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Are definitions of adiposity appropriate for identification of cardiovascular disease risk in South Asian populations?
Author(s) -
Lovegrove J. A.
Publication year - 2007
Publication title -
nutrition bulletin
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.933
H-Index - 40
eISSN - 1467-3010
pISSN - 1471-9827
DOI - 10.1111/j.1467-3010.2007.00637.x
Subject(s) - medicine , waist , ethnic group , anthropometry , body mass index , disease , metabolic syndrome , demography , obesity , type 2 diabetes , diabetes mellitus , environmental health , gerontology , endocrinology , sociology , anthropology
Summary South Asian populations living in the UK have a high prevalence of the metabolic syndrome, cardiovascular disease (CVD) and type 2 diabetes which impacts greatly on the morbidity and mortality of this ethnic group. The identification of ‘at risk’ individuals is essential to initiate preventative treatment. However, this is considerably hindered by the lack of appropriate cut‐off values for anthropometric measures. CVD risk is significantly higher at a lower body mass index (BMI) in many Asian groups compared with Caucasians and adiposity (particularly central deposition) is higher at similar BMI levels. The definition of adiposity in Asians needs to be firmly established and appropriate lower BMI and waist circumference cut‐offs implemented in ethnic subpopulations to facilitate appropriate treatment strategies.