Please use this identifier to cite or link to this item: http://hdl.handle.net/10125/20875

Files

File Description SizeFormat 
HAWN_ RA 421.T44_91_r.pdfVersion for non-UH users. Copying/Printing is not permitted2.96 MBAdobe PDFView/Open
HAWN_ RA 421.T44_91_uh.pdfVersion for UH users2.95 MBAdobe PDFView/Open

Item Summary

Title: The epidemiology of clustered risk factors compatible with Metabolic Syndrome in Hawai'i
Authors: Hirokawa, Robert
Issue Date: 2008
Description: Thesis (D.P.H.)--University of Hawaii at Manoa, 2008.
Metabolic Syndrome (MetS) refers to the clustering of various cardiometabolic risk factors, including glucose intolerance, abdominal obesity, dyslipidemia and elevated blood pressure. Over the past two decades the world has experienced a sharp increase in the number of people with MetS. It is estimated that around 20--25 percent of the world's adult population now have metabolic syndrome.
Poisson regression analysis showed that race/ethnicity was an independent risk factor for having 3--4 MetS risk factors when controlling for age, education, gender, poverty level, having healthcare coverage, and having a personal doctor.
This study had three main aims: (1) to describe the epidemiology of obesity in Hawaii using standard and proposed ethnic specific BMI definitions of obesity, (2) to describe the epidemiology of clustered risk factors compatible with MetS among Hawaii's population using standard and proposed ethnic-specific BMI definitions of obesity, and to (3) to estimate crude and adjusted prevalence ratios for clustered risk factors compatible with MetS.
This study provides a glimpse into the future burden Hawaii may be faced with as the prevalence of obesity and its associated conditions continue to rise.
show 5 moreThis study used the Behavioral Risk Factor Surveillance System (2001--2005) to examine the prevalence of weight status (obesity) and MetS in Hawaii. The findings confirmed what is already known---obesity rates are high and disparities exist. However, when ethnic specific case definitions of weight status were applied, a dramatic shift in the distribution of obesity emerged. For example, when using World Health Organization (WHO) BMI thresholds, the major Asian groups had obesity rates in the 10% range. Applying ethnic specific BMI thresholds, obesity prevalence among Asians increased into the mid 40% range.
When using WHO BMI definitions of obesity, the prevalence of 3--4 MetS risk factors ranged from a low of 2.7% ("Other Asians") to a high of 18.8% ("Other Pacific Islanders"), with a mean of 8.3%. When using ethnic specific definitions of obesity, the prevalence of 3--4 MetS risk factors ranged from a low of 3.6% (Blacks) to a high of 17.8% ("Other Pacific Islanders"), with a mean of 10.5%.
Includes bibliographical references (leaves xxx-xxx).
Also available by subscription via World Wide Web
85 leaves, bound 29 cm

show less
URI/DOI: http://hdl.handle.net/10125/20875
ISBN: 9780549600497
Rights: All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections:D.P.H. - Public Health
D.P.H – Public Health



Items in ScholarSpace are protected by copyright, with all rights reserved, unless otherwise indicated.