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Ethnic differences in anthropometric and lifestyle measures related to coronary heart disease risk between South Asian, Italian and general-population British women living in the west of Scotland

Abstract

AIMS: To compare anthropometric measurements and to define their behavioural associations in migrant and British-born South Asians (who have increased cardiovascular risk) or Italians (who have reduced cardiovascular risk), and in the general population of British women living in the west of Scotland.

STUDY DESIGN: Cross-sectional survey of women aged 20–42 y, selected mainly from birth registration data, which included 63 migrant South Asians, 56 British-born South Asians, 39 migrant Italians, 51 British-born Italians, and 50 subjects representative of the general population of women, all resident in the west of Scotland.

MEASUREMENTS: Height, weight, body mass index (BMI), and waist and hip circumferences.

RESULTS: With age adjustment, migrant South Asians (0.88) had greater waist-to-hip ratio than British-born South Asians (0.84; P<0.05), while there was no difference between migrant (0.81) and British-born (0.79) Italian groups. Both migrant (P<0.001) and British-born South Asian (P<0.05) groups had higher waist-to-hip ratio and were about 3 cm shorter than Italian groups and the general population. Neither weight nor BMI were different between ethnic groups. Waist and hip circumferences were not different between migrant and British-born ethnic minority groups. Migrant South Asians (86.8 cm) had significantly (P<0.05) larger waist circumference than the general population (78.6 cm). British-born Italian women (103.0 cm) had larger hip circumference than the general population of women (96.4 cm), while other groups had similar hip circumferences. Additional adjustments for physical activity, smoking, alcohol consumption and parity reduced the differences in anthropometric measurements: only waist-to-hip ratio of migrant South Asians remained significantly (P<0.01) higher than that of the general population women.

CONCLUSIONS: The adverse anthropometric indicators of cardiovascular risk in migrant South Asian women are substantially explained by their lifestyle factors and parity. British-born South Asian women are more similar to the general population women. Anthropometric differences between migrant or British-born Italians and the general population women are small.

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References

  1. McKeigue PM, Shah B, Marmot MG . Relation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians Lancet 1991 337: 382–386.

    Article  CAS  Google Scholar 

  2. Balarajan R, Bulusu L . Mortality in England and Wales. In: Britton M (ed) Mortality and geography OPCS: London 1990

    Google Scholar 

  3. Marmot MG, Adelsterin AM, Bulusu L . Immigrant mortality in England and Wales 1970–1978 HMSO: London 1984

    Google Scholar 

  4. Kalton G, Anderson DW . Sampling rare populations J R Stat Soc A 1986 149: 65–82.

    Article  Google Scholar 

  5. Senior PA, Bhopal R . Ethnicity as a variable in epidemiological research Br Med J 1994 309: 327–330.

    Article  CAS  Google Scholar 

  6. Lean ME, Han TS, Deurenberg P . Predicting body composition by densitometry from simple anthropometric measurements Am J Clin Nutr 1996 63: 4–14.

    Article  CAS  Google Scholar 

  7. World Health Organization. Physical status: the use and interpretation of anthropometry Report of a WHO expert committee. Technical Report Series 854, 312–344 WHO: Geneva 1995.

  8. Han TS, Bijnen FC, Lean ME, Seidell JC . Separate associations of waist and hip circumference with lifestyle factors Int J Epidemiol 1998 27: 422–430.

    Article  CAS  Google Scholar 

  9. Han TS, McNeil G, Seidell JC, Lean MEJ . Predicting intra-abdominal fatness from anthropometric measures: the influence of stature Int J Obes Relat Metab Disord 1997 21: 587–593.

    Article  CAS  Google Scholar 

  10. Seidell JC, Kahn HS, Williamson DF, Lissner L, Valdez R . Report from a Centers for Disease Control and Prevention Workshop on use of adult anthropometry for public health and primary health care Am J Clin Nutr 2001 73: 123–126.

