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Ethnic Differences in Physical Activity and Obesity

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Ethnicity and Integration

Part of the book series: Understanding Population Trends and Processes ((UPTA,volume 3))

Abstract

Obesity has been identified as a risk factor in many health problems. In England around a quarter of all adults are classified as obese. This chapter uses the Health Survey for England (HSE) to examine ethnic differences in physical activity and obesity in adults. It begins by providing a detailed break-down of differences in levels of obesity and physical activity for men and women in eight major ethnic groups for a nationally representative sample of the adult population of England. It then goes on to use modelling methods to ask whether additional factors related to the individual or the locality explain the differences between ethnic groups on both these outcome measures.

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References

  • Anderson, A.S., Bush, H., Lean, M., Bradby, H., Williams, R. and Lea, E. (2005) Evolution of atherogenic diets in South Asian and Italian women after migration to a higher risk region, Journal of Human Nutrition Dietetics, 18: 33–43.

    Article  Google Scholar 

  • Anderson, A.S. and Lean, M.E.J. (1995) Healthy changes? Observations on a decade of dietary change in a sample of Glaswegian South Asian migrant women, Journal of Human Nutrition and Dietetics, 8: 129–136.

    Article  Google Scholar 

  • Berger, U., Der, G., Mutrie, N. and Hannah, M.K. (2005) The impact of retirement on patterns of physical activity, Ageing and Society, 25: 181–195.

    Article  Google Scholar 

  • Blackaby, D.H., Leslie, D.G., Murphy, P.D. and O’Leary, P.C. (2002) White/ethnic minority earnings and employment differentials in Britain: Evidence from the LFS, Oxford Economic Papers, 54: 270–297.

    Google Scholar 

  • Bush, H., Williams, R., Bradby, H., Anderson, A. and Lean, M. (1998) Family hospitality and ethnic tradition among South Asian, Italian and general population women in the West of Scotland, Sociology of Health and Illness, 20(3): 351–380.

    Article  Google Scholar 

  • Carrington, B., Chivers, T. and Williams, T. (1987) Gender, Leisure and sport: A case-study of young people of South Asian descent, Leisure Studies, 6(3): 265–279.

    Article  Google Scholar 

  • Chambers, J.C., Elliott, P., Scott, J. and Kooner, J.S. (2006, October 31) Physical activity and risk of Type 2 diabetes in UK Asian Indian and Northern European subjects in the London life sciences population (LOLIPOP) study, Proceedings of the 79th annual scientific session of the American-Heart-Association, 114, pp. 894–895.

    Google Scholar 

  • Clark, K. and Drinkwater, S. (2007) Segregation preferences and labour market outcomes, Economics Letters, 94(2): 278–283.

    Article  Google Scholar 

  • Craig, R. and Mindell, J. (eds.) (2008) Health Survey for England 2006: Volume 1 Cardiovascular Disease and Risk Factors in Adults, The Information Centre, London.

    Google Scholar 

  • Cross-Government Obesity Unit, Department of Health, Department for Children, Schools and Families (2008) Healthy Weight, Healthy Lives: A Cross-Government Strategy for England, Department of Health and Department for Children, Schools and Families, London.

    Google Scholar 

  • Cummins, S., Findlay, A., Higgins, C., Petticrew, M., Sparks, L. and Thomson, H. (2008) Reducing inequalities in health and diet: Findings from a study on the impact of a food retail development, Environment and Planning A, 40: 402–422.

    Article  Google Scholar 

  • Cummins, S. and Macintyre, S. (2006) Food environments and obesity – neighbourhood or nation? International Journal of Epidemiology, 35: 100–104.

    Article  Google Scholar 

  • Dawson, A.J., Sunquist, J. and Johansson, S. (2005) The influence of ethnicity and length of time since immigration on physical activity, Ethnicity and Health, 10(4): 293–309.

    Article  Google Scholar 

  • Department of Health (2004) Choosing Health. Making Healthy Choices Easier, Department of Health, London.

    Google Scholar 

  • Department of Health 5 A DAY (2000) http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/FiveADay/fs/en

  • Dhawan, J. and Bray, C.L. (1997) Asian Indians, coronary artery disease and physical exercise, Heart, 78: 550–554.

    Google Scholar 

  • Diez Roux, A.V., Link, B.G. and Northridge, M.E. (2000) A multilevel analysis of income inequality and cardiovascular disease risk factors, Social Science and Medicine, 50: 673–687.

