1
|
Piero R, Papastratakos E, Castellanos DC, Crecelius AR. Sugar-sweetened beverage consumption and vascular function in Hispanic and non-Hispanic males. Nutr Health 2022:2601060221144130. [PMID: 36523263 DOI: 10.1177/02601060221144130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Introduction: Hispanic men have one of the highest consumptions of sugar-sweetened beverages in the United States. Frequent sugar-sweetened beverage consumption has been associated with higher incidence of cardiovascular disease through altered vascular function. Cardiovascular disease is the second leading cause of death in the Hispanic population. The purpose of this study is to assess the difference in vascular function between Hispanic men and non-Hispanic men and whether this difference is attributed to ethnic predisposition (i.e. ethnicity) or other risk factors, such as sugar-sweetened beverage consumption. Method: Reactive hyperemia forearm blood flow of 11 Hispanic males and 11 non-Hispanic males was measured via venous occlusion plethysmography. Interview-administered questionnaires gathered anthropometric, medical, dietary, and physical activity data for participants. Results: No significant differences were found in peak or total reactive hyperemia forearm blood flow between matched pairs (p = 0.924). Significant differences were also not observed in dietary factors, sugar-sweetened beverage consumption (p = 0.693), or physical activity (0.720). Conclusion: No statistical differences in body composition, dietary intake, physical activity, and vascular function were observed between Hispanic and non-Hispanic males. Environmental and lifestyle factors may play a larger role than ethnicity in the development of cardiovascular disease. Recruitment based on ethnicity alone yielded a population that was similar regarding SSB consumption and vascular function.
Collapse
Affiliation(s)
- Rachel Piero
- 2824Health and Sport Science, University of Dayton, Dayton, OH, USA
| | | | | | - Anne R Crecelius
- 2824Health and Sport Science, University of Dayton, Dayton, OH, USA
| |
Collapse
|
2
|
Baer RD, Holbrook E, Obure R, Mahoney D. Experiences and Effects of Food Insecurity Among Recently Resettled Refugees from the Congo Wars. ANNALS OF ANTHROPOLOGICAL PRACTICE 2021. [DOI: 10.1111/napa.12167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
3
|
Maldonado LE, Adair LS, Sotres-Alvarez D, Mattei J, Mossavar-Rahmani Y, Perreira KM, Daviglus ML, Van Horn LV, Gallo LC, Isasi CR, Albrecht SS. Dietary Patterns and Years Living in the United States by Hispanic/Latino Heritage in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). J Nutr 2021; 151:2749-2759. [PMID: 34320207 PMCID: PMC8417926 DOI: 10.1093/jn/nxab165] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 04/08/2021] [Accepted: 05/03/2021] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Previous diet findings in Hispanics/Latinos rarely reflect differences in commonly consumed and culturally relevant foods across heritage groups and by years lived in the United States. OBJECTIVES We aimed to identify and compare a posteriori heritage-specific dietary patterns (DPs) and evaluate their associations with "healthfulness" [using the Alternative Healthy Eating Index-2010 (AHEI-2010)] and years living in the United States. METHODS We used baseline data from a population-based cohort of 14,099 Hispanics/Latinos aged 18-74 y in the Hispanic Community Health Study/Study of Latinos. We performed principal factor analysis using two 24-h recalls to derive DPs, separately, in each heritage group (Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American), and identified overarching DPs based on high-loading foods shared by ≥2 groups. We used multivariable linear regression to test associations of DPs with AHEI-2010 and years living in the United States. RESULTS We identified 5 overarching DPs (Burgers, Fries, & Soft Drinks; White Rice, Beans, & Red Meats; Fish; Egg & Cheese; and Alcohol). All Burgers, Fries, & Soft Drinks DPs were inversely associated with AHEI-2010, whereas all Fish DPs (except Dominican) were positively associated with this index (all P-trend < 0.001). White Rice, Beans, & Red Meats DPs showed inverse associations in Cuban and Central American groups and positive associations in Mexican-origin individuals (all P-trend < 0.001). Fewer years living in the United States was associated with higher scores for White Rice, Beans, & Red Meats DPs in Cuban and Mexican heritage groups and lower scores on Burgers, Fries, & Soft Drinks DPs in Cuban, Mexican, and Puerto Rican groups (all P-trend < 0.01). CONCLUSIONS Our findings show substantial variation in DPs across Hispanics/Latinos and adherence to DPs by time in the United States, which could inform dietary interventions targeting this diverse US population. This trial was registered at clinicaltrials.gov as NCT02060344.
Collapse
Affiliation(s)
- Luis E Maldonado
- Carolina Population Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Linda S Adair
- Carolina Population Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Daniela Sotres-Alvarez
- Carolina Population Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Department of Biostatistics, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Josiemer Mattei
- Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA
| | - Yasmin Mossavar-Rahmani
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Krista M Perreira
- Carolina Population Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Department of Social Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Martha L Daviglus
- Institute for Minority Health Research, University of Illinois College of Medicine, Chicago, IL, USA
| | - Linda V Van Horn
- Department of Preventive Medicine, Northwestern University, Chicago, IL, USA
| | - Linda C Gallo
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - Carmen R Isasi
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Sandra S Albrecht
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
| |
Collapse
|
4
|
Johansen C, Reynolds KD, Xie B, Palmer P. Exploring Potential Mediation Pathways on the Relationship Between Acculturation and Body Mass Index (BMI) Among Latino Adolescents. HISPANIC HEALTH CARE INTERNATIONAL 2021; 20:89-97. [PMID: 34291690 DOI: 10.1177/15404153211029893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Positive associations have been observed between acculturation and body mass index (BMI), but the mediators of this relationship are not well established. Acculturation researchers have called for investigating the influence of socio-contextual variables as mediators. The objective of this study was to test the mediating effects of salty snacks, sweet snacks, physical activity, and sedentary behavior on the relationship between acculturation and BMI among Latino adolescents. METHODS Adolescents who self-identified as Latino (n = 431) at public high schools in Southern California were recruited and completed a self-report survey. A bootstrapped multiple mediation model was used to test mediation pathways. RESULTS Acculturation was positively associated with physical activity (B = 0.09, p < .05). The indirect effects of salty snacks, sweet snacks, physical activity, and sedentary behavior were not associated with BMI, suggesting no mediation. CONCLUSIONS Future research should examine additional mediating variables on the relationship between acculturation and BMI.
Collapse
Affiliation(s)
- Christopher Johansen
- School of Community and Global Health, Claremont Graduate University, CA, USA.,Department of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA
| | - Kim D Reynolds
- School of Community and Global Health, Claremont Graduate University, CA, USA
| | - Bin Xie
- School of Community and Global Health, Claremont Graduate University, CA, USA
| | - Paula Palmer
- School of Community and Global Health, Claremont Graduate University, CA, USA
| |
Collapse
|
5
|
Steele EM, Khandpur N, Sun Q, Monteiro CA. The impact of acculturation to the US environment on the dietary share of ultra-processed foods among US adults. Prev Med 2020; 141:106261. [PMID: 33022323 DOI: 10.1016/j.ypmed.2020.106261] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 08/09/2020] [Accepted: 09/19/2020] [Indexed: 10/23/2022]
Abstract
This study examined the association between measures of acculturation to the US environment including place of birth, and language spoken at home and proportion of life in the US among foreign-born, in relation to the dietary contribution of ultra-processed foods. Ultra-processed foods, as defined by the NOVA food classification system, are formulations of macronutrients (starches, sugars, fats and protein isolates) with little, if any, whole food and often with added flavors, colors, emulsifiers and other cosmetic additives. We studied 14,663 participants from the National Health and Nutrition Examination Survey 2011-2016, aged 20+ years, who completed a 1-day 24-h dietary recall. Food items were classified using NOVA into ultra-processed or non-ultra-processed foods. Linear regression models adjusted for age, sex, family income, education and race/ ethnicity, showed significant associations between general acculturation measures and dietary contribution of ultra-processed foods. Foreign-born adults consumed less ultra-processed foods than US-born adults (45 vs. 58%, p < 0.001). Within foreign-born adults, ultra-processed food consumption increased with English permeation at home from 40% among individuals speaking non-English languages only to 50% among those speaking English only (p for linear trend <0.001). In addition, ultra-processed food consumption increased from 41% among foreign-born adults who spent less than 30% of their life in the US to 48% among those who lived in the US for more than 50% of their lives (p for linear trend <0.001). Race/ethnicity emerged as an important effect modifier for the observed associations.