    Article  CAS  Google Scholar 

  11. Seidell JC, Han TS, Feskens EJ, Lean MEJ . Narrow hips and broad waist circumferences independently contribute to increased risk of non-insulin-dependent diabetes mellitus J Intern Med 1997 242: 401–406.

    Article  CAS  Google Scholar 

  12. Elkeles T, Seifert W . Immigrants and health: unemployment and health-risks of labour migrants in the Federal Republic of Germany, 1984–1992 Soc Sci Med 1996 43: 1035–1047.

    Article  CAS  Google Scholar 

  13. He J, Klag MJ, Wu Z, Qian MC, Chen JY, Mo PS, He QO, Whelton PK . Effect of migration and related environmental changes on serum lipid levels in south western Chinese men Am J Epidemiol 1996 144: 839–848.

    Article  CAS  Google Scholar 

  14. Kohli HS . The health of ‘Asians’ in Britain Natl Med J India 1988 1: 27–30.

    Google Scholar 

  15. Greeno CG, Wing RR . Stress-induced eating Psychol Bull 1994 115: 444–464.

    Article  CAS  Google Scholar 

  16. Sobal J, Stunkard AJ . Socioeconomic status and obesity: a review of the literature Psychol Bull 1989 105: 260–275.

    Article  CAS  Google Scholar 

  17. Bush HM, Williams RGA, Bradby H, Lean MEJ, Anderson AS, Han TS . Weight consciousness and body image among South Asian, Italian and general population women in Britain. [Abstract] J Epidemiol Community Health 1996 50: 600.

    Google Scholar 

  18. Sevak L, McKeigue PM, Marmot MG . Relationship of hyperinsulinemia to dietary intake in South Asian and European men Am J Clin Nutr 1994 59: 1069–1074.

    Article  CAS  Google Scholar 

  19. Bhatnagar D, Anand IS, Durrington PN, Patel DJ, Wander GS, Mackness MI, Creed F, Tomenson B, Chandrashekhar Y, Winterbotham M . Coronary risk factors in people from the Indian subcontinent living in west London and their siblings in India Lancet 1995 345: 405–409.

    Article  CAS  Google Scholar 

  20. Lean ME, James WP . Metabolic effects of isoenergetic nutrient exchange over 24 hours in relation to obesity in women Int J Obes 1988 12: 15–27.

    CAS  Google Scholar 

  21. World Health Organization . Obesity: preventing and managing the global epidemic Report of a WHO consultation on obesity, WHO/NUT/NCD/98.1 WHO: Geneva 1997

    Google Scholar 

  22. Reaven GMR . Banting lecture 1988. Role of insulin resistance in human disease Diabetes 1988 37: 1595–1607.

    Article  CAS  Google Scholar 

  23. Humard JA, McCullen C, Roy LK, McCammon MR, Israel RG . Effects of exercise training on absolute and relative measurements of regional adiposity Int J Obes Relat Metab Disord 1994 18: 243–248.

    Google Scholar 

  24. Kanaley JA, Anderson-Reid MI, Oenning L, Kottle BA, Jensen MD . Differential health benefits of weight loss in upper-body and lower-body obese women Am J Clin Nutr 1993 57: 20–26.

    Article  CAS  Google Scholar 

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Acknowledgements

Material presented in this paper is derived from the study ‘Dietary Change in South Asian and Italian women in the west of Scotland’, part of ‘The Nation's Diet’ Research Programme funded by the Economic and Social Research Council. We acknowledge with thanks all our respondents, and our team of interviewers and dietitians. The Department of Human Nutrition was supported by the Rank Prize Funds and Rank Foundation.

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Lean, M., Han, T., Bush, H. et al. Ethnic differences in anthropometric and lifestyle measures related to coronary heart disease risk between South Asian, Italian and general-population British women living in the west of Scotland. Int J Obes 25, 1800–1805 (2001). https://doi.org/10.1038/sj.ijo.0801823

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