Chronic stress at work and the metabolic syndrome: A prospective study. British Medical Journal, 332(7540), 521–525.
Conway, B., & Rene, A. (2004). Obesity as a disease: No lightweight matter. Obesity Reviews, 5(3), 145–151.
Cui, Z., Huxley, R., Wu, Y., & Dibley, M. J. (2010). Temporal trends in overweight and obesity of children and adolescents from nine Provinces in China from 1991-2006. International Journal of Pediatric Obesity, 5 (5), 365–374.
Dallman, M. F., Pecoraro, N. C., & la Fleur, S. E. (2005). Chronic stress and comfort foods: Self-medication and abdominal obesity. Brain, Behavior, and Immunity, 19(4), 275–280.
Després, J.-P., Arsenault, B. J., Côté, M., Cartier, A., & Lemieux, I. (2008). Abdominal obesity: The cholesterol of the 21st century? The Canadian Journal of Cardiology, 24(Suppl. D), 7D–12D [Review].
Drenowski, A. (2010). The cost of U.S. foods as related to their nutritive value. The American Journal of Clinical Nutrition, 92(5), 1181–1188.
Finkelstein, E. A., Trogdon, J. G., Cohen, J. W., & Dietz, W. (2009). Annual medical spending attributable to obesity: Payer- and service-specific estimates. Health Affairs, 28(5), w822–w831.
Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among U.S. adults, 1999-2008. Journal of the American Medical Association, 303(3), 235–241.
Franzen, L., & Smith, C. (2009). Acculturation and environmental change impacts dietary habits among adult Hmong. Appetite, 52(1), 73–83.
Garrow, J. S. (1988). Obesity and related diseases. New York: Churchill Livingstone.
Gee, G. C., & Payne-Sturges, D. C. (2004). Environmental health disparities: A framework integrating psychosocial and environmental concepts. Environmental Health Perspectives, 112(17), 1645–1653.
Gee, G. C., Ro, A., Gavin, A., & Takeuchi, D. T. (2008). Disentangling the effects of racial and weight discrimination on body mass index and obesity among Asian Americans. American Journal of Public Health, 98(3), 493–500.
Goyal, R. K., Shah, V. N., Saboo, B. D., Phatak, S. R., Shah, N. N., Gohel, M. C., Raval, P. B., et al. (2010). Prevalence of overweight and obesity in Indian adolescent school going children: Its relationship with socioeconomic status and associated lifestyle factors. Journal of Association of Physicians of India, 58 , 151–158.
Grummer-Strawn, L. M., Reinold, C., & Krebs, N. F. (2010). Use of World Health Organization and CDC growth charts forchildren aged 0-59 months in the United States. Morbidity and Mortality Weekly Report. Recommendations and Reports, 59(RR-9), 1–15.
Gu, D., He, J., Duan, X., Reynolds, K., Wu, Z., Chen, J., Guangyong, H., et al. (2006). Body weight and mortality among men and women in China. Journal of the American Medical Association, 295(7), 776–783.
Harrison, G. G., Kagawa-Singer, M., Foerster, S. B., Lee, H., Kim, L. P., Nguyen, T.-U., Fernandez-Ami, A., et al. (2005). Seizing the moment: California’s opportunity to prevent nutrition-related health disparities in low-income Asian American population. Cancer, 15(Suppl. 12), 2962–2968.
Heymsfield, S., Lohman, T., Wang, Z., & Going, S. (2005). Human body composition (2nd ed.). Champaign, IL: Human Kinetics.
Hill, T. D., Ross, C. E., & Angel, R. J. (2005). Neighborhood disorder, psychophysiological distress, and health. Journal of Health and Social Behavior, 46(2), 170–186.
Hyslop, A. E., Deinard, A. S., Dahlberg-Luby, E., & Himes, J. H. (1996). Growth patterns of first-generation Southeast Asian Americans from birth to 5 years of age. The Journal of the American Board of Family Practice, 9 (5), 328–335.
Inagami, S., Cohen, D. A., Finch, B. K., & Asch, S. M. (2006). You are where you shop: Grocery store locations, weight, and neighborhoods. American Journal of Preventive Medicine, 31(1), 10–17.
