A.2.
|
Overweight or BMI Data for Puerto
Rican-Americans, Cuban-Americans, and Selected Samples of American Indians,
Asians, and Pacific Islanders
|
- a. Percentage of overweight Cuban and Puerto Rican males and
females, age 20 to 74, 1982-1984.
b. Selected studies
describing the prevalence of overweight in Native Americans, 1981-1993.
c.
Prevalence of overweight (BMI
 85th percentile) and obesity (BMI
95th percentile) in American
Indians and Alaska Natives and United States all races, by gender and age,
1987.
d.
Overweight prevalence and BMI data for Asian-Americans (n=13,031) examined in a
northern California HMO, 1978-1985.
e. Body mass
index in four groups of adult Samoans, by age and gender.
f.
Prevalence of obesity (BMI
30 kg/m2) in 1991, by age, sex, and
western Samoa location.
Table
III.A.2.a: Percentage of Overweight Cuban and Puerto Rican Males and Females,
Ages 20-74, 1982-1984
| Gender/Age |
Cubans |
Puerto Ricans |
| Males |
% |
% |
| 20-74 yrs |
29.4 |
25.2 |
| 20-74 yrs (age adjusted*) |
28.5 |
25.7 |
| 20-24 yrs |
21.2 |
15.8 |
| 25-34 |
27.9 |
18.9 |
| 35-44 |
25.8 |
33.4 |
| 45-54 |
34.6 |
32.9 |
| 55-64 yrs |
31.7 |
26.4 |
| 65-74 yrs |
31.1 |
31.6 |
| 20-29 yrs** |
23.5 |
15.6 |
| Females |
% |
% |
| 20-74 yrs |
34.1 |
37.3 |
| 20-74 yrs (age adjusted*) |
31.9 |
39.8 |
| 20-24 yrs |
13.6 |
23.6 |
| 25-34 |
23.8 |
26.5 |
| 35-44 |
32.7 |
42.7 |
| 45-54 |
37.2 |
50.2 |
| 55-64 yrs |
51.4 |
49.0 |
| 65-74 yrs |
39.6 |
61.0 |
| 20-29 yrs** |
16.2 |
22.5 |
*Age adjusted by the
direct method to the 1980 census population 20 to 74 years of age using 6 age
groups.
**Overweight is defined as a sex-specific body mass index (kilograms divided by
height in meters squared) equal to or greater than the 95th percentile for
examinees 20 to 29 years of age examined in the second National Health and
Nutrition Examination Survey (NHANES II).
Note: Excludes pregnant woman.
Source: Najjar MF, Kuczmarski RJ. 1989. Anthropometric data and
prevalence of overweight for Hispanics: 1982-1984. National Center for Health
Statistics. Vital Health Stat 11 (239) (27).
Table
III.A.2.b: Selected Studies Describing
the Prevalence of Overweight in Native Americans, 1981-1993
| Population |
Source
|
Age
|
Year
|
Definition of Overweight*
|
Total
|
Males
|
Females
|
| Adults |
|
|
|
|
|
% |
% |
| Native Americans, national |
Self-report |
18+ |
1987 |
a
|
|
33.7 |
40.3 |
| Native Americans by region |
Self-report |
18+ |
1985-1988 |
a
|
|
|
|
| Southwest |
|
|
|
|
|
30.0 |
28.5 |
| Plains |
|
|
|
|
|
27.8 |
35.7 |
| West |
|
|
|
|
|
22.7 |
26.8 |
| Other regions |
|
|
|
|
|
24.0 |
23.9 |
| Alaskan Yup'ik Eskimos |
Measured |
18+ |
1987-1988 |
a
|
|
34.0 |
56.0 |
| Alaskan Athabascan Indians |
Measured |
18+ |
1987-1988 |
a
|
|
29.0 |
55.0 |
| Cherokee Indians, NC |
Measured |
18+ |
1982 |
c
|
|
|
59.1 |
| Navajo Indians, NM AZ |
Measured |
20+ |
1988 |
a
|
43.7 |
33.1 |
50.l |
| Navajo Indians, NM AZ |
Measured |
