2024-03-29T00:09:08Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00024333
2023-11-16T04:48:11Z
499:508:509:2025
Disparity in metabolic risk factors of non-communicable diseases between Palauans and Filipinos living in Palau
Osako, Ayaka
71979
Chiang, Chifa
71980
Ito, Kana
71981
Yatsuya, Hiroshi
71982
Hilawe, Esayas Haregot
71983
Ikerdeu, Edolem
71984
Honjo, Kaori
71985
Mita, Takashi
71986
Cui, Renzhe
71987
Hirakawa, Yoshihisa
71988
Madraisau, Sherilynn
71989
Ngirmang, Gregorio
71990
Iso, Hiroyasu
71991
Aoyama, Atsuko
71992
metabolic risk factors
ethnic groups
Asian
Pacific Islander
WHO STEPS
2017-05
Non-communicable diseases have been recognized as a serious threat to public health in Palau. To tackle the problem, different strategies might be necessary for populations with different ethnic backgrounds. This study aims to find the differences in the prevalence of metabolic risk factors of non-communicable diseases between Palauans and Filipinos living in Palau, and examine possible determinants of the differences. We selected data of 2,032 participants, including native Palauans and Filipinos, from the Palau STEPS Survey 2011–2013 for this study. Logistic regression models were used to inspect the association of each metabolic risk factor with ethnicity by calculating odds ratios adjusted for potential confounding factors. Palauans had higher age-standardized prevalence of overweight or obesity (84% vs. 45%), hypertension (50% vs. 38%) and diabetes (19% vs. 13%) than Filipinos. However, after adjusting for BMI and various lifestyle related factors, there are no statistical significant differences in the prevalence of hypertension and diabetes between these two ethnic groups. Palauan men were less likely to have elevated total cholesterol, especially after adjusting for BMI (odds ratio=0.55, 95% confidence interval: 0.33–0.91), while Palauan women were more likely to have elevated triglycerides than their Filipino counterparts (odds ratio=1.45, 95% confidence interval: 1.02–2.06). Our findings suggested that Palauans’ higher BMI distribution might be able to explain their higher prevalence of hypertension and partially explain their higher diabetes prevalence. Palauans were not consistently more likely to have all metabolic risk factors, namely dyslipidemia were less likely to be observed in Palauan men.
departmental bulletin paper
Nagoya University Graduate School of Medicine, School of Medicine
2017-05
Nagoya Journal of Medical Science
2
79
157
165
http://hdl.handle.net/2237/26538
2186-3326
0027-7622
eng
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/792.html
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