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The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults

Abstract

OBJECTIVE: To examine the obesity-related chronic diseases in the US adult population according to gender, race and socioeconomic status.

METHODS: Data from the 1994–1996 Continuing Survey of Food Intakes by Individuals (1994–1996 CSFII) conducted by the US Department of Agriculture/Agricultural Research Service (USDA/ARS) were used in the analysis. Relevant data included self-reported weight and height, self-reported physician-diagnosed diabetes mellitus, hypertension, heart disease and high serum cholesterol. Analysis was conducted according to gender, race, income level and education level.

RESULTS: There was a graded increase in diabetes, hypertension and high serum cholesterol with increasing body weight in nearly all gender, racial and socioeconomic groups. Among the obese individuals, the prevalence of hypertension was higher in black subjects and the prevalence of diabetes, hypertension and heart disease was higher in individuals with lower education compared to their counterparts. The odds of having diabetes, hypertension, heart disease and high serum cholesterol increased with increasing body weight after adjusting for age, gender, race, income, education and smoking.

CONCLUSION: Although cross-sectional in nature, our results suggest that the disease burden associated with obesity in the population may be substantial. This burden increases with increasing severity of obesity. Our findings support the current opinion that, although the nature of obesity-related health risks is similar in all populations, the specific level of risk associated with a given level of obesity may be different depending on gender, race and socioeconomic condition.

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References

  1. Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL . Overweight and obesity in the United States: prevalence and trends, 1960–1994 Int J Obes Relat Metab Disord 1998 22: 39–47.

    Article  CAS  Google Scholar 

  2. Kuczmarski RJ, Carroll MD, Flegal KM, Troiano RP . Varying body mass index cutoff points to describe overweight prevalence among U.S. adults: NHANES III (1988 to 1994) Obes Res 1997 5: 542–548.

    Article  CAS  Google Scholar 

  3. National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report Obes Res 1998 6 (Suppl 2): 51S–210S.

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

    Article  CAS  Google Scholar 

  5. Van der Merwe M-T, Panz VR, Crowther NJ, Schlaphoff GP, Gray IP, Forguel P, Joffe BI, Lonnroth PN . Free fatty acids and insulin levels—relationship to leptin levels and body composition in various patient groups from South Africa Int J Obes Relat Metab Disord 1999 23: 909–917.

    Article  CAS  Google Scholar 

  6. Cooper RS, Ford E . Comparability of risk factors for coronary heart disease among blacks and whites in the NHANES-I Epidemiologic Follow-up Study Ann Epidemiol 1992 2: 637–645.

    Article  CAS  Google Scholar 

  7. Lipton RB, Liao Y, Cao G, Cooper RS, McGee D . Determinants of incident non-insulin-dependent diabetes mellitus among blacks and whites in a national sample. The NHANES I Epidemiologic Follow-Up Study Am J Epidemiol 1993 138: 826–839.

    Article  CAS  Google Scholar 

  8. Burt VL, Whelton P, Roccella EJ, Brown C, Cutler JA, Higgins M, Horan MJ, Labarthe D . Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988–1991 Hypertension 1995 25: 305–313.

    Article  CAS  Google Scholar 

  9. Curb JD, Marcus EB . Body fat, coronary heart disease, and stroke in Japanese men Am J Clin Nutr 1991 53: 1612S–1615S.

    Article  CAS  Google Scholar 

  10. Havas S, Fujimoto W, Close N, McCarter R, Keller J, Sherwin R . The NHLBI workshop on Hypertension in Hispanic Americans, Native Americans, and Asian/Pacific Islander Americans Public Health Rep 1996 111: 451–458.

    CAS  PubMed  PubMed Central  Google Scholar 

  11. Howard BV, Lee ET, Cowan LD, Fabsitz RR, Howard WJ, Oopik AJ, Robbins DC, Savage PJ, Yeh JL, Welty TK . Coronary heart disease prevalence and its relation to risk factors in American Indians. The Strong Heart Study Am J Epidemiol 1995 142: 254–268.

    Article  CAS  Google Scholar 

  12. Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH . The disease burden associated with overweight and obesity JAMA 1999 282: 1523–1529.

    Article  CAS  Google Scholar 

  13. Brown CD, Higgins M, Donato KA, Rohde FC, Garrison R, Obarzanek E, Ernst ND, Horan M . Body mass index and the prevalence of hypertension and dyslipidemia Obes Res 2000 8: 605–619.

    Article  CAS  Google Scholar 

  14. Okosun IS, Chandra KM, Choi S, Christman J, Dever GE, Prewitt TE . Hypertension and type 2 diabetes comorbidity in adults in the United States: risk of overall and regional adiposity Obes Res 2001 9: 1–9.

    Article  CAS  Google Scholar 

  15. US Department of Agriculture, Agricultural Research Service (USDA/ARS). Continuing Survey of Food Intakes by Individuals 1994–96, 1998 CD-ROM National Technical Information Service, Springfield, VA 2000.

  16. US Department of Health and Human Services (DHHS). 1998 poverty guidelines Fed Reg 1998 63 (36): 9235–9238.

  17. Stata Corporation. Stata statistical software: release 7 Stata Corps: College Station, TX

  18. SAS Institute Inc. SAS user's guide: statistics, version 8.1 edition SAS Institute Inc.: Cary, NC

  19. Stunkard AJ, Sorensen TIA . Obesity and socioeconomic status—a complex relation New Engl J Med 1993 329: 1036–1037.

    Article  CAS  Google Scholar 

  20. Rowland ML . Self-reported weight and height Am J Clin Nutr 1990 52: 1125–1133.

    Article  CAS  Google Scholar 

  21. Palta M, Prineas RJ, Berman R, Hannan P . Comparison of self-reported and measured height and weight Am J Epidemiol 1982 115: 223–230.

    Article  CAS  Google Scholar 

  22. Bowman RL, DeLucia JL . Accuracy of self-reported weight: a meta-analysis Behav Ther 1992 23: 637–655.

    Article  Google Scholar 

  23. Huang Z, Willett WC, Manson JE, Colditz GA . Body weight, weight change, and risk for hypertension in women Ann Intern Med 1998 128: 81–88.

    Article  CAS  Google Scholar 

  24. Hanson RL, Narayan KM, McCance DR, Pettitt DJ, Jacobsson LT, Bennett PH, Knowler WC . Rate of weight gain, weight fluctuation and incidence of NIDDM Diabetes 1995 43: 261–266.

    Article  Google Scholar 

  25. Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjostrom L . Distribution of adipose tissue and risk of cardiovascular disease and death: a 12-year follow-up of participants in the population study of women in Gothenburg, Sweden Br Med J 1984 289: 1257–1261.

    Article  CAS  Google Scholar 

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Correspondence to S Paeratakul.

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Paeratakul, S., Lovejoy, J., Ryan, D. et al. The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults. Int J Obes 26, 1205–1210 (2002). https://doi.org/10.1038/sj.ijo.0802026

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