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Diabetes and Coronary Heart Disease in Filipino-American Women: Role of growth and life-course socioeconomic factors

Published on Mar 1, 2007in Diabetes Care15.27
· DOI :10.2337/dc06-1403
Claudia Langenberg81
Estimated H-index: 81
,
Maria Rosario G. Araneta26
Estimated H-index: 26
+ 2 AuthorsE Barrett-Conor150
Estimated H-index: 150
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Abstract
OBJECTIVE —To investigate associations between adult markers of childhood growth and the prevalence of diabetes and coronary heart disease (CHD) in Filipino-American women and to determine the role of social and educational differences, including the influence of social mobility between childhood and adulthood. RESEARCH DESIGN AND METHODS —Socioeconomic disadvantage and poor infant growth, resulting in short leg length, may contribute to the dramatically increased risk of diabetes and CHD in Filipino-American women, but this has not been investigated. This study is a cross-sectional study of 389 Filipino-American women (age 58.7 ± 9.4 years [mean ± SD]). Diabetes was defined by 1999 World Health Organization criteria and CHD by ischemic electrocardiogram changes, Rose angina, a history of myocardial infarction, or revascularization surgery. A score of social mobility (0–4) was calculated by summarizing childhood and adult financial circumstances. RESULTS —Diabetes prevalence (31.4%) was not associated with measures of growth but was significantly lower in women with greater education, childhood and adult income, or social mobility score. Compared with Filipinas who were poorest in childhood and adulthood, respective odds ratios (95% CI) for diabetes were 0.55 (0.18–1.68), 0.19 (0.06–0.62), and 0.11 (0.03–0.42), down to 0.07 (0.01–0.51) in the most advantaged women ( P < 0.0001). Family history of diabetes [5.14 (2.72–9.70)] and larger waist [1.07 per cm (1.03–1.10)] were also significant predictors in multiple adjusted models. In contrast, CHD prevalence (22.4%) was most strongly associated with leg length, but not trunk length; compared with individuals with the shortest legs, respective odds ratios (95% CI) for CHD were 0.60 (0.31–1.19), 0.53 (0.26–1.05), and 0.44 (0.22–0.91) in the tallest group, in age- ( P trend = 0.02) and multiple-adjusted models ( P trend = 0.01). CONCLUSIONS —Socioeconomic disadvantage contributes to the high prevalence of diabetes in Filipinas. Factors limiting early growth of the legs may increase the risk of CHD in this comparatively short population.
  • References (34)
  • Citations (27)
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References34
Newest
Published on Apr 1, 2006in American Journal of Epidemiology4.47
Thomas T. Samaras1
Estimated H-index: 1
An inverse association between height and risk of coronary heart disease (CHD) is well demonstrated, but it is not known whether this association is because of genetic factors, socioeconomic background, or other environmental factors. Four population-based twin cohorts with register-based follow-up data on CHD mortality from Denmark (1966-1996), Finland (1975-2001), and Sweden (1963-2001 and 1972-2001) were used to investigate this question; response rates varied between 65% and 86%. Together, t...
Published on Mar 1, 2006in Diabetes Research and Clinical Practice3.24
Maria Rosario G. Araneta26
Estimated H-index: 26
(UCSD: University of California, San Diego),
Deborah J. Morton24
Estimated H-index: 24
(UCSD: University of California, San Diego)
+ 6 AuthorsDeborah L. Wingard55
Estimated H-index: 55
(UCSD: University of California, San Diego)
Abstract Background: Diabetes risk increases as immigrant populations adopt western lifestyles. We compared the prevalence of fasting hyperglycemia among Filipino women aged 40–79 years in the Philippines, Hawaii, and San Diego. Methods: Data were obtained from the (1) Philippine National Nutrition Survey (1998), (2) Native Hawaiian Health Research Project (1997–2001), and (3) University of California San Diego Filipino Women's Health Study (1995–1999). Fasting glucose after an 8 h fast, blood p...
Published on Aug 1, 2005in Obesity Research
Maria Rosario G. Araneta26
Estimated H-index: 26
(UCSD: University of California, San Diego),
E Barrett-Conor150
Estimated H-index: 150
(UCSD: University of California, San Diego)
Objective: To compare ethnic differences in visceral adipose tissue (VAT), assessed by computed tomography, and type 2 diabetes risk among 55- to 80-year-old Filipino, African-American, and white women without known cardiovascular disease. Research Methods and Procedures: Subjects were participants in the Rancho Bernardo Study (n = 196), the Filipino Women's Health Study (n = 181), and the Health Assessment Study of African-American Women (n = 193). Glucose and anthropometric measurements were a...
