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.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
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.
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.
Kissebath AH, Freedman DS, Peiris AN . Health risks of obesity Med Clin N Am 1989 73 (1): 111–138.
National Institutes of Health . Health implications of obesity Conn Med 1986 50 (3): 171–176.
Pi-Sunyer FX . Medical hazards of obesity Ann Intern Med 1993 119 (7 Pt 2): 655–660.
Sjostrom LV . Morbidity of severely obese subjects Am J Clin Nutr 1992 55 (Suppl): S508–S515.
Bouchard C, Despres JP, Mauriege P . Genetic and nongenetic determinants of regional fat distribution Endocrine Rev 1993 14 (1): 72–93.
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.
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.
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.
Conway JM . Ethnicity and energy stores Am J Clin Nutr 1995 62 (Suppl): S1067–S1071.
Larsson B . Regional obesity as a health hazard in men—prospective studies Acta Med Scand 1988 (Suppl 723): S45–S51.
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.
Donahue RP, Abbot RD, Bloom E, Reed DM, Yano K . Central obesith and coronary heart disease in men Lancet 1987 April 11: 821–824.
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.
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.
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.
Bjorntorp P . The associations between obesity, adipose tissue distribution and disease Acta Med Scand 1988 723 (Suppl): S121–S134.
Bjorntorn P . Abdominal fat distribution and disease: An overview of epidemiological data Ann Intern Med 1992 24: 15–18.
Stern HP, Haffner SM . Body fat distribution and hyperinsulinemia as risk factors for diabetes and cardiovascular disease Arteriosclerosis 1986 6: 123–130.
Lapidus L, Bengtsson C . Regional obesity as a health hazard in women—a prospective study Acta Med Scand 1988 723 (Suppl): S53–S59.
Davidson M, Bulkow L, Gellin BG . Cardiac mortality in Alaska's indigenous and non-native residents Int J Epimiol 1993 22: 62–71.
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.
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.
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.
Ebbesson SOE, Schraer C, Nobmann ED, Ebbesson LOE . Lipoprotein profiles in Alaskan Siberian Yupik Eskimos Arct Med Res 1996 55: 165–173.
Williamsnon DF, Kahn HS, Worthman CM, Burnette JC, Russell CM . Precision of recumbent anthropometry Am J Hum Biol 1993 15: 159–167.
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.
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.
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.].
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL . Increasing prevalence of overweight among US adults J Am Med Assoc 1994 272: 205–211.
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.
Aluli NE . Prevalence of obesity in a Native Hawaiian population Am J Clin Nutr 1991 53 (Suppl): S1556–S1560.
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.
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.
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.
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.
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.
Al-Rehaimi AAR, Bjorntorp P . Obesity and fat distribution in women from Saudi Arabia Int J Obes 1992 16: 1017–1019.
Downing HJ, Pi-Sunyer X . Race-dependent health risks of upper body obesity Diabetes 1993 42: 537–543.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
King H, Zimmet P, Rapner LR, Balkau B . Risk factors for diabetes in three pacific populations Am J Epidemiol 1984 119: 396–409.
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.
Barrett-Connor E . Heart disease in women Fertility Sterility 1994 62 (Suppl): S127–S132.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ijo.0801103
Keywords
This article is cited by
-
The Interplay Between Sex, Ethnicity, and Adipose Tissue Characteristics
Current Obesity Reports (2015)
-
The use of bioelectrical impedance analysis for body composition in epidemiological studies
European Journal of Clinical Nutrition (2013)
-
A QTL for Genotype by Sex Interaction for Anthropometric Measurements in Alaskan Eskimos (GOCADAN Study) on Chromosome 19q12–13
Obesity (2011)
-
Decreasing overweight and central fat patterning with Westernization among the Inuit in Greenland and Inuit migrants
International Journal of Obesity (2002)