Acculturation and changes in body mass index, waist circumference, and waist–hip ratio among Filipino Americans with hypertension

•The prevalence of hypertension among Filipino immigrants is higher than other Asian groups.•Acculturation alone as an absolute risk in weight gain and increase in body mass index among immigrants is raised in this study.•This study confirms that body measurements increase as the levels of acculturation increase among Filipinos with hypertension.

The purpose of this research study was to examine whether level of acculturation is a predictor of body mass index, waist circumference, and waist–hip ratio in Filipino Americans with hypertension in the United States. The Filipino Americans (N = 108) were recruited from a primary care clinic in the United States. Two instruments were used to collect and operationalize the variables, specifically: (1) Socioeconomic/Demographic Questionnaire and (2) A Short Acculturation Scale for Filipino Americans. Descriptive statistics and partial least squares were used to calculate the results. The partial least square path model identified acculturation as a predictor of body mass index, wait circumference, and waist–hip ratio among Filipino Americans. The positive path coefficient (β = 0.384) was statistically significant (t = 5.92, P < .001). Health care providers need to stress the importance of the degree of acculturation when developing culturally appropriate lifestyle and health promotion interventions among immigrant patients with hypertension.