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Body fat distribution in Alaskan Eskimos of the Bering Straits region: the Alaskan Siberia Project

Abstract

OBJECTIVE: To describe the body fat content and distribution of adult Alaska Natives of the Bering Straits Region.

DESIGN: Cross-sectional screening in the spring of 1994.

SUBJECTS: 454 non-pregnant native residents from four rural Alaskan villages.

MEASUREMENTS: Height, weight, waist, hip and thigh circumference, bioelectrical impedance, sagittal abdominal diameter, and triceps, biceps, suprailiac, subscapular and thigh skinfolds.

RESULTS: Mean height, weight and subscapular-to-triceps ratio were higher in men than women. The women had larger waist, hip and thigh circumferences, higher body fatness, as well as larger skinfolds than the men. There were no demonstrable differences between men and women in measures of body fat distribution. The proportions of women and men with high waist-to-hip ratio (≥0.8 for women, ≥0.9 for men) for low (<25 kg/m2), medium (25–30 kg/m2) and high (>30 kg/m2) body mass index (BMI) groups were compared with a Canadian study of all races.1 In the lowest BMI subgroup (<25 kg/m2) a much higher proportion of Eskimo women exhibited a high waist-to-hip ratio (91%) than Eskimo men (42%) or Canadian women (29%) or men (51%). In the highest BMI subgroup (>30 kg/m2) Eskimo women were similar in proportion of high waist-to-hip ratio (99%) compared to Eskimo men (100%), but still demonstrated a much greater proportion of subjects with high waist-to-hip ratio than either Canadian men (90%) or women (76%).

CONCLUSIONS: The large abdominal fat depots found in Eskimo women were similar to men, and may indicate that future increases in diabetes mellitus and other metabolic alterations can be anticipated.

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References

  1. Reeder BA, Angel A, Ledoux M, Rabkin SW, Young TK, Sweet LET . Obesity and its relation to cardiovascular disease risk factors in Canadian adults Can Med Assoc 1992 146 (11): 2009–2019.

    CAS  Google Scholar 

  2. Crepaldi G, Belfiore F, Bosello O, Caviezel F, Contaldo F, Enzi G, Melchionda N . Special report: Italian consensus conference—overweight, obesity and health Int J Obes 1991 15: 781–790.

    CAS  PubMed  Google Scholar 

  3. Kissebath AH, Freedman DS, Peiris AN . Health risks of obesity Med Clin N Am 1989 73 (1): 111–138.

    Article  Google Scholar 

  4. National Institutes of Health . Health implications of obesity Conn Med 1986 50 (3): 171–176.

    Google Scholar 

  5. Pi-Sunyer FX . Medical hazards of obesity Ann Intern Med 1993 119 (7 Pt 2): 655–660.

    Article  CAS  Google Scholar 

  6. Sjostrom LV . Morbidity of severely obese subjects Am J Clin Nutr 1992 55 (Suppl): S508–S515.

    Article  Google Scholar 

  7. Bouchard C, Despres JP, Mauriege P . Genetic and nongenetic determinants of regional fat distribution Endocrine Rev 1993 14 (1): 72–93.

    Article  CAS  Google Scholar 

  8. Hattori K, Numata N, Ikoma M, Matsuzaka A, Danielson RR . Sex differences in the distribution of subcutaneous and internal fat Hum Biol 1991 63 (1): 53–63.

    CAS  PubMed  Google Scholar 

  9. Kotani K, Tokunaga, Fujioka S, Kobatake T, Keno Y, Yoshida S, Shimomura I, Tarui S, Matsuzawa Y . Sexual dimorphism of age-related changes in whole-body fat distribution in the obese Int J Obes 1994 18: 207–212.

    CAS  Google Scholar 

  10. Wang J, Thornton JC, Russell M, Burastero S, Heymsfield S, Pierson RN . Asians have lower body mass index (BMI) but higher percent body fat than do whites: Comparisons of anthropometric measurements Am J Clin Nutr 1994 60: 23–28.

    Article  CAS  Google Scholar 

  11. Conway JM . Ethnicity and energy stores Am J Clin Nutr 1995 62 (Suppl): S1067–S1071.

    Article  Google Scholar 

  12. Larsson B . Regional obesity as a health hazard in men—prospective studies Acta Med Scand 1988 (Suppl 723): S45–S51.

  13. Stokes J, Garrison R, Kannel WB . The independent contribution of various indices of obesity in the 22-year incidence of coronary heart disease: The Framingham study. In: Vague J (ed.) Metabolic complications of human obesity. Elsevier: Amsterdam 1985, pp 49–57.

