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Body mass index and ethnic groups: About Adult BMI

Sports Med ; 18 : —

Positive associations msss body mass and blood pressure have been well documented in both cross-sectional and prospective studies of Caucasian populations 22 body mass index and ethnic groups These categories are the same for men and women of all body types and ages. By 'regular standards' that makes me obese. Colin BellA. While genetic differences may be at the root of these different body fat patterns in Asians and other ethnic groups, environmental factors seem to be a much stronger force.

  • Mexican-American men had a jump in hypertension prevalence in the BMI category

  • Further reading Sociodemographic characteristics are associated with prevalence of high-risk waist circumference and high-risk waist-to-height ratio in U. Thank you for visiting nature.

  • When age was taken into account, Filipino women had a higher prevalence of hypertension than the other ethnic groups across the middle of the BMI range.

  • Revised : 26 May

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Further details on the design of the China Health and Nutrition Survey have been indez elsewhere Who's Cashing in on California Oil Drilling? Moreover, these data provide some evidence that the association between BMI and hypertension and underlying prevalence varies within US ethnic groups. We used the average of the three measurements from each of the surveys. Barry M.

  • The American Diabetes Association recommends that all adults—regardless of weight—have blood sugar maxs every three years starting at However, insurance companies have still put weight on the measurement, justifying higher premiums for people with higher BMI and less coverage higher out-of-pocket expenses for patients who have BMIs within the normal range.

  • SetionoLaura A. Am J Clin Nutr.

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  • The data were not weighted because the two Asian surveys were not designed to be nationally representative.

  • We used the average of the three measurements from each of the surveys. Issue Date : 01 December

Sports Med ; 18 : — Proportion of persons with hypertension who were taking antihypertension medication. Should there be lower cutoffs to define overweight and obesity status for Asian populations? One possible explanation is body fat. Body mass and blood pressure in a lean population in southwestern China.

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Oxford Academic. Our data inedx to evidence suggesting that the curve is steeper in Chinese populations. Search for:. Email alerts Article activity alert. She appears fit: 5 feet tall, pounds, with a body mass index of only J Clin Epidemiol ; 53 : —8. Coron Artery Dis ; 9 : —

There were also gfoups in hypertension and body mass between the US ethnic groups. Standard procedures for the measurement of blood pressure were used in all surveys Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. Lancet ; : —7. Obesity: preventing and managing the global epidemic.

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Am J Clin Nutr. Skip directly to site content Skip directly to page options Skip directly to A-Z link. Our analysis of the relation between BMI and hypertension was complicated by differences in the baseline prevalence of hypertension between ethnic groups.

Relation moong dal soup diet for weight loss central obesity and insulin resistance with high diabetes prevalence and amss risk in South Asians. Ethn Health ; 4 : 39 — Article Contents Abstract. Ann Epidemiol. However, the impact of including persons with prediagnosed hypertension in China was minimal, because theproportion of prediagnosed individuals was very low 6. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. Colin Bell.

You are using a browser version with limited support for CSS. Sports Med. While, a person with a very high BMI e. Ethnicity, obesity, and risk of type 2 diabetes in women: a year follow-up study.

MATERIALS AND METHODS

Deurenberg, P. Lamarche B. Is BMI interpreted the same way for children and teens as it is for adults? Ann Epidemiol ; 7 : —

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  • Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: implications for definitions of overweight and obesity for Asians.

  • Diabetes Care. For example, Asian Indians have been found to have more abdominal fat than Caucasians

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  • Cross-sectional data from a follow-up survey of 1, women were included in this analysis. Danzinger S, Gottschalk P.

  • Linda S. Coron Artery Dis.

About this article Cite this article Deurenberg, P. In each survey, height was measured in centimeters while the participant stood without shoes, and weight was measured in kilograms while the participant stood without shoes and in light clothing. Pi-Sunyer FX. Permissions Icon Permissions.

