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Cardiometabolic Risk Markers in Indian Children: Comparison with UK Indian and White European Children.

Title: Cardiometabolic Risk Markers in Indian Children: Comparison with UK Indian and White European Children.
Authors: Nightingale, CM; Krishnaveni, GV; Rudnicka, AR; Owen, CG; Veena, SR; Hill, JC; Cook, DG; Fall, CH; Whincup, PH
Publisher Information: PUBLIC LIBRARY SCIENCE
Publication Year: 2012
Collection: St George's University of London: Repository
Description: OBJECTIVE: UK Indian adults have higher risks of coronary heart disease and type 2 diabetes than Indian and UK European adults. With growing evidence that these diseases originate in early life, we compared cardiometabolic risk markers in Indian, UK Indian and white European children. METHODS: Comparisons were based on the Mysore Parthenon Birth Cohort Study (MPBCS), India and the Child Heart Health Study in England (CHASE), which studied 9-10 year-old children (538 Indian, 483 UK Indian, 1375 white European) using similar methods. Analyses adjusted for study differences in age and sex. RESULTS: Compared with Mysore Indians, UK Indians had markedly higher BMI (% difference 21%, 95%CI 18 to 24%), skinfold thickness (% difference 34%, 95%CI 26 to 42%), LDL-cholesterol (mean difference 0.48, 95%CI 0.38 to 0.57 mmol/L), systolic BP (mean difference 10.3, 95% CI 8.9 to 11.8 mmHg) and fasting insulin (% difference 145%, 95%CI 124 to 168%). These differences (similar in both sexes and little affected by adiposity adjustment) were larger than those between UK Indians and white Europeans. Compared with white Europeans, UK Indians had higher skinfold thickness (% difference 6.0%, 95%CI 1.5 to 10.7%), fasting insulin (% difference 31%, 95%CI 22 to 40%), triglyceride (% difference 13%, 95%CI 8 to 18%) and LDL-cholesterol (mean difference 0.12 mmol/L, 95%CI 0.04 to 0.19 mmol/L). CONCLUSIONS: UK Indian children have an adverse cardiometabolic risk profile, especially compared to Indian children. These differences, not simply reflecting greater adiposity, emphasize the need for prevention strategies starting in childhood or earlier.
Document Type: article in journal/newspaper
File Description: text/plain; charset=unknown-8bit; application/pdf; charset=binary
Language: English
ISSN: 1932-6203
Relation: https://openaccess.sgul.ac.uk/id/eprint/2661/1/licence.txt; https://openaccess.sgul.ac.uk/id/eprint/2661/8/cookPLoS.pdf; Nightingale, CM; Krishnaveni, GV; Rudnicka, AR; Owen, CG; Veena, SR; Hill, JC; Cook, DG; Fall, CH; Whincup, PH (2012) Cardiometabolic Risk Markers in Indian Children: Comparison with UK Indian and White European Children. PLOS ONE, 7 (4). e36236. ISSN 1932-6203 https://doi.org/10.1371/journal.pone.0036236 SGUL Authors: Cook, Derek Gordon Nightingale, Claire Owen, Christopher Grant Rudnicka, Alicja Regina Whincup, Peter Hynes
DOI: 10.1371/journal.pone.0036236
Availability: https://openaccess.sgul.ac.uk/id/eprint/2661/; https://openaccess.sgul.ac.uk/id/eprint/2661/1/licence.txt; https://openaccess.sgul.ac.uk/id/eprint/2661/8/cookPLoS.pdf; https://doi.org/10.1371/journal.pone.0036236
Rights: cc_by
Accession Number: edsbas.DF278B5D
Database: BASE