Are recommended dietary patterns equitable?
Are recommended dietary patterns equitable?
复制标题
DOI：
10.1017/s1368980021004158
复制
发表时间：
2022-03
影响因子：
3.2
通讯作者：
Yi SS
中科院分区：
文献类型：
--
作者：
Wang VH;Foster V;Yi SS
美国的饮食建议（DR）可能不足以改善少数种族/民族社区的饮食，可能需要重新设计长期推动其发展的系统。与此同时，文化适应的循证DR可能是一个重要的战略，以减轻营养差距，但鲜为人知的是，这些建议，以满足不同群体的需求的适应性。我们研究了主要DR的内容和起源-提供其在人群中潜在普遍性的背景，并评估其文化适应的潜力。案例研究的饮食方法来阻止高血压（DASH），地中海饮食（MD），EAT-柳叶刀饮食（EAT）和NOVA分类系统。美国的种族/少数民族人口。目前的DR在起源/演变上有所不同，但在对身体健康的简化强调方面相似。DASH已成功适应某些文化，但可能会受到密集资源需求的挑战;如果将MD作为更广泛的食品采购/制备实践的一部分应用，而不仅仅是饮食，MD可能会更有益; EAT-Lancet适应可能不会荣誉现有的国家特定实践已经有益于人类和环境健康（例如传统/植物性饮食）; NOVA的文化适应证据有限，但食品加工水平分类有广泛应用的潜力。为了让DR公平地支持不同的人群，他们必须超越以欧洲为中心或“一般人群”的框架，更加包容文化差异，尊重改善饮食和减少差异的社会实践。
Dietary recommendations (DR) in the USA may be inadequate at improving diets in racial/ethnic minority communities and may require redesign of the systems driving their development over the long term. Meanwhile, cultural adaptation of evidence-based DR may be an important strategy for mitigating nutrition disparities, but less is known about the adaptability of these recommendations to meet the needs of diverse groups. We examined the content and origin of major DRs – aspects that provide context on their potential universality across populations and evaluated their potential for cultural adaptation. Case studies of Dietary Approaches to Stop Hypertension (DASH), the Mediterranean diet (MD), the EAT-Lancet diet (EAT) and the NOVA classification system. United States. Racial/ethnic minority populations. Current DR differ in their origin/evolution but are similar in their reductionist emphasis on physical health. DASH has been successfully adapted for some cultures but may be challenged by the need for intensive resources; MD may be more beneficial if applied as part of a broader set of food procurement/preparation practices than as just diet alone; EAT-Lancet adaptation may not honor existing country-specific practices that are already beneficial to human and environmental health (e.g. traditional/plant-based diets); evidence for cultural adaptation is limited with NOVA, but classification of levels of food processing has potential for widespread application. For DR to equitably support diverse populations, they must move beyond a Eurocentric or ‘general population’ framing, be more inclusive of cultural differences and honour social practices to improve diet and reduce disparities.