Association between acculturation, obesity and cardiovascular risk factors among male South Asian migrants in the United Arab Emirates - A cross-sectional study

Syed M. Shah, Tom Loney, Salma Al Dhaheri, Hassan Vatanparast, Iffat Elbarazi, Mukesh Agarwal, Iain Blair, Raghib Ali

    Research output: Contribution to journalArticle

    Abstract

    Background: Approximately 65% of the United Arab Emirates (UAE) population are economic migrants from the low- and middle-income countries of South Asia. Emerging evidence suggests that expatriate populations from low or middle-income countries that migrate to high-income countries acculturate their lifestyle with the obesogenic behaviours of the host country. Previous research has focussed on migrant populations in the United States. The objective of this study was to assess the prevalence of obesity and explore the relationship between years of residency (surrogate measure for acculturation) and obesity among South Asian (from India, Pakistan and Bangladesh) male immigrants residing in the UAE. Methods: A random sample of 1375 males was recruited from a mandatory residency visa health screening centre in Abu Dhabi (UAE). Employing a cross-sectional design, participants completed an interviewer-led adapted version of the World Health Organisation STEPS questionnaire, and anthropometric and blood pressure measurements were collected. Glycated haemoglobin (HbA1c) was measured in a random sub-sample (n∈=∈100). Logistic regression was used to determine risk factors for being classified as obese, and to assess the relationship between years of residency and adiposity. Results: The overall prevalence of body mass index-derived overweight and obesity estimates and waist-to-hip-derived central obesity rates was 615 (44.7%) and 917 (66.7%) males, respectively. Hypertension was present in 419 (30.5%) of the sample and diabetes in 9 (9.0%) of the sub-sample. Living in the UAE for six to 10 years or more than 10 years was independently associated with being classified with central obesity (adjusted odds ratio [AOR] 1.63 95% confidence intervals [CI] 1.13 - 2.35, p∈<∈0.008; AOR 1.95 95% CI 1.26 - 3.01, p∈<∈0.002; respectively) compared to residing in the UAE for one to five years. Conclusions: Our study revealed a high prevalence of overweight, central obesity and hypertension amongst a young South Asian male migrant population in the UAE. Study findings suggest a diminished 'Healthy Migrant Effect' with increased years of residency possibly due to greater acculturation and a transition in lifestyle behaviours. Health initiatives targeting the maintenance of a healthy body size, coupled with regular assessments of glucose control and blood pressure are urgently required in this population.

    Original languageEnglish (US)
    Article number204
    JournalBMC Public Health
    Volume15
    Issue number1
    DOIs
    StatePublished - Jan 1 2015

    Fingerprint

    United Arab Emirates
    Acculturation
    Obesity
    Cross-Sectional Studies
    Internship and Residency
    Abdominal Obesity
    Population
    Life Style
    Odds Ratio
    Confidence Intervals
    Blood Pressure
    Hypertension
    Bangladesh
    Pakistan
    Adiposity
    Health
    Glycosylated Hemoglobin A
    Body Size
    Hip
    India

    Keywords

    • Acculturation
    • Adiposity
    • Cardiovascular diseases
    • Obesity
    • Transients and migrants
    • United Arab Emirates

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

    Cite this

    Association between acculturation, obesity and cardiovascular risk factors among male South Asian migrants in the United Arab Emirates - A cross-sectional study. / Shah, Syed M.; Loney, Tom; Dhaheri, Salma Al; Vatanparast, Hassan; Elbarazi, Iffat; Agarwal, Mukesh; Blair, Iain; Ali, Raghib.

    In: BMC Public Health, Vol. 15, No. 1, 204, 01.01.2015.

    Research output: Contribution to journalArticle

    Shah, Syed M. ; Loney, Tom ; Dhaheri, Salma Al ; Vatanparast, Hassan ; Elbarazi, Iffat ; Agarwal, Mukesh ; Blair, Iain ; Ali, Raghib. / Association between acculturation, obesity and cardiovascular risk factors among male South Asian migrants in the United Arab Emirates - A cross-sectional study. In: BMC Public Health. 2015 ; Vol. 15, No. 1.
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    AU - Shah, Syed M.

