Worthington Anna, Liu Eva, Foster Meika, Wright Summer Rangimaarie, Lithander Fiona E, Wall Clare, Roy Rajshri, Parry-Strong Amber, Krebs Jeremy, Braakhuis Andrea
Discipline of Nutrition, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Edible Research Ltd., Ohoka, New Zealand.
Front Nutr. 2024 Jul 26;11:1382078. doi: 10.3389/fnut.2024.1382078. eCollection 2024.
Following a Mediterranean diet (MedDiet) is associated with a lower risk of cardiovascular disease. He Rourou Whai Painga is a dietary intervention trial with behaviour change support that seeks to determine whether a MedDiet pattern can provide equivalent benefits in Aotearoa New Zealand (NZ), a country where cardiovascular disease is a leading cause of death. To do this, the MedDiet needs to be adapted in an acceptable way for NZ, with consideration of the Māori (indigenous) population.
The MedDiet was defined using existing MedDiet scoring tools and adapted to the NZ context using local guidelines. The resulting NZ MedDiet pattern was used to develop a kai/food basket, including products from industry partners, for participants in He Rourou Whai Painga. Criteria set for the kai/food basket included providing up to 75% of energy requirements and falling within the Australia/NZ Acceptable Macronutrient Distribution Range to reduce risk of chronic disease. Māori researchers on the team provided support to ensure Mātauranga Māori (Māori knowledge and values) was upheld through this process.
The NZ MedDiet pattern criteria was similar to the identified MedDiet scoring tools, with differences in recommendations for dairy, red meat, alcohol and olive oil. The resulting kai/food baskets were estimated to provide on average 73.5% of energy requirements for households, with 36% from fat, 8.6% from saturated fat, 17% protein, and 42% carbohydrate. Forty-two industry partners, including 3 Māori businesses, agreed to provide 22 types of food products towards the total.
Small, feasible changes to the MedDiet can be made to align with the NZ guidelines and food environment. However, this eating pattern still differs from what the population, particularly Māori, are currently consuming. Continued partnership with Māori and additional behavioural support is important to facilitate adherence to this dietary pattern within He Rourou Whai Painga.: https://www.anzctr.org.au/Default.aspx, identifier ACTRN12622000906752 and https://www.isrctn.com/, identifier ISRCTN89011056.
遵循地中海饮食（MedDiet）与较低的心血管疾病风险相关。“He Rourou Whai Painga”是一项饮食干预试验，提供行为改变支持，旨在确定地中海饮食模式在心血管疾病为主要死因的新西兰（NZ）是否能带来同等益处。为此，需以一种新西兰可接受的方式调整地中海饮食，并考虑毛利（本土）人群。
使用现有的地中海饮食评分工具定义地中海饮食，并根据当地指南使其适应新西兰的情况。由此产生的新西兰地中海饮食模式被用于为“He Rourou Whai Painga”的参与者开发一个食物篮，其中包括来自行业合作伙伴的产品。为食物篮设定的标准包括提供高达75%的能量需求，并符合澳大利亚/新西兰可接受的宏量营养素分布范围，以降低慢性病风险。该团队中的毛利研究人员提供支持，以确保在此过程中维护毛利知识和价值观（Mātauranga Māori）。
新西兰地中海饮食模式标准与已确定的地中海饮食评分工具相似，但在乳制品、红肉、酒精和橄榄油的建议方面存在差异。由此产生的食物篮估计平均可为家庭提供73.5%的能量需求，其中36%来自脂肪，8.6%来自饱和脂肪，17%来自蛋白质，42%来自碳水化合物。42个行业合作伙伴，包括3家毛利企业，同意提供总共22种食品。
对地中海饮食进行小而可行的改变，可使其符合新西兰的指南和食物环境。然而，这种饮食模式仍与民众，尤其是毛利人目前的饮食习惯不同。在“He Rourou Whai Painga”中，继续与毛利人合作并提供额外的行为支持对于促进对这种饮食模式的坚持很重要。：https://www.anzctr.org.au/Default.aspx，标识符ACTRN12622000906752以及https://www.isrctn.com/，标识符ISRCTN89011056。
