The impact of dietary habits and nutritional deficiencies in urban African patients living with heart failure in Soweto, South Africa--a review.
The impact of dietary habits and nutritional deficiencies in urban African patients living with heart failure in Soweto, South Africa--a review.
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DOI：
10.2174/1871530311313010014
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发表时间：
2013-02
期刊：
影响因子：
--
通讯作者：
S. Pretorius
中科院分区：
文献类型：
--
作者：
S. Pretorius
在南非，快速的城市化和流行病的转变使城市黑人容易受到糖尿病、高血压、肥胖和心脏病以及慢性心力衰竭等生活方式疾病的影响。这部分是由于城市化过程中饮食模式的变化在这些疾病的风险因素增加方面发挥了重要作用。南非人口由许多不同的种族和文化群体组成，每个群体都有自己的饮食方式和食物选择。非洲黑人就是这样一个族群，他们有自己独特的饮食模式和食物选择。生活在农村地区的人的饮食往往仍然是碳水化合物含量较高、脂肪含量较低、糖含量较低和纤维含量较高，这与更传统的饮食方式相对应。随着城市化的发展，他们的饮食已经变得更加西化，导致碳水化合物和纤维减少，脂肪、加工食品和盐的消费增加。可能导致这种饮食模式变化的因素包括缺乏对慢性心力衰竭患者营养建议的认识和知识，城市化，社会经济状况，粮食不安全和教育水平。应实施预防和管理CHF的营养建议和干预计划，重点是文化敏感和负担得起的食物。
In South Africa, rapid urbanisation and epidemiological transition have left the black urban population vulnerable to diseases of lifestyle such as diabetes, high blood pressure, obesity and heart disease, as well as chronic heart failure. This is in part due to the fact that changes in dietary patterns during urbanisation play an important role in the increase of risk factors of these diseases. The South African population is made up of many different ethnic and cultural groups, each with its own way of eating and food choices. The black African population is one such an ethnic group, with its own distinct eating patterns and food choices. The diets of people living in rural areas tend to still be higher in carbohydrates, lower in fat, lower in sugar and higher in fibre, corresponding to the more traditional way of eating. With urbanisation their diet has changed to a more westernised diet with the resultant decrease in carbohydrates and fibre and an increased fat, processed food and salt consumption. Factors that might contribute to this change in dietary patterns include lack of awareness and knowledge around nutritional recommendations for persons suffering from chronic heart failure, urbanisation, socio-economic circumstances, food insecurity and level of education. Nutritional recommendations and intervention programs for the prevention and management of CHF focusing on food that is culturally sensitive and affordable should be implemented.