20-74 |
1986-1987 |
d
|
|
42.1 |
54.7 |
| Penobscot Indians, ME |
Self-report |
18+ |
1981 |
c
|
35.0 |
|
|
| Pima Indians, AZ |
Measured |
20-54 |
1981-1988 |
a
|
|
61-78 |
81-87 |
| |
|
55+ |
1981-1988 |
a
|
|
31-53 |
44-74 |
| Zuni Indians, NM |
Measured |
20-39 |
1987 |
e
|
40.0 |
33.8 |
56.2 |
| |
|
40-59 |
1987 |
e
|
70.7 |
55.6 |
79.2 |
* Definition of
overweight and obesity used by NHANES/NCHS: a=BMI
85th percentile NHANES II reference
population
b=Weight-for-age >
95th percentile NCHS reference population
c=>120% desirable
weight for height, NHANES I
d=BMI >85th
percentile NHANES I reference population
e=BMI >27
kg/m2 for males, BMI >26 kg/m2 for females
Source: Broussard et al. Toward comprehensive obesity prevention
programs in Native American communities. Obesity Res
1995;3:289-97S.(26)
Table
III.A.2.c: Prevalence of Overweight (BMI
85th Percentile) and Obesity (BMI
95th Percentile) in American Indians and Alaska
Natives and U.S. All Races, By Gender and Age, 1987*
| Age |
American Indians and Alaska Natives |
U.S. All Races |
American Indians and Alaska Natives |
U.S. All Races |
| Males |
|
|
|
|
| Total (18+) |
33.7 |
24.1** |
13.8 |
9.1** |
| 18-24 |
21.5 |
13.1** |
11.0 |
5.5*** |
| 25-34 |
31.8 |
19.5** |
11.2 |
7.6 |
| 35-44 |
37.8 |
27.0** |
11.2 |
10.4 |
| 45-54 |
49.1 |
33.8** |
28.2 |
14.1** |
| 55-64 |
45.5 |
33.1** |
16.5 |
13.0*** |
| 65+ |
25.2 |
23.0** |
11.1 |
5.4*** |
| Females |
|
|
|
|
| Total (18+) |
40.3 |
25.0** |
16.6 |
8.2** |
| 18-24 |
25.2 |
11.5** |
11.7 |
3.9** |
| 25-34 |
45.1 |
17.4** |
13.8 |
6.0** |
| 35-44 |
48.5 |
28.1** |
19.7 |
10.8** |
| 45-54 |
54.0 |
32.0** |
18.7 |
10.9 |
| 55-64 |
45.6 |
36.2** |
18.8 |
11.5 |
| 65+ |
45.6 |
30.1** |
20.7 |
7.7** |
* Agency for
Health Care Policy and Research, 1987 National Medical Expenditure Survey
(NMES). American Indians and Alaska Natives who are eligible for care
through the Indian Health Service (IHS) and who live on or near
reservations. BMI, body mass index in kg/m2.
**Statistically
significant at oc=0.05.
***Relative SE
30%
Source: Broussard et al. Prevalence of obesity in American Indians
and Alaska Natives Am J Clin Nutr 1991;53:1535-42S.(628)
Table III.A.2.d: Overweight Prevalence
and BMI Data for Asian-Americans (N=13,031) Examined in a Northern California
HMO, 1978-1985
| Trait |
Chinese |
Filipino |
Japanese |
Other Asian |
| Age (mean ± SD) |
|
|
|
|
| Males |
40.2±14.2 |
39.2±13.4 |
42.1±14.1 |
35.9±10.4 |
| Females |
38.0±13.6 |
36.8±11.6 |
40.9±13.4 |
34.1±10.5 |
| BMI24.4
kg/m2 |
|
|
|
|
| Males |
26.9 |
41.8 |
38.0 |
28.9 |
| Females |
12.8 |
25.5 |
18.0 |
14.6 |
| Mean BMI* |
|
|
|
|
| Males |
22.9 |
23.9 |
23.7 |
23.6 |
| Females |
21.2 |
22.8 |
21.6 |
22.2 |
* Adjusted for age,
marital status, education, and alcohol intake.
Source: Klatsky AL, Armstrong MA. Cardiovascular risk factors among Asian
Americans living in Northern California. Am J Public Health
1991;81:1423-1428 (51).
