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. 2020 Dec 3;112(6):1409–1414. doi: 10.1093/ajcn/nqaa341

TABLE 1.

Components of ethnicity relevant to variability in cardiometabolic risk, with examples

Biological component Example
DNA content Frequency of ApoE polymorphism (47)
Gene effect Physiological effect of FTO gene (48)
DNA expression Global DNA methylation (49)
Life history Growth and maturation patterns (50)
Biological ageing Telomere attrition (51)
Morphology Body composition (52)
Proteomics Protein markers of cardiovascular disease (53)
Microbiome Genetic variability of the biota (54)
Biochemistry Inflammatory response (55)
Physiology Blood pressure (56)
Behavior Physical exercise (57)
Physical environment Quality of urban environment (58)
Social environment Social support networks (59)
Education Educational opportunities and attainment (60)
Access to health care Bureaucratic procedures (61)
Health care Clinical management (62)
Commercial pressures Targeting by commercial companies (38)
Exposure to discrimination Negative targeting of identity (63)
Values and beliefs Values and beliefs relating to foods (64)

ApoE, apolipoprotein E; FTO, fat mass and obesity-associated protein.