Published on Aug 1, 2005in International Journal of Epidemiology7.34
Claudia Langenberg81
Estimated H-index: 81
(UCL: University College London),
Rebecca Hardy71
Estimated H-index: 71
+ 2 AuthorsMichael Wadsworth55
Estimated H-index: 55
Background Previous cross-sectional analyses of this cohort have shown that short height and leg length are associated with higher pulse pressure and systolic blood pressure in middle age. It is unclear how these adult measures of childhood growth influence the change in blood pressure as it increases with age. Methods Multilevel models were fitted to investigate associations between components of height and the change in blood pressure between 36, 43, and 53 years in a prospective national coho...
Published on Jun 1, 2005in American Anthropologist2.71
Bonnie McElhinny12
Estimated H-index: 12
(U of T: University of Toronto)
Feminist scholars have begun to consider the ways indigenous practices of child rearing were and are challenged in (post)colonial discourse and practice, and how these practices have become a terrain on which definitions of nation, state, and economy are contested. In this article, I adopt a historical anthropological approach to consider how Filipino child-rearing strategies were described and stigmatized in educational, public health, and public welfare discourses in the U.S.-occupied Philippi...
Published on Apr 21, 2005in Annual Review of Public Health10.78
Matthias B. Schulze67
Estimated H-index: 67
,
Frank B. Hu202
Estimated H-index: 202
▪ Abstract Although it is widely believed that type 2 diabetes mellitus is the result of a complex interplay between genetic and environmental factors, compelling evidence from epidemiologic studies indicates that the current worldwide diabetes epidemic is largely due to changes in diet and lifestyle. Prospective cohort studies and randomized clinical trials have demonstrated that type 2 diabetes can be prevented largely through moderate diet and lifestyle modifications. Excess adiposity is the ...
Published on Feb 1, 2005in Diabetes Care15.27
Jean Dallongeville66
Estimated H-index: 66
,
Dominique Cottel34
Estimated H-index: 34
+ 6 AuthorsPhilippe Amouyel85
Estimated H-index: 85
OBJECTIVE —To assess the relationship between household income and metabolic syndrome in men and women. RESEARCH DESIGN AND METHODS —A total of 1,695 men and 1,664 women, aged 35–64 years, from three distinct geographical areas of France were investigated. Waist girth, plasma triglycerides, HDL cholesterol, glucose, and systolic blood pressure were used to define metabolic syndrome according to the National Cholesterol Education Program (NCEP)/Adult Treatment Panel III (ATPIII) guidelines. House...
Published on Jan 1, 2005in Journal of Immigrant Health
Ninez A. Ponce25
Estimated H-index: 25
(UCLA: University of California, Los Angeles),
Robert J. Nordyke15
Estimated H-index: 15
(UCLA: University of California, Los Angeles),
Sherry Hirota1
Estimated H-index: 1
We inform a county’s efforts to provide health insurance to uninsured working immigrants—a group left out of national and state strategies that aim to expand coverage. We analyzed a population-based survey data administered in English, Spanish, Cantonese, Mandarin, Korean, Vietnamese, and Dari on 5,540 nonelderly adult workers in Alameda County, California. The study models the likelihood of employment-based coverage, estimates the eligibility for public programs, and evaluates the affordability...
Published on Oct 18, 2004in Circulation23.05
Maria Rosario G. Araneta26
Estimated H-index: 26
(UCSD: University of California, San Diego),
E Barrett-Conor150
Estimated H-index: 150
(UCSD: University of California, San Diego)
Background— Coronary heart disease (CHD) is the leading cause of morbidity and mortality in persons with type 2 diabetes mellitus (T2DM). Electron-beam computed tomography (EBCT) detects coronary artery calcium (CAC), a marker of atherosclerotic plaque. Few studies have described EBCT-defined CHD among ethnic minorities with elevated T2DM prevalence. The objective of this study was to compare EBCT-defined CAC in Filipino and white women without known cardiovascular disease. Methods and Results— ...
Published on Oct 1, 2004in Diabetes Care15.27
A. Marshall McBean18
Estimated H-index: 18
(UMN: University of Minnesota),
Shuling Li3
Estimated H-index: 3
(HCMC: Hennepin County Medical Center)
+ 1 AuthorsAllan J. Collins88
Estimated H-index: 88
OBJECTIVE —To examine diabetes prevalence, incidence, and mortality from 1993 to 2001 among fee-for-service Medicare beneficiaries ≥67 years of age. RESEARCH DESIGN AND METHODS —This study was a retrospective analysis of a 5% random sample of Medicare fee-for-service beneficiaries ≥65 years of age in each year. RESULTS —In 1993, the prevalence of diabetes among those ≥67 years of age was 145 cases per 1,000 individuals. By 2001, it was 197/1,000, an increase of 36.0%. The 2001 prevalence among H...
