This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Related article  • Related letter  • Similar articles in JAMA  Topic Collections  • Nutritional and Metabolic Disorders  • Nutritional and Metabolic Disorders, Other  • Obesity  • World Health  • Diet  • Endocrine Diseases  • Diabetes Mellitus  • Alert me on articles by topic  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In Reply: In response to Dr Rajpathak and colleagues, while our study focused on epidemiology of type 2 diabetes in Asian countries, there is a clear need to examine social, cultural, and behavioral factors and diabetes risk in Asian immigrant populations in the United States and other Western countries. Despite having lower body mass index (BMI) than other ethnic groups, Asian Americans have experienced the largest increase in diabetes prevalence in recent years. In a random multiethnic sample of 5% of Medicare fee-for-service beneficiaries 65 years or older, the prevalence of diabetes among Asians increased by nearly 70% from 1997 to 2004.¹ In a population-based telephone survey, the prevalence of diabetes was significantly higher among Asian Americans than among non-Hispanic white individuals, after adjusting for a lower BMI among Asian individuals.² Similarly, in the Nurses' Health Study, the incidence of diabetes was significantly higher among Asian than among white individuals, . . . [Full Text of this Article]

Juliana C. N. Chan, MBChB, MD
Department of Medicine
The Chinese University of Hong Kong
Hong Kong SAR, China

Vasanti Malik, MSc; Frank B. Hu, MD, PhD
frank.hu@channing.harvard.edu
Department of Nutrition
Harvard School of Public Health
Boston, Massachusetts

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Diabetes in Asia: Epidemiology, Risk Factors, and Pathophysiology
Juliana C. N. Chan, Vasanti Malik, Weiping Jia, Takashi Kadowaki, Chittaranjan S. Yajnik, Kun-Ho Yoon, and Frank B. Hu
JAMA. 2009;301(20):2129-2140.
ABSTRACT | FULL TEXT  

RELATED LETTER

Diabetes in Asian Immigrant Populations
Swapnil Rajpathak, Judith Wylie-Rosett, and Michael Alderman
JAMA. 2009;302(15):1646.
EXTRACT | FULL TEXT