    Google Scholar 

  14. Donahue RP, Abbot RD, Bloom E, Reed DM, Yano K . Central obesith and coronary heart disease in men Lancet 1987 April 11: 821–824.

    Article  Google Scholar 

  15. Ducimetiere P, Richard J, Cambien F . The pattern of subcutaneous fat distribution in middle-aged men and the risk of coronary heart disease: The Paris prospective study Int J Obes 1986 10: 229–240.

    CAS  PubMed  Google Scholar 

  16. Hartz AJ, Rupley DC, Kalkhoff RD, Rimm AA . Relationship of obesity to diabetes: Influence of obesity level and body fat distribution Prevent Med 1983 12: 351–357.

    Article  CAS  Google Scholar 

  17. Hartz AJ, Rupley DC, Rimm AA . The association of girth measurements with disease in 32,856 women Am J Epidemiol 1984 119 (1): 71–80.

    Article  CAS  Google Scholar 

  18. Bjorntorp P . The associations between obesity, adipose tissue distribution and disease Acta Med Scand 1988 723 (Suppl): S121–S134.

    Google Scholar 

  19. Bjorntorn P . Abdominal fat distribution and disease: An overview of epidemiological data Ann Intern Med 1992 24: 15–18.

    Article  Google Scholar 

  20. Stern HP, Haffner SM . Body fat distribution and hyperinsulinemia as risk factors for diabetes and cardiovascular disease Arteriosclerosis 1986 6: 123–130.

    Article  CAS  Google Scholar 

  21. Lapidus L, Bengtsson C . Regional obesity as a health hazard in women—a prospective study Acta Med Scand 1988 723 (Suppl): S53–S59.

    Google Scholar 

  22. Davidson M, Bulkow L, Gellin BG . Cardiac mortality in Alaska's indigenous and non-native residents Int J Epimiol 1993 22: 62–71.

    Article  CAS  Google Scholar 

  23. Schraer CD, Adler AI, Mayer AM, Halderson KR, Trimble BA . Diabetes complications and mortality among Alaska Natives: 8 years of observation Diabetes Care 1997 20: 314–321.

    Article  CAS  Google Scholar 

  24. Ebbesson SOE, Schraer C, Risica PM, Adler AI, Ebbesson L, Mayer AM, Shubnikof EV, Yeh J, Go OT, Robbins DC . Diabetes mellitus and impaired glucose tolerance in three Alaskan Eskimo populations: The Alaska-Siberia Project Diabetes Care 1998 21 (4): 563–569.

    Article  CAS  Google Scholar 

  25. Schraer CD, Ebbesson SOE, Boyko E, Nobmann E, Adler A, Cohen J . Hypertension and diabetes among Siberian Yupik Eskimos of St. Lawrence Island, Alaska Public Health Rep 1996 111 (2): 51–52.

    PubMed  PubMed Central  Google Scholar 

  26. Ebbesson SOE, Schraer C, Nobmann ED, Ebbesson LOE . Lipoprotein profiles in Alaskan Siberian Yupik Eskimos Arct Med Res 1996 55: 165–173.

    CAS  Google Scholar 

  27. Williamsnon DF, Kahn HS, Worthman CM, Burnette JC, Russell CM . Precision of recumbent anthropometry Am J Hum Biol 1993 15: 159–167.

    Article  Google Scholar 

  28. Welty TK, Lee ET, Yeh J, Cowan LD, Go O, Fabsitz RR, Le NA, Oopik AJ, Robbins DC, Howard BV . Cardiovascular disease risk factors among American Indians, The strong heart study Am J Epi 1995 142: 269–287.

    Article  CAS  Google Scholar 

  29. Durnin JVGA, Wormsley J . Body fat assessed from total body density and its estimation from skinfold thickness: Measurements on 481 men and women aged from 16 to 72 years Br J Nutr 1974 32: 77–97.

    Article  CAS  Google Scholar 

  30. National Center for Health Statistics, Public Health Service, Department of Health and Human Services . Reference data and prevalence of overweight, United States, 1976–1980. Data from the National Health Survey: Hyattsville, MD, October 1987. [Series 11, no. 238, DHHS publication no. (PHS) 87–1688.].

