Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-18T17:42:37.191Z Has data issue: false hasContentIssue false
  • English
  • Français

Nutrition intervention in ethnic minority groups

Published online by Cambridge University Press:  05 March 2007

Jane Thomas
Jane Thomas
Affiliation:
Department of Nutrition and Dietetics, King's College London, London SE19NN, UK
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Development of effective intervention strategies to meet the needs of people with ethnic minority origins is dependent on two factors: an understanding of the modifiable risk factors which can form the basis of intervention; an understanding of the relevant health behaviours so that appropriate strategies can be designed. The present paper briefly reviews the evidence concerning the part that nutritional and dietary factors play in the aetiology of the observed patterns of disease in these groups and the limitations of the data as a basis for intervention. Consideration is also given to the available information concerning factors influencing health behaviour (particularly eating behaviour) and the applicability of commonly-used models of behaviour change to people of ethnic minority origin. Finally, the results of nutrition intervention programmes will be examined with a view to identifying lessons for the future.

Keywords

Ethnic minority groupsIntervention strategiesModifiable risk factorsHealth behaviour
Type
Meeting Report
Information
Proceedings of the Nutrition Society , Volume 61 , Issue 4 , November 2002 , pp. 559 - 567
Copyright
Copyright © The Nutrition Society 2002

References

Abraham, R, Brown, MC, North, WR & McFadyen, IR (1987) Diets of Asian pregnant women in Harrow: iron and vitamins. Human Nutrition Applied Nutrition 41, 164–173.Google ScholarPubMed
Acheson, D (1998) Independent Inquiry into Inequalities in Health. London: The Stationery Office.Google Scholar
Auckett, M, Parks, Y, Scott, P & Wharton, B (1986) Treatment with iron increases weight gain and psychomotor development. Archives of Disease Childhood 61, 849–857.CrossRefGoogle Scholar
Balarajan, R (1991) Ethnic differences in mortality from ischaemic heart disease and cerebrovascular disease in England and Wales. British Medical Journal 302, 560–564.CrossRefGoogle ScholarPubMed
Balarajan, R, Adelstein, AM, Bulusu, L & Shukula, V (