Collapse
Affiliation(s)
- Eurídice Martínez Steele
- Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715-Cerqueira César, São Paulo 01246-904, Brazil; Center for Epidemiological Studies in Health and Nutrition (NUPENS), Faculty of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715-Cerqueira César, São Paulo 01246-904, Brazil.
| | - Neha Khandpur
- Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715-Cerqueira César, São Paulo 01246-904, Brazil; Center for Epidemiological Studies in Health and Nutrition (NUPENS), Faculty of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715-Cerqueira César, São Paulo 01246-904, Brazil; Department of Nutrition, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
| | - Qi Sun
- Department of Nutrition, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA; Channing Division of Network Medicine Brigham and Women's Hospital, Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
| | - Carlos A Monteiro
- Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715-Cerqueira César, São Paulo 01246-904, Brazil; Center for Epidemiological Studies in Health and Nutrition (NUPENS), Faculty of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715-Cerqueira César, São Paulo 01246-904, Brazil
| |
Collapse
|
6
|
McElrone M, Colby S, Fouts HN, Spence M, Kavanagh K, Franzen-Castle L, Olfert MD, Kattelmann KK, White AA. Feasibility and Acceptability of Implementing a Culturally Adapted Cooking Curriculum for Burundian and Congolese Refugee Families. Ecol Food Nutr 2020; 59:598-614. [DOI: 10.1080/03670244.2020.1759575] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Marissa McElrone
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Sarah Colby
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Hillary N. Fouts
- Department of Child & Family Studies, University of Tennessee, Knoxville, TN, USA
| | - Marsha Spence
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Katie Kavanagh
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Lisa Franzen-Castle
- Department of Nutrition and Health Sciences, University of Nebraska-Lincoln, Lincoln, NB, USA
| | - Melissa D. Olfert
- Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV, USA
| | - Kendra K. Kattelmann
- Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD, USA
| | | |
Collapse
|
7
|
Johansen C, Reynolds KD, Xie B, Palmer P. An Examination of Family Variables as Mediators of the Association of Acculturation With Sugar-Sweetened Beverage Consumption Among Latinx Adolescents. FAMILY & COMMUNITY HEALTH 2020; 43:287-295. [PMID: 32658030 PMCID: PMC7483803 DOI: 10.1097/fch.0000000000000278] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The objective of this study was to examine the mediating effects of family support for dietary habits and family meal frequency on the relationship between acculturation and sugar-sweetened beverage (SSB) consumption among Latinx adolescents (N = 131). Acculturation was positively associated with SSB consumption (B = 0.07, P < .01). Results suggest that family support for dietary habits and family meal frequency did not mediate the relationship between acculturation and SSB consumption. However, acculturation was negatively associated with family support for dietary habits (B = -0.10, P < .01) and family meal frequency (B = -0.11, P < .05). Future research should examine other family influences as mediators of the relationship between acculturation and SSB consumption.
Collapse
Affiliation(s)
- Christopher Johansen
- Corresponding Author: Christopher Johansen, , Address 675 W. Foothill Blvd, Suite 200, Claremont, CA 91711
| | | | | | | |
Collapse
|
8
|
Food insecurity, acculturation and diagnosis of CHD and related health outcomes among immigrant adults in the USA. Public Health Nutr 2019; 23:416-431. [PMID: 31405405 DOI: 10.1017/s1368980019001952] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVE To deepen understanding of the relationship between food insecurity, acculturation, and diagnosis of CHD and related health outcomes among immigrant adults. DESIGN Using cross-sectional, nationally representative data from the National Health Interview Survey 2011 to 2015, we address two research questions. First, what is the relationship of household food insecurity and acculturation with: CHD, angina pectoris, heart attack, self-rated poor health and obesity? Second, what is the association of food insecurity with these health outcomes over years of living in the USA? We estimate multivariate logistic regressions without (question 1) and with (question 2) an interaction term between food insecurity and acculturation for CHD and related health outcomes. SETTING USA. PARTICIPANTS Low-income immigrant adults. RESULTS Food insecurity and acculturation are both associated with diagnosis of CHD and related health outcomes among immigrant adults. Food insecurity and acculturation are associated with the health of female immigrants more than males. Also, the differences by food security status in the probability of having several poor health outcomes (self-rated heath, obesity, women's angina pectoris) are largest for those in the USA for less than 5 years, decrease for those who have lived in the USA for 5-14 years, and are larger again for those in the USA for 15 or more years. CONCLUSIONS Recent and long-term food-insecure immigrants are more vulnerable to CHD and related health outcomes than those in the USA for 5-14 years. Further research is needed to understand why.
Collapse
|
9
|
Abstract
OBJECTIVE To explore the dietary habits, nutrient adequacies and dietary change experiences of immigrant and refugee children. DESIGN Mixed-methods cross-sectional design. Children completed three 24 h dietary recalls to determine nutrient inadequacies. Parents and service providers were interviewed to capture dietary practices. SETTING Healthy Immigrant Children study, Saskatchewan, Canada. PARTICIPANTS Three hundred immigrant and refugee children aged 3-13 years and twenty-two parents who lived in Regina or Saskatoon for less than 5 years; twenty-four newcomer services providers. RESULTS Immigrant children had higher mean intakes of meat and alternatives, milk and alternatives, and whole grains; and consumed more vitamin B12, folate, Ca, vitamin D, Fe and Zn compared with refugee children. Refugee children were at higher risk of having inadequate intakes of folate (37 %) and Fe (18 %). Both immigrant and refugee children were at high risk of inadequate vitamin D (87 and 93 %, respectively) and Ca intakes (79 and 80 %), and a substantial portion were at risk for inadequate Zn intake (21 and 31 %). Participants mentioned challenges with maintaining a healthy traditional diet in the midst of a busy schedule, while responding to their children's demands for foods high in fat and sugar. CONCLUSIONS Newcomer children are at risk for inadequate intakes of vitamin D, Ca and Zn, while refugee children are at additional risk for inadequate folate and Fe intakes. Newcomers to Canada may experience subtle or drastic changes in their food environment leading to dietary acculturation that includes increased consumption of foods high in sugar, salt and fat.
Collapse
|
10
|
McElrone M, Colby SE, Moret L, Kavanagh K, Spence M, Fouts HN, Ellington A, Payne M. Barriers and Facilitators to Food Security among Adult Burundian and Congolese Refugee Females Resettled in the US. Ecol Food Nutr 2019; 58:247-264. [DOI: 10.1080/03670244.2019.1598981] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Marissa McElrone
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Sarah E. Colby
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Lauren Moret
- Department of Educational Psychology & Counseling, University of Tennessee, Knoxville, Tennessee
| | - Katie Kavanagh
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Marsha Spence
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Hillary N Fouts
- Department of Child & Family Studies, University of Tennessee, Knoxville, Tennessee
| | - Ainsley Ellington
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Magen Payne
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| |
Collapse
|
11
|
Johansen CM, Reynolds KD, Xie B, Unger JB, Ames SL. Acculturation and sugar-sweetened beverage consumption among Hispanic adolescents: The moderating effect of impulsivity. Appetite 2019; 134:142-147. [PMID: 30578800 PMCID: PMC7895500 DOI: 10.1016/j.appet.2018.12.026] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 10/09/2018] [Accepted: 12/19/2018] [Indexed: 12/25/2022]
Abstract
Consumption of sugar-sweetened beverages is a risk factor for obesity. Acculturation to the United States (US) might increase sugar-sweetened beverage consumption among Hispanic adolescents, but few moderators of this relationship have been examined. This study examined the moderating influence of impulsivity on the association between acculturation and sugar-sweetened beverages. Hispanic adolescents (n = 154), 14-17 years, were identified and screened for eligibility through low-SES high schools and parents provided consent. Adolescents completed measures of acculturation using Unger's 8-item acculturation scale, impulsivity, and diet. Multiple linear regression was used to examine the main effect of acculturation and the interaction of acculturation with impulsivity on the diet outcomes: sugar-sweetened beverage consumption and percent of calories from sugar. Acculturation was positively associated with sugar-sweetened beverages (β = 0.43; p < .05). The interaction of acculturation x impulsivity was significant (β = 0.42, p < .05). Among youth who were more acculturated, those who were more impulsive consumed more sugar-sweetened beverages. Youth who were more acculturated, but less impulsive consumed less sugar-sweetened beverages. Neurocognitive variables such as impulsivity may be important moderators of the influence of acculturation on dietary behavior. Targeted messaging strategies based on levels of acculturation and impulsivity might enhance the effectiveness of interventions designed to reduce the intake of sugar-sweetened beverages among Hispanic adolescents.
