Australian residence and heart disease risk in Vietnamese-born women.

ABSTRACT

SUMMARY: The aim of this study was to compare the disease risk profile of Vietnamese women who have lived in Australia for 2-15 years with a newly arrived group of Vietnamese women. The design was a comparison of two cross-sectional surveys (n = 256); one newly arrived (n = 159) and one (n = 97) who had lived in Australia for 2-15 years. The main outcome measures were body mass index (BMI), waist to hip ratio (WHR), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C) and TC/HDL ratio (atherogenic index). The longer-stay residents had similar BMI (21.5 ± 3.5 kg/m(2) vs. 21.1 ± 3.1 kg/m(2), p = 0.2); lower waist (69.3 ± 7.5 cm vs. 71.4 ± 7.6 cm, p = 0.8), WHR (0.76 ± 0.06 vs. 0.80 ± 0.06, p = 0.0001), TC (4.7 ± 1.0 mmol/L vs. 4.9 ± 0.9 mmol/L, p = 0.001), TC/HDL (3.0 ± 2.0 vs. 4.7 ± 2.0, p = 0.006) and higher hip measurement (91.1 ± 7.4 cm vs. 89.1 ± 5.6 cm, p = 0.009) than newly arrived Vietnamese women. After adjustment for BMI and age the odds of having a higher waist and WHR was significantly less for longer-stay residents, while the odds of having larger hips was doubled. The odds of having a high atherogenic index as estimated by the TC/HDL ratio was halved for the longer-stay residents (p = 0.15). We conclude that Vietnamese women we surveyed who have lived in Australia for 2-15 years have the same BMI, but lower levels of abdominal obesity and lower atherogenic index than newly arrived Vietnamese women surveyed.