Epidemiology

Obesity (2008) 16 5, 1138–1143. doi:10.1038/oby.2008.31

The Prevalence of Obesity in Ethnic Admixture Adults

Cheryl L. Albright1, Alana D. Steffen2, Lynne R. Wilkens2, Brian E. Henderson3 and Laurence N. Kolonel2

  1. 1Prevention and Control Program, Cancer Research Center of Hawaii, University of Hawaii, Honolulu, Hawaii, USA
  2. 2Epidemiology Program, Cancer Research Centerof Hawaii, University of Hawaii, Honolulu, Hawaii, USA
  3. 3Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California, USA

Correspondence: Cheryl L. Albright (calbright@crch.hawaii.edu)

Received 1 June 2007; Accepted 21 August 2007; Published online 28 February 2008.

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Abstract

Objective:

 

To determine whether the prevalence of obesity in ethnic admixture adults varies systematically from the average of the prevalence estimates for the ethnic groups with whom they share a common ethnicity.

Methods and Procedures:

 

The sample included 215,000 adults who reported one or more ethnicities, height, weight, and other characteristics through a mailed survey.

Results:

 

The highest age-adjusted prevalence of overweight (BMI greater than or equal to 25) was in Hawaiian/Latino men (88% ; n = 41) and black/Latina women (74.5% ; n = 79), and highest obesity (BMI greater than or equal to 30) rates were in Hawaiian/Latino men (53.7% ; n = 41) and Hawaiian women (39.2% , n = 1,247). The prevalence estimates for most admixed groups were similar to or higher than the average of the prevalences for the ethnic groups with whom they shared common ethnicities. For instance, the prevalence of overweight/obesity in five ethnic admixtures—Asian/white, Hawaiian/white, Hawaiian/Asian, Latina/white, and Hawaiian/Asian/white ethnic admixtures—was significantly higher (P < 0.0001) than the average of the prevalence estimates for their component ethnic groups.

Discussion:

 

The identification of individuals who have a high-risk ethnic admixture is important not only to the personal health and well-being of such individuals, but could also be important to future efforts in order to control the epidemic of obesity in the United States.

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