Collapse
Affiliation(s)
- Christopher M Johansen
- School of Community and Global Health, Claremont Graduate University, 675 W. Foothill Blvd, Suite 310, Claremont, CA, 91711, USA.
| | - Kim D Reynolds
- School of Community and Global Health, Claremont Graduate University, 675 W. Foothill Blvd, Suite 310, Claremont, CA, 91711, USA.
| | - Bin Xie
- School of Community and Global Health, Claremont Graduate University, 675 W. Foothill Blvd, Suite 310, Claremont, CA, 91711, USA.
| | - Jennifer B Unger
- University of Southern California, Department of Preventive Medicine, 2001 N. Soto St., SSB 302, Los Angeles, CA, 90089, USA.
| | - Susan L Ames
- School of Community and Global Health, Claremont Graduate University, 675 W. Foothill Blvd, Suite 310, Claremont, CA, 91711, USA.
| |
Collapse
|
12
|
Oladele CR, Pathak EB, Yang J, Nembhard WN, Sharma S, Himmelgreen D, Dagne G, Mason T. Acculturation and dietary intake pattern among Jamaican immigrants in the US. Prev Med Rep 2018; 9:80-85. [PMID: 29348996 PMCID: PMC5767562 DOI: 10.1016/j.pmedr.2017.12.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 12/04/2017] [Accepted: 12/18/2017] [Indexed: 11/30/2022] Open
Abstract
Information on dietary intakes of Jamaican immigrants in the United States is sparse. Understanding factors that influence diet is important since diet is associated with chronic diseases. This study examined the association between acculturation, socio-cultural factors, and dietary pattern among Jamaican immigrants in Florida. Jamaican persons 25–64 years who resided in two South Florida counties were recruited for participation. A health questionnaire that assessed acculturation, dietary pattern, and risk factors for cardiovascular disease was administered to participants. Generalized Estimating Equations were used to determine associations. Acculturation score was not significantly associated with dietary intake pattern (β = − 0.02 p = 0.07). Age at migration was positively associated with traditional dietary pattern (β = 0.02 p < 0.01). Persons with 12 or fewer years of education (β = − 0.55 p < 0.001), divorced (β = − 0.26 p = 0.001), or engaged in less physical activity (β = − 0.07 p = 0.01) were more likely to adhere to a traditional diet. Although acculturation was not a statistically significant predictor of dietary intake, findings show the role of demographic and lifestyle characteristics in understanding factors associated with dietary patterns among Jamaicans. Findings point to the need to measure traditional dietary intakes among Jamaicans and other immigrant groups. Accurate assessment of disease risk among immigrant groups will lead to more accurate diet-disease risk assessment and development of effective intervention programs. Age at migration was associated with traditional diet among Jamaican immigrants. Persons with lower educational attainment were more likely to eat traditional foods. Residing in an ethnic enclave was not associated with having a traditional diet.
Collapse
Affiliation(s)
- Carol R Oladele
- Equity Research and Innovation Center, Yale School of Medicine, P.O. Box 208093, New Haven, CT, United States
| | - Elizabeth B Pathak
- University of South Florida, Morsani College of Medicine, Tampa, FL, United States
| | - Jimin Yang
- University of South Florida, Health Informatics Institute, Tampa, FL, United States
| | - Wendy N Nembhard
- University of Arkansas for Medical Sciences, Department of Pediatrics and Arkansas Children's Hospital Research Institute, Little Rock, AR, United States
| | - Sangita Sharma
- University of Alberta, Department of Medicine, Edmonton, Alberta, Canada
| | - David Himmelgreen
- University of South Florida, Department of Anthropology, Tampa, FL, United States
| | - Getachew Dagne
- University of South Florida, Department of Epidemiology and Biostatistics, Tampa, FL, United States
| | - Thomas Mason
- University of South Florida, Department of Environmental and Occupational Health, Tampa, FL, United States
| |
Collapse
|
13
|
Shin CN, Todd M, An K, Kim WS. Unidimensional and Bidimensional Approaches to Measuring Acculturation. J Nurs Meas 2017; 25:370-384. [PMID: 28789757 DOI: 10.1891/1061-3749.25.2.370] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE Researchers easily overlook the complexity of acculturation measurement in research. This study is to elaborate the shortcomings of unidimensional approaches to conceptualizing acculturation and highlight the importance of using bidimensional approaches in health research. METHODS We conducted a secondary data analysis on acculturation measures and eating habits obtained from 261 Korean American adults in a Midwestern city. RESULTS Bidimensional approaches better conceptualized acculturation and explained more of the variance in eating habits than did unidimensional approaches. CONCLUSION Bidimensional acculturation measures combined with appropriate analytical methods, such as a cluster analysis, are recommended in health research because they provide a more comprehensive understanding of acculturation and its association with health behaviors than do other methods.
Collapse
|
14
|
Park S, Blanck HM, Dooyema CA, Ayala GX. Association Between Sugar-Sweetened Beverage Intake and Proxies of Acculturation Among U.S. Hispanic and Non-Hispanic White Adults. Am J Health Promot 2016; 30:357-64. [PMID: 27404644 PMCID: PMC4706815 DOI: 10.1177/0890117116646343] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
PURPOSE This study examined associations between sugar-sweetened beverage (SSB) intake and acculturation among a sample representing civilian noninstitutionalized U.S. adults. DESIGN Quantitative, cross-sectional study. SETTING National. SUBJECTS The 2010 National Health Interview Survey data for 17,142 Hispanics and U.S.-born non-Hispanic whites (≥18 years). MEASURES The outcome variable was daily SSB intake (nondiet soda, fruit drinks, sports drinks, energy drinks, and sweetened coffee/tea drinks). Exposure variables were Hispanic ethnicity and proxies of acculturation (language of interview, birthplace, and years living in the United States). ANALYSIS We used multivariate logistic regression to estimate adjusted odds ratios (ORs) for the exposure variables associated with drinking SSB ≥1 time/d after controlling for covariates. RESULTS The adjusted odds of drinking SSB ≥1 time/d was significantly higher among Hispanics who completed the interview in Spanish (OR = 1.65) than U.S.-born non-Hispanic whites. Compared with those who lived in the United States for <5 years, the adjusted odds of drinking SSB ≥1 time/d was higher among adults who lived in the United States for 5 to <10 years (OR = 2.72), those who lived in the United States for 10 to <15 years (OR = 2.90), and those who lived in the United States for ≥15 years (OR = 2.41). However, birthplace was not associated with daily SSB intake. CONCLUSION The acculturation process is complex and these findings contribute to identifying important subpopulations that may benefit from targeted intervention to reduce SSB intake.
