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March 1970

Coronary Heart Disease in Chinese Men in HawaiiSerum Lipids, Plasma Glucose, and Cardiovascular, Anthropometric, and Related Findings. Comparisons and Findings With Japanese Men

Arch Intern Med. 1970;125(3):478-487. doi:10.1001/archinte.1970.00310030088010

Coronary heart disease (CHD) death rates during the period 1949 to 1956 were higher for Chinese men than for Japanese men living in Hawaii. Chinese men had thicker triceps and subscapular skinfolds, and engaged in less physical activity than did the Japanese men. The serum cholesterol level of the Chinese population control groups was higher (P <0.05) than that of the Japanese population control groups. However, the Chinese were not more overweight (by height-weight indices) or more hypertensive than the Japanese; their cigarette-smoking history was less. "Nonoverweight adiposity" (relatively mild degrees of excess adiposity as can be determined by skinfold measurements in the absence of significant "overweight") in combination with diminished physical activity may be related to the higher CHD mortality in Chinese men as compared with Japanese men in Hawaii.