Source: RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY submitted to NRP
EFFECTS OF ACCULTURATION ON WEIGHT STATUS IN KOREAN AMERICAN ADULTS
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0191788
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
(N/A)
Project Start Date
Jul 1, 2002
Project End Date
Jun 30, 2007
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
3 RUTGERS PLZA
NEW BRUNSWICK,NJ 08901-8559
Performing Department
NUTRITIONAL SCIENCES
Non Technical Summary
One of the nation's largest health concerns is obesity. This is also true for the nation's minority populations. The purpose of this study to examine why more acculturated Korean Americans tend to be heavier.
Animal Health Component
100%
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
7036010101045%
7036010117045%
7036010307010%
Goals / Objectives
Overweight and obesity prevalence has been increasing in recent decades. Examining the phenomena and finding effective prevention methods are important since overweight and obesity are related with many chronic diseases and mortality. Asian Americans, including Korean Americans, are often considered healthy minorities with low rates of health problems. However, previous studies have shown that acculturation may have negative effects on health in immigrants, in particular, Asian Americans. Without appropriate prevention, the healthy minorities will disappear as acculturation continues. This study aims to determine if and how acculturation is associated with weight status, using Korean Americans as an example. The main research questions are: 1) how acculturation is associated with weight status, 2) how acculturation is associated with weight-related health behaviors, and 3) how acculturation and the health behaviors are related to weight status. Closer examination among the three groups (acculturation, weight status, and health behaviors) of variables will contribute to the limited understanding of Korean Americans' acculturation experience as well as to the growing understanding of relationship between acculturation and weight status. Results and hypotheses produced in this study will be tested in research with other understudied minority groups. This study will also bring in the missing portion of the acculturation scope. Individuals who are highly acculturated appear to be at higher risk for overweight and obesity, however, they have not often been studied because they are harder to reach than less acculturated individuals. Half of participants of this study will be those individuals who are young and highly acculturated. The participants of this study will be invited back to follow-up studies in the future for longitudinal investigation of effects of acculturation on health behaviors and weight status.
Project Methods
A cross-sectional study will be conducted on a sample of adult Korean Americans in New Jersey and New York. Korean Americans adults (18 and over) will be recruited from several venues: advertisement in ethnic newspapers and invitation through colleges and churches. The sample will be stratified by generation and gender. With no widely accepted pre-developed acculturation scales for Korean Americans, acculturation will be measured using the two-culture matrix model based on Gordon's theoretical work. Weight status will be examined with body mass index calculated from directly measured height and weight, body fat, and body fat distribution. Cutoff points to classify overweight and obesity from the US and WHO will be both used. Body fat will be estimated using bioimpedance. Body fat distribution will be estimated with waist circumference and waist-to-hip circumference ratio. Three major weight-related health behaviors will be studied in this study: smoking, physical activity, and diet. Smoking and physical activity will be measured by questions being used in the current NHANES survey. Diet will be studied with the 3-day 24-hour recall method. The control variables include gender, education, occupation, income, arrival age, length of stay, and generation. Participants will be asked to come to the Nutrition Lab. If a group of participants is recruited from one location, the research team will set up a temporary site in the location for participants' convenience. After participants sign the informed consent form, their height, weight, total body fat, and body fat distribution will be measured. The pre-tested questionnaire will be provided for participants to complete. The first day 24-hr recall will be done in this meeting with food models. The subsequent two-day 24-hr recalls will be conducted via telephone. Completed questionnaires will be screened and be entered into a computer file using Epi-Info2000. The diet information will be analyzed with Nutritionist Pro (Firstdata Bank). Ethnic foods that are not available in Nutritionist Pro will be analyzed with the web-based Korean diet analysis program and the data will be transported to the diet data file. All statistical analysis will be done with the SAS system for Windows, version 8.2. The unit of analysis will be the individual. All analyses will be performed separately for men and women. Chi-squares and analysis of variance with Tukey's test will be used to examine bivariate relationships among selected variables. Factor analysis and cluster analysis will be used to group participants according to their acculturation status. Logistic regression (proportional odds model) and multiple linear regression will be applied to simultaneously investigate the relationships of all study variables. A sequence of regression models will be used to examine whether differences in self-perceived health are a result of acculturation, the weight-related health behaviors, and weight status in addition to controlling variables.