Collapse
Affiliation(s)
- Sohyun Park
- Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Heidi M Blanck
- Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Carrie A Dooyema
- Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Guadalupe X Ayala
- Division of Health Promotion and Behavioral Sciences, San Diego State University, Institute for Behavioral and Community Health and the San Diego Prevention Research Center, San Diego, CA, USA
| |
Collapse
|
15
|
Nobles CJ, Markenson G, Chasan-Taber L. Early pregnancy vitamin D status and risk for adverse maternal and infant outcomes in a bi-ethnic cohort: the Behaviors Affecting Baby and You (B.A.B.Y.) Study. Br J Nutr 2015; 114:2116-28. [PMID: 26507186 PMCID: PMC5653966 DOI: 10.1017/s0007114515003980] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Vitamin D deficiency is common during pregnancy and higher in Hispanic as compared with non-Hispanic white women. However, the association between vitamin D deficiency and adverse pregnancy outcomes remains unclear and may vary across ethnic groups, in part because of genetic variation in the metabolism of vitamin D. Few studies have included Hispanic women. Therefore, we investigated this association among 237 participants in the Behaviors Affecting Baby and You Study, a randomised trial of an exercise intervention among ethnically diverse prenatal care patients in Massachusetts. Baseline serum 25-hydroxyvitamin D (25(OH)D) was measured at 15·2 (sd 4·7) weeks' gestation. Information on adverse pregnancy outcomes was abstracted from medical records. Mean 25(OH)D was 30·4 (sd 12·0) ng/ml; 53·2 % of participants had insufficient (<30 ng/ml) and 20·7 % had deficient (<20 ng/ml) 25(OH)D levels. After adjusting for month of blood draw, gestational age at blood draw, gestational age at delivery, age, BMI and Hispanic ethnicity, women with insufficient and deficient vitamin D had infants with birth weights 139·74 (se 69·16) g (P=0·045) and 175·52 (se 89·45) g (P=0·051) lower compared with women with sufficient vitamin D levels (≥30 ng/ml). Each 1 ng/ml increase in 25(OH)D was associated with an increased risk for gestational diabetes mellitus among Hispanic women only (relative risk 1·07; 95 % CI 1·03, 1·11) in multivariable analysis. We did not observe statistically significant associations between maternal vitamin D status and other pregnancy outcomes. Our findings provide further support for an adverse impact of vitamin D deficiency on birth weight in Hispanic women.
Collapse
Affiliation(s)
- Carrie J. Nobles
- Department of Biostatistics and Epidemiology, School of Public Health & Health Sciences, Division of Biostatistics & Epidemiology, University of Massachusetts, Amherst, MA 01003-9304, USA
| | - Glenn Markenson
- Baystate Medical Center, Division of Maternal-Fetal Medicine, Springfield, MA 01199, USA
| | - Lisa Chasan-Taber
- Department of Biostatistics and Epidemiology, School of Public Health & Health Sciences, Division of Biostatistics & Epidemiology, University of Massachusetts, Amherst, MA 01003-9304, USA
| |
Collapse
|
16
|
Weisberg-Shapiro P, Devine CM. “Because we missed the way that we eat at the middle of the day:” Dietary acculturation and food routines among Dominican women. Appetite 2015. [DOI: 10.1016/j.appet.2015.07.024] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
17
|
Chasan-Taber L, Marcus BH, Rosal MC, Tucker KL, Hartman SJ, Pekow P, Stanek E, Braun B, Solomon CG, Manson JE, Goff SL, Markenson G. Proyecto Mamá: a lifestyle intervention in overweight and obese Hispanic women: a randomised controlled trial--study protocol. BMC Pregnancy Childbirth 2015. [PMID: 26223246 PMCID: PMC4520196 DOI: 10.1186/s12884-015-0575-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The proportion of women entering pregnancy overweight or obese has been rising and, in turn, is associated with adverse maternal and fetal outcomes. Gestational weight gain (GWG) exceeding Institute of Medicine (IOM) guidelines further increases health risks and has been independently associated with postpartum weight retention. Hispanic women are disproportionately affected by overweight and obesity, but have had limited access to interventions that promote healthy lifestyles due to cultural, socioeconomic, and language barriers. Therefore, the overall goal of this randomized controlled trial is to test the efficacy of a culturally and linguistically modified, individually-tailored lifestyle intervention to reduce excess GWG, increase postpartum weight loss, and improve maternal metabolic status among overweight/obese Hispanic women. METHODS/DESIGN Overweight/obese Hispanic women are recruited in early pregnancy and randomly assigned to a Lifestyle Intervention (n = 150) or a Comparison Health and Wellness (control) intervention (n = 150). Multimodal contacts (i.e., in-person, telephone counseling, and mailed print-based materials) are used to deliver the intervention from early pregnancy (12 weeks gestation) to 6 months postpartum, with follow-up to 1 year postpartum. Targets of the intervention are to achieve IOM Guidelines for GWG and postpartum weight loss; American Congress of Obstetrician and Gynecologist guidelines for physical activity; and American Diabetes Association guidelines for diet. The intervention draws from Social Cognitive Theory and the Transtheoretical Model and includes strategies to address the specific social, cultural, and economic challenges faced by low-income Hispanic women. Assessments are conducted at baseline (~10 weeks gestation), mid pregnancy (24-28 weeks gestation), late pregnancy (32-34 weeks gestation) and postpartum at 6-weeks, 6-months, and 12-months by bicultural and bilingual personnel blinded to the intervention arm. Efficacy is assessed via GWG, postpartum weight loss, and biomarkers of glycemic control, insulin resistance, and cardiovascular disease risk factors. Changes in physical activity and diet are measured via 7-day accelerometer data and 24-h dietary recalls at each assessment time period. DISCUSSION Hispanic women are the fastest growing minority group in the U.S. and are disproportionately affected by overweight and obesity. This randomised trial uses a high-reach, low-cost strategy that can readily be translated into clinical practice in underserved and minority populations. TRIAL REGISTRATION NCT01868230 May 29, 2013.
Collapse
Affiliation(s)
- Lisa Chasan-Taber
- Department of Biostatistics & Epidemiology, School of Public Health & Health Sciences, 405 Arnold House, University of Massachusetts, 715 North Pleasant Street, Amherst, MA, 01003-9304, USA.
| | - Bess H Marcus
- Department of Family Medicine and Public Health, School of Medicine, University of California San Diego, San Diego, USA.
| | - Milagros C Rosal
- Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
| | - Katherine L Tucker
- Department of Clinical Laboratory & Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA, USA.
| | - Sheri J Hartman
- Department of Family Medicine and Public Health, School of Medicine, University of California San Diego, San Diego, USA.
| | - Penelope Pekow
- Department of Biostatistics & Epidemiology, School of Public Health & Health Sciences, 405 Arnold House, University of Massachusetts, 715 North Pleasant Street, Amherst, MA, 01003-9304, USA.
| | - Edward Stanek
- Department of Biostatistics & Epidemiology, School of Public Health & Health Sciences, 405 Arnold House, University of Massachusetts, 715 North Pleasant Street, Amherst, MA, 01003-9304, USA.
| | - Barry Braun
- Department of Kinesiology, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, USA.
| | - Caren G Solomon
- Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
| | - JoAnn E Manson
- Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
| | - Sarah L Goff
- Department of Medicine and the Center for Quality of Care Research, Baystate Medical Center, Springfield, MA, USA.
| | - Glenn Markenson
- Division of Maternal-Fetal Medicine, Baystate Medical Center, Springfield, MA, USA.
| |
Collapse
|
18
|
Himmelgreen DA, Cantor A, Arias S, Romero Daza N. Using a biocultural approach to examine migration/globalization, diet quality, and energy balance. Physiol Behav 2014; 134:76-85. [DOI: 10.1016/j.physbeh.2013.12.012] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Accepted: 12/17/2013] [Indexed: 11/25/2022]
|
19
|
Chasan-Taber L, Silveira M, Lynch KE, Pekow P, Solomon CG, Markenson G. Physical activity and gestational weight gain in Hispanic women. Obesity (Silver Spring) 2014; 22:909-18. [PMID: 23804434 PMCID: PMC3823627 DOI: 10.1002/oby.20549] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2013] [Accepted: 06/09/2013] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Hispanic women have high rates of excessive and inadequate gestational weight gain (GWG) according to Institute of Medicine (IOM) guidelines. Observational studies suggest that physical activity may be associated with GWG but have been conflicting and were largely conducted in non-Hispanic white populations. METHODS The association between physical activity and compliance with GWG guidelines, total GWG, and rate of GWG among 1,276 Hispanic participants in Proyecto Buena Salud, a cohort study in Western Massachusetts was prospectively evaluated. The Pregnancy Physical Activity Questionnaire was used to assess pre, early, mid, and late pregnancy physical activity according to both intensity (i.e., sedentary, moderate, and vigorous) and type (i.e., housework/caregiving, occupational, and sports/exercise). RESULTS A total of 26.9% of women gained within IOM guidelines, 21.2% had inadequate GWG, and 51.9% experienced excessive GWG. Overall, we did not observe statistically significant associations between type or intensity of physical activity during pre, early, mid, and late pregnancy and inadequate or excessive GWG, total GWG, or rate of GWG. CONCLUSIONS In this prospective cohort study of Hispanic women, after controlling for important risk factors, pregnancy physical activity did not appear to be associated with GWG.
