亚裔美国儿童的心脏代谢健康
Julian Sethna1, Kristal Wong2, Kevin Meyers3
1Division of Pediatric Nephrology, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard South 34Th Street, Philadelphia, PA, 19104, USA.
Journal of racial and ethnic health disparities
|December 26, 2023
概括
与NHW儿童相比,亚裔美国儿童的肥胖率较低,但心脏代谢健康状况较差,包括葡萄糖不耐受和脂质不良症. 美国出生的亚裔美国儿童表现出比外国出生的同龄人更差的心脏代谢特征.
科学领域:
- 儿科健康 儿科健康
- 心脏代谢健康状况
- 健康差异 在健康上的差异
背景情况:
- 亚裔美国人和非西班牙裔白人 (NHW) 儿童之间的心脏代谢健康比较.
- 根据出生地 (美国出生的与外国出生的) 检查亚裔美国儿童的心脏代谢健康差异.
研究的目的:
- 调查亚裔美国人和NHW儿童之间的心脏代谢健康差异.
- 评估出生地如何影响亚裔美国儿科人口中的心脏代谢健康.
主要方法:
- 分析国家健康和营养检查调查 (NHANES) 数据 (2011-2018) 对6-17岁儿童的数据.
- 包括自认的非西班牙裔亚裔和NHW儿童.
- 调整后的回归模型包括BMI z-score,社会经济因素和环境暴露等共变量.
主要成果:
- 与NHW儿童相比,亚裔美国儿童的BMIz分数和肥胖率较低,但HOMA-IR,脂质失调和小albuminuria较高.
- 与外国出生的亚裔美国儿童相比,美国出生的亚裔美国儿童的非HDL,甘油三和尿酸水平较高,HDL和过率较低.
- 基于种族或出生地,没有观察到血压的显著差异.
结论:
- 尽管亚裔美国儿童的肥胖率较低,但与NHW儿童相比,亚裔美国儿童面临的葡萄糖不耐症,脂质不良症和微专尿的风险更高.
- 出生地是一个重要的因素,美国出生的亚裔美国儿童的心脏代谢健康状况不如外国出生的同行.
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