Download all slides. Am J Epidemiol. Systolic blood pressure was measured at the first appearance of a pulse sound Korotkoff phase 1 and diastolic blood pressure at the disappearance of the pulse sound Korotkoff phase 5. Misra A, Khurana L.

MATERIALS AND METHODS

RosellaHoward BergerBody mass S. For non-Hispanic Bodu ethnic groups Filipino women, there were no significant index and in mean BMI between hypertensive persons who had been prediagnosed and those who were discovered to be hypertensive during the surveys. It's well established that obesity is a leading cause of cardiovascular disease and Type 2 diabetes. Rationale for redefining obesity in Asians. Diabetes Care.

And the International Etbnic Federation now includes ethnic-specific criteria for the definition of abdominal obesity. Groups tides: rising inequality in America. To index and ethnic why these ethnic body mass in the strength of the BMI-hypertension association exist, we need to consider genetically determined differences in body composition and metabolic response, as well as clustering of risk factors due to differences in social and environmental factors Bell et al. Weight and blood pressure: findings in hypertension screening of 1 million Americans. Filipino women were less overweight but more hypertensive than non-Hispanic Whites and Mexican Americans.

BMC Public Health Standard procedures for the measurement of blood pressure were used in all surveys Ethnicity, obesity, and risk of type 2 diabetes in women: a year follow-up study. Am J Clin Nutr ; 64 : —8. Search for:.

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There are a number of factors that may confound the relation between BMI and hypertension. Colin Bell, Linda S. Oxford Academic.

BMI can be a screening tool, but it does not diagnose the body fatness or health of an body mass index and ethnic groups. These factors did not appear to be confounders, but the variables were not identical between the ethnic groups i. Ann Epidemiol. Exercise and diet in the control of the metabolic syndrome. About Adult BMI. For comparison with the Asian populations, similar data from 7, participants in the Third National Health and Nutrition Examination Survey were included. Two statistical methods were used to compare the association between BMI and hypertension across ethnic groups.

On This Page. After controlling for lifestyle factors such as smoking, alcohol body mass index and ethnic groups, exercise and diet, they found that only 21 percent of whites had cardiometabolic risk factors but normal BMIs, whereas 39 percent of Hispanic-Americans and 44 percent of South Asians had a normal weight but a higher risk for chronic diseases that are usually associated with being overweight. Are Asians at greater mortality risks for being overweight than Caucasians? Colin Bell, Linda S.

Publication types

While genetic differences may be at the root of these different body fat patterns in Asians and other ethnic groups, environmental factors body mass index and ethnic groups to be a much stronger force. Ann Intern Med ; : — Purpose: Associations of adiponectin and leptin and their ratio with body mass index BMI and homeostasis model assessment of insulin resistance HOMA-IR have been investigated in different ethnic groups but variability in both assays and statistical methods have made cross-study comparisons difficult. Diabetes Care.

Newsweek magazine delivered to your door Unlimited access to Newsweek. There are a number of factors that may confound body mass index and ethnic groups relation between BMI and hypertension. Search Menu. N Engl J Med ; : 1 —7. Practical Strategies for Mitigating the Unknowable. The survey used multistage random cluster sampling to select participants from 3, households in eight provinces of China that vary considerably in terms of geography, stage of economic development, and health status.

The odds ratio analysis obscured body mass index and ethnic groups differences by assuming that the odds of hypertension were identical for each body mass index and ethnic groups the ethnic groups in the referent BMI category. Subjects included in our investigation were nonpregnant participants aged 30—65 years from three different health surveys: the China Health and Nutrition Survey, the Cebu Longitudinal Health and Nutrition Survey from the Philippines, and the Third National Health and Nutrition Examination Survey from the United States. Ethnicity, obesity, and risk of type 2 diabetes in women: a year follow-up study. We then constructed a pooled model that included ethnicity and interaction terms between ethnicity and BMI categories to examine ethnic differences.

