Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease.

Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease.
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阿拉斯加原住民的传统饮食人口和文化相关性有患心血管疾病的风险。

DOI:
10.1371/journal.pone.0275445
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发表时间:
2022
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
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--
作者:

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这项横断面研究评估了传统饮食与文化和社区因素的关系。来自诺顿湾地区的阿拉斯加原住民成年人在2015年至2018年期间被招募和调查,进行了一项针对心血管疾病预防的多种风险行为改变干预措施的随机临床试验。参与者(n = 291)为49%的女性,平均年龄为47岁(SD = 14)。一份34项食物频率问卷评估了阿拉斯加土著地区传统和非传统食物的消费情况。一个新的衡量标准,被称为“传统食品指数”,计算为每周文化传统食品消费量除以报告的总食品。总体而言,样本的传统食品指数平均为21%± 16%,夏季参与者报告的数值(23%±17%)高于冬季(19%± 15%,p<0.05);女性(22%±16%)高于男性(19%± 16%,p <0.05);较小社区的居民(22%±17%)比诺姆相对较大的社区(17%± 14%,p<0.05)。传统食物指数与年龄(r = 0.26,p <0.01),以及社区联系度(r = 0.19,p <0.01),社区地位(r = 0.15,p <0.01)和传统语言理解(r = 0.19,p <0.01)的文化变量相关。在多元回归模型中,年龄,社区连通性和社区地位仍然显着相关的传统饮食。这些发现可以为设计和评估基于社区的,与文化相关的心脏健康饮食计划提供信息。
This cross-sectional study assessed how traditional eating relates to cultural and community factors. Alaska Native adults from the Norton Sound region were recruited and surveyed between 2015–2018 for a randomized clinical trial of multiple risk behavior change interventions for cardiovascular disease prevention. Participants (n = 291) were 49% female with a mean age of 47 years (SD = 14). A 34-item food frequency questionnaire assessed consumption of foods traditional and nontraditional to the regional Alaska Native diet. A novel measure, termed the “traditional foods index”, was computed as weekly servings of culturally traditional food consumption divided by total foods reported. Overall, the sample’s traditional foods index averaged 21%±16%, with higher values reported by participants assessed in summer (23%±17%) than winter (19%±15%, p<0.05); by women (22%±16%) than men (19%±16%, p < .05); and by residents of smaller communities (22%±17%) than the comparatively larger community of Nome (17%±14%, p<0.05). The traditional foods index was correlated with age (r = .26, p < .01), as well as the cultural variables of community connectedness (r = .19, p < .01), community standing (r = .15, p < .01), and traditional language comprehension (r = .19, p < .01). In a multivariate regression model, age, community connectedness, and community standing remained significantly associated with traditional diet. These findings may inform the design and evaluation of community-based, culturally-relevant dietary initiatives for heart health.
从1960年代到阿拉斯加年轻的本地妇女的传统海洋食品摄入量和维生素D水平下降。
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