McKerchar Christina, Barthow Christine, Huria Tania, Jones Bernadette, Coppell Kirsten J, Hall Rosemary, Amataiti Tutangi, Parry-Strong Amber, Muimuiheata Soana, Wright-McNaughton Morag, Krebs Jeremy
Department of Population Health, University of Otago, Christchurch, New Zealand.
Department of Medicine, University of Otago, Wellington, New Zealand.
Public Health Nutr. 2024 Oct 22;27(1):e245. doi: 10.1017/S136898002400212X.
Māori, the Indigenous population of Aotearoa New Zealand, face a substantial burden of nutrition-related diseases, especially obesity and type 2 diabetes. Weight loss, through dietary change, is a central component of obesity and diabetes prevention and management; however, most approaches have not been designed with or evaluated specifically for Māori. The aim of this study was to review literature on the enablers and barriers to dietary change, for Māori.
Relevant literature published from January 2000 to May 2024 was identified by searches in Medline (Ovid), Embase (Ovid), Scopus, Indigenous health (informit), CINAHL (EBSCO), Web of Science and NZResearch. Studies included Māori and reflected enablers and barriers to dietary change for individuals/whānau (families). Data identifying the aims, methods, interventions, location, population studied and identified enablers and barriers to dietary change and responsiveness to Māori were extracted. Enablers and barriers to dietary change were mapped to a New Zealand Indigenous health framework, the Meihana model.
Settings included studies based in Aotearoa New Zealand, where participants were free living and able to determine their dietary intake.
Studies included at least 30 % Māori participants.
Twenty-two of the seventy-seven identified records met the inclusion criteria. Records included a diverse range of research approaches.
Using a relevant Indigenous model, this study highlights that multiple and diverse enablers and barriers to dietary change exist for Māori and the critical importance of developing interventions, in close partnership with Indigenous communities, grounded in Indigenous understandings of health.
新西兰奥特亚罗瓦的原住民毛利人面临着与营养相关疾病的沉重负担，尤其是肥胖症和2型糖尿病。通过饮食改变来减轻体重是肥胖症和糖尿病预防与管理的核心组成部分；然而，大多数方法并非专门为毛利人设计或评估。本研究的目的是回顾关于毛利人饮食改变的促进因素和障碍的文献。
通过检索Medline（Ovid）、Embase（Ovid）、Scopus、《原住民健康》（informit）、CINAHL（EBSCO）、《科学引文索引》和新西兰研究数据库，确定了2000年1月至2024年5月发表的相关文献。研究纳入了毛利人，并反映了个人/家庭饮食改变的促进因素和障碍。提取了确定研究目的、方法、干预措施、地点、研究人群以及饮食改变的促进因素和障碍及对毛利人的反应性的数据。饮食改变的促进因素和障碍被映射到一个新西兰原住民健康框架——梅哈纳模型。
研究背景包括基于新西兰奥特亚罗瓦开展的研究，研究对象为自由生活且能够自行决定饮食摄入的参与者。
研究纳入了至少30%的毛利参与者。
在77条已识别记录中，有22条符合纳入标准。记录包括多种不同的研究方法。
本研究使用一个相关的原住民模型，强调毛利人在饮食改变方面存在多种不同的促进因素和障碍，以及与原住民社区紧密合作，基于原住民对健康的理解制定干预措施的至关重要性。