Cited By27
Newest
Published on Aug 18, 2018in Ethnicity & Health2.67
Della Maneze6
Estimated H-index: 6
(USYD: University of Sydney),
Lucie M Ramjan9
Estimated H-index: 9
(USYD: University of Sydney)
+ 3 AuthorsYenna Salamonson30
Estimated H-index: 30
(USYD: University of Sydney)
ABSTRACTObjective: In spite of the healthy immigrant effect, the prevalence of lifestyle-related chronic diseases among migrants is reported to approximate that of the host country with longer duration of stay. For example, higher rates of chronic diseases such as Type 2 diabetes and hypertension have been observed among Filipino migrants and these have been linked to acculturation. The aim of this study was to explore the experiences of Filipino-Australian migrants in managing their chronic hea...
Published on Dec 1, 2016in Annals of Epidemiology2.55
Lidyane do Valle Camelo4
Estimated H-index: 4
(UFMG: Universidade Federal de Minas Gerais),
Luana Giatti20
Estimated H-index: 20
(UFMG: Universidade Federal de Minas Gerais)
+ 4 AuthorsSandhi Maria Barreto42
Estimated H-index: 42
(UFMG: Universidade Federal de Minas Gerais)
Abstract Purpose We investigated gender-specific associations of cumulative socioeconomic position across life course and social mobility with new onset diabetes mellitus (NODM) in over 12,000 civil servants in Brazil. Methods We used data from ELSA-Brasil baseline (2008–2010). The accumulation of risk was assessed using an education-based score and an occupation-based score. Educational and occupational social mobility were also evaluated. Results In minimally adjusted models, NODM increased wi...
Published on May 1, 2015in Applied Nursing Research1.33
Irma B. Ancheta6
Estimated H-index: 6
(UNF: University of North Florida),
Joan M. Carlson4
Estimated H-index: 4
(IU: Indiana University)
+ 3 AuthorsChristine V. Ancheta4
Estimated H-index: 4
(USF: University of South Florida)
Abstract Objective Although few studies have examined cardiovascular disease in Asian-American subgroups separately, limited data in Asian Americans strongly suggest that some subgroups are at increased risk. The present study examined modifiable cardiovascular risk factor profiles as a function of Asian ethnicity. Methods This descriptive cross-sectional pilot study recruited Asian-American women ( N =147) in northeast Florida including Cambodians ( n =39), Chinese ( n =36), Filipinos ( n =49),...
Published on Mar 25, 2014in Clinical nursing studies
Alona D. Angosta3
Estimated H-index: 3
(UNLV: University of Nevada, Las Vegas),
Kirsten E. Speck1
Estimated H-index: 1
Objective: Filipino Americans are the second largest Asian subgroup in the United States and heart disease is their leading cause of death. Despite this, they remain an invisible minority and experience health disparities in cardiovascular health. Prior to implementing and designing health promotion programs, it is important to assess their level of knowledge about heart disease and to identify their risk factors. Purpose: We examined the baseline knowledge of heart disease among first-generatio...
Published on Feb 1, 2014in International Journal of Epidemiology7.34
Nolwenn Regnault8
Estimated H-index: 8
(UM: University of Miami),
Ken Kleinman73
Estimated H-index: 73
(UM: University of Miami)
+ 3 AuthorsMatthew W. Gillman102
Estimated H-index: 102
(UM: University of Miami)
Background In children being taller is associated with higher blood pressure (BP), but few studies have divided height into its components: trunk and leg length. We examined the associations of total height, trunk length and leg length with systolic BP (SBP), diastolic BP (DBP) and pulse pressure (PP) at early childhood and mid-childhood visits, as well as change between the two visits. Methods We obtained five measures of SBP and DBP at the early childhood visit (N = 1153, follow-up rate = 54%)...
Published on Jan 1, 2014
Jocelyn B. Sonsona (Walden University)
Factors Influencing Diabetes Self-Management of Filipino Americans with Type 2 Diabetes Mellitus by Jocelyn B. Sonsona MA, Adventist University of the Philippines, 1995 AB, Notre Dame of Midsayap College, 1985 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Health Walden University February 2014 Abstract There is an increasing prevalence of Type 2 diabetes mellitus among Filipino Americans. However, how well Filipino Americans with diabete...
Published on Nov 1, 2013in Diabetes Care15.27
Luke W. Johnston4
Estimated H-index: 4
(U of T: University of Toronto),
Stewart B. Harris55
Estimated H-index: 55
(UWO: University of Western Ontario)
+ 4 AuthorsAnthony J. Hanley60
Estimated H-index: 60
(U of T: University of Toronto)
OBJECTIVE Short leg length, a marker of early childhood deprivation, has been used in studies of the association of early life conditions with adult chronic disease risk. The objective of this study was to determine the cross-sectional associations of leg length with measures of insulin sensitivity and β-cell function. RESEARCH DESIGN AND METHODS Subjects ( n = 462) at risk for type 2 diabetes were recruited into the PROspective Metabolism and ISlet cell Evaluation (PROMISE) longitudinal cohort....