Collapse
Affiliation(s)
- Lisa Chasan-Taber
- Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA
| | - Marushka Silveira
- Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA
| | - Kristine E. Lynch
- Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA
| | - Penelope Pekow
- Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA
| | - Caren G. Solomon
- Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
| | | |
Collapse
|
20
|
Chasan-Taber L, Silveira M, Lynch KE, Pekow P, Braun B, Manson JE, Solomon CG, Markenson G. Physical activity before and during pregnancy and risk of abnormal glucose tolerance among Hispanic women. DIABETES & METABOLISM 2014; 40:67-75. [PMID: 24161237 PMCID: PMC4763308 DOI: 10.1016/j.diabet.2013.09.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2013] [Revised: 09/16/2013] [Accepted: 09/19/2013] [Indexed: 11/24/2022]
Abstract
AIM Women diagnosed with abnormal glucose tolerance and gestational diabetes mellitus are at increased risk for subsequent type 2 diabetes, with higher risks in Hispanic women. Studies suggest that physical activity may be associated with a reduced risk of these disorders; however, studies in Hispanic women are sparse. METHODS We prospectively evaluated this association among 1241 Hispanic participants in Proyecto Buena Salud. The Pregnancy Physical Activity Questionnaire was used to assess pre, early, and mid pregnancy physical activity. Medical records were abstracted for pregnancy outcomes. RESULTS A total of 175 women (14.1%) were diagnosed with abnormal glucose tolerance and 57 women (4.6%) were diagnosed with gestational diabetes. Increasing age and body mass index were strongly and positively associated with risk of gestational diabetes. We did not observe statistically significant associations between total physical activity or meeting exercise guidelines and risk. However, after adjusting for age, BMI, gestational weight gain, and other important risk factors, women in the top quartile of moderate-intensity activity in early pregnancy had a decreased risk of abnormal glucose tolerance (odds ratio=0.48, 95% Confidence Interval 0.27-0.88, Ptrend=0.03) as compared to those in the lowest quartile. Similarly, women with the highest levels of occupational activity in early pregnancy had a decreased risk of abnormal glucose tolerance (odds ratio=0.48, 95% Confidence Interval 0.28-0.85, Ptrend=0.02) as compared to women who were unemployed. CONCLUSION In this Hispanic population, total physical activity and meeting exercise guidelines were not associated with risk. However, high levels of moderate-intensity and occupational activity were associated with risk reduction.
Collapse
Affiliation(s)
- L Chasan-Taber
- Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA 01003-9304, United States.
| | - M Silveira
- Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA 01003-9304, United States
| | - K E Lynch
- Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA 01003-9304, United States
| | - P Pekow
- Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA 01003-9304, United States
| | - B Braun
- Department of Kinesiology, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, United States
| | - J E Manson
- Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States
| | - C G Solomon
- Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States
| | - G Markenson
- Baystate Medical Center, Springfield, MA, United States
| |
Collapse
|
21
|
Correlates of high perceived stress among pregnant Hispanic women in Western Massachusetts. Matern Child Health J 2014; 17:1138-50. [PMID: 23010861 DOI: 10.1007/s10995-012-1106-8] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Prenatal psychosocial stress has been associated with adverse pregnancy outcomes, even after controlling for known risk factors. This paper aims to evaluate correlates of high perceived stress among Hispanic women, a group with elevated rates of stress during pregnancy. We conducted this analysis among 1,426 pregnant Hispanic women using data from Proyecto Buena Salud, a prospective cohort study conducted in Western Massachusetts. Cohen's Perceived Stress Scale (PSS-14) validated in English and Spanish was administered in early (mean = 12.4 weeks gestation), mid (mean = 21.3 weeks gestation) and late (mean = 30.8 weeks gestation) pregnancy at which time bilingual interviewers collected data on socio-demographic, acculturation, behavioral, and psychosocial factors. High perceived stress was defined as a PSS score >30. Young maternal age (odds ratio (OR) = 0.6; 95 % confidence interval (CI) 0.4-0.9 for <19 vs. 19-23 years), pre-pregnancy consumption of alcohol (OR = 2.2; 95 % CI 1.4-3.5 for >12 drinks/month vs. none) and smoking (OR = 2.2; 95 % CI 1.3-3.7 for >10 cigarettes/day vs. none) were associated with high perceived stress during early pregnancy. Furthermore, higher annual household income (OR = 0.4; 95 % CI 0.1-0.9 for >$30,000 vs. <$15,000), greater number of adults in the household (OR = 1.8; 95 % CI 1.1-3.0 for ≥3 vs. 1) and language preference (OR = 0.6; 95 % CI 0.4-0.9 for Spanish vs. English) were associated with high stress during mid-pregnancy. Likewise, annual household income was inversely associated with high stress during late pregnancy. Our results have important implications for incorporation of routine screening for psychosocial stress during prenatal visits and implementation of psychosocial counseling services for women at high risk.
Collapse
|
22
|
Franzen-Castle L, Smith C. Environmental, Personal, and Behavioral Influences on BMI and Acculturation of Second Generation Hmong Children. Matern Child Health J 2014; 18:73-89. [DOI: 10.1007/s10995-013-1235-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
23
|
Tovar A, Chasan-Taber L, Bermudez OI, Hyatt RR, Must A. Acculturation and gestational weight gain in a predominantly Puerto Rican population. BMC Pregnancy Childbirth 2012; 12:133. [PMID: 23170785 PMCID: PMC3534522 DOI: 10.1186/1471-2393-12-133] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2012] [Accepted: 11/12/2012] [Indexed: 11/25/2022] Open
Abstract
Background Identifying risk factors that affect excess weight gain during pregnancy is critical, especially among women who are at a higher risk for obesity. The goal of this study was to determine if acculturation, a possible risk factor, was associated with gestational weight gain in a predominantly Puerto Rican population. Methods We utilized data from Proyecto Buena Salud, a prospective cohort study of Hispanic women in Western Massachusetts, United States. Height, weight and gestational age were abstracted from medical records among participants with full-term pregnancies (n=952). Gestational weight gain was calculated as the difference between delivery and prepregnancy weight. Acculturation (measured via a psychological acculturation scale, generation in the US, place of birth and spoken language preference) was assessed in early pregnancy. Results Adjusting for age, parity, perceived stress, gestational age, and prepregnancy weight, women who had at least one parent born in Puerto Rico/Dominican Republic (PR/DR) and both grandparents born in PR/DR had a significantly higher mean total gestational weight gain (0.9 kg for at least one parent born in PR/DR and 2.2kg for grandparents born in PR/DR) and rate of weight gain (0.03 kg/wk for at least one parent born in PR/DR and 0.06 kg/wk for grandparents born in PR/DR) vs. women who were of PR/DR born. Similarly, women born in the US had significantly higher mean total gestational weight gain (1.0 kg) and rate of weight gain (0.03 kg/wk) vs. women who were PR/ DR born. Spoken language preference and psychological acculturation were not significantly associated with total or rate of pregnancy weight gain. Conclusion We found that psychological acculturation was not associated with gestational weight gain while place of birth and higher generation in the US were significantly associated with higher gestational weight gain. We interpret these findings to suggest the potential importance of the US “obesogenic” environment in influencing unhealthy pregnancy weight gains over specific aspects of psychological acculturation.
