ABSTRACT

Asian Indians, one of the fastest-growing immigrant groups in the United States, face an increased risk for diabetes, metabolic syndrome, and coronary artery disease compared with Caucasians and other ethnic populations. Coronary artery disease is the leading cause of death in this ethnic group. The risk profile called the Asian Indian phenotype is prevalent across all socioeconomic strata, with younger adults and the underprivileged being the most vulnerable. The risk profile exists despite the long-standing tradition of a plant-based diet and is characterized by abdominal obesity, glucose intolerance, and atherogenic dyslipidemia exacerbated by an unhealthy lifestyle and dietary practices. Health professionals working with Asian Indians must recognize that the currently consumed Asian Indian vegetarian diet may not be consistent with optimal health and wellness. Nutrition education interventions must be tailored to tackle a wide spectrum of chronic health conditions. The total lifestyle and dietary patterns must be addressed within a familiar sociocultural context.