title: Ethnic group differences in cardiometabolic disease risk factors independent of body mass index among American youth.
abstract: OBJECTIVE
  The purpose of this analysis was to identify any ethnic group differences in the prevalence of cardiometabolic disease risk factors independent of BMI in United States youth.
  
  
  METHODS
  Data on 3,510 boys and girls aged 8-11 years from the 1999-2008 National Health and Nutrition Examination Surveys were analyzed to determine the prevalence of 1 or ≥3 cardiometabolic disease risk factors: abnormal waist circumference and systolic (SBP) and diastolic blood pressure (DBP), increased concentrations of fasting triglyceride, and decreased concentrations of high-density lipoprotein (HDL) cholesterol before and after adjusting for BMI.
  
  
  RESULTS
  Abnormal waist circumference and HDL-cholesterol significantly differed by ethnic group before and after adjusting for BMI (P < 0.01). Non-Hispanic blacks were significantly less likely to have abnormal HDL-cholesterol concentrations than were Hispanics and non-Hispanic whites, but non-Hispanic whites were significantly more likely to have elevated triglycerides and three or more abnormal cardiometabolic risk factors than non-Hispanic blacks.
  
  
  CONCLUSIONS
  These findings point to ethnic group disparities not related to BMI alone, even in children as young as 8-11 years. Programs to prevent and treat eventual cardiometabolic disease in children could be tailored for specific ethnic backgrounds as a result.
authors: Department of Pediatrics, Division of Pediatric Clinical Research, Miller School of Medicine, University of Miami, Miami, Florida, USA. smessiah@med.miami.edu
authors: Sarah E
authors: SE
authors: Messiah
authors: Kristopher L
authors: KL
authors: Arheart
authors: Gabriela
authors: G
authors: Lopez-Mitnik
authors: Steven E
authors: SE
authors: Lipshultz
authors: Tracie L
authors: TL
authors: Miller
mesh_terms: D044383:Black People / Q000706:statistics & numerical data; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000517:prevention & control*; D002648:Child; D008076:Cholesterol, HDL / Q000097:blood; D003430:Cross-Sectional Studies; D005006:Ethnicity; D005215:Fasting; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D009749:Nutrition Surveys; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood; D014481:United States / Q000453:epidemiology; D055105:Waist Circumference; D044465:White People / Q000706:statistics & numerical data; D001741:Black or African American
chemical_list: D001786:Blood Glucose; D008076:Cholesterol, HDL; D014280:Triglycerides