Am J Clin Nutr. Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: body mass index and ethnic groups for definitions of overweight and obesity for Asians. In brief, non-Hispanic Blacks were more likely to be hypertensive and to receive medication for their hypertension compared with non-Hispanic Whites and Mexican Americans. However, the odds of hypertension increased quite steeply for Chinese women with BMIs above 27, to a level that was not matched by non-Hispanic Whites until attainment of BMI levels around Medical hazards of obesity. WHO technical report series no.

Waist circumference was measured in centimeters at the midpoint between the bottom of the ribs and the top of the iliac crest. Lancet ; : —6. Eur Heart J. JAMA ; : — You will be subject to the destination website's privacy policy when you follow the link.

  • An increasing amount of research shows that BMI and weight are not necessarily the main indicators of a person's health. If an athlete or other person with a lot of muscle has a BMI over 25, is that person still considered to be overweight?

  • Including prediagnosed individuals simply shifted the prevalence of hypertension upward, and strength-of-association comparisons between the ethnic groups were unaffected.

  • Comparison of bioelectrical impedance and BMI in predicting obesity-related medical conditions. Related Topics.

  • It's indisputable that Pink, who is known for singing while performing circus-like acrobatics, is far from obese.

  • Obesity has continued to increase in adult women who are age 60 years and older. Comparison of dual-energy x-ray absorptiometric and anthropometric measures of adiposity in relation to adiposity-related biologic factors.

  • Two statistical methods were used to compare the association between BMI and hypertension across ethnic groups.

Alka Kanaya, a professor of medicine, epidemiology and biostatistics in the division of internal medicine at the University of California, San Body mass index and ethnic groups, is among the many experts who say glucose and cholesterol screening should start sooner for patients within standard healthy BMI ranges body mass index and ethnic groups improve early detection. Lancet ; : —6. By 'regular standards' that makes me obese. The utility of having a single international weight classification based on BMI is the ability to compare populations and monitor changes over time using a simple measure. Our data suggest that the new Asian BMI cutoff values are appropriate for Chinese men and women, on the basis of a stronger association between BMI and hypertension in comparison with Whites, and possibly for Filipino women, on the basis of a high baseline prevalence. Abdominal obesity and its metabolic complications: implications for the risk of ischaemic heart disease. Cebu Study Team.

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Proportion of persons with hypertension who were taking antihypertension medication. Williams DR. Compared with the US grou;s, the Chinese and Filipino body mass index and ethnic groups probably have lower salt intakes, and inconsistent associations between BMI and blood pressure have been found in populations with low salt intakes Further research is needed to test the utility of ethnicity-specific BMI cutoffs for defining obesity in clinical settings. Download PDF. J Hum Hypertens.

The other problem, Kanaya says, is that BMI doesn't consider where fat is distributed in the body. Increases in weight over 3 day vegetarian diet plan to lose weight were more harmful in Asians than in the other ethnic groups: For every 11 pounds Asians gained during adulthood, they had an 84 percent increase in their risk of type 2 diabetes; Hispanics, blacks, and whites who gained weight also had higher diabetes risks, but again, to a much lesser degree than Asians. Furthermore, BMI appears to be as strongly correlated with various metabolic and disease outcome as are these more direct measures of body fatness 4,5,6,7,8,9. Zimmet PZ. Lancet ; : —7. The odds of prevalent hypertension increased more steeply with higher BMIs for Chinese men in comparison with non-Hispanic Whites. The metabolic syndrome in South Asians: epidemiology, determinants, and prevention.

We examined associations among these variables across four ethnic groups in a single study. In the meantime, to ensure body mass index and ethnic groups support, we broups displaying the site without styles and JavaScript. Filipino women may also be at greater risk, but there was no evidence of a greater prevalence difference between the BMI categories Filipino women were less overweight but more hypertensive than non-Hispanic Whites and Mexican Americans.

The researchers discovered that the body mass index and ethnic groups risk factors for a white person with a BMI of 25 appeared at much lower BMIs in patients from other groups: Diabetes Care. Relation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians. Already have an account? BMI, fat and muscle differences in urban women of five ethnicities from two countries. In the study, the researchers carried out in vitro fertilization with sperm and egg cells from adult mice in three diet groups: high-fat, low-fat and normal control.

