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Decreasing overweight and central fat patterning with Westernization among the Inuit in Greenland and Inuit migrants

International Journal of Obesity volume 26, pages 1503–1510 (2002)Cite this article

Abstract

OBJECTIVE: To analyse overweight, obesity and central fat patterning among the Inuit of Greenland and Inuit migrants in Denmark and their relation to Westernization.

DESIGN: Cross-sectional, population-based epidemiological study.

SUBJECTS: A total of 2046 adult Greenlanders (Inuit), 61% of those invited to participate, living in three areas of Greenland and in Denmark.

MEASUREMENTS: Height, weight, waist and hip circumferences were measured and body mass index (BMI in kg/m2) and waist–hip ratio calculated. Sociocultural information was obtained by questionnaire and interview. Westernization was estimated by language and place of residence.

RESULTS: The prevalence of obesity (≥30 kg/m2) was 16 and 22% among men and women in Greenland (P=0.004), and 12 and 11%, respectively, in Denmark (NS). Westernization was accompanied by a decrease in the proportion of obese people, in particular among women. Adjusted for BMI, age and Inuit heritage waist circumference decreased with Westernization (among women), while hip circumference did not change. The differences were particularly pronounced for migrants compared with residents of Greenland.

CONCLUSION: BMI and central fat patterning decrease with Westernization among Greenland Inuit women contrary to most studies of migrants. The changes were less prominent among men. This suggests a reduced cardiovascular risk profile with Westernization among Greenland Inuit.

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Acknowledgements

The study was funded by the Danish Medical Research Council, The Commission for Scientific Research in Greenland and Karen Elise Jensen's Foundation.

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Author notes

  1. P Bjerregaard, ME Jørgensen, S Andersen, G Mulvad and K Borch-Johnsen: Steering Group: Vibeke Backer, Ulrik Becker, Peter Bjerregaard, Knut Borch-Johnsen, Torben Jørgensen, Gert Mulvad. Secretariat: National Institute of Public Health, Denmark.

Authors and Affiliations

  1. National Institute of Public Health, Copenhagen, Denmark

    P Bjerregaard

  2. Steno Diabetes Center, Copenhagen, Denmark

    ME Jørgensen & K Borch-Johnsen

  3. Department of Endocrinology, Aalborg Hospital, Denmark

    S Andersen

  4. Primary Health Clinic, Nuuk, Greenland

    G Mulvad

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  1. P Bjerregaard
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  4. G Mulvad
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  5. K Borch-Johnsen
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the Greenland Population Study

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Correspondence to P Bjerregaard.

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Bjerregaard, P., Jørgensen, M., Andersen, S. et al. Decreasing overweight and central fat patterning with Westernization among the Inuit in Greenland and Inuit migrants. Int J Obes 26, 1503–1510 (2002). https://doi.org/10.1038/sj.ijo.0802082

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