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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
3087.0: Monday, December 12, 2005 - 10:50 AM

Abstract #108640

Diabetes and metabolic correlates of cardiovascular risk factors: A cross-cultural study of rural, urban, and immigrant Asian Indians in India and the US

Ranjita Misra, PhD, CHES1, Thakor Patel, MD, MACP2, Padmini Balagopal, RD, CDE3, Anoop Misra4, and N. Kamalamma, PhD3. (1) Health&Kinesiology Department, Texas A&M University, 4243 TAMU, 158P Read Building, College Station, TX 77843-4243, 979-845-8726, misra@hlkn.tamu.edu, (2) American Association of Physicians of Indian Origin, 10980 Rice Field Place, Fairfax, VA 22039, (3) Department of Homescience, Gandhigram Rural Institute, Gandhigram - 624 302, Dindigul District, Tamilnadu, India, Ambuteria, India, (4) Department of Medicine, Professor, Ansarinagar, New Delhi, India

India has over a billion people, and Asian Indians are 3rd largest immigrant Asian groups in the United States. However cross-cultural and epidemiological study that examines the risk factors for Type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) in rural Indians, urban Indians, and Indian Americans is lacking. In this study, we report the prevalence of T2DM and obesity, and knowledge, perceptions, and risk factors for CVD using a community-based random design. Sample comprised of 600 rural Indians in Tamilnadu, 440 urban Indians in New Delhi and 740 migrant Asian Indians in the US (Houston, Phoenix, Washington DC, Boston, and San Diego). Data collection method involved both telephone interviews (US) and face-to-face interviews (India). Mean age was 39 years (rural), 42 years (urban), and 47 years (US sample). The majority of respondents were of normal weight (BMI<25 kg/m2), males, and married. Prevalence of obesity was lowest for rural Indians but similar in the urban Indians and immigrant Indians in the US. Rural Indians had highest HDL values, and lower values for cholesterol, triglycerides, LDL, CRP, and fasting blood sugar as compared to the urban and migrant population. The prevalence of T2DM was; Indian Americans: 21 %; India; urban: 9.5%, and rural: 4.5%. A high prevalence of impaired fasting glucose and hypertriglyceridemia was also noted. Results also show that knowledge and awareness of risk factors of CVD and T2DM is very low, even in educated Indians living in the US. Implications of the results will be discussed.

Learning Objectives:

  • At the conclusion of the session, the participant (learner) in this session will be able to

    Keywords: Diabetes, Chronic (CVD)

    Presenting author's disclosure statement:

    I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

    Health Issues of South Asian Populations in the U.S.

    The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA