“…We had hypothesized that anthropometric measures would mediate an association between acculturation and HOMA because of previously observed associations between acculturation and BMI in studies of Asian immigrants. 3,4,28,29 In our study group, however, although anthropometric measures were strong predictors of HOMA, acculturation did not predict anthropometry, and the association between acculturation and HOMA in less-educated women persisted even when anthropometry was taken into account. Because in our previous work acculturation was associated with more dietary changes among less educated women, 10,11 we also hypothesized that diet might mediate an association between acculturation and insulin resistance.…”