Collapse
Affiliation(s)
- Alison Tovar
- Department of Nutrition and Food Science, University of Rhode Island, 112 Ranger Hall, University of Rhode Island, Kingston, RI 02881, USA.
| | | | | | | | | |
Collapse
|
24
|
Van Rompay MI, McKeown NM, Castaneda-Sceppa C, Falcon LM, Ordovas JM, Tucker KL. Acculturation and sociocultural influences on dietary intake and health status among Puerto Rican adults in Massachusetts. J Acad Nutr Diet 2012; 112:64-74. [PMID: 22389874 PMCID: PMC3289968 DOI: 10.1016/j.jada.2011.08.049] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND Previous studies have shown negative consequences of acculturation on lifestyle factors, health status, and dietary intake of Hispanic immigrants in the US. Despite prevalent type 2 diabetes and low socioeconomic status (SES) among Puerto Rican adults living on the US mainland, little is known about acculturation in this group. OBJECTIVE We investigated associations among acculturation, lifestyle characteristics, health status, and carbohydrate nutrition in Puerto Rican adults. A secondary objective was to investigate possible confounding and/or effect modification on these associations by SES. DESIGN Cross-sectional data from the Boston Puerto Rican Health Study, which included 1219 Puerto Ricans in the Boston area, aged 45-75 years. STATISTICAL ANALYSES Characteristics were compared using ANCOVA, linear trend and Pearson's chi-square tests across quartiles of acculturation. Tests for interaction by poverty status were conducted. Proportional contributions of foods to intake of total carbohydrate and fiber were assessed using SAS RANK. RESULTS Levels of acculturation were low, despite young age at first arrival to the US mainland (25.4 ± 12.3 y) and long length of stay (34.2 ± 12.2 y). Greater English language use was associated with higher SES, alcohol consumption, physical activity, better perceived health, and less central obesity. Acculturation was associated with lower legume fiber and greater cereal fiber intake. Among those above the poverty threshold, acculturation was associated with lower dietary glycemic index and starch intake, and greater fruit and non-starchy vegetable intake. CONCLUSIONS In contrast to studies with Mexican Americans, the association of acculturation with dietary quality in these Puerto Rican adults was mixed, but tended toward better carbohydrate quality. Dietary recommendations should include maintenance of traditional, healthful dietary practices including consumption of legumes, but also reduction in refined grains, and greater inclusion of fruit, non-starchy vegetables, and whole grains. Interventions to improve access to better quality carbohydrate sources are necessary for this group disproportionately affected by diabetes.
Collapse
Affiliation(s)
- Maria I. Van Rompay
- Current affliation: Postdoctoral Associate, Nutrition and Genomics, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, 711 Washington Street, Boston, MA 02111. At time research was conducted: Doctoral Student, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, 711 Washington Street, Boston, MA, 02111
| | - Nicola M. McKeown
- Scientist and Director, Nutritional Epidemiology Program, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, 711 Washington Street, Boston, MA, 02111, Tel: (617) 556-3367; Fax: (617) 556-3344
| | - Carmen Castaneda-Sceppa
- Associate Professor, Department of Health Sciences, Northeastern University, 316 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115, Tel: (617) 373-5543; Fax: (617) 373-2968
| | - Luis M. Falcon
- Associate Professor, Department of Sociology and Anthropology, Northeastern University, 112 Hayden Hall, 360 Huntington Avenue, Boston, MA 02115, Tel: (617) 373-5851
| | - José M. Ordovas
- Director, Nutrition and Genomics, Professor Nutrition and Genetics, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, 02111, Tel: (617) 556-3102; Fax: (617) 556-3211
| | - Katherine L. Tucker
- Current affliation: Professor and Chair, Department of Health Sciences, Northeastern University, 316 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115, Tel: (617) 373-3666, Fax: (617) 373-2968. At time research was conducted: Senior Scientist and Director, Dietary Assessment and Epidemiology Research Program, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, 711 Washington Street, Boston, MA, 02111
| |
Collapse
|
25
|
Chasan-Taber L. Physical activity and dietary behaviors associated with weight gain and impaired glucose tolerance among pregnant Latinas. Adv Nutr 2012; 3:108-18. [PMID: 22332109 PMCID: PMC3262610 DOI: 10.3945/an.111.001214] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Pregnancy has been proposed as a critical period for the development of subsequent maternal overweight and/or obesity. Excessive gestational weight gain is, in turn, associated with maternal complications such as cesarean delivery, hypertension, preeclampsia, impaired glucose tolerance, and gestational diabetes mellitus. Although there is substantial evidence that targeting at-risk groups for type 2 diabetes prevention is effective if lifestyle changes are made, relatively little attention has been paid to the prevention of excessive gestational weight gain and impaired glucose tolerance during pregnancy. Latinos are the largest minority group in the United States, with the highest birth and immigration rates of any minority group and are disproportionately affected by overweight and obesity. However, due to cultural factors, socioeconomic factors, and language barriers, Latinos have had limited access to public health interventions that promote healthy lifestyles. Therefore, the objective of this article is to review the scientific evidence regarding the association between physical activity, dietary behaviors, and gestational weight gain and impaired glucose tolerance among Latinas. A second objective is to discuss how lifestyle interventions including weight management through diet and exercise could be successful in reducing the risk of excessive gestational weight gain and gestational diabetes mellitus. Finally, recommendations are provided for future lifestyle intervention programs in this population with a focus on translation and dissemination of research findings.
Collapse
Affiliation(s)
- Lisa Chasan-Taber
- Division of Biostatistics and Epidemiology, Department of Public Health, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA.
| |
Collapse
|
26
|
Erinosho TO, Berrigan D, Thompson FE, Moser RP, Nebeling LC, Yaroch AL. Dietary Intakes of Preschool-Aged Children in Relation to Caregivers’ Race/Ethnicity, Acculturation, and Demographic Characteristics: Results from the 2007 California Health Interview Survey. Matern Child Health J 2011; 16:1844-53. [DOI: 10.1007/s10995-011-0931-5] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
27
|
Acculturation, physical activity and television viewing in Hispanic women: findings from the 2005 California Women's Health Survey. Public Health Nutr 2011; 15:198-207. [PMID: 21794203 DOI: 10.1017/s1368980011001273] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To assess the relationship of acculturation with physical activity and sedentary behaviours among Hispanic women in California. DESIGN Data from the 2005 California Women's Health Survey (CWHS) - a cross-sectional telephonic survey of health indicators and health-related behaviours and attitudes - were used. SETTING Using a random-digit dialling process, data were collected monthly from January to December 2005. SUBJECTS A total of 1298 women aged ≥18 years in California who self-identified as Hispanic. RESULTS Of the participants included in the analysis, 49 % were adherent to physical activity recommendations (with 150 min of weekly activity signifying adherence). There was no significant association between language acculturation and moderate or vigorous physical activity after controlling for potential confounders such as smoking, age and employment status. There was also no association between duration of residence in the USA and moderate or vigorous physical activity. Language acculturation was positively associated with television (TV) viewing, with highly acculturated women reporting more hours of TV viewing compared with women with an intermediate acculturation score (P = 0·0001), and those with an intermediate score reporting more hours of TV viewing compared with those with a low score (P = 0·003). This relationship persisted after inclusion of smoking, employment status, age and education in the model. CONCLUSIONS Higher levels of language acculturation may be associated with increased sedentary behaviours because of the influence of US culture on those women who have assimilated to the culture. Acculturation is an important factor to be taken into account when designing health education interventions for the Hispanic female population.
Collapse
|
28
|
Bowen RL, Devine CM. "Watching a person who knows how to cook, you'll learn a lot". Linked lives, cultural transmission, and the food choices of Puerto Rican girls. Appetite 2010; 56:290-8. [PMID: 21172395 DOI: 10.1016/j.appet.2010.12.015] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2010] [Revised: 11/12/2010] [Accepted: 12/14/2010] [Indexed: 10/18/2022]
Abstract
In-depth individual interviews were conducted with mainland- and island-dwelling Puerto Rican girls (n=23) to determine how migration, acculturation, and family contexts influenced food choices. Interview data from girls with diverse migration experiences (U.S. mainland raised, recent migrants to U.S. mainland, and Puerto Rico raised) were triangulated with extensive participant observation conducted in New York State and Puerto Rico. Data analysis using a ground theory approach revealed that participants' access to traditional foods varied in three domains: mothers' (cultural orientation, health, work, and cooking skills); household (composition, presence of Puerto Rican grandmother, and cooking skills); and girls' (migration experience, food preferences and values, and cooking skills) characteristics. Four food choice types emerged from participant narratives that differed in these domains: everybody cooks, tradition keeper, seeker, and on my own. Varied language orientations and migration experiences were represented among girls across all four food choice types, ranging from consistent to limited access to traditional food, demonstrating the limitations of one-dimensional models for understanding dietary acculturation. Findings demonstrate how a multidimensional, culture-specific model, including both cultural and structural characteristics, can influence dietary acculturation at the family and household level and food choices among immigrant adolescent girls, and guide future research and interventions.
