Race/Ethnic Issues in Obesity and Obesity-Related Comorbidities

Cossrow, Nicole; Falkner, Bonita

doi:10.1210/jc.2004-0339

Cited by 403 publications

(259 citation statements)

References 35 publications

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“…Elevated CRC rates among younger adult blacks in both NJ and the US, and the relative stability of the rates over time suggest that modifiable behavioral risk factors related to CRC (ie physical inactivity, obesity, diabetes)37, 38, 39, 40 with known higher prevalence in the black community may not completely explain the recent increases in CRC in younger adults 1, 41, 42. Unfortunately, our subsite analyses were limited to whites and blacks, and, therefore, were not able to assess trends by subsite in API or Hispanics.…”

Section: Discussionmentioning

confidence: 99%

Trends in colorectal cancer incidence among younger adults—Disparities by age, sex, race, ethnicity, and subsite

et al. 2018

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Millennials (ages 18‐35) are now the largest living generation in the US, making it important to understand and characterize the rising trend of colorectal cancer incidence in this population, as well as other younger generations of Americans. Data from the New Jersey State Cancer Registry (n = 181 909) and Surveillance, Epidemiology, and End Results program (n = 448 714) were used to analyze invasive CRC incidence trends from 1979 to 2014. Age, sex, race, ethnicity, subsite, and stage differences between younger adults (20‐49) and screening age adults (≥50) in New Jersey (NJ) were examined using chi‐square; and, we compared secular trends in NJ to the United States (US). Whites, men, and the youngest adults (ages 20‐39) are experiencing greater APCs in rectal cancer incidence. Rates among younger black adults, overall, were consistently higher in both NJ and the US over time. When compared to older adults, younger adults with CRC in NJ were more likely to be: diagnosed at the late stage, diagnosed with rectal cancer, male, non‐white, and Hispanic. Invasive CRC incidence trends among younger adults were found to vary by age, sex, race, ethnicity, and subsite. Large, case‐level, studies are needed to understand the role of genetics, human papillomavirus (HPV), and cultural and behavioral factors in the rise of CRC among younger adults. Provider and public education about CRC risk factors will also be important for preventing and reversing the increasing CRC trend in younger adults.

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Section: Discussionmentioning

confidence: 99%

Trends in colorectal cancer incidence among younger adults—Disparities by age, sex, race, ethnicity, and subsite

et al. 2018

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“…For example, obesity in African-Americans is more commonly associated with hypertension, while obesity related T2DM is more common in Hispanics. 83 In…”

Section: Differences In the Clustering Of Metabolic Parameters In Difmentioning

confidence: 99%

Does using ethnic specific criteria improve the usefulness of the term metabolic syndrome? controversies and suggestions

Banerjee

Misra

2007

Int J Obes

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The metabolic syndrome (MetS) is an important tool that identifies populations at increased risk for cardiovascular disease (CVD) and type 2 diabetes, targeting them for preventive measures. The criteria for the identification of the MetS were initially constructed from data in Caucasian populations. Recent research suggests that the current criteria for the MetS may not accurately characterize disease risk in non-Caucasian populations, either over or underestimating the risk in certain ethnic groups. Altering the criteria for each population by making ethnic-specific cutoffs as has been done with waist circumference will help in more accurate characterization. Using different combinations of the MetS criteria for different ethnic groups based CVD risk and factor analysis needs consideration. With better characterizations of patient populations, the ultimate goal would be to make MetS more accurate for predicting CVD risk while retaining the ease of screening afforded by the MetS. The proposed alterations of definition and criteria of the MetS would ensure its continued viability and sustainability.

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“…Morbidity and mortality risk is associated with obese nutritional status due to the comorbidities of obesity (e.g., insulin resistance, glucose intolerance, diabetes mellitus, cardiovascular diseases, sleep apnea, arthritis, certain types of cancer) [59][60][61][62][63][64][65][66][67][68][69][70]. In addition, abdominal obesity was found to increase the prediction of health risk in obese nutritional status [71][72][73][74][75][76][77][78][79].…”

Section: Discussionmentioning

confidence: 99%

Body fatness and endogenous sex hormones in the menopausal transition

et al. 2016

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a b s t r a c tBackground: Age at the final menstrual period is of clinical and public health interest because the age at which natural menopause occurs may be a marker of ageing and health, and in general the menopausal transition increases the risk of many diseases, e.g. redistribution in the pattern of adiposity during the menopausal transition may increase risk of metabolic disease. The purpose of this research was to study the relationship between the menopausal status and body fatness. Subjects and methods: A random sample of 1932Hungarian women was studied. Body composition was estimated by body impedance analysis. In a subsample free estradiol and progesterone levels in saliva were quantified. Results: Body fat mass increased until the late 50s and then had a decrease through senescence. Premenopausal women who were much older than the median age at menopause had a higher amount of fat than their postmenopausal age-peers, while postmenopausal women, whose menopause occurred much earlier than the median age at menopause, had less fat than their premenopausal age-peers. The body fat mass in premenopausal women with low levels of sex hormones was always below the agemedian value of the menopausal status subgroups, while the body fat mass of postmenopausal women with high levels of sex hormone levels was above the age-median values. Conclusions: The analysis of body fatness in the menopausal transition revealed that (1) the rate of reproductive ageing and the body fat pattern were significantly related, and (2) body fat mass of women with unexpected levels of sex hormones was related more to their hormonal levels than to their menopausal status or their age. Thus future epidemiological screenings of women exposed to higher levels of menopause-related health risks should be expanded beyond the estimation of menopausal status based only on menstrual history to include sex hormone level assessment, as well as body composition analysis.

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Race/Ethnic Issues in Obesity and Obesity-Related Comorbidities

Cited by 403 publications

References 35 publications

Trends in colorectal cancer incidence among younger adults—Disparities by age, sex, race, ethnicity, and subsite

Trends in colorectal cancer incidence among younger adults—Disparities by age, sex, race, ethnicity, and subsite

Does using ethnic specific criteria improve the usefulness of the term metabolic syndrome? controversies and suggestions

Body fatness and endogenous sex hormones in the menopausal transition

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