Jee, S. H., Sull, J. W., Park, J., Lee, S.-Y., Ohrr, H., Guallar, E., & Samet, J. M. (2006). Body-mass index and mortality in Korean men and women. The New England Journal of Medicine, 355(8), 779–787.
Jeffery, R. W., & French, S. A. (1998). Epidemic obesity in the United States: Are fast foods and television viewing contributing? American Journal of Public Health, 88(2), 277–280.
Jeffery, R. W., & Utter, J. (2003). The changing environment and population obesity in the United States. Obesity Research, 11(Suppl.), 12S–22S.
Jerome, N. W., Kandel, R. F., & Pelto, G. H. (1980). Nutrition anthropology. Contemporary approaches to diet and culture. Pleasantville, NY: Redgrave.
Kim, J., & Chan, M. M. (2004). Acculturation and dietary habits of Korean Americans. British Journal of Nutrition, 91(3), 469–478.
Kivimäki, M., Batty, G. D., Singh-Manoux, A., Nabi, H., Tabak, A. G., Akbaraly, T. N., Vahtera, J., et al. (2009). Association between common mental disorder and obesity over the adult life course. The British Journal of Psychiatry, 195(2), 149–155.
Kivimäki, M., Head, J., Ferrie, J. E., Shipley, M. J., Brunner, E. J., Vahtera, J., et al. (2006). Work stress, weight gain and weight loss: Evidence for bidirectional effects of job strain on body mass index in the Whitehall II study. International Journal of Obesity, 30, 982–987.
Kohli, S., Sniderman, A. D., Tchernof, A., & Lear, S. A. (2010). Ethnic-specific differences in abdominal subcutaneous adipose tissue compartments. Obesity, 18, 2177–2183.
Kudo, Y., Falciglia, G. A., & Couch, S. C. (2000). Evolution of meal patterns and food choices of Japanese-American females born in the United States. European Journal of Clinical Nutrition, 54 (8), 665–670.
Lear, S. A., Humphries, K. H., Kohli, S., Chockalingam, A., Frohlich, J. J., & Birmingham, C. L. (2007). Visceral adipose tissue accumulation differs according to ethnic background: Results of the Multicultural Community Health Assessment Trial (M-CHAT). American Journal of Clinical Nutrition, 86(2), 353–359.
Lee, S. K., Sobal, J., & Frongillo, E. A., Jr. (2000). Acculturation and health in Korean Americans. Social Science & Medicine, 51(2), 159–173.
Lemmens, S. G., Rutters, F., Born, J. M., & Westerterp-Plantenga, M. S. (2011). Stress augments food ‘wanting’ and energy intake in visceral overweight subjects in the absence of hunger. Physiology and Behavior, 103(2), 157–163.
Liou, D., & Bauer, K. D. (2007). Exploratory investigation of obesity risk and prevention in Chinese Americans. Journal of Nutrition Education and Behavior, 39(3), 134–141.
Liu, A., Berhane, Z., & Tseng, M. (2010). Improved dietary variety and adequacy but lower dietary moderation with acculturation in Chinese women in the United States. Journal of the American Dietetic Association, 110(3), 457–462.
Los Angeles County Department of Public Health. (2010). Trends in diabetes: A reversible public health crisis. Retrieved April 28, 2011, from http://www.publichealth.lacounty.gov/ha/reports/habriefs/2007/diabetes/Diabetes_Secure/Diabetes_2010_6pg_Sfinal.pdf.
Lovasi, G. S., Hutson, M. A., Guerra, M., & Neckerman, K. M. (2009). Built environments and obesity in disadvantaged populations. Epidemiologic Reviews, 31(1), 7–20.
Ludwig, D. S., Peterson, K. E., & Gortmaker, S. L. (2001). Relation between consumption of sugar-sweetened drinks and childhood obesity: A prospective, observational analysis. The Lancet, 357(9255), 505–508.
Lumeng, J. C., Forrest, P., Appugliese, D. P., Kaciroti, N., Corwyn, R. F., & Bradley, R. H. (2010). Weight status as a predictor of being bullied in third through sixth grades. Pediatrics, 125, e1301–e1307.