Collapse
Affiliation(s)
- Ronni Lee Bowen
- Cornell University, Division of Nutritional Sciences, 377 MVR Hall, Ithaca, NY 14853-4401, USA.
| | | |
Collapse
|
29
|
Franzen L, Smith C. Food system access, shopping behavior, and influences on purchasing groceries in adult Hmong living in Minnesota. Am J Health Promot 2010; 24:396-409. [PMID: 20594097 DOI: 10.4278/ajhp.080710-qual-121] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To investigate influences on shopping and eating behavior of Hmong adults living in St. Paul/Minneapolis, Minnesota. DESIGN AND SETTING Conducted a mapping project, food surveys, food frequency questionnaire (FFQ), and focus groups (n = 11). SUBJECTS Subjects were assigned to three groups. The B-TL(1) group was made up of subjects who were born in Thailand/Laos and had lived in the US < or =5 years (n = 19). The B-TL(2) group was made up of subjects who were born in Thailand/Laos, had food memories, and had lived in the US >5 years (n = 20). The B-US group was made up of subjects who were born and/or raised in the US (n = 30). METHODS Using Geographical Informational Systems software, 15 grocery stores were mapped and surveyed. Food prices were compared with the consumer price index (CPI). The FFQ assessed food consumption patterns. Focus group transcripts were evaluated for themes and coded. Degree of acculturation was assessed by adapting a previously developed instrument. RESULTS The population is concentrated in St. Paul, coinciding with store density. Limited foods had CPIs and some CPIs were outdated. B-US had significantly higher levels of dietary acculturation than B-TL(2) and B-TL(1), with B-TL(2) also having a higher dietary acculturation level compared with B-TL(1). Acculturation of the Hmong into the American food system, determinants of store type, and Hmong food's having a mainstream factor were identified themes. CONCLUSIONS B-US and B-TL(2) shopped at American stores more than did B-TL(1) because of convenience, one-stop shopping, and increased English fluency. Hmong foods have entered the American food system and are sold at Asian and American stores.
Collapse
Affiliation(s)
- Lisa Franzen
- Department of Food Science and Nutrition, University of Minnesota, 225 FScN, 1334 Eckles Ave, St. Paul, MN 55108-6099, USA
| | | |
Collapse
|
30
|
Brown L, Edwards J, Hartwell H. A taste of the unfamiliar. Understanding the meanings attached to food by international postgraduate students in England. Appetite 2009; 54:202-7. [PMID: 19896514 DOI: 10.1016/j.appet.2009.11.001] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2009] [Revised: 10/19/2009] [Accepted: 11/02/2009] [Indexed: 10/20/2022]
Abstract
Using findings from semi-structured interviews with international postgraduate students in England, this paper explores the meanings attached to the food they eat in a new culture. Our study, using interviews, aimed to uncover student responses to both the food they eat whilst abroad and to the food they have left behind. Many students criticised local English food as bland, fattening, and unhealthy; nevertheless, most showed an openness to new foods, trying not only local food but also dishes prepared by their international friends, but this sat alongside a strong attachment to their home country dishes. Eating together was a popular leisure activity, and food of the origin country or region was the most popular cuisine. Eating home country food offered emotional and physical sustenance; students felt comforted by familiar taste, and that their physical health was stabilised by the consumption of healthier food than was available locally. Despite acknowledgement of the importance of food to cultural identity and overall quality of life in the anthropology and nutrition literatures, there is a dearth of research into this aspect of the international student experience; this study, therefore, marks an important beginning.
Collapse
Affiliation(s)
- Lorraine Brown
- School of Services Management, Dorset House, Talbot Campus, Bournemouth University, Poole BH125BB, United Kingdom.
| | | | | |
Collapse
|
31
|
Franzen L, Smith C. Differences in stature, BMI, and dietary practices between US born and newly immigrated Hmong children. Soc Sci Med 2009; 69:442-50. [PMID: 19556047 DOI: 10.1016/j.socscimed.2009.05.015] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2008] [Indexed: 11/30/2022]
Abstract
This study investigated how acculturation influences diet, cultural practices related to cooking and food preparation knowledge, and stature and body mass index (BMI) of Hmong children. Focus groups (n=12) were conducted during the spring of 2008 in St. Paul/Minneapolis, Minnesota with those born in the US and 9-13 years old (n=22), those born in the US and 14-18 years old (n=25), and those born in Thailand or Laos, who had lived in the US< or =5 years, and 14-18 years old (n=21). Respondents also completed a survey instrument to assess acculturation level which was evaluated by questions about social connections, language use, and dietary habits. Compared to those born in the US, those born in Thailand or Laos were significantly shorter and leaner. Those born in the US also showed elevated acculturation levels in language use, social connections, and gender-oriented tasks compared to those born in Thailand or Laos. Themes from focus group discussions were mealtime patterns, determinants of food health, future health concerns, and changing cultural traditions. Acculturation, years lived in the US, and birth place may play an important role in stature and BMI, food and physical activity habits, cooking and food preparation knowledge, and perceptions of health.
Collapse
Affiliation(s)
- Lisa Franzen
- Department of Food Science and Nutrition, University of Minnesota, 1334 Eckles Ave., St. Paul, MN 55108, USA
| | | |
Collapse
|
32
|
Franzen L, Smith C. Acculturation and environmental change impacts dietary habits among adult Hmong. Appetite 2008; 52:173-83. [PMID: 18848592 DOI: 10.1016/j.appet.2008.09.012] [Citation(s) in RCA: 78] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2008] [Revised: 06/12/2008] [Accepted: 09/16/2008] [Indexed: 11/30/2022]
Abstract
Focus groups (n=65) were conducted with Hmong adults in St. Paul/Minneapolis, MN to determine how environmental factors, acculturation, and food insecurity influence dietary behavior, body mass index (BMI), and health. Acculturation was assessed by examining linguistic, social, and eating behavior, length of time in the US, and BMI for B-TL(1) (born in Thailand/Laos and in US < or =5 years), B-TL(2) (in Thailand/Laos through adolescence, had food memories, and in US >5 years), and B-US (born in US or in Thailand/Laos less than 8 years and no food memories from there). Acculturation was associated with years lived in the US, household size and income, and food assistance usage. Years lived in the US was correlated with food assistance usage, education, household size and income, and perception of diet. B-TL(1) and B-TL(2) were on average overweight (BMI> or =25<30), US men were obese (mean BMI=32.4+/-7.4), and women were overweight (mean BMI=29.1+/-6.8). Themes identified were cultural values impact eating and lifestyle behaviors, food insecurity history influences post-migration behavior, acculturation impacts BMI through diet and exercise, and health status is influenced by changed environments. Environmental changes and increased acculturation have negatively impacted the weight and health of Hmong adults.
Collapse
Affiliation(s)
- Lisa Franzen
- University of Minnesota, Department of Food Science and Nutrition, 225 FScN, 1334 Eckles Ave, St. Paul, MN 55108-6099, United States.
| | | |
Collapse
|
33
|
Ayala GX, Baquero B, Klinger S. A systematic review of the relationship between acculturation and diet among Latinos in the United States: implications for future research. ACTA ACUST UNITED AC 2008; 108:1330-44. [PMID: 18656573 DOI: 10.1016/j.jada.2008.05.009] [Citation(s) in RCA: 373] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2007] [Accepted: 02/21/2008] [Indexed: 11/19/2022]
Abstract
Dietary intake is an important determinant of obesity and numerous chronic health conditions. A healthful diet is an essential component of chronic disease self-management. Researchers have indicated that the healthfulness of the Latino diet deteriorates during the acculturation process. However, given the many operationalizations of acculturation, conclusive evidence regarding this relationship is still lacking. This comprehensive and systematic literature review examines the relationship between acculturation and diet by examining national, quantitative, and qualitative studies involving Latinos living in the United States. Studies of diet included those that examined dietary intake using one of several validated measures (eg, food frequency questionnaire, 24-hour dietary recall, or dietary screener) and/or dietary behaviors (eg, away-from-home-eating and fat avoidance). Articles were identified through two independent searches yielding a final sample of 34 articles. Articles were abstracted by two independent reviewers and inter-rater reliability was assessed. Analyses examined the extent to which various measures of acculturation (ie, acculturation score, years in the United States, birthplace, generational status, and language use) were associated with macronutrient intake, micronutrient intake, and dietary behaviors. Several relationships were consistent irrespective of how acculturation was measured: no relationship with intake of dietary fat and percent energy from fat; the less vs more acculturated consumed more fruit, rice, beans, and less sugar and sugar-sweetened beverages. Additional observed relationships depended on the measure of acculturation used in the study. These findings suggest a differential influence of acculturation on diet, requiring greater specificity in our dietary interventions by acculturation status.
