PMID- 21263345
OWN - NLM
STAT- MEDLINE
DCOM- 20120110
LR  - 20240320
IS  - 1550-5049 (Electronic)
IS  - 0889-4655 (Print)
IS  - 0889-4655 (Linking)
VI  - 26
IP  - 5
DP  - 2011 Sep-Oct
TI  - Anthropometric measures and lipid coronary heart disease risk factors in Korean 
      immigrants with type 2 diabetes.
PG  - 414-22
LID - 10.1097/JCN.0b013e3182017c1f [doi]
AB  - OBJECTIVES: The purposes of this study were to (1) describe anthropometric 
      measures among Korean immigrants with type 2 diabetes mellitus (T2DM) and (2) 
      examine the relationships between measures of obesity with several forms of 
      dyslipidemia in this group. BACKGROUND: Obesity and dyslipidemia are commonly 
      associated with T2DM, and they are risk factors for coronary heart disease (CHD), 
      the leading cause of death for people with diabetes. Asians are predisposed to 
      abdominal obesity and experience significant CHD risk at lower body mass index 
      (BMI) levels. Despite high prevalence of diabetes among Korean immigrants, 
      relationships among anthropometric measures and lipid-related CHD risk factors 
      have not been examined. METHODS: A convenience sample of 143 adult Korean 
      immigrants with T2DM between the ages of 30 and 80 years participated in the 
      study. Body mass index, waist circumference (WC), and waist-to-hip ratio (WHR) 
      were obtained using standardized procedures. Total cholesterol, triglycerides, 
      low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol 
      were assessed using a fingerstick blood test. Hierarchical linear regressions 
      were conducted to identify which of the anthropometric measures was significantly 
      related to individuals' cholesterol levels. RESULTS: Central obesity measures, 
      not BMI, were significantly associated with dyslipidemia in Korean immigrants 
      with T2DM independent of potential confounds such as hemoglobin A1C, cigarette 
      smoking, age, and cholesterol medication. Different central obesity measures were 
      associated with different cholesterol types for diabetic Korean men and women. In 
      men, WHR was positively associated with low-density lipoprotein cholesterol and 
      total cholesterol levels. In women, WC was negatively associated with 
      high-density lipoprotein cholesterol. CONCLUSIONS: Central obesity measures (WC 
      and WHR) are better indicators for assessing lipid-related CHD risk factor among 
      Korean immigrants with T2DM than BMI. Gender difference in the association 
      between central obesity measures and lipid types should be considered in CHD risk 
      assessment of Korean immigrants with T2DM.
FAU - Choi, Sarah
AU  - Choi S
AD  - Program in Nursing Science, College of Health Sciences, University of 
      California-Irvine, CA 92697, USA. sechoi@uci.edu
LA  - eng
GR  - F31 NR009329/NR/NINR NIH HHS/United States
GR  - F31 NR009329-03/NR/NINR NIH HHS/United States
GR  - 5 F31 NR009329/NR/NINR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - J Cardiovasc Nurs
JT  - The Journal of cardiovascular nursing
JID - 8703516
RN  - 97C5T2UQ7J (Cholesterol)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Asian
MH  - *Body Weights and Measures
MH  - Cholesterol/*blood
MH  - Coronary Artery Disease/blood/epidemiology
MH  - Diabetes Mellitus, Type 2/*blood
MH  - Diabetic Angiopathies/blood/epidemiology
MH  - Female
MH  - Humans
MH  - Korea/ethnology
MH  - Male
MH  - Middle Aged
MH  - Risk Factors
MH  - *Transients and Migrants
PMC - PMC3137761
MID - NIHMS259746
EDAT- 2011/01/26 06:00
MHDA- 2012/01/11 06:00
PMCR- 2012/09/01
CRDT- 2011/01/26 06:00
PHST- 2011/01/26 06:00 [entrez]
PHST- 2011/01/26 06:00 [pubmed]
PHST- 2012/01/11 06:00 [medline]
PHST- 2012/09/01 00:00 [pmc-release]
AID - 10.1097/JCN.0b013e3182017c1f [doi]
PST - ppublish
SO  - J Cardiovasc Nurs. 2011 Sep-Oct;26(5):414-22. doi: 10.1097/JCN.0b013e3182017c1f.