TitleRisk factors and prevention of cardiovascular disease among Asian-Indian men in a U.S. managed care organization
NameGhai, Nirupa Rajendra (author), Rhoads, George G. (chair), DEMISSIE, KITAW (internal member), Marcella, Stephen (internal member), Quinn, Virginia P. (outside member), Rutgers University, Graduate School - New Brunswick,
East Indian Americans--Health and hygiene--New Jersey,
Cardiovascular system--Diseases--Risk factors--New Jersey,
East Indians--Health and hygiene--New Jersey,
Men--Health and hygiene--New Jersey
DescriptionResearchers have reported higher rates of cardiovascular disease (CVD) clinical risk factors including diabetes mellitus (DM), hypertension, and dyslipidemia in Asian-Indians. We sought to examine lifestyle/behavioral CVD risk factors overall and by vegetarian/non-vegetarian status, as well as CVD clinical risk factors in Asian-Indian men compared to white non-Hispanic men (WNH). Eligible men were recruited from Kaiser Permanente Southern and Northern California into the California Men’s Health Study (CMHS) Cohort between 2002-2003. Asian-Indians more often reported a healthy BMI (18.5-24.9), and consumed <30% calories from fat compared to WNHs. Among healthy weight men, Asian-Indians were less likely to eat 5 or more fruit and vegetables a day. Overall, Asian-Indians were more likely to have never smoked and to abstain from alcohol. Asian-Indians were less likely to report moderate/vigorous physical activity > 3.5 hours/week. Vegetarians more often consumed a lower fat diet compared to non-vegetarians [Adjusted Odds Ratio (AOR) = 3.22; (95% Confidence Interval) (95% CI) 2.80-3.71]. Vegetarians reported consuming more fruits and vegetables; however a statistically significant difference was not detected among Asian-Indians. Further, WNH vegetarians reported less sedentary activity [AOR = 0.65; 95% CI 0.54-0.78] and more moderate/vigorous physical activity [AOR = 1.87; 95% CI 1.55-2.25] than WNH non-vegetarians, however this was not the case among Asian-Indians. We found Asian-Indians had higher rates of DM and dyslipidemia compared to WNHs. Asian-Indians more often had lower mean systolic, diastolic and low-density lipoprotein (LDL) levels compared to WNHs. Although control of hypertension and dyslipidemia was similar in the two populations, overall only 50% of men had LDL and triglyceride levels under the target values for control. Our examination of lifestyle related CVD risk factors found evidence for both potentially protective and harmful health behaviors among Asian-Indian men. Overall, we found that WNH vegetarians lead a healthier lifestyle (consuming lower fat diets and more fruits and vegetables, and participating in more physical activity and less sedentary behaviors) compared to non-vegetarians. Finally, our examination of clinical CVD risk factors found evidence for increased clinical risk factors (DM and dyslipidemia) and clustering of clinical risk factors for CVD among Asian-Indians.
NoteIncludes bibliographical references
Noteby Nirupa Rajendra Ghai
CollectionGraduate School - New Brunswick Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.