Translational research to reduce trans-fat intakes in Northern Quebec (Nunavik) Inuit communities: a success story?
Translational research to reduce trans-fat intakes in Northern Quebec (Nunavik) Inuit communities: a success story?
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DOI：
10.3402/ijch.v71i0.18833
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发表时间：
2012-01-01
影响因子：
1.3
通讯作者：
Dewailly, Eric
中科院分区：
文献类型：
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作者：
Counil, Emilie;Gauthier, Marie-Josee;Dewailly, Eric
根据我们在格陵兰和北方加拿大进行的人口研究的结果，努纳维克因纽特人饮食中反式脂肪的暴露程度是格陵兰因纽特人的三倍，而且努纳维克的生物水平已经与有害的血脂谱有关，我们决定从事翻译活动。我们的目标是支持因纽特人社区切实减少在努纳维克出售的食品中的反式脂肪含量。我们在库伊华克进行了初步可行性研究，并参加了几次会议。在这一转化阶段，一名因努克领导人、一名因努克学生、一名南方学生、一名南方营养学家和一名南方研究人员在一个公共卫生项目的框架内参与。在本文中，我们叙述了不同阶段的过程中，从研究实施结果的传播和机构的承诺，以实施一级预防计划，减少反式脂肪暴露在努纳维克。这是对可能有利于或相反可能损害北极地区粮食和营养初级预防干预措施实施的因素得出更广泛结论的机会。最后，我们分享了一些关于未来反式脂肪和其他垃圾食品问题的翻译活动的思考。我们提出的分析框架整合了一系列因素，从地理气候到社会经济，民族文化，甚至政治，我们认为应该在确定和建立与北方饮食有关的预防建议和战略时进行审查。
Following our results, based on population studies conducted in Greenland and Northern Canada, that Nunavik Inuit were thrice as highly exposed to dietary trans-fat as were Greenlandic Inuit, and that the biological levels found in Nunavik were already associated with deleterious blood lipid profiles, we decided to engage in translational activities. Our goal was to support Inuit communities in the practical implementation of a reduction of the trans-fat content of food sold in Nunavik. We carried out a preliminary feasibility study in Kuujjuaq and participated in several meetings. This translational phase involved an Inuk leader, an Inuk student, a southern student, a southern nutritionist and a southern researcher in the framework of a public health project. In the present article, we recount the different phases of the process, from research implementation to results dissemination and institutional commitment to implement a primary prevention program of reduction in trans-fat exposure in Nunavik. This is the occasion to draw broader conclusions on the factors that could either act in favour of or, on the contrary, would likely compromise the implementation of primary prevention interventions dealing with food and nutrition in the Arctic. Finally, we share some reflections on future translational activities dealing with trans-fat as well as other junk food issues. The analytical framework we propose integrates a range of factors, from geo-climatic to socio-economic, ethno-cultural, and even political, that we think should be examined while identifying and building preventive recommendations and strategies related to the Northern diet.