20
Diagnosis
Table 8. Racial/Ethnic Issues in Evaluation, Risk Decisions,
and Treatment of ASCVD Risk
Racial/Ethnic Groupings
Asian
Americans
a
Hispanic/Latino
Americans
b
Blacks Comments
Lipid issues
informed by
race/ethnicity
Asian
Americans have
lower levels
of HDL-C
than whites.
ere is higher
prevalence of
LDL-C among
Asian Indians,
Filipinos,
Japanese, and
Vietnamese
than among
whites. An
increased
prevalence
of high TG
was seen in
all Asian
American
subgroups.
Hispanic/Latino
women have
higher prevalence
of low HDL-C
compared to
Hispanic/Latino
men.
Blacks have
higher levels
of HDL-C
and lower
levels of
triglycerides
than non-
Hispanic
whites or
Mexican
Americans.
All ethnic
groups appear
to be at
greater risk for
dyslipidemia,
but important
to identify
those
with more
sedentary
behavior and
less favorable
diet.
Metabolic
issues
informed by
race/ethnicity
Increased MetS
is seen with
lower waist
circumference
than in whites.
DM develops
at a lower lean
body mass and
at earlier ages.
Majority of risk
in South Asians
is explained
by known
risk factors,
especially
those related
to insulin
resistance.
DM is
disproportionately
present compared
with whites and
blacks. ere
is increased
prevalence of
MetS and DM
in Mexican
Americans
compared with
whites and Puerto
Ricans.
ere is
increased
DM and
hypertension.
ere is
increased
prevalence of
DM. Features
of MetS
vary by race/
ethnicity.
Waist
circumference,
not weight,
should be used
to determine
abdominal
adiposity when
possible.
