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Engaging the ASEAN diaspora: Type 2 diabetes prevalence, pathophysiology, and unique risk factors among Filipino migrants in the United States.

Author

Maria Rosario Araneta

Related Institution

Department of Family Medicine and Public Health, School of Medicine - University of California

Publication Information

Publication Type
Journal
Publication Sub Type
Feature Article
Title
Journal of the ASEAN Federation of Endocrine Societies
Frequency
Semi-Annual
Publication Date
June-November 2019
Volume
34
Issue
2
Page(s)
126-133

Abstract

Type 2 diabetes prevalence is rising rapidly in Southeast Asia (SEA) where urbanization and adoption of 'western' behavioral lifestyles are attributed as predominant risk factors. The Southeast Asian diaspora to the United States has resulted in a sizable portion of migrant and US born SEAs, with approximately 4 million Filipino Americans, 2 million Vietnamese-Americans, Cambodians (330,000), and Thai (300,000) as the most populous. Their longer exposure to a western lifestyle and participation in clinical studies with other racial/ethnic groups, provide opportunities to evaluate etiologic factors which might inform trends and intervention opportunities among residents of Southeast Asia.


Epidemiologic studies in the US have identified higher T2D prevalence among Filipinos (16.1%) compared to groups perceived to be at highest risk for T2D, namely Latinos (14.0%), Black (13.7%), and Native Americans (13.4%), while SEAs (including Burmese, Cambodian, Indonesian, Laotian, Malaysian, and Thai, 10.5%) and Vietnamese (9.9%) had higher T2D risk compared to Whites (7.7%), despite their absence of general obesity. Asian-Americans, including SEAs, East and South Asians, collectively have higher rates of undiagnosed T2D compared to other racial/ethnic groups in the US. Almost half (44%) of Filipinos with newly diagnosed T2D have isolated post-challenge hyperglycemia and will remain undiagnosed if current screening practices remain limited to measures of glycosylated hemoglobin and fasting plasma glucose.


The University of California San Diego Filipino Health Study found excess visceral adipose tissue accumulation, low ratio of muscle to total abdominal mass area, low adiponectin concentration, multiparity (≥6 live births), and sleep insufficiency (

References

4. "Hyperglycemia and type 2 diabetes among Filipino women in the Philippines, Hawaii, and San Diego ." Diabetes Research and Clinical Practice 71(3): 306-312, March 2006
6. "Adiponectin and ghrelin levels and body size in normoglycemic Filipino, African-American, and white women." Obesity 15(10): 2371-2520, October 2007-October 2007
8. "Probable NAFLD, by ALT levels, and diabetes among Filipino-American women." Diabetes Research and Clinical Practice 79(1): 133-140, January 2008
9. "A1C and diabetes diagnosis among Filipino Americans, Japanese Americans, and native Hawaiians ." Diabetes Care 33(12): 2626-2628, December 2010-December 2010
11. "Dietary factors associated with adiponectin in Filipino-American women." Ethnicity & Disease 21(2): 190-5, 2011-2011
12. "Relation of serum uric acid to severity and progression of coronary artery calcium in postmenopausal white and Filipno women and Filipino women (from the Rancho Bernardo study)." The American Journal of Cardiology 113(7): 1153-1158, April 2014-April 2014
13. "Body adiposity index as a risk factor for the metabolic syndrome in postmenopausal Caucasian, African American, and Filipina women." Diabetes & Metabolic Syndrome: Clinical Research & Reviews 9(2): 108-13, 2015-2015
15. American Public Health Association"Proportion of life years in the US is not associated with obesity or fat distribution in Filipina immigrants." 131st Annual Meeting, San Francisco, CA, 2003.
16. "Ethnic differences in adiponectin, leptinband ghrelin levels in normal glucose tolerant Filipino, Caucasian and African-American Women." American Diabetes Association. 65th Annual Meeting and Scientific Sessions., San Diego, CA, 2005.
18. Medina, S , Araneta, MRG . "Nutrition and Risk for Type 2 Diabetes Among Filipino Women" San Diego Epidemiology Research Exchange, La Jolla, CA, 2004.
19. Food and Nutrition Research Institute, Department of Science and Technology(). Philippine Nutrition Facts and Figures 2011.. . Retrieved from: http://122.53.86.125/facts_figures2011.pdf

Physical Location

LocationLocation CodeAvailable FormatAvailability
Journal of the ASEAN Federation of Endocrine Societies Fulltext External Link (View)
Philippine Council for Health Research and Development Fulltext pdf (Request Document)

 
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