Table III.A.2.e: BMI in Four Groups of
Adult Samoans, by Age and Gender*
| Gender/Age |
Western Samoa |
Manu'a |
Tutuila |
Hawaii |
| Males |
|
|
|
|
| 20-24 |
24.6±2.8 |
26.4±2.6 |
26.5±3.6 |
30.4±4.6 |
| 25-34 |
25.1±3.2 |
30.7±4.4 |
30.2±5.0 |
31.3±6.0 |
| 35-44 |
26.5±4.3 |
29.2±4.7 |
30.4±5.5 |
32.6±5.4 |
| 45-54 |
27.1±4.9 |
27.2±4.7 |
32.0±6.4 |
31.3±5.7 |
| 55-64 |
28.8±5.4 |
28.7±4.5 |
28.6±6.2 |
31.6±8.9 |
| 65-74 |
26.5±3.9 |
28.7±4.5 |
28.6±6.2 |
31.6±5.7 |
| Total |
26.2±4.2 |
28.6±5.0 |
29.8±5.7 |
31.6±5.7 |
| Females |
|
|
|
|
| 20-24 |
25.3±3.9 |
29.5±7.9 |
27.9±4.9 |
29.9±5.8 |
| 25-34 |
26.7±4.1 |
32.3±6.0 |
32.4±6.6 |
34.3±7.8 |
| 35-44 |
29.0±4.7 |
35.1±5.8 |
34.4±6.6 |
35.8±7.7 |
| 45-54 |
29.6±4.8 |
33.8±7.4 |
35.3±6.7 |
34.7±6.5 |
| 55-64 |
31.0±8.4 |
30.7±6.1 |
33.3±7.5 |
34.1±5.5 |
| 65-74 |
28.6±4.1 |
29.5±5.8 |
32.3±5.9 |
33.4±6.9 |
| Total |
27.7±4.8 |
32.7±6.9 |
33.0±6.9 |
33.6±7.2 |
* SD. BMI in
kg/m2.
Source: McGarvey ST. Obesity in Samoans and a perspective on its etiology
in Polynesians. Am J Clin Nutr1991;53:1586S-94S.(50)
Table III.A.2.f: Prevalence of Obesity
(BMI
30 kg/m2) in 1991, by Age, Gender,
and Western Samoa Location
| Gender/Age |
No. |
(%) |
No. |
(%) |
No. |
(%) |
| Males |
|
|
|
|
|
|
| 25-34 |
71 |
45.1 |
58 |
36.2 |
51 |
21.6 |
| 35-44 |
77 |
70.1 |
58 |
43.1 |
58 |
46.6 |
| 45-54 |
64 |
67.2 |
48 |
52.1 |
51 |
45.1 |
| 55-64 |
78 |
51.3 |
40 |
57.5 |
44 |
40.9 |
| 65+ |
40 |
60.0 |
28 |
32.1 |
30 |
43.3 |
| Overall |
330 |
58.5 |
232 |
44.4 |
234 |
39.3 |
| Age-std* |
|
56.9 |
|
43.5 |
|
35.9 |
| 95% CI |
|
51.2-62.6 |
|
36.9-50.1 |
|
29.7-42.1 |
| Females |
|
|
|
|
|
|
| 25-34 |
97 |
57.7 |
74 |
52.7 |
61 |
52.5 |
| 35-44 |
83 |
89.2 |
48 |
66.7 |
77 |
57.9 |
| 45-54 |
120 |
84.2 |
40 |
70.0 |
63 |
66.7 |
| 55-64 |
96 |
86.5 |
34 |
64.7 |
40 |
52.5 |
| 65+ |
43 |
62.8 |
27 |
63.0 |
30 |
46.7 |
| Overall |
439 |
77.7 |
223 |
61.9 |
271 |
57.2 |
| Age-std* |
|
74.3 |
|
61.5 |
|
56.2 |
| 95% CI |
|
69.9-78.7 |
|
55.1-68.0 |
|
50.2-62.7 |
* Age-std=age
standardized by direct method to 1986 census population.
Source: Hodge AM, Dowse GK, Toelupe P, Collins VR, Imo T, Zimmet
PZ. Dramatic increase in the prevalence of obesity in Western Samoa over
the 13-year period 1978-1991. Int J Obesity 1994;18:419-428 (629).
|
