Type 2 Diabetes Among Filipino American Adults in the Multiethnic Cohort

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Raquinio, Phyllis Aira Sheer H. ; Maskarinec, Gertraud ; Dela Cruz, Rica ; Setiawan, Veronica W. ; Kristal, Bruce S. ; Wilkens, Lynne R. ; Le Marchand, Loïc
• Description:
  Introduction ; Several Asian racial and ethnic groups, including individuals of Filipino ancestry, are at higher risk of developing type 2 diabetes than White individuals, despite their lower body mass index (BMI). This study examined determinants of type 2 diabetes among Filipino American adults in the Multiethnic Cohort Study. ; Methods ; Participants in Hawaii and Los Angeles completed questionnaires on demographics, diet, and anthropometrics. Generational status was determined according to birthplace of participants and their parents. Based on self-reported data and data on medications, type 2 diabetes status was classified as no, prevalent, or incident. We used polytomous logistic regression, while adjusting for confounders, to obtain odds ratios. ; Results ; Among 10,681 Multiethnic Cohort Study participants reporting any Filipino ancestry, 57% were 1st-, 17% were 2nd-, and 25% were 3rd-generation Filipino Americans. Overall, 13% and 17% of participants had a prevalent or incident type 2 diabetes diagnosis. Overweight and obesity and the presence of other risk factors increased from the 1st to subsequent generations. First-generation immigrants were less likely to report type 2 diabetes at cohort entry than immigrants of subsequent generations who were born in the US or whose parents were born in the US; only the prevalence of type 2 diabetes was significantly elevated in the 2nd generation compared with the 1st generation. ; Conclusion ; The results support the hypothesis that Filipino migrants adopt lifestyle factors of the host country and subsequent generations experience higher type 2 diabetes rates due to changes in risk factor patterns.
• Subjects:
  • Original Research
  • Adult
  • Asian
  • Body Mass Index
  • Cohort Studies
  • Diabetes Mellitus, Type 2
  • Humans
  • White People
• Source:
  Prev Chronic Dis. 2021; 18
• DOI:
  http://dx.doi.org/10.5888/pcd18.210240
• ISSN:
  1545-1151
• Pubmed ID:
  34818147
• Pubmed Central ID:
  PMC8673944
• Document Type:
  Journal Article
• Funding:
  U54 CA143727/CA/NCI NIH HHSUnited States/ ; R01 HL140335/HL/NHLBI NIH HHSUnited States/ ; U54 CA143728/CA/NCI NIH HHSUnited States/ ; P30 CA071789/CA/NCI NIH HHSUnited States/ ; U01 CA164973/CA/NCI NIH HHSUnited States/
• Volume:
  18
• Download URL:
  https://stacks.cdc.gov/view/cdc/113215/cdc_113215_DS1.pdf
• File Type:
  [PDF - 463.09 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:3d34577ae4a73cbb60f27e98fb61bc5a571e7cde6272b3a89d312a5e3a3698e703bb9467cd4b4173aeff143559af10d5a470857c399724578f1ecc434e0785e8