    Article  Google Scholar 

  • Dowler, E. and Calvert, C. (1995) Nutrition and Diet in Lone Parent Families in London, Family Policy Studies Centre, London.

    Google Scholar 

  • Erens, B., Primatesta, P. and Prior, G. (eds.) (2001) Health Survey for England 1999 – The Health of Minority Ethnic Groups, Volume 1: Findings, The Stationary Office, London.

    Google Scholar 

  • Food Standards Agency (2003) Salt – Eat no more than 6 g a day. http://www.salt.gov.uk/index.html

  • Furnham, A. and Alibhai, N. (1983) Cross-cultural differences in the perception of female body shapes, Psychological Medicine, 1: 829–837.

    Article  Google Scholar 

  • Furnham, A. and Baguma, P. (1994) Cross-cultural differences in the evaluation of male and female body shapes, International Journal of Eating Disorders, 15: 81–89.

    Article  Google Scholar 

  • Gensini, G.F., Comeglio, M. and Colella, A. (1998) Classical risk factors and emerging elements in the risk profile for coronary artery disease, European Heart Journal, 19(Suppl A): A53–A61.

    Google Scholar 

  • Ghannam, F. (1997) Fertile, Plump and Strong: The Social Construction of Female Body in Low Income Cairo (Monographs in Reproductive Health Number 3), Population Council Regional Office for West Asia and North Africa, Cairo.

    Google Scholar 

  • Gibbens, C. and Julian, G. (eds.) (2006) Family Spending: A Report on the 2004–05 Expenditure and Food Survey, The Stationary Office, London.

    Google Scholar 

  • Goel, M.S., McCarthy, E.P., Phillips, R.S. and Wee, C.C. (2004) Obesity among US immigrant subgroups by duration of residence, The Journal of the American Medical Association, 292: 2860–2867.

    Article  Google Scholar 

  • Grace, C., Begum, R., Subhani, S., Frost, G., Greenhalgh, T. and Kopelman, P. (2007, May) Understanding roadblocks to physical activity participation in a UK South Asian community: Cultural and religious perspectives, International Journal of Obesity, 31(Suppl. 1): S194–S194.

    Google Scholar 

  • Hayes, L., White, M., Unwin, N., Bhopal, R., Fischbacher, C., Harland, J., et al. (2002) Patterns of physical activity and relationship with risk markers for cardiovascular disease and diabetes in Indian, Pakistani, Bangladeshi and European adults in a UK population, Journal of Public Health Medicine, 24(3): 170–178.

    Article  Google Scholar 

  • Hunt, C.J., Nicholas, R.N. and Pryer, J.A. (2000) Who complied with national fruit and vegetable population goals? Findings from the dietary and nutritional survey of British adults, European Journal of Public Health, 10: 178–184.

    Article  Google Scholar 

  • International Diabetes Institute (2002) The Asia-Pacific Perspective: Redefining Obesity and Its Treatment, International Diabetes Institute, Victoria.

    Google Scholar 

  • Jackson, M., Walker, S., Cruickshank, J.K., Sharma, S., Cade, J., Mbanya, J.C., et al. (2007) Diet and overweight and obesity in populations of African origin: Cameroon, Jamaica and the UK, Public Health Nutrition, 10(2): 122–130.

    Article  Google Scholar 

  • Johnson, M.R.D. (2000) Perceptions of barriers to healthy physical activity among Asian communities, Sport, Education and Society, 5(1): 51–70.

    Article  Google Scholar 

  • Jonsson, S., Hedglad, B., Engstrom, G., Nilsson, P., Berglund, G. and Janzon, L. (2002) Influence of obesity on cardiovascular risk. Twenty-three year follow-up of 22,025 men from an urban Swedish population, International Journal of Obesity and Metabolic Disorders, 8: 1046–1053.

    Article  Google Scholar 

  • Kalka, I. (1988) The changing food habits of Gujaratis in Britain, Journal of Human Nutrition and Dietetics, 1: 329–335.

    Article  Google Scholar 

  • Kassam-Khamis, T., Judd, P., Thomas, J.E., Sevak, L., Reddy, S. and Ganatra, S. (1995) Frequency of food consumption and nutrient consumption of composite dishes commonly consumed by South Asians originating from Gujarat and the Punjab, Journal of Human Nutrition and Dietetics, 8: 265–277.

