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对美国拉丁裔II型糖尿病社区干预措施的营养重点综述。

A nutrition-focused review of the interventions in US-living Latino communities with type II diabetes.

作者信息

Guirette Mélanie, Sevilla-Gonzalez Magdalena, Balaguera Maureen, Caballero Augusto Enrique

机构信息

Friedman School of Nutrition Science and Policy, Department of Nutrition Epidemiology and Data Science, Tufts University, Boston, MA, United States.

Clinical and Translational Epidemiology Unit, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA, United States.

出版信息

Front Nutr. 2024 Sep 18;11:1418683. doi: 10.3389/fnut.2024.1418683. eCollection 2024.

Abstract

Type 2 diabetes (T2D) is a chronic, debilitating disease that disproportionally affects the Hispanic/Latino community residing in the United States. Optimal nutrition therapy is fundamental to the proper management of T2D and must be culturally adapted to facilitate permanent behavior change in this population. This review selected and assessed the nutrition components of interventions aimed to improve T2D outcomes in US-based Latinos/Hispanics, published from 2002 to 2023. An overview of the participant characteristics, nutrition intervention, and dietary assessment and outcomes is included. Nutrition interventions in this community benefit from the inclusion of bicultural registered dietitian nutritionist (RDNs) to assure the counseling team promotes culturally tailored nutrition recommendations based on current dietary guidelines. Nutrition assessment and outcomes should be captured with the use of validated dietary assessment tools and dietary quality indices appropriate to their target population. Standardizing these practices will facilitate intervention comparability and replicability and ultimately better target the needs of this community.

摘要

2型糖尿病(T2D)是一种慢性衰弱性疾病,对居住在美国的西班牙裔/拉丁裔社区影响尤为严重。最佳营养治疗是妥善管理T2D的基础,并且必须进行文化调适,以促进该人群的永久性行为改变。本综述筛选并评估了2002年至2023年发表的旨在改善美国拉丁裔/西班牙裔T2D结局的干预措施的营养成分。文中还概述了参与者特征、营养干预、饮食评估及结果。该社区的营养干预受益于双文化注册营养师(RDN)的参与,以确保咨询团队根据当前饮食指南,推广符合文化特点的营养建议。应使用经过验证的饮食评估工具和适合其目标人群的饮食质量指数来进行营养评估并得出结果。规范这些做法将有助于干预措施的可比性和可重复性,并最终更好地满足该社区的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa21/11445132/a0a5b96582d9/fnut-11-1418683-g001.jpg

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