Hazuda H P, Mitchell B D, Haffner S M, Stern M P
Department of Medicine, University of Texas Health Science Center, San Antonio 78284-7873.
Am J Clin Nutr. 1991 Jun;53(6 Suppl):1529S-1534S. doi: 10.1093/ajcn/53.6.1529S.
This study describes the prevalence of overweight in 2013 Mexican Americans and 928 non-Hispanic whites, aged 25-65 y, who participated in phase 2 of the San Antonio Heart Study, 1984-1988, and examines differences in overall obesity and body fat distribution among diverse Mexican American subgroups defined by neighborhood, socioeconomic status (SES), and assimilation to mainstream US society. Prevalence of overweight was greater in Mexican Americans than in non-Hispanic whites, and the ethnic difference was greater in women than in men. In Mexican Americans the effects of SES and assimilation on overall obesity and body fat distribution differed by sex group. In men SES and cultural assimilation were associated with less favorable body fat distribution. In women SES and assimilation were associated with lower overall obesity and more favorable body fat distribution. Interventions to reduce obesity in Mexican Americans should take these subgroup differences into account.
本研究描述了2013年参与1984 - 1988年圣安东尼奥心脏研究第二阶段的25至65岁墨西哥裔美国人以及928名非西班牙裔白人的超重患病率，并考察了由邻里关系、社会经济地位（SES）以及对美国主流社会的同化程度所定义的不同墨西哥裔美国人亚组在总体肥胖和体脂分布方面的差异。墨西哥裔美国人的超重患病率高于非西班牙裔白人，且这种种族差异在女性中比在男性中更大。在墨西哥裔美国人中，SES和同化对总体肥胖和体脂分布的影响因性别组而异。在男性中，SES和文化同化与不太有利的体脂分布相关。在女性中，SES和同化与较低的总体肥胖率以及更有利的体脂分布相关。针对墨西哥裔美国人的肥胖干预措施应考虑到这些亚组差异。