Collapse
Affiliation(s)
- Guadalupe X Ayala
- Division of Health Promotion, Graduate School of Public Health, San Diego State University, San Diego, CA 92123, USA.
| | | | | |
Collapse
|
34
|
Patil CL, Hadley C, Nahayo PD. Unpacking dietary acculturation among new Americans: results from formative research with African refugees. J Immigr Minor Health 2008; 11:342-58. [PMID: 18253832 DOI: 10.1007/s10903-008-9120-z] [Citation(s) in RCA: 69] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2007] [Accepted: 01/15/2008] [Indexed: 11/26/2022]
Abstract
Epidemiological studies focusing on Latino immigrant health have found links between acculturation (time and language competency), weight gain, and disease risk. Since time and language competency are not mechanisms by which diets and activities change, associations between acculturation and weight change offer little to public health professionals who aim to develop nutrition and health interventions. We present a conceptual model and use a mixed-methods biocultural approach to address the fine-grained details of diet and activity choice for new arrivals to the USA. The results of our anthropological work with Liberian and Somali Bantu refugees indicate that, in addition to standard surveys (individual-level characteristics, socioeconomic status, employment, and acculturation), epidemiological research would benefit from the data generated from ethnography and more nuanced behavioral studies. A focus on the lived experiences of new Americans and the explicit examination of institutional support, peer support, and interactions between children and caretakers might offer points of intervention for immigrant health which is a growing public health concern.
Collapse
Affiliation(s)
- Crystal L Patil
- Department of Anthropology - BSB 2102 (MC 027), University of Illinois at Chicago, 1007 W. Harrison Street, Chicago, IL 60607, USA.
| | | | | |
Collapse
|
35
|
Himmelgreen D, Romero Daza N, Cooper E, Martinez D. “I Don't Make the Soups Anymore”: Pre- to Post-Migration Dietary and Lifestyle Changes Among Latinos Living in West-Central Florida. Ecol Food Nutr 2007. [DOI: 10.1080/03670240701486719] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
36
|
Sodjinou R, Agueh V, Fayomi B, Delisle H. Dietary patterns of urban adults in Benin: relationship with overall diet quality and socio-demographic characteristics. Eur J Clin Nutr 2007; 63:222-8. [PMID: 17851458 DOI: 10.1038/sj.ejcn.1602906] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVES To identify dietary patterns of urban Beninese adults and explore their links with overall diet quality and socio-demographics. SUBJECTS AND METHODS A sample of 200 men and women aged 25-60 years was randomly selected in 10 neighbourhoods. Food intake was assessed through three non-consecutive 24 h food recalls. Dietary patterns were examined using cluster analysis. Diet quality was assessed based on diversity, a micronutrient adequacy score (MAS) and a healthfulness score (HS). Socio-demographics were documented using a questionnaire. RESULTS Two distinct dietary patterns emerged: a 'traditional' type (66% of the subjects) and a 'transitional' type (34%). Subjects with a 'transitional diet' were predominantly from the upper socioeconomic status or born in the city. Compared with the traditional type, the 'transitional diet' had a significantly higher percentage of energy from fat (17.6 vs 15.5%), saturated fat (5.9 vs 5.2%) and sugar (6.3 vs 5.0%). It was also significantly higher in cholesterol and lower in fibre. The 'transitional diet' was more diversified, but it also showed a lower HS than the 'traditional diet'. Mean intake of fruit was low in both clusters (<16 g day(-1)). A higher intake of vegetables was associated with both a higher MAS (P<0.001) and a higher HS (P<0.001). CONCLUSIONS The dietary transition is evidenced in this study, although both dietary patterns were still low in fat and sugar. Programmes focusing on the prevention of diet-related chronic diseases in this population should encourage the maintenance of the healthful elements of the diets, while emphasizing consumption of fruits and vegetables.
Collapse
Affiliation(s)
- R Sodjinou
- TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Development, Department of Nutrition, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
| | | | | | | |
Collapse
|
37
|
Hadley C, Zodhiates A, Sellen DW. Acculturation, economics and food insecurity among refugees resettled in the USA: a case study of West African refugees. Public Health Nutr 2007; 10:405-12. [PMID: 17362537 DOI: 10.1017/s1368980007222943] [Citation(s) in RCA: 81] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractObjectivesTo assess the occurrence and severity of food insecurity, and examine associations between food insecurity and measures of socio-economic status and indicators of acculturation.DesignStructured interviews among a non-probability sample of West African refugees at baseline and 6 months' follow-up.SettingMid-sized city in north-eastern USA.SubjectsOne hundred and one caregivers with children under the age of 5 years and who have been living the USA for fewer than 4 years.ResultsFood insecurity was indicated in approximately half of households (53%). The occurrence of food insecurity was associated with measures of socio-economic status such as income, employment status and participation in the Food Stamp Program (P < 0.05). Measures of acculturation such as difficulty in the shopping environment and language difficulty were also associated with the occurrence and severity of food insecurity, as was time lived in the USA (P < 0.05). Among households who had been in the USA for 1 year or less, food insecurity was indicated in 73%, whereas among households who had been in the USA for at least 3 years food insecurity was indicted in 33%.ConclusionsRefugees are a potentially vulnerable group and our results echo others in suggesting a need for more thorough monitoring of the health and well-being of recently resettled refugees. These results also suggest that reliance on employment as the sole indicator of success in the resettlement process may be too narrow an indicator. Future research should focus on a wider range of measures of health and well-being.
Collapse
Affiliation(s)
- Craig Hadley
- Center for Social Epidemiology & Population Health, University of Michigan, Ann Arbor, MI 48104, USA.
| | | | | |
Collapse
|
38
|
Pérez-Escamilla R, Putnik P. The role of acculturation in nutrition, lifestyle, and incidence of type 2 diabetes among Latinos. J Nutr 2007; 137:860-70. [PMID: 17374645 DOI: 10.1093/jn/137.4.860] [Citation(s) in RCA: 236] [Impact Index Per Article: 13.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Latinos have become the largest ethnic minority group in the U.S. and will become 25% of the population by 2050. The purpose of this critical review is to examine the influence of acculturation on type 2 diabetes and corresponding risk factors, including 1) dietary intake, 2) physical activity patterns, 3) smoking and alcohol consumption, and 4) obesity. Among Latinos, acculturation has been associated with obesity risk, suboptimal dietary choices including lack of breast-feeding, low intake of fruits and vegetables, a higher consumption of fats and artificial drinks containing high levels of refined sugar, smoking, and alcohol consumption. In contrast, acculturation has been positively associated with physical activity and a lower likelihood of type 2 diabetes among Latinos. However, findings have been inconsistent across acculturation indicators and appear to be strongly modified by Latino subethnicity and gender. It is important to improve existing acculturation measures available. Mexican Americans have been the target group in the majority of studies. Research in this group must continue but it is important to conduct additional research with other Latino subgroups that have been left out of most of the acculturation, lifestyles, and health outcomes research. Differences between acculturation and health-related outcomes may be confounded by socio-economic status, age, and movement from urban to rural areas. Longitudinal multivariate acculturation research is essential to disentangle these relations and to develop sound behavioral change theories that adequately predict behavioral change among Latinos.
Collapse
Affiliation(s)
- Rafael Pérez-Escamilla
- Department of Nutritional Sciences, Center for Eliminating Health Disparities among Latinos, University of Connecticut, Storrs, CT 06269-4017, USA.
| | | |
Collapse
|