Trude Angela C B, Kharmats Anna, Jock Brittany, Liu Debra, Lee Katherine, Martins Paula Andrea, Pardilla Marla, Swartz Jaqueline, Gittelsohn Joel
Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health,, Baltimore, Maryland, USA.
Ecol Food Nutr. 2015;54(5):437-54. doi: 10.1080/03670244.2014.922070. Epub 2015 Jun 2.
The relationship between dietary patterns and chronic disease is underexplored in indigenous populations. We assessed diets of 424 American Indian (AI) adults living in 5 rural AI communities. We identified four food patterns. Increased prevalence for cardiovascular disease was highly associated with the consumption of unhealthy snacks and high fat-food patterns (OR 3.6, CI=1.06, 12.3; and OR 6.0, CI=1.63, 22.1), respectively. Moreover, the food-consumption pattern appeared to be different by community setting (p<.05). We recommend culturally appropriate community-intervention programs to promote healthy behavior and to prevent diet-related chronic diseases in this high-risk population.
饮食模式与慢性病之间的关系在原住民群体中尚未得到充分研究。我们评估了居住在5个美国印第安农村社区的424名美国印第安（AI）成年人的饮食情况。我们确定了四种食物模式。心血管疾病患病率的增加分别与不健康零食和高脂肪食物模式的消费密切相关（OR 3.6，CI = 1.06，12.3；OR 6.0，CI = 1.63，22.1）。此外，食物消费模式似乎因社区环境而异（p <.05）。我们建议开展符合文化习俗的社区干预项目，以促进健康行为，并预防这一高危人群中与饮食相关的慢性病。
