ORLANDO, Fla., June 25, 2018 /PRNewswire-USNewswire/ -- New
research shows that Asian Indian immigrants in the U.S. are at
increased risk for chronic diseases including type 2 diabetes (T2D)
and cardiovascular disease (CVD). Adopting American lifestyle
behaviors may specifically affect HbA1c levels and high-density
lipoproteins (HDL) cholesterol levels in this group, according to
the study, "Mediating Role of Acculturation and Lifestyle Behaviors
on Cardiometabolic Risks among Asian Indians in the United States," presented today at the
American Diabetes Association's® (ADA's) 78th Scientific
Sessions® at the Orange
County Convention Center.
Asian Indians are currently the second-largest and
fastest-growing Asian American group in the U.S., and research has
indicated they are often prone to developing obesity, CVD and
diabetes due to acculturation, specifically unhealthy eating habits
and lack of exercise. Researchers conducted a secondary data
analysis of a landmark study (Misra, 2009) that collected data from
a large, national sample of 1,038 randomly selected Asian Indian
adults (average age, 48.5 years) from seven U.S. cities to measure
the prevalence of diabetes, metabolic syndrome and CVD.
This analysis examined the influencing role that lifestyle,
specifically physical activity and dietary behavior, had on
acculturation and the development of diabetes and CVD among the
study participants. Acculturation was assessed using the English
proficiency scores from the Acculturation Scale for Southeast
Asians, and dietary behavior and physical activity were calculated
from the subscales of the Health-Promoting Lifestyle Profile II.
The data on cardiometabolic risk factors were collected using HbA1c
levels, fasting blood glucose levels, body mass index, systolic and
diastolic blood pressure, and lipid profiles (HDL, LDL, total
cholesterol and triglycerides).
The results of the analysis found that dietary behavior and
physical activity did not mediate the relationship between
acculturation and many of the risk factors for diabetes and CVD.
There was some effect, however, on HbA1c levels and HDL cholesterol
levels—dietary behavior mediated the association between
acculturation and HbA1c levels, and physical activity mediated the
association between acculturation and HDL levels. Researchers
concluded that dietary and physical activity interventions that are
culturally specific might help lower risks of developing diabetes
and CVD in Asian Indian immigrants. Researchers noted that
additional research is needed to understand the mechanisms by which
acculturation affects other cardiometabolic risk factors such as
smoking, alcohol consumption, psychosocial factors and abdominal
obesity.
"Acculturation levels influence lifestyle behaviors, and in
turn, increase the risks for developing type 2 diabetes and
cardiovascular disease among Asian Indians in the U.S., yet a gap
exists in thoroughly understanding the risk factors and the need
for screenings and lifestyle modifications to effectively lower
those risks," said lead study author Nitha
Mathew Joseph, PhD, RN, assistant professor at the Cizik
School of Nursing at The University of Texas
Health Science Center at Houston. "Designing culturally
tailored dietary education and physical activity interventions for
this high-risk ethnic group may promote positive lifestyle changes
that have the potential to reduce and/or prevent cardiometabolic
risks among U.S. Asian Indians. Plans for future research include
enhancing data collection to include information about all of the
modifiable cardiometabolic risk factors. Ultimately, better
understanding and prevention strategies will reduce the health and
economic burden associated with these chronic conditions among
Asian Indians."
To speak with Dr. Mathew Joseph,
please contact the ADA Press Office on-site at the Orlando Convention Center on June 22-26, by phone at 407-685-4010 or by email
at press@diabetes.org.
The American Diabetes Association's 78th Scientific Sessions, to
be held June 22-26, 2018, at the
Orange County Convention Center in
Orlando, is the world's largest
scientific meeting focused on diabetes research, prevention and
care. During the five-day meeting, more than 16,000 health care
professionals from around the world will have exclusive access to
more than 3,000 original diabetes research presentations,
participate in provocative and engaging exchanges with leading
diabetes experts, and can earn Continuing Medical Education (CME)
or Continuing Education (CE) credits for educational sessions. The
program is grouped into eight theme areas: Acute and Chronic
Complications; Behavioral Medicine, Clinical Nutrition, Education
and Exercise; Clinical Diabetes/Therapeutics;
Epidemiology/Genetics; Immunology/Transplantation; Insulin
Action/Molecular Metabolism; Integrated Physiology/Obesity; and
Islet Biology/Insulin Secretion. Felicia
Hill-Briggs, PhD, ABPP, President of Health Care and
Education, will deliver her address, "The American Diabetes
Association in the Era of Health Care Transformation," on
Saturday, June 23, and Jane E.B. Reusch, MD, President of Medicine and
Science, will present her address, "24/7/365 – Lifetime with
Diabetes," on Sunday, June 24. In
total, the 2018 Scientific Sessions includes 375 oral
presentations; 2,117 poster presentations, including 47 moderated
poster discussions; and 297 published-only abstracts. Join the
Scientific Sessions conversation on social media using
#2018ADA.
