Cardiovascular Physiology and Rehabilitation Laboratory, University of British Columbia, Vancouver, Canada.
Appl Physiol Nutr Metab. 2012 Dec;37(6):1212-21. doi: 10.1139/h2012-110. Epub 2012 Oct 26.
Canadians currently experience elevated rates of chronic conditions compared with past populations, and ethnic differences in the experience of select chronic conditions have previously been identified. This investigation examined the prevalence of select chronic conditions among an ethnically diverse convenience sample of British Columbian adults. A sample of adults (≥18 years) from around the province of British Columbia, including Aboriginal (n = 991), European (n = 3650), East Asian (n = 466), and South Asian (n = 228), were evaluated. Individuals reported their personal histories of cardiovascular disease and diabetes, and physical activity behaviour. Direct measures of health status included body mass index, waist circumference, resting blood pressure, and nonfasting blood glucose, total cholesterol, high-density lipoprotein (HDL) cholesterol, and glycosylated hemoglobin A1C. All ethnic groups were found to have high rates of low HDL (>33%), physical inactivity (>31%), hypertension (>16%), and ethnic-specifically defined obesity (>23%) and abdominal obesity (>33%). Aboriginal and South Asian populations generally demonstrated higher rates of select chronic conditions. The implementation of ethnic-specific body composition recommendations further underscores this poorer health status among South Asian populations. Actions to improve chronic condition rates should be undertaken among all ethnic groups, with particular attention to Aboriginal and South Asian populations.
与过去的人群相比,加拿大人目前患有慢性疾病的比例较高,并且先前已经确定了不同种族在某些慢性疾病方面的经历存在差异。这项研究调查了不列颠哥伦比亚省不同种族的成年人中某些慢性疾病的患病率。该研究对不列颠哥伦比亚省各地的成年人(≥18 岁)进行了抽样,包括原住民(n = 991)、欧洲人(n = 3650)、东亚人(n = 466)和南亚人(n = 228)。参与者报告了他们的心血管疾病和糖尿病个人病史,以及身体活动行为。健康状况的直接衡量标准包括体重指数、腰围、静息血压、非空腹血糖、总胆固醇、高密度脂蛋白(HDL)胆固醇和糖化血红蛋白 A1C。研究发现,所有种族的人群都存在高比例的低 HDL(>33%)、缺乏体力活动(>31%)、高血压(>16%)以及特定种族定义的肥胖(>23%)和腹部肥胖(>33%)。原住民和南亚人群普遍表现出更高的某些慢性疾病的患病率。南亚人群的身体成分建议的实施进一步突显了其较差的健康状况。应该在所有种族群体中采取行动来改善慢性疾病的发病率,特别是要关注原住民和南亚人群。