Journal of Immigrant and Minority Health

, Volume 12, Issue 5, pp 781–787 | Cite as

Metabolic Syndrome and its Risk Factors in Bangladeshi Immigrant Men in the USA

Original Paper


Higher prevalence of metabolic syndrome risk factors and lowest self-rated health status (SRHS) were reported in Bangladeshi men compared to other South Asian immigrant men in the UK. No information is available on metabolic syndrome and its distribution among Bangladeshi men in the USA. We investigated metabolic syndrome, its association with SRHS and its distribution in Bangladeshi men in Houston, Texas, USA. Data for 91 men (age 46 ± 8 years) were drawn from a cross-sectional study on coronary artery disease in Bangladeshi immigrant men, Texas, 2007. Multivariate logistic models investigated association between metabolic syndrome and SRHS controlling for demographics, behavioral factors and intra-community variation based on social clustering. Prevalence of metabolic syndrome was 38%. SRHS (OR, 95% CI = 4.90, 1.11–21.57) and intra-community variation (4.10, 1.32–12.71) were independent indicators of metabolic syndrome in our participants. Dietary habits may have contributed to the intra-community variation that warrants investigation.


Metabolic syndrome Self-rated health status Bangladeshi immigrant Men USA 



The current research was supported by a grant from The Texas Association of Family Physicians (TAFP) in 2006. The investigators acknowledge help from Mr. Christopher Mattair for his assistance in data collection, Department of Family Medicine at the University of Texas Houston Medical School, Bangladeshi community organizations, local grocery stores and individual community organizers for their assistance with the project.


  1. 1.
    Grundy S, Cleeman J, Daniels S, Donato K, Eckel R, Franklin B, et al. Diagnosis and management of the metabolic syndrome. An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005;112:2735–52.CrossRefPubMedGoogle Scholar
  2. 2.
    Zhu S, St-Onge M, Heshka S, Heymsfield S. Lifestyle behaviors associated with lower risk of having the metabolic syndrome. Metabolism. 2004;53(11):1503–11.CrossRefPubMedGoogle Scholar
  3. 3.
    Ford E, Giles W, Dietz W. Prevalence of metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 2002;287(3):356–9.CrossRefPubMedGoogle Scholar
  4. 4.
    Nash D. Keeping an eye on cardiovascular risk. A practical, case-study approach to assessment in office practice. Postgrad Med. 2002;111(4):107–20.CrossRefPubMedGoogle Scholar
  5. 5.
    Candib L. Obesity and diabetes in vulnerable populations: reflection on proximal and distal causes. Ann Fam Med. 2007;5(6):547–56.CrossRefPubMedGoogle Scholar
  6. 6.
    Tillin T, Forouhi N, Johnston D, McKeigue P, Chaturvedi N, Godsland I. Metabolic syndrome and coronary heart disease in South Asians, African-Caribbeans and white Europeans: a UK population-based cross-sectional study. Diabetologia. 2005;48(4):649–56.CrossRefPubMedGoogle Scholar
  7. 7.
    Reynolds R, Fischbacher C, Bhopal R, Byrne CD, White M, Unwin N, et al. Differences in cortisol concentrations in South Asian and European men living in the United Kingdom. Clin Endocrinol (Oxford). 2006;64(5):530–4.CrossRefGoogle Scholar
  8. 8.
    Balarajan R, Raleigh V. Patterns of mortality among Bangladeshis in England and Wales. Ethn Health. 1997;2(1–2):5–12.CrossRefPubMedGoogle Scholar
  9. 9.
    Bhopal R, Unwin N, White M, Yallop J, Walker L, Alberti K, et al. Heterogeneity of coronary heart disease risk factors in Indian, Pakistani, Bangladeshi, and European origin populations cross sectional study. Brit Med J. 1999;319(7204):215–20.PubMedGoogle Scholar
  10. 10.
    Misra K, Endemann S, Ayer M. Leisure time physical activity and metabolic syndrome in Asian Indian immigrants residing in northern California. Ethn Dis. 2005;15(4):627–34.PubMedGoogle Scholar
  11. 11.
    Misra K, Endemann S, Ayer M. Measures of obesity and metabolic syndrome in Indian Americans in northern California. Ethn Dis. 2006;16(2):331–7.PubMedGoogle Scholar
  12. 12.
    Balasubramanyam A, Rao S, Misra R, Sekhar R, Ballantyne C. Prevalence of metabolic syndrome and associated risk factors in Asian Indians. J Immigrants Minority Health. 2008;10(4):313–23.CrossRefGoogle Scholar
  13. 13.
    USA census report 2000. Available at: Accessed January 29, 2006.
  14. 14.
    Eelius F, Azim R, Haq A, Molla F, Ali A, Nirton S. How are the Bangladeshi immigrants in the US doing? Porshi. 2001;3:19–25.Google Scholar
  15. 15.
    Mantyselka P, Turunen J, Ahonen R, Kumpusalo E. Chronic pain and poor self-rated health. J Am Med Assoc. 2003;290:2435–42.CrossRefGoogle Scholar
  16. 16.
    Idler E, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38:21–37.CrossRefPubMedGoogle Scholar
  17. 17.
    Chandola T, Jenkinson C. Validating self-rated health in different ethnic groups. Ethn Health. 2000;5(2):151–9.CrossRefPubMedGoogle Scholar
  18. 18.
    Chandola T. Ethnic and class differences in health in relation to British South Asians: using the new National Statistics Socio-Economic Classification. Soc Sci Med. 2001;52(8):1285–96.CrossRefPubMedGoogle Scholar
  19. 19.
    Brown L, Chung S-Y. Re-thinking our understanding of racial/ethnic spatial patterning in US cities: Columbus Ohio Msa, 1990–2000. Presented at the Multiethnic Metropolis session of the Annual Meeting Program of the Population Association of America in March, 2005 at Philadelphia, PA, USA.Google Scholar
  20. 20.
    Rasu R, Selwyn B, Shahidullah S. Knowledge attitudes and behavior towards breast cancer screening practice among Bangladeshi women in Dhaka Bangladesh. Presented at the APHA 134th Annual International Meeting and Exposition in November, 2006 at Boston, MA, USA.Google Scholar
  21. 21.
    Roos N, Islam M, Thilsted S. Small indigenous fish species in Bangladesh: contribution to vitamin A, calcium and iron intakes. J Nutr. 2003;133:4021S–6S.PubMedGoogle Scholar
  22. 22.
    Boekholdt S, Meuwese M, Day N, Luben R, Welch A, Wareham N, et al. Plasma concentrations of ascorbic acid and C-reactive protein, and risk of future coronary artery disease, in apparently healthy men and women: the EPIC-Norfolk prospective population study. Br J Nutr. 2006;96:516–22.PubMedGoogle Scholar
  23. 23.
    Panagiotakos D, Pitsavos C, Skoumas Y, Stefanadis C. The association between food patterns and the metabolic syndrome using principal components analysis: the ATTICA study. J Am Diet Assoc. 2007;107(6):979–87.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of GeriatricsBaylor College of MedicineHoustonUSA
  2. 2.Schools of Pharmacy and Nursing, Graduate and Doctoral Faculty of Bloch School of Business and Public AdministrationUniversity of Missouri Kansas CityKansas CityUSA

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