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Mediating Role of Acculturation and Lifestyle Behaviors on Cardiometabolic Risk Among a National Sample of U.S. Asian Indians

  • Nitha Mathew JosephEmail author
  • Ranjita Misra
  • Jing Wang
Original Paper
  • 64 Downloads

Abstract

Asian Indians are the third largest and fastest growing Asian subgroup in the U.S. and have high risks for diabetes and cardiovascular disease. This study explored the mediating role of lifestyle behaviors on the relationship between acculturation and cardiometabolic risk factors among Asian Indians using the Diabetes in Indian Americans national study. The cross-sectional study sample comprised 1038 randomly selected adult Asian Indians in seven U.S. sites. Acculturation was assessed using the Acculturation Scale for Southeast Asians. Diet and lifestyle behaviors were measured using the Health-Promoting Lifestyle Profile II subscales. Path analyses with bootstrap methods were conducted. Dietary behavior significantly mediated the relationship between acculturation and HbA1C (β = 0.004, p = 0.047), and physical activity mediated the relationship between acculturation and HDL (β = 0.08, p = 0.011). Other mediation models were not significant (p > 0.05). Mediating factors besides lifestyle behaviors should be explored in future studies.

Keywords

Cardiovascular diseases Diabetes mellitus Physical activity Culture Dietary habits 

Notes

Acknowledgements

The authors thank Markeda Wade, BA, ELS, for editorial assistance. We would also like to thank Stanley Cron, MSPH for assistance with statistical analysis.

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Authors and Affiliations

  1. 1.Department of Undergraduate Studies, Cizik School of NursingThe University of Texas Health Science Center at HoustonHoustonUSA
  2. 2.Department of Social and Behavioral Sciences, Robert C. Byrd Health Sciences Center, School of Public HealthWest Virginia UniversityMorgantownUSA
  3. 3.School of NursingThe University of Texas Health Science Center at San AntonioSan AntonioUSA

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