    Article  Google Scholar 

  • Kopelman, P.G. (2000) Obesity as a medical problem, Nature, 404: 635–643.

    Google Scholar 

  • Landman, J. and Cruickshank, J.K. (2001) A review of ethnicity, health and nutrition-related diseases in relation to migration in the United Kingdom, Public Health Nutrition, 4(2B): 647–657.

    Article  Google Scholar 

  • Lawrence, J.M., Devlin, E., Macaskill, S., Kelly, M., Chinouya, M.,, Raats, M.M., et al. (2007) Factors that affect the food choices made by girls and young women, from ethnic minority groups, living in the UK, Journal of Human Nutrition & Diet, 20: 311–319.

    Article  Google Scholar 

  • Lean, M.E.J., Han, T.S., Bush, H., Anderson, A.S., Bradby, H. and Williams, R. (2001) Ethnic differences in anthropometric and lifestyle measures related to coronary heart disease and risk between South Asian, Italian and general-population British women living in the west of Scotland, International Journal of Obesity, 24: 1800–1805.

    Article  Google Scholar 

  • Lee, C.D., Blair, S.N. and Jackson, A.S. (1999) Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men, American Journal of Clinical Nutrition, 69: 373–380.

    Google Scholar 

  • Lip, G.H.Y., Malik, I., Luscombe, C., McCarry, M. and Beevers, G. (1995) Dietary fat purchasing habits in Whites, Black and Asian peoples in England – implications for heart disease prevention, International Journal of Cardiology, 48: 287–293.

    Article  Google Scholar 

  • Marmot, M.G., Smith, G.D., Stansfeld, S., Patel, C., North, F., Head, J., et al. (1991) Health inequalities among British civil servants; The Whitehall II Study, The Lancet, 337(8754): 1387–1393.

    Article  Google Scholar 

  • McGarvey, S. (1991) Obesity in Samoans and a perspective in its aetiology in Polynesians, American Journal of Clinical Nutrition, 53: 86–94.

    Google Scholar 

  • McKeigue, P.M. and Chaturvedi, N. (1996) Epidemiology and control of cardiovascular disease in South Asians and Afro-Caribbeans in Ahmed, W., Sheddon, T. and Stuart, O. (eds.), Ethnicity and Health: Review of Literature and Guidance for Purchasers in the Areas of Cardiovascular Disease, Mental Health and Haemoglobinopathies (CRD Report 5), NHS Centre for Review and Dissemination, York.

    Google Scholar 

  • McKeigue, P.M., Marmot, M.G., Adelstein, A.M., Hunt, S.P., Shipley, M.J., Butler, S.M., et al. (1985) Diet and risk factors for coronary heart disease in Asians in Northwest London, The Lancet, 2(8464): 1086–1090.

    Article  Google Scholar 

  • Mellin-Olsen, T. and Wandel, M. (2005) Changes in food habits among Pakistani immigrant women in Oslo, Norway, Ethnicity and Health, 10(4): 311–339.

    Article  Google Scholar 

  • Miller, G.J., Kotecha, S., Wilkinson, W.H., Wilkes, H., Stirling, Y., Sanders, T.A.B., et al. (1988) Dietary and other characteristics relevant for coronary heart disease in men of Indain, West Indian and European descent in London, Atherosclerosis, 70: 63–72.

    Article  Google Scholar 

  • Modood, T., Berthoud, R. and Lakey, J. (1997) Ethnic Minorities: Diversity and Disadvantage (Fourth PSI study), PSI, London.

    Google Scholar 

  • Mutrie, N. and Hannah, M.K. (2004) Some work hard while others play hard: The achievement of current recommendations for physical activity levels at work, at home, and in leisure time in the West of Scotland, International Journal of Health Promotion & Education, 42: 109–117.

    Google Scholar 

  • Nasser, M. (1988) Eating disorders: The cultural dimension, Social Psychiatry and Psychiatric Epidemiology, 23: 184–187.

    Article  Google Scholar 

  • OPCS (1990) Standard Occupational Classification Cols 1–3, HMSO, London.

    Google Scholar 

  • Patel, J.V., Vyas, A., Cruikshank, J.K., Prabharkaran, D.A., Hughes, E., Reddy, K.S., et al. (2005) Impact of migration on coronary heart disease risk factors: Comparison of Gujaratis in Britain and their contemporaries in villages of origin in India, Atherosclerosis, 185(2): 297–306.