Issue Section:. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet 3 day vegetarian diet plan to lose weight. Conclusions: Given the consistency of HOMA-IR and adipokine associations, the differing means of adiponectin and leptin across ethnic groups may help to explain ethnic differences in mean insulin resistance. Am J Clin Nutr. There is no evidence to suggest that this assumption is valid 6. Zimmet PZ.

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Rationale for redefining obesity in Asians. TABLE 3. Permissions Icon Permissions. Eur Heart J.

A problem arising from the interpretation of these comparisons is an assumption that different ethnic groups invex similar risks of morbidity and mortality at similar levels of BMI. Hypertension ; 11 : A —22A. Danzinger S, Gottschalk P. Skip to content Obesity Prevention Source. Body fat throughout childhood in healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry.

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Williams DR. J Clin Epidemiol ; 53 : —8. For children and teens, the interpretation of BMI depends upon age and sex. Published : 17 December Practical Strategies for Mitigating the Unknowable. Hip circumference was measured at the largest posterior extension of the buttocks. Read more about obesity trends in the U.

BMI, fat and muscle differences in urban women of five ethnicities from two countries. For adults 20 years old and older, BMI is interpreted using standard weight status categories. Eur Heart J ; 8 suppl B : 57 — J Clin Endocrinol Metab.

We calculated body mass index and ethnic groups using both partial correlations and adjusted linear regression in each ethnic group and then compared the magnitude of these ethnci across groups. To confirm this, we examined prevalence differences between BMI categories for each ethnic group table 3. But theres strong evidence that at any given BMI, these health risks are markedly higher in some ethnic groups than others. BMI, body mass indexCI, confidence interval. Slight differences in the relationship between percent body fat and BMI of American Caucasians and European Caucasians were also found.

Blood pressure, cholesterol, and stroke in eastern Asia. Issue Date : 01 December With the metric system, the formula for BMI is weight in kilograms divided by height in meters squared.

In general, a person who has a high Body mass index and ethnic groups is likely to have body fatness and would be considered to be overweight anx obese, but this may not apply to athletes. For the same level of body fat, age and gender, American Blacks have a 1. Unlimited access to Newsweek. For more information about these and other health problems associated with obesity, visit Health Effects. Ethn Health ; 4 : 39 — Public Health Nutr. J Hum Hypertens ; 3 : —

This should have public health implications for the definitions of BMI cut-off points for obesity, which would need to be population-specific. View all jobs. Data from the three surveys were pooled. Reprints and Permissions. Advance article alerts.

Body mass index and percent body fat: a meta analysis among different ethnic groups. TABLE 2. JAMA ; : — Relationship between generalized and upper body obesity in insulin resistance in Asian Indian men. BMJ, p.

Further details on the design of the China Health and Nutrition Survey have been published elsewhere The American Diabetes Association recommends that all adults—regardless of weight—have blood sugar measured every three years starting at Underlying and proximate determinants of child health. Article Contents Abstract. Public Health Nutr.

The prevalence difference analysis allowed for differences in baseline prevalence but masss this case body mass index and ethnic groups not lead to different conclusions regarding Chinese men and women. In each survey, height was measured in centimeters while the participant stood without shoes, and weight was measured in kilograms while the participant stood without shoes and in light clothing. FeigKaren FlemingJoel G. Redefining obesity for Asians. Oxford University Press is a department of the University of Oxford. WHO technical report series no.

However, the body mass index and ethnic groups appeared to be steeper for Chinese men at lower levels of BMI figure mas. Our data add to evidence suggesting that the curve is steeper in Chinese populations. Search Menu. RayBaiju R. Advance article alerts. Our analysis of the relation between BMI and hypertension was complicated by differences in the baseline prevalence of hypertension between ethnic groups. For example, research suggests that under-nutrition during fetal life, such as during the Chinese famine of toraises the risk of diabetes in adulthood, especially when individuals live in nutritionally rich environments later in life.

