American Journal of Epidemiology Vol. 129, No. 3: 587-595
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health
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CENTRAL ADIPOSITY AND GALLBLADDER DISEASE IN MEXICAN AMERICANS
U. of Texas Health Science Center at San Antonio San Antonio, TX 78284
1Division of Clinical Epidemiology, Department of Medicine, University of Texas Health Science Center at San Antonio San Antonio, TX
2Division of General Medicine, Department of Medicine, University of Texas Health Science Center at San Antonio San Antonio, TX
Reprint requests to Dr. Steven M. Haffner, Division of Clinical Epidemiology, Department of Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San ANtonio, TX 78284
Obesity is widely recoginized as a risk factor for gallstones. However, to the authors' knowledge, only one study has examined the effect of body fat distribution on the prevalence of gallbladder disease. Mexican Americans are a population characterized by both a high prevalence of gallbladder disease and an unfavourable body fat distribution. The authors examined whether centrak adiposity (as measured by the ratio of subscapular-to-triceps skinfold) was related to clinically evident gallbladder disease in 1,202 Mexican Americans and 908 non-Hispanic whites in the San Antonio Heart Study from 1979 to 1982. After adjustment for overall adiposity (as measured by body mass index) and the ratio of subscapular-to-triceps skinfold, an increased prevalence of gallbladder disease was still observed in Mexican-American women. Both body mass index and the ratio of subscapular-to-triceps skinfold were positively and independently associated with gallbladder disease in women, while in men, body mass index, but not the subscapular-to triceps skinfold ratio, was associated with gallbladder disease. Central adiposity is also related to the adverse pattern of cardiovascular risk factors observed in women with gallbladder disease.
body composition; gallbladder diseases; Hispanic Americans; obesity
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