了解文化对亚洲、中东和拉丁裔2型糖尿病患者饮食习惯的影响:当前文献综述与未来方向

Understanding Cultural Influences on Dietary Habits in Asian, Middle Eastern, and Latino Patients with Type 2 Diabetes: A Review of Current Literature and Future Directions.

作者信息

Mora Natalie, Golden Sherita Hill

机构信息

Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.

Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Johns Hopkins University School of Medicine, 1830 E. Monument Street, Suite 333, Baltimore, MD, 21287, USA.

出版信息

Curr Diab Rep. 2017 Oct 23;17(12):126. doi: 10.1007/s11892-017-0952-6.

Abstract

PURPOSE OF REVIEW

This review focuses on evaluating and identifying gaps in the current literature regarding culturally specific dietary influences for patients with type 2 diabetes. As this topic has previously been examined in African American populations, we chose to focus on four other distinct populations (Hispanic, Middle Eastern, Western Pacific, South Asian). Given the rapid increase in global rates of type 2 diabetes and high rates of diabetes among certain ethnic groups, it is important to understand how culturally adapted strategies in diabetes management have been described in different regions and populations.

RECENT FINDINGS

The specific role of nutrition in controlling diabetes is tied to cultural habits and customs. Variation in cultural practices, including diet, create unique environments in which patients with diabetes must navigate. The role of family, particularly among Hispanics, is crucial to cultural adaptations of diabetes management. Incorporating alternative medicine, namely observed in Chinese and Indian populations, also guided diabetes care strategies. Language barriers, health literacy, and acculturation were all unique factors affecting cultural approaches to diabetes management in these four populations. Understanding such cultural determinants is crucial to addressing diabetes disparities and improving outcomes.

摘要

综述目的

本综述着重评估和找出当前文献中关于2型糖尿病患者特定文化饮食影响方面的差距。鉴于此前已对非裔美国人群体进行过该主题研究,我们选择聚焦于其他四个不同群体(西班牙裔、中东、西太平洋、南亚)。鉴于全球2型糖尿病发病率迅速上升以及某些种族群体中糖尿病的高发病率,了解不同地区和人群中糖尿病管理的文化适应策略如何被描述很重要。

最新发现

营养在控制糖尿病中的具体作用与文化习惯和习俗相关。包括饮食在内的文化习俗差异,为糖尿病患者创造了必须应对的独特环境。家庭的作用,尤其是在西班牙裔中,对糖尿病管理的文化适应至关重要。纳入替代医学,如在中国和印度人群中观察到的,也指导了糖尿病护理策略。语言障碍、健康素养和文化适应都是影响这四个人群糖尿病管理文化方法的独特因素。理解这些文化决定因素对于解决糖尿病差异和改善治疗结果至关重要。

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