    Article  Google Scholar 

  • Pickett, K.E., Kelly, S., Brunner, E., Lobstein, T. and Wilkinson, R.G. (2005) Wider income gaps, wider waistbands? An ecological study of obesity and income inequality, Epidemiology and Community Health, 59: 670–674.

    Article  Google Scholar 

  • Pill, R., Peters, T.J. and Robling, M.R. (1995) Social class and preventative health behaviour: A British example, Journal of Epidemiology and Community Health, 49: 28–32.

    Article  Google Scholar 

  • Platt, L. (2007) Poverty and Ethnicity in the UK, The Policy Press, Bristol.

    Google Scholar 

  • Pomerleau, J., McKeigue, P.M. and Chaturvedi, N. (1999) Factors associated with obesity in South Asian, Afro-Caribbean and European women, International Journal of Obesity, 23: 25–33.

    Article  Google Scholar 

  • Pratala, R.S., Groth, M.V., Olderstorf, U.S., Roos, G.R., Sekula, W. and Tuomainen, H.M. (2003) Use of butter and cheese in 10 European Countries, a case of contrasting educational differences, European Journal of Public Health, 13: 124–132.

    Article  Google Scholar 

  • Rudat, K. (1994) Black and Ethnic Minority Groups in England, Health Education Authority, London.

    Google Scholar 

  • Saxena, S., Ambler, G., Cole, T.J. and Maheed, A. (2004) Ethnic group differences in overweight and obese children and young people in England: Cross sectional survey, Archives of Disease in Childhood, 89: 30–36.

    Google Scholar 

  • Scott, P. (1998) Lay beliefs and the management of disease amongst West Indians with diabetes, Health and Social Care in the Community, 6(6): 407–419.

    Article  Google Scholar 

  • Scraton, S., Caudwell, J. and Holland, S. (2005) Bend it like Patel. Centring ‘race’, ethnicity and gender in feminist analysis of women’s football in England, International Review for the Sociology of Sport, 40(1): 71–88.

    Article  Google Scholar 

  • Scraton, S., Fastings, K., Pfister, G. and Bunuel, A. (1999) It’s still a man’s game? The experience of top-level European women footballers, International Review for the Sociology of Sport, 34: 99–111.

    Article  Google Scholar 

  • Sharma, S., Cade, J., Griffiths, S. and Cruickshank, J.K. (1998) Nutrient intakes among a UK African-Caribbean population – transition in coronary heart disease risk? Lancet, 352: 114–115.

    Article  Google Scholar 

  • Sharma, S., Cade, J., Landman, J. and Cruickshank, J.K. (2002) Assessing the diet of the British Afro-Caribbean population: Frequency of consumption of foods and food portion sizes, International Journal of Food Sciences and Nutrition, 53: 439–444.

    Article  Google Scholar 

  • Sharma, S. and Cruickshank, J.K. (2001) Cultural differences in assessing dietary intake and providing relevant dietary information to British African-Caribbean populations, Journal of Human Nutrition Dietetics, 14: 449–456.

    Article  Google Scholar 

  • Shelton, N.J. (2005) What not to eat: Inequalities in healthy eating behaviour, evidence from the 1998 Scottish Health Survey, Journal of Public Health, 27(1): 36–44.

    Article  Google Scholar 

  • Simmons, D. and Williams, R. (1997) Dietary practices among Europeans and different South Asian groups in Coventry, British Journal of Nutrition, 78: 5–14.

    Article  Google Scholar 

  • Smith, Z., Knight, T., Sahota, P., Kernohan, E. and Baker, M. (1995) Dietary patterns in Asian and Caucasian men in Bradford: Differences and implications for nutrition education, Journal of Human Nutrition and Dietetics, 6: 323–334.

    Article  Google Scholar 

  • Sobal, J. and Stunkard, A.J. (1989) Socioeconomic status and obesity: A review of the literature, Psychological Bulletin, 105: 2260–2275.

    Article  Google Scholar 

  • Sproston, K. and Mindell, J. (eds.) (2006a) Health Survey for England 2004. Volume 1: The Health of Minority Ethnic Groups, The Information Centre, London.