    AU - Loney, Tom

    AU - Dhaheri, Salma Al

    AU - Vatanparast, Hassan

    AU - Elbarazi, Iffat

    AU - Agarwal, Mukesh

    AU - Blair, Iain

    AU - Ali, Raghib

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    N2 - Background: Approximately 65% of the United Arab Emirates (UAE) population are economic migrants from the low- and middle-income countries of South Asia. Emerging evidence suggests that expatriate populations from low or middle-income countries that migrate to high-income countries acculturate their lifestyle with the obesogenic behaviours of the host country. Previous research has focussed on migrant populations in the United States. The objective of this study was to assess the prevalence of obesity and explore the relationship between years of residency (surrogate measure for acculturation) and obesity among South Asian (from India, Pakistan and Bangladesh) male immigrants residing in the UAE. Methods: A random sample of 1375 males was recruited from a mandatory residency visa health screening centre in Abu Dhabi (UAE). Employing a cross-sectional design, participants completed an interviewer-led adapted version of the World Health Organisation STEPS questionnaire, and anthropometric and blood pressure measurements were collected. Glycated haemoglobin (HbA1c) was measured in a random sub-sample (n∈=∈100). Logistic regression was used to determine risk factors for being classified as obese, and to assess the relationship between years of residency and adiposity. Results: The overall prevalence of body mass index-derived overweight and obesity estimates and waist-to-hip-derived central obesity rates was 615 (44.7%) and 917 (66.7%) males, respectively. Hypertension was present in 419 (30.5%) of the sample and diabetes in 9 (9.0%) of the sub-sample. Living in the UAE for six to 10 years or more than 10 years was independently associated with being classified with central obesity (adjusted odds ratio [AOR] 1.63 95% confidence intervals [CI] 1.13 - 2.35, p∈<∈0.008; AOR 1.95 95% CI 1.26 - 3.01, p∈<∈0.002; respectively) compared to residing in the UAE for one to five years. Conclusions: Our study revealed a high prevalence of overweight, central obesity and hypertension amongst a young South Asian male migrant population in the UAE. Study findings suggest a diminished 'Healthy Migrant Effect' with increased years of residency possibly due to greater acculturation and a transition in lifestyle behaviours. Health initiatives targeting the maintenance of a healthy body size, coupled with regular assessments of glucose control and blood pressure are urgently required in this population.

    AB - Background: Approximately 65% of the United Arab Emirates (UAE) population are economic migrants from the low- and middle-income countries of South Asia. Emerging evidence suggests that expatriate populations from low or middle-income countries that migrate to high-income countries acculturate their lifestyle with the obesogenic behaviours of the host country. Previous research has focussed on migrant populations in the United States. The objective of this study was to assess the prevalence of obesity and explore the relationship between years of residency (surrogate measure for acculturation) and obesity among South Asian (from India, Pakistan and Bangladesh) male immigrants residing in the UAE. Methods: A random sample of 1375 males was recruited from a mandatory residency visa health screening centre in Abu Dhabi (UAE). Employing a cross-sectional design, participants completed an interviewer-led adapted version of the World Health Organisation STEPS questionnaire, and anthropometric and blood pressure measurements were collected. Glycated haemoglobin (HbA1c) was measured in a random sub-sample (n∈=∈100). Logistic regression was used to determine risk factors for being classified as obese, and to assess the relationship between years of residency and adiposity. Results: The overall prevalence of body mass index-derived overweight and obesity estimates and waist-to-hip-derived central obesity rates was 615 (44.7%) and 917 (66.7%) males, respectively. Hypertension was present in 419 (30.5%) of the sample and diabetes in 9 (9.0%) of the sub-sample. Living in the UAE for six to 10 years or more than 10 years was independently associated with being classified with central obesity (adjusted odds ratio [AOR] 1.63 95% confidence intervals [CI] 1.13 - 2.35, p∈<∈0.008; AOR 1.95 95% CI 1.26 - 3.01, p∈<∈0.002; respectively) compared to residing in the UAE for one to five years. Conclusions: Our study revealed a high prevalence of overweight, central obesity and hypertension amongst a young South Asian male migrant population in the UAE. Study findings suggest a diminished 'Healthy Migrant Effect' with increased years of residency possibly due to greater acculturation and a transition in lifestyle behaviours. Health initiatives targeting the maintenance of a healthy body size, coupled with regular assessments of glucose control and blood pressure are urgently required in this population.

    KW - Acculturation

    KW - Adiposity

    KW - Cardiovascular diseases

    KW - Obesity

    KW - Transients and migrants

    KW - United Arab Emirates

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    SN - 1471-2458

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