Lv, N., & Brown, J. L. (2010). Chinese American family food systems: Impact of Western influences. Journal of Nutrition Education and Behavior, 42(2), 106–114.
Mattei, J., Demissie, S., Falcon, L. M., Ordovas, J. M., & Tucker, K. (2010). Allostatic load is associated with chronic conditions in the Boston Puerto Rican Health Study. Social Science & Medicine, 70(12), 1988–1996.
McLaren, L. (2007). Socioeconomic status and obesity. Epidemiologic Reviews, 29(1), 29–48.
McNamara, S. (2000). Stress in young people: What’s new and what can we do? London: Continuum.
Morland, K., Wing, S., Diez-Roux, A., & Poole, C. (2002). Neighborhood characteristics associated with the location of food stores and food service places. American Journal of Preventive Medicine, 22(1), 23–29.
Nelson, T. F., Gortmaker, S. L., Subramanian, S. V., Cheung, L., & Wechsler, H. (2007). Disparities in overweight and obesity among US college students. American Journal of Health Behavior, 31(4), 363–373.
NIH, & NHLBI Obesity Education Initiative. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Retrieved http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.pdf.
Norman, S., Castro, C., Albright, C., & King, A. (2004). Comparing acculturation models in evaluating dietary habits among low-income Hispanic women. Ethnicity & Disease, 14(3), 399–404.
Odegaard, A. O., Koh, W.-P., Vazquez, G., Arakawa, K., Lee, H.-P., Yu, M. C., & Pereira, M. A. (2009). BMI and diabetes risk in Singaporean Chinese. Diabetes Care, 32(6), 1104–1106.
Ogden, C., & Carroll, M. (2010). Prevalence of obesity among children and adolescents: United States, trends 1963–1965 through 2007–2008. NCHS Health E-Stat.
Ogden, C. L., Lamb, M. M., Carroll, M. D., & Flegal, K. M. (2010a). Obesity and socioeconomic status in children and adolescents: United States, 2005-2008. National Center for Health Statistics Data Brief, 51, 1–8.
Ogden, C. L., Lamb, M. M., Carroll, M. D., & Flegal, K. M. (2010b). Obesity and socioeconomic status in adults: United States, 2005-2008. National Center for Health Statistics Data Brief, 50, 1–8.
Palaniappan, L. P., Wong, E. C., Shin, J. J., Fortmann, S. P., & Lauderdale, D. S. (2010). Asian Americans have greater prevalence of metabolic syndrome despite lower body mass index. International Journal of Obesity (London), 35(3), 393–400.
PHFE WIC. (2010, August). WIC data 2003-2009: A report on low-income families with young children in Los Angeles County.
Portes, A., & Zhou, M. (1993). The new second generation: Segmented assimilation and its variants. Annals of American Academy of Political and Social Sciences, 530, 74–96.
Razak, F., Anand, S. S., Shannon, H., Vuksan, V., Davids, B., Jacobs, R., McQueen, M., et al. (2007). Defining Obesity Cut Points in a Multiethnic Population. Circulation, 115(16), 2111–2118.
Razak, F., Anand, S. S., Vuksan, V., Davids, B., Jacobs, R., Teo, K. K., et al. (2005). Ethnic differences in the Ârelationships between obesity and glucose-metabolic Âabnormalities: A cross-sectional population-based study. International Journal of Obesity and Related Metabolic Disorders, 29 (6), 656–667.
Redinger, R. N. (2009). Fat storage and the biology of energy expenditure. Translational Research, 154(2), 52–60. Epub 2009 Jun 11.
Region, W. P. (2000). WHO: The Asia-Pacific perspective: Redefining obesity and its treatment. Geneva: World Health Organization, Western Pacific Regional Office.
Satia, J. A. (2010). Dietary acculturation and the nutrition transition: An overview. Applied Physiology, Nutrition, and Metabolism, 35(2), 219–223.
Scott, K. M., McGee, M. A., Wells, J. E., & Browne, M. A. O. (2008). Obesity and mental disorders in the adult general population. Journal of Psychosomatic Research, 64 (1), 97–105.