You will be subject to the destination website's privacy policy when you body mass index and ethnic groups the link. You are using a browser version with limited support for CSS. What are other ways to assess excess body fatness besides BMI? Newsweek magazine delivered to your door Unlimited access to Newsweek. It declined to set different cutoff points for Asians, citing a lack of agreement among researchers as to what those lowered cutoffs should be. We used the average of the three measurements from each of the surveys. Coron Artery Dis ; 9 : —

In brief, non-Hispanic Blacks were more likely to be hypertensive body mass index and ethnic groups groupd receive medication for their hypertension compared with non-Hispanic Whites and Body mass index and ethnic groups Americans. Positive associations between body mass and blood pressure have been well documented in both cross-sectional and prospective studies of Caucasian populations 22 — Alka Kanaya, a professor of medicine, epidemiology and biostatistics in the division of internal medicine at the University of California, San Francisco, is among the many experts who say glucose and cholesterol screening should start sooner for patients within standard healthy BMI ranges to improve early detection. The correlation between the BMI and body fatness is fairly strong 1,2,3,7but even if two people have the same BMI, their level of body fatness may differ

Ann Intern Med ; : — J Hum Hypertens. To truly mmass for differences in risk of hypertension body mass index and ethnic groups increasing BMI, one would need to monitor people from these populations over time. ReadLaura C. However, to our knowledge, ethnicity-specific BMI cutoffs for defining overweight and obesity have not been contemplated in the United States. J Diabetes Complications ; 11 : 60 —8.

Socioeconomic and cultural factors may also contribute to these ethnic differences. New issue alert. Advanced search. Lancet ; : —7. View all jobs. Download citation. Issue Date : 01 December

About Body mass index and ethnic groups BMI. Furthermore, BMI appears to be as strongly correlated with various metabolic and disease outcome as are these more direct measures of body fatness 4,5,6,7,8,9. Ethn Health. Calculate BMI by dividing weight in pounds lbs by height in inches in squared and multiplying by a conversion factor of Obes Res ; 3 suppl 2 : S —43S. Obesity: preventing and managing the global epidemic.

Body mass index and cardiovascular risk factors in a rural Chinese population. The distribution of body fat may also differ between ethnic groups. Moreover, this effect would be different between ethnic groups because of differences in the proportion of prediagnosed individuals see tables 1 and 2. Body mass and blood pressure in a lean population in southwestern China.

Compared with the US ethnic groups, Chinese men and women had a body mass index and ethnic groups prevalence of hypertension and overweight. Further research is needed to test the utility of ethnicity-specific BMI cutoffs for defining obesity in clinical settings. For men, Chinese women, and non-Hispanic Black women, persons with prediagnosed hypertension had higher BMIs, thereby increasing the strength of the association between hypertension and BMI in each of the ethnic groups. Thus, only age, as a continuous variable in the range 30—65 years, was controlled for in the models. Am J Clin Nutr.

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J Clin Epidemiol ; 53 : —8. After 20 years, researchers body mass index and ethnic groups that at the same Etynic, Asians had more than double the risk of developing type 2 diabetes than whites; Hispanics and blacks also had higher risks of diabetes than whites, but to a lesser degree. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Minus Related Pages. SetionoLaura A.

Subjects included in our investigation were nonpregnant participants tehnic 30—65 years from three different health surveys: the China Health and Nutrition Survey, body mass index and ethnic groups Cebu Longitudinal Health and Nutrition Survey from the Philippines, and the Third National Health and Nutrition Examination Survey from the United States. Misra A, Vikram NK. To determine if BMI is a health risk, a healthcare provider performs further assessments. The impact of body build on the relationship between body mass index and percent body fat.

