{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:25:47Z","timestamp":1768443947341,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T00:00:00Z","timestamp":1505865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study was to evaluate whether Asian American adolescents have higher metabolic risk from excess weight than non\u2010Asians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seven hundred thirty\u2010three students, aged 14 to 19 years old, completed a school\u2010based health screening. The 427 Asian and 306 non\u2010Asian students were overall equivalent on age, sex, and family income. Height, weight, waist circumference, percent body fat, and blood pressure were measured. Fasting triglycerides, high\u2010 and low\u2010density lipoproteins, glucose, and insulin levels were measured. Asian and non\u2010Asians in lean or overweight\/obesity groups were contrasted on the five factors that make up the metabolic syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Asian adolescents carrying excess weight had significantly higher insulin resistance (IR), triglyceride levels, and waist\u2010height ratios (W\/H), despite a significantly lower overall BMI than corresponding non\u2010Asians. Similarly, Asians had a stronger relationship between W\/H and the degree of IR than non\u2010Asian counterparts; 35% and 18% of the variances were explained (R<jats:sup>2\u2009<\/jats:sup>=\u20090.35, R<jats:sup>2\u2009<\/jats:sup>=\u20090.18) respectively, resulting in a significant W\/H by racial group interaction (F<jats:sub>change<\/jats:sub>[1,236]\u2009=\u200911.56, <jats:italic>P\u2009<\/jats:italic>&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite lower overall BMI, Asians have higher IR and triglyceride levels from excess weight than their non\u2010Asian counterparts. One\u2010size\u2010fits\u2010all public health policies targeting youth should be reconsidered and attention paid to Asian adolescents, including those with mild degrees of excess weight.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.22003","type":"journal-article","created":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T12:22:40Z","timestamp":1505910160000},"page":"1974-1979","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Asian Adolescents with Excess Weight are at Higher Risk for Insulin Resistance than Non\u2010Asian Peers"],"prefix":"10.1002","volume":"25","author":[{"given":"Ahmed","family":"Elsamadony","sequence":"first","affiliation":[{"name":"Department of Psychiatry New York University School of Medicine New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathy F.","family":"Yates","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York University School of Medicine New York New York USA"},{"name":"Department of Medicine New York University School of Medicine New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Sweat","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York University School of Medicine New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po Lai","family":"Yau","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York University School of Medicine New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Mangone","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York University School of Medicine New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Medicine New York University School of Medicine New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur","family":"Fierman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York University School of Medicine New York New York USA"},{"name":"Department of Radiology New York University School of Medicine New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2201-2689","authenticated-orcid":false,"given":"Antonio","family":"Convit","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York University School of Medicine New York New York USA"},{"name":"Department of Medicine New York University School of Medicine New York New York USA"},{"name":"Department of Pediatrics New York University School of Medicine New York New York USA"},{"name":"Nathan S. 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