About the American Diabetes Association
Nearly half of
American adults have diabetes or prediabetes; more than 30 million
adults and children have diabetes; and every 21 seconds, another
individual is diagnosed with diabetes in the U.S. Founded in 1940,
the American Diabetes Association (ADA) is the nation's leading
voluntary health organization whose mission is to prevent and cure
diabetes, and to improve the lives of all people affected by
diabetes. The ADA drives discovery by funding research to treat,
manage and prevent all types of diabetes, as well as to search for
cures; raises voice to the urgency of the diabetes epidemic; and
works to safeguard policies and programs that protect people with
diabetes. In addition, the ADA supports people living with
diabetes, those at risk of developing diabetes, and the health care
professionals who serve them through information and programs that
can improve health outcomes and quality of life. For more
information, please call the ADA at 1-800-DIABETES (1-800-342-2383)
or visit diabetes.org. Information from both of these sources is
available in English and Spanish. Find us on Facebook (American
Diabetes Association), Twitter (@AmDiabetesAssn) and Instagram
(@AmDiabetesAssn).
247-OR
|
Mediating Role of
Acculturation and Lifestyle Behaviors on Cardiometabolic Risks
among Asian Indians in the United States
|
78th Scientific Sessions
News
Briefing: Population Health Strategies, Monday, June 25, 1:00 p.m.
ET
Session Title: Diabetes Self-Management Education and
Support—Embracing Data and Digital Dialogue
Advances
Session Type: Oral Presentations
Location: W204
Session Time: Monday, June 25,
2018, 8:00 - 10:00 am
Authors: NITHA MATHEW
JOSEPH, RANJITA MISRA,
JING WANG, STANLEY CRON, PADMAVATHY
RAMASWAMY, Houston, TX, Morgantown, WV
Background: Asian Indians are the
2nd largest group of Asian immigrants in the U.S.
and have higher rates of diabetes, metabolic syndrome, and
cardiovascular disease than the general U.S. population and other
immigrant groups. Acculturation levels influence lifestyle
practices, and studies have reported that acculturated individuals
have increased risks for chronic diseases.
Aim: Hence, this study explored the mediating role of
lifestyle behaviors (physical activity and dietary behavior)
between acculturation and cardiometabolic risk factors among Asian
Indians using the Diabetes in Indian
Americans national study.
Methods: The sample comprised 1038 randomly selected
adult Asian Indians in seven U.S. sites (mean age, 48.54 years).
Acculturation was assessed using the English proficiency scores
from the Acculturation Scale for Southeast Asians, and dietary
behavior and physical activity were calculated from the subscales
of Health-Promoting Lifestyle Profile II. Path analyses with
bootstrap methods were used to determine whether physical activity
or dietary behavior mediates the relationship between acculturation
and cardiometabolic risk factors (HbA1c, fasting blood glucose
levels, body mass index, systolic and diastolic blood pressure, and
lipid profiles [HDL, LDL, total cholesterol, and
triglycerides]).
Results: Dietary behavior significantly mediated the
relationship between acculturation and HbA1C (β=0.004, p =
.047), and physical activity mediated the relationship between
acculturation and HDL (β=0.08, p = .011). All
other mediation models were not significant (p>.05) based on the
nonsignificant indirect effects detected in the models.
Conclusion: Culturally specific dietary education and
physical activity interventions for this high-risk ethnic group may
have the potential to reduce cardiometabolic risks. The results
provide a firm basis for developing educational programs.
Author Disclosures: N. Mathew Joseph: None. R.
Misra: None. J. Wang: None. S.
Cron: None. P. Ramaswamy: None.
Press Office in Orlando
June 22 - 26, 2018
407-685-4010
Contact:
Michelle Kirkwood
(703) 299-2053
mkirkwood@diabetes.org
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SOURCE American Diabetes Association