Progress 07/01/02 to 06/30/07

Outputs
Previous reports described our preliminary analyses, where a cursory inspection of the diet records suggested that the participants had acceptable diets with predictable areas for improvement. Unfortunately, the computer program that was to be used to calculate nutrient composition from the Food Frequency Questionnaires was no longer available for our use, as the developer of the program informed us that her software was destroyed. Efforts to create our own analytical program produced inconsistent results, so we abandoned our dietary analyses. For the sample of 376 Korean Americans (145 men, M age 36.1, 231 women, M age 35.0), we found that 35.5% of the men were overweight or obese as based on BMI, with only 9.4 of the women in those categories. Men who were more American-acculturated (Acculturation Rating Scale) reported more frequent vigorous activity. In contrast, women more strongly Korean-acculturated (Bidimensional Acculturation Scale) reported more frequent moderate activity.

Impacts
The preliminary results suggested that the Korean men and women of this study, who lived about half of their lives in the US, are similar to most Americas, as their diets seemed to reflect low consumption of calcium and iron and high intakes of sodium. Their rates of overweight are far lower than the general populace, though rates for the men were not ideal. Although sex differences were shown for level of activity by cultural identification, this finding was based on two different acculturation scales, suggesting that more research is warranted on scale use, regardless of the ethnic sample of interest.

Publications

  • Lee, S.K., & Cheng, Y.-Y. (2006). Reaching Asian-Americans: Sampling strategies and incentives. Journal of Immigrant and Minority Health, 8(3), 245-250.


Progress 01/01/04 to 12/31/04

Outputs
Data have been checked for any possible entry errors, and any entry errors found were corrected. The data were also checked for inter-personal variances to ensure that there was no systemic measurement bias from certain interviewers. Data were entered with two different entry programs because of different data characteristics, which resulted in two different data structures. Dietary data had to be heavily modified. The data structures were modified to be merged together. This will allow linking different variables such as acculturation, diet, physical activity, and body weight. Another step of check was conducted to determine if data of a participant from one file were correctly matched to the data of the person from the other file. With the cleaned up and merged data file, detailed statistical analysis linking variables will be conducted in the years of 2005 and 2006.

Impacts
The preliminary data analysis showed that the participants had acceptable diets with areas to improve. The areas for improvement include low consumption of calcium and iron and high consumption of sodium. Further analyses of the dietary data will show how to improve diets of Korean Americans. Further analysis on body weight in relation to acculturation and health behaviors will reveal 1) the relationships between acculturation and body weight in Korean Americans and 2) who and what should be targeted in health promotion interventions for Korean Americans.

Publications

  • No publications reported this period


Progress 01/01/03 to 12/31/03

Outputs
Data collection was completed with 401 participants. The participants were recruited through ethnic specific venues such as Korean churches. We collected acculturation, body weight, body fat, diet, physical activity, and sociodemographic information. Acculturation and sociodemographic information were collected by self-administered questionnaires. Diet and physical activity information were obtained though a face-to-face interview; body weight and body fat information were collected by direct measurement. Data have been entered into computer files and the files are currently checked for any possible errors. In the meantime, crude preliminary data analysis has been carried out. The results from this analysis were used to write abstracts to present in national conferences and an article for a Korean American newspaper (The Korea Times). More detailed statistical analysis will be conducted in the year of 2004 and 2005.

Impacts
The preliminary data analysis showed that the participants had acceptable diets with areas to improve. The areas for improvement include low consumption of calcium and iron and high consumption of sodium. Further analyses of the dietary data will show how to improve diets of Korean Americans. Further analysis on body weight in relation to acculturation and health behaviors will reveal 1) the relationships between acculturation and body weight in Korean Americans and 2) who and what should be targeted in health promotion interventions for Korean Americans.

Publications

  • No publications reported this period


Progress 07/01/02 to 12/31/02

Outputs
A questionnaire for this project was developed and tested with a group of Korean/Korean American students. The revised questionniare will be used for this project.

Impacts
We expect to identify health behaviors that are important in weight status in Korean Americans. With the findings, we will be able to do design health promotion interventions.

Publications

  • No publications reported this period