Schiff Rebecca, Freill Holly, Hardy Crystal N
Department of Health Sciences, Lakehead University, Thunder Bay, Ontario, Canada.
Renal Department, Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ontario, Canada.
Curr Dev Nutr. 2020 Dec 17;5(1):nzaa175. doi: 10.1093/cdn/nzaa175. eCollection 2021 Jan.
Indigenous peoples in Canada, and globally, experience a disproportionate burden of chronic kidney disease (CKD) and end-stage renal disease (ESRD) ESRD patients in remote Indigenous communities might experience significant challenges in adhering to dietary guidelines. Much research has documented the poor quality, high cost, and limited availability of healthy foods in remote, Indigenous communities. Food quality and availability are poor in remote communities, indicating that persons with ESRD and CKD might have limited ability to adhere to dietary guidelines. This article reports on research designed to understand food-access barriers in remote First Nations for persons living with stage 4 and 5 CKD/ESRD. The study involved semi-structured interviews with 38 patients in remote communities. It concludes with some reflections on the significance of this issue in the context of dietetic practice.
在加拿大乃至全球，原住民患慢性肾脏病（CKD）和终末期肾病（ESRD）的负担过重。偏远原住民社区的ESRD患者在遵循饮食指南方面可能面临重大挑战。许多研究记录了偏远原住民社区健康食品质量差、成本高且供应有限的情况。偏远社区的食品质量和供应情况不佳，这表明ESRD和CKD患者遵循饮食指南的能力可能有限。本文报告了一项旨在了解偏远第一民族地区4期和5期CKD/ESRD患者获取食物障碍的研究。该研究对偏远社区的38名患者进行了半结构化访谈。文章最后对这一问题在饮食实践背景下的重要性进行了一些思考。
