Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA.
Nutrients. 2023 Jun 18;15(12):2792. doi: 10.3390/nu15122792.
In the United States (US), Latino individuals older than 50 years face health disparities compared to their White counterparts. Considering the rising life expectancy and the projected increase of older Latino adults in the US, this scoping review aimed to determine the effectiveness of theory-based and culturally relevant strategies that promote healthy aging in Latinos. Web of Science and PubMed databases were searched between December 2022 and February 2023 for peer-reviewed articles assessing healthy aging interventions tailored to community-dwelling aging Latino adults. We included nine studies describing the effects of seven interventions on physical activity- or nutrition-related outcomes. Although not always statistically significant, interventions had a beneficial impact on well-being indicators. The most commonly used behavioral theories were Social Cognitive Theory and Attribution Theory. Latino cultural elements in these studies included partnering with community organizations that serve Latinos (such as Catholic churches), delivery of in-person bilingual group sessions by trusted community members (such as or Latino dance instructors), and incorporating values such as family and religion into the health curriculum, among others. Future strategies that promote healthy aging in Latino adults should proactively culturally adapt the theoretical foundations and the design, recruitment, and implementation processes to ensure their relevance and effectiveness.
在美国（US），与白人相比，50 岁以上的拉丁裔个体面临健康差距。考虑到预期寿命的延长和美国老年拉丁裔成年人数量的预计增加，本范围综述旨在确定基于理论和具有文化相关性的策略在促进拉丁裔健康老龄化方面的有效性，这些策略针对居住在社区中的老年拉丁裔成年人。我们在 2022 年 12 月至 2023 年 2 月期间在 Web of Science 和 PubMed 数据库中搜索了评估针对社区居住的老年拉丁裔成年人量身定制的健康老龄化干预措施的同行评审文章。我们纳入了九项研究，这些研究描述了七种干预措施对与身体活动或营养相关的结果的影响。尽管并非总是具有统计学意义，但干预措施对幸福感指标产生了有益的影响。最常使用的行为理论是社会认知理论和归因理论。这些研究中的拉丁文化元素包括与为拉丁裔服务的社区组织（如天主教堂）合作、由可信的社区成员（如拉丁裔或舞蹈教练）以双语小组的形式提供面对面服务，以及将家庭和宗教等价值观融入健康课程等。未来促进拉丁裔成年人健康老龄化的策略应积极进行文化适应性调整理论基础以及设计、招募和实施过程，以确保其相关性和有效性。
