Obesity and Metabolic Care of Children of South Asian Ethnicity in Western Society
Autor: | Vibha Singhal, Sonali Malhotra, Angela K. Fitch, Ramya Sivasubramanian |
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Rok vydání: | 2021 |
Předmět: |
Birth weight
Population Review Overweight Pediatrics Body fat percentage RJ1-570 Childhood obesity medicine South Asian education education.field_of_study business.industry central adiposity metabolic risks medicine.disease Obesity body fat percentage Pediatrics Perinatology and Child Health Lean body mass medicine.symptom business thin-fat phenotype Body mass index childhood obesity Demography |
Zdroj: | Children Children, Vol 8, Iss 447, p 447 (2021) |
ISSN: | 2227-9067 |
Popis: | South Asians constitute one-fourth of the world’s population and are distributed significantly in western countries. With exponentially growing numbers, childhood obesity is of global concern. Children of South Asian ancestry have a higher likelihood of developing obesity and associated metabolic risks. The validity of commonly used measures for quantifying adiposity and its impact on metabolic outcomes differ by race and ethnicity. In this review we aim to discuss the validity of body mass index (BMI) and other tools in screening for adiposity in South Asian children. We also discuss the prevalence of overweight and obesity amongst South Asian children in western countries and the differences in body fat percentage, adiposity distribution, and metabolic risks specific to these children compared to Caucasian children. South Asian children have a characteristic phenotype: lower lean mass and higher body fat percentage favoring central fat accumulation. Hence, BMI is a less reliable predictor of metabolic status in these children than it is for Caucasian children. Furthermore, the relatively lower birth weight and rapid growth acceleration in early childhood of South Asian children increase the risk of their developing cardiometabolic disorders at a younger age than that of Caucasians. We emphasize the need to use modified tools for assessment of adiposity, which take into consideration the ethnic differences and provide early and appropriate intervention to prevent obesity and its complications. |
Databáze: | OpenAIRE |
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