  31. Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL . Increasing prevalence of overweight among US adults J Am Med Assoc 1994 272: 205–211.

    Article  CAS  Google Scholar 

  32. Kertzman H, Livshits G, Green MS . Ethnic differences in indices of body mass and body fat distribution in Israel Int J Obes 1994 18: 69–77.

    CAS  Google Scholar 

  33. Aluli NE . Prevalence of obesity in a Native Hawaiian population Am J Clin Nutr 1991 53 (Suppl): S1556–S1560.

    Article  Google Scholar 

  34. Stern MP, Haffner SM . Do anthropometric differences between Mexican Americans and non-Hispanic Whites explain ethnic differences in metabolic variables? Acta Med Scand 1988 723: 37–44.

    CAS  Google Scholar 

  35. Keenan NL, Stroatz DS, James SA, Ammerman AS, Rice BL . Distribution and correlates of waist-to-hip ratio in black adults: The Pitt county sudy Am J Epidemiol 1992 135: 678–684.

    Article  CAS  Google Scholar 

  36. Croft JB, Keenan NL, Sheridan DP, Wheeler FC, Speers MA . Waist-to-hip ratio in a biracial population: Measurement, implications, and cautions for using guidelines to define high risk for cardiovascular disease J Am Diet Assoc 1995 95: 60–64.

    Article  CAS  Google Scholar 

  37. Pouliot MC, Despres JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A, Nadeau A, Lupien PJ . Waist circumference and abdominal sagittal diameter: Best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women Am J Cardiol 1994 73: 460–468.

    Article  CAS  Google Scholar 

  38. Seidell JC, Cigolini M, Charzewska J, Ellsinger BM, Contaldo F . Regional obesity and serum lipids in European women born in 1948. A multicenter study Acta Med Scand 1988 723: 189–197.

    CAS  Google Scholar 

  39. Al-Rehaimi AAR, Bjorntorp P . Obesity and fat distribution in women from Saudi Arabia Int J Obes 1992 16: 1017–1019.

    CAS  Google Scholar 

  40. Downing HJ, Pi-Sunyer X . Race-dependent health risks of upper body obesity Diabetes 1993 42: 537–543.

    Article  Google Scholar 

  41. Seidell JC, Cigolini M, Charzewska J, Ellsinger M, Biase GD, Bjorntorp P, Hautvast JGAJ, Contaldo F, Szostak V, Scuro LA . Indications of fat distribution, serum lipids, and blood pressure in European women born in 1948—the European fat distribution study Am J Epidemiol 1989 130: 53–65.

    Article  CAS  Google Scholar 

  42. Haffner SM, Fong D, Hazuda HP, Pugh JA, Patterson JK . Hyperinsulinemia, upper body adiposity, and cardiovascular risk factors in non-diabetics Metabolism 1988 37 (4): 338–345.

    Article  CAS  Google Scholar 

  43. Cowie CC, Harris MI, Silverman RE, Johnson EW, Rust KF . Effect of multiple risk factors on differences between blacks and whites in the prevalence of non-insulin dependent diabetes mellitus in the United States Am J Epidemiol 1993 137: 719–732.

    Article  CAS  Google Scholar 

  44. Larsson B . Is abdominal body fat distribution a major explanation for the sex difference in the incidence of myocardial infaction? Am. J. Epidemiol 1992 135: 266–273.

    Article  CAS  Google Scholar 

  45. Rexrode KM, Carey VJ, Hennekens CH, Walters EE, Colditz GA, Stamfer MJ, Willett WC, Manson JE . Abdominal adiposity and coronary heat disease in women JAMA 1998 280: 1843–1848.

    Article  CAS  Google Scholar 

  46. Seidell JC, Bakx JC, Boer D, Deurenberg P, Hautvast JGAJ . Fat distribution of overweight persons in relation to morbidity and subjective health Int J Obes 1985 9: 363–374.

    CAS  PubMed  Google Scholar 

  47. Stevens J, Keil JE, Rus PF, Tyroler HA, Davis CE, Gazes PC . Body mass index and body girths as predictors of mortality in black and white women Arch Intern Med 1992 152: 1257–1262.

    Article  CAS  Google Scholar 

  48. Haffner SM, Stern MP, Hazuda GP, Pugh J, Patterson JK . Do upper-body and centralized adiposity measure different aspects of regional body fat distributions? Relationship to non-insulin-dependent diabetes mellitus, lipids, lipoproteins Diabetes 1987 36: 43–51.

