Prevention of coronary artery disease: the south Asian paradox

Tunstall-Pedoe, Susie; Starkey, Caroline; Mathews, Benji; Hilton, Sean; Cappuccio, Francesco P.

doi:10.1016/s0140-6736(03)12140-x

Cited by 11 publications

(1 citation statement)

References 1 publication

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“…Consequently, dietary and clinical guidelines for this population are not distinct, despite the disproportionately higher prevalence of non-communicable disease burden, particularly atherosclerotic CVD, among South Asians in the USA (2,3) . South Asians are described as experiencing the 'Asian paradox,' defined as high incidence and prevalence of non-communicable disease despite BMI in the normal range (4) . BMI continues to be the most widely used measure to screen for weight category and risk for overweight and obesity (5) , despite a growing body of research that advocates for the implementation of complementary body measures that would more accurately approximate central body fatness (6) , rather than reliance on a height:weight ratio.…”

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confidence: 99%

Association between dairy product intake and body composition among South Asian adults from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study

et al. 2020

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South Asians, who are at a disproportionately greater risk of atherosclerotic CVD (ASCVD), represent a rapidly growing population in the USA. The relationship between dairy products, a major component of South Asian diets, and body composition – an established risk factor for ASCVD, is unclear. The aim of the present study was to examine associations between dairy intake and multiple measures of body composition (BMI, waist and hip circumference, waist:hip ratio, abdominal lean mass, subcutaneous, visceral, and intermuscular fat areas) among South Asian adults in the USA. A baseline analysis was conducted using existing data from the Mediators of Atherosclerosis in South Asians Living in America cohort. In women, the highest (>1·9 servings/d) v. lowest (<1 serving/d) tertile of dairy intake was associated with 53 % lower odds of a waist circumference >80 cm (95 % CI 0·25, 0·89, Pfor trend<0·05). No associations were observed between dairy intake and measures of body composition. However, >3 servings of low-fat yogurt/week was associated with a 9·9 cm2 lower visceral fat area (95 % CI –19·07, –0·72, P<0·05) and 2·3 cm2 lower intermuscular fat area (95 % CI –3·76, –0·79, P<0·05) as compared with those with three servings/week. Milk and cheese were not associated with body composition measures. These analyses suggest that higher consumption of low-fat yogurt is associated with lower visceral and intermuscular fat in the whole sample, and women with higher dairy intake have lower waist circumference. Our study supports dietary incorporation of dairy products, and recognises the utility of multidimensional measures of central adiposity.

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confidence: 99%

Association between dairy product intake and body composition among South Asian adults from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study

et al. 2020

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Prevalence and risk factors for prehypertension and hypertension in five Indian cities

Singh¹,

Fedačko

Pella

et al. 2011

Acta Cardiologica

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Ultra-processed food intake among South Asians in the United States: Specific vulnerabilities of a growing immigrant population group

Hussain,

Juul,

Deierlein

et al. 2023

Nutrition Reviews

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South Asians are among the fastest growing immigrant population groups in the United States. Their traditional diets are rich in minimally processed fruits, vegetables, grains, herbs, and spices. However, the proliferation of ultra-processed foods (highly processed, industrially manufactured formulations) around the globe may compromise the nutrition profile of South Asians, threatening to increase their risk of noncommunicable diseases. This commentary discusses the rise in ultra-processed food consumption among South Asians in the United States and hypothesizes that South Asians may be especially vulnerable to the effects of ultra-processed foods due to their unique cardiovascular disease risk profiles. Using these emerging data, we propose several strategies for preventing the overconsumption of ultra-processed foods among South Asian Americans. These include the implementation of policies to encourage the consumption of whole foods over ultra-processed foods and the development of culturally tailored interventions, which include promoting consumption of traditional diets, improving affordability of healthful, culturally appropriate foods, and cultivating healthier food environments for South Asians living in the United States.

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Prevention of coronary artery disease: the south Asian paradox

Cited by 11 publications

References 1 publication

Association between dairy product intake and body composition among South Asian adults from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study

Association between dairy product intake and body composition among South Asian adults from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study

Prevalence and risk factors for prehypertension and hypertension in five Indian cities

Ultra-processed food intake among South Asians in the United States: Specific vulnerabilities of a growing immigrant population group

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