I read with great interest the review article entitled “Associations of metabolic disorders with hypertension and cardiovascular disease: recent findings and therapeutic perspectives” [1]. The authors eloquently discuss the rising prevalence of pediatric hypertension, often linked to suboptimal lifestyle choices, and its implication for earlier life course intervention. However, it is imperative to acknowledge that individuals of different races and ethnicities may have different lifestyle choices and health resources simply due to cultural values, significantly undermining the impact and effectiveness of one-size-fits-all suggestions for lifestyle modification.

Among the diverse epidemiological profile of ethnic minorities in the United States, culturally tailored interventions targeting chronic diseases have proven especially effective for Chinese Americans, a rapidly expanding population, by improving health outcomes, disease knowledge, and social support, with success linked to incorporating Chinese cultural values such as authority and harmony, and considering food, utensil, herbs, and exercise preferences [2]. Such interventions align cultural relevance with health efficacy, recognizing the context-dependent nature of health behaviors within this population. Addressing metabolic health in particular, educational interventions incorporating Chinese culturally sensitive advice and strategies resulted in lower dietary glycemic index, carbohydrate, and caloric intake [3].