    Google Scholar 

  • Sproston, K. and Mindell, J. (eds.) (2006b) Health Survey for England 2004, Volume 2: Methodology and Documentation, The Information Centre, London.

    Google Scholar 

  • Sriskanthatrajah, J. and Kai, J. (2006) Promoting physical activity among South Asian women with coronary heart disease and diabetes: What might help? Family Practice, 24(1): 71–76.

    Article  Google Scholar 

  • Stafford, M., Cummins, S., Ellaway, A., Sacker, A., Wiggins, R.D. and Macintyre, S. (2007) Pathways to obesity: Identifying local, modifiable determinants of physical activity and diet, Social Science & Medicine, 65: 1882–1897.

    Article  Google Scholar 

  • Stevens, J., Evenson, K.R. and Thomas, O. (2004) Associations of fitness and fatness with mortality in Russian and American men in the lipids research clinics study, International Journal of Obesity, 28: 1463–1470.

    Article  Google Scholar 

  • The Chief Medical Officer (2004) At Least Five a Week: Evidence on the Impact of Physical Activity and Its Relationship to Health, Department of Health, London.

    Google Scholar 

  • Tovee, M.J., Swami, V., Furnham, A. and Mangalparsad, R. (2006) Changing perceptions of attractiveness as observers are exposed to a different culture, Evolution and Human Behaviour, 27: 443–456.

    Article  Google Scholar 

  • Wandel, M. (1993) Nutrition-related diseases and dietary change among third world immigrants in Northern Europe, Nutrition and Health, 9: 117–133.

    Article  Google Scholar 

  • Wardle, J. and Marsland, L. (1990) Adolescent concerns about weight and eating: A social-developmental perspective, Journal of Psychosomatic Research, 34: 377–391.

    Article  Google Scholar 

  • Wardle, J. and Steptoe, A. (2003) Socio-economic differences in attitudes and beliefs about healthy lifestyles, Journal of Epidemiology and Community Health, 57: 440–443.

    Article  Google Scholar 

  • Williams, R., Bhopal, R. and Hunt, K. (1994) Coronary risk in a British Punjabi population: Comparative profile of non-biochemical factors, International Journal of Epidemiology, 23(1): 28–37.

    Article  Google Scholar 

  • Williams, R., Bush, H., Anderson, A., Lean, M. and Bradby, H. (1996) Dietary Change in South Asian and Italian Women in the West of Scotland (Annual Report to the ESRC Glasgow), MRC Medical Sociology Unit, Glasgow.

    Google Scholar 

  • World Health Organisation (2002) World Health Report, WHO, Geneva.

    Google Scholar 

  • World Health Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases: Report of a Joint WHO/FAO Expert Consultation (WHO Technical Report Series 916), WHO, Geneva.

    Google Scholar 

  • Wyke, S. and Landman, J. (1997) Healthy eating? Diet and cuisine amongst Scottish South Asian people, British Food Journal, 99(1): 27–34.

    Article  Google Scholar 

  • Zaninotto, P., Head, J., Stamatakis, E., Wardle, H. and Mindell, J. (2009) Trends in obesity among adults in England from 1993 to 2004 by age and social class and projections of prevalence to 2010, Journal of Epidemiology and Community Health, 63: 140–146.

    Article  Google Scholar 

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Acknowledgements

We are grateful to ESRC for funding this research (RES 163-25-003); to the Economic and Social Data Service for supplying the Health Survey for England and to the Health and Information Centre for supporting the survey.

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Authors and Affiliations

  1. The Cathie Marsh Centre for Census and Survey Research (CCSR), School of Social Sciences, The University of Manchester, Manchester, M13 9PL, UK

    Vanessa Higgins & Angela Dale

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  1. Vanessa Higgins
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Correspondence to Vanessa Higgins .

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Editors and Affiliations

  1. School of Geography, Fac. Earth and Environment, University of Leeds, Woodhouse Lane, Leeds, LS2 9JT, United Kingdom

    John Stillwell

  2. School of Social Sciences, Centre for Census & Survey Res. (CCSR), University of Manchester, Humanities Bridgeford St., Manchester, M13 9PL, United Kingdom

    Maarten van Ham

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Higgins, V., Dale, A. (2010). Ethnic Differences in Physical Activity and Obesity. In: Stillwell, J., van Ham, M. (eds) Ethnicity and Integration. Understanding Population Trends and Processes, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-9103-1_10

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