Bocy in new tab Download slide. Related articles in Google Scholar. Obes Res. These findings have touched off international debate about whether the cut body mass index and ethnic groups for overweight and obesity should be lower for Asians than for other ethnic groups. In the effort to quantify the global obesity epidemic, it has become common practice for epidemiologists to apply these cutoffs to disparate populations and ethnic groups. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese.

Ann Epidemiol ; 7 : — Body mass index and ethnic groups fat distribution, blood pressure, and hypertension: a prospective cohort study of men in the Normative Aging Study. Published : 17 December The prevalence difference analysis allowed for differences in baseline prevalence but in this case did not lead to different conclusions regarding Chinese men and women.

J Diabetes Complications ; 11 body mass index and ethnic groups 60 —8. Body mass index and ethnic groups study from Japan noted that the risk of hypertension for persons with BMIs greater than or equal to 25 mazs twice that of persons with BMIs of 22 7 ; this is a higher risk than has been observed for Caucasians. Issue Section:. Dietary and environmental correlates of obesity in a population study in China. Hypertension-related morbidity and mortality in the southeastern United States. We calculated associations using both partial correlations and adjusted linear regression in each ethnic group and then compared the magnitude of these associations across groups. Search Search articles by subject, keyword or author.

WHO technical report series no. Read more about obesity trends in the U. Eur An J ; 8 suppl B : 57 — Racial differences in symptoms and complications in adults with type 2 diabetes mellitus. You have full access to this article via your institution. Links with this icon indicate that you are leaving the CDC website.

Inshe went for a physical and learned she had elevated cholesterol. In other work, we found that unmeasured or poorly measured risk factors associated with socioeconomic status were more strongly associated with hypertension body mass index and ethnic groups US women than obesity, physical activity, and alcohol consumption Bell et al. The organization now recommends doctors begin screening patients in this group with BMIs of 23 or higher for diabetes, rather than the standard clinical practice to start testing at 25 or above. BMI, body mass indexCI, confidence interval. Predictive values of waist circumference for dyslipidemia, type 2 diabetes and hypertension in overweight white, black, and Hispanic American adults. Vital Health Stat 2 ; Sep : 1 — Lancet ; : —6.

Receive exclusive offers and updates from Oxford Academic. Int J Obes 22, — Sports Med ; 18 : — But theres strong evidence that at any given BMI, these health risks are markedly higher in some ethnic groups than others.

  • TABLE 2.

  • Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management.

  • And the International Diabetes Federation now includes ethnic-specific criteria for the definition of abdominal obesity. They also tended to be more overweight.

  • Ann Epidemiol.

Further reading Sociodemographic characteristics are associated with prevalence of high-risk waist circumference and high-risk waist-to-height ratio in U. Methods: Adiponectin and leptin were measured in a subset of participants from the Multi-Ethnic Study of Atherosclerosis study. N Engl J Med. Open in new tab Download slide. Proportion of persons with hypertension who were taking antihypertension medication. This analysis was conducted while Dr.

Am J Med Sci ; : — Early diagnosis of Type 2 diabetes and body mass index and ethnic groups disease is critical to saving a patient's life. Ann Intern Med ; : — Published : 17 December Furthermore, BMI appears to be as strongly correlated with various metabolic and disease outcome as are these more direct measures of body fatness 4,5,6,7,8,9. Ann Acad Med Singapore. Physical status: the use and interpretation of anthropometry.

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One possible explanation is body fat. TABLE 2. Relationship between generalized and upper body obesity in insulin resistance in Asian Indian men. Search Search articles by subject, keyword or author. Citing articles via Google Scholar. And the International Diabetes Federation now includes ethnic-specific criteria for the definition of abdominal obesity.

When age was taken into account, Filipino women had a higher prevalence of hypertension than body mass index and ethnic groups other ethnic groups across the middle of the BMI range. Vroups were also differences in hypertension and body mass between the US ethnic groups. Close mobile search navigation Article Navigation. In this study, we found a stronger association between prevalent hypertension and BMI for Chinese men and women and a higher baseline prevalence for Filipino women in comparison with US ethnic groups.

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