Shabbir, S., Kwan, D., Wang, M. C., Shih, M., & Simon, P. A. (2010). Asians and Pacific Islanders and the growing childhood obesity epidemic. Ethnicity & Disease, 20(2), 129–135.
Shah, A. M., Guo, L., Magee, M., Cheung, W., Simon, M., LaBreche, A., & Liu, H. (2010). Comparing selected measures of health outcomes and health-seeking behaviors in Chinese, Cambodian, and Vietnamese communities of Chicago: Results from local health surveys. Journal of Urban Health, 87(5), 813–826.
Singh, G. K., Kogan, M. D., & Yu, S. M. (2009). Disparities in obesity and overweight prevalence among US immigrant children and adolescents by generational status. Journal of Community Health, 34(4), 271–281.
Singh, A. S., Mulder, C., Twisk, J. W., van Mechelen, W., & Chinapaw, M. J. M. (2008). Tracking of childhood overweight into adulthood: A systematic review of the literature. Obesity Reviews, 9(5), 474–488.
Sukalakamala, S., & Brittin, H. C. (2006). Food practices, changes, preferences, and acculturation of Thais in the United States. Journal of the American Dietetic Association, 106(1), 103–108.
Taylor, A. H., & Dorn, L. (2006). Stress, fatigue, health, and risk of road traffic accidents among professional drivers: The contribution of physical inactivity. Annual Review of Public Health, 27, 371–391.
Timko, C., Moos, R. H., & Michelson, D. J. (1993). The contexts of adolescents’ chronic life stressors. American Journal of Community Psychology, 21 (4), 397–420.
Tsugane, S., Sasaki, S., & Tsubono, Y. (2002). Under- and overweight impact on mortality among middle-aged Japanese men and women: A 10-y follow-up of JPHC study cohort I. International Journal of Obesity and Related Metabolic Disorders, 26(4), 529–537.
Tsugane, S., Sasaki, S., & Tsubono, Y. (2002). Under- and overweight impact on mortality among middle-aged Japanese men and women: A 10-y follow-up of JPHC study cohort I. International Journal of Obesity and Related Metabolic Disorders, 26 (4), 529–537.
Wang, M. C., & Crespi, C. M. (2011). The influence of childhood and adolescent environmental exposure to a westernized environment on the relationship between BMI and adiposity in young Asian American women. The American Journal of Clinical Nutrition Mar 9. [Epub ahead of print] PubMed PMID: 21389179.
Wang, S., Quan, J., Kanaya, A. M., & Fernandez, A. (2010). Asian Americans and obesity in California: A protective effect of biculturalism. Journal of Immigrant and Minority Health, 13(2), 276–283.
Wang, J., Thornton, J. C., Russell, M., Burastero, S., Heymsfield, S., & Pierson, R. N., Jr. (1994). Asians have lower body mass index (BMI) but higher fat% than whites: Comparisons of anthropometric measurements. The American Journal of Clinical Nutrition, 60(1), 23–28.
WHO/IASO/IOTF. (2000). WHO: The Asia-Pacific perspective: Redefining obesity and its treatment. Geneva: World Health Organization, Western Pacific Regional Office.
Winkleby Marilyn, A., Jatulis, D. E., Frank, E., & Fortmann, S. P. (1992). Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease. American Journal of Public Health, 82(6), 816–820.
World Health Organization. (2000). Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894.
World Health Organization. (n.d.). The WHO Child Growth Standards. Retrieved (n.d.) from http://www.who.int/childgrowth/en/
Yang, E. J., Chung, H. K., Kim, W. Y., Bianchi, L., & Song, W. O. (2007). Chronic diseases and dietary changes in relation to Korean Americans’ length of residence in the United States. Journal of the American Dietetic Association, 107(6), 942–950.
Ye, J., Rust, G., Baltrus, P., & Daniels, E. (2009). Cardiovascular risk factors among Asian Americans: Results from a National Health Survey. Annals of Epidemiology, 19(10), 718–723.
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Wang, M.C. (2013). Obesity and Asian Americans: Prevalence, Risk Factors, and Future Research Directions. In: Yoo, G., Le, MN., Oda, A. (eds) Handbook of Asian American Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2227-3_18
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