    Article  CAS  Google Scholar 

  49. Peiris AN, Hennes MI, Evans DJ, Wilson CR, Lee MB, Kissebah AH . Relationship of anthropometric measurements of body fat distribution to metabolic profile in premenopausal women Acta Med Scand 1988 723: 179–188.

    CAS  Google Scholar 

  50. Kalkhoff RK, Hartz AH, Rupley D, Kissebah AH, Kelber S . Relationship of bodyfat distribution to blood pressure, carbohydrate tolerance, and plasma lipids in health obese women J Lab Clin Med 1983 102: 621.

    CAS  PubMed  Google Scholar 

  51. Vague J . The degree of masculine differentiation of obesities: A factor determining predisposition to diabetes, atherosclerosis, gout, and uric calculous disease Am J Clin Nutr 1956 4 (1): 20–34.

    Article  CAS  Google Scholar 

  52. Haffner SM, Stern MP, Hazuda HP, Rosenthal M, Knapp JA . The role of behavioral variables and fat patterning in explaining ethnic differences in serum lipids and lipoproteins Am J Epidemiol 1986 123: 830–889.

    Article  CAS  Google Scholar 

  53. Malina RM, Little BB, Stern MP, Gaskill SP, Hazuda HP . Ethnic and social class differences in selected anthropometric characteristics of Mexian American and Anglo adults: The San Antonio Heart Study Hum Biol 1984 55: 867–883.

    Google Scholar 

  54. Marshall JA, Hamman RF, Baxter J, Mayer EJ, Fulton DI, Orleans M, Rewers M, Jones RH . Ethnic differences in risk factors associated with the prevalence of non-insulin-dependent diabetes mellitus Am J Epidemiol 1993 137: 706–718.

    Article  CAS  Google Scholar 

  55. Dowse GK, Zimmet PZ, Gareeboo H, Alberti KGMM, Tuomilehto J, Finch C, Chitson P, Tulsidas H . Abdominal obesity and physical inactivity as risk factors for NIDDM and impaired glucose tolerance in Indian, Creole, and Chinese Mauritians Diabetes Care 1991 14: 271–282.

    Article  CAS  Google Scholar 

  56. King H, Zimmet P, Rapner LR, Balkau B . Risk factors for diabetes in three pacific populations Am J Epidemiol 1984 119: 396–409.

    Article  CAS  Google Scholar 

  57. Tonkelaar ID, Seidell JC, Van Noord PAH, Baanders-Van Halewign EA, Jacobus JH, Bruning PF . Factors influencing waist/hip ratio in randomly selected pre- and post-menopausal women in the DOM-project (preliminary results) Int J Obes 1989 13: 817–824.

    CAS  PubMed  Google Scholar 

  58. Barrett-Connor E . Heart disease in women Fertility Sterility 1994 62 (Suppl): S127–S132.

    Google Scholar 

  59. Svendsen OL, Hassager C, Christiansen C . Relationships and independence of body composition, sex hormones, fat distribution and other cardiovascular risk factors in overweight postmenopausal women Int J Obes 1993 17: 459–463.

    CAS  Google Scholar 

  60. Lee ET, Welty TK, Fabitz R, Cowan LD, Le N, Oopik AJ, Cucchiara AJ, Savage PJ, Howard BV . The Strong Heart Study. A study of cardiovascular disease in American Indians: Design and methods Am J Epidemiol 132: 1141–1155.

    Article  CAS  Google Scholar 

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Acknowledgements

This study was supported by grant DK47099 from the National Institutes of Health, National Institute for Diabetes and Digestive Diseases to Sven OE Ebbesson. The opinions expressed in this paper are those of the authors and do not necessarily reflect the views of the Indian Health Service. The authors of this paper wish to thank the residents of the participating communities for their gracious hospitality, and for their extensive efforts in participating in this project. We wish to acknowledge Ann Marie Mayer, ANP, MPH and Amanda Adler, MD, PhD for their roles in organizing and implementing the screening clinic. We would like to thank anthropometric measurers Noemi Epstein and Sue Shattuck for their time and expertise.

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Risica, P., Ebbesson, S., Schraer, C. et al. Body fat distribution in Alaskan Eskimos of the Bering Straits region: the Alaskan Siberia Project. Int J Obes 24, 171–179 (2000). https://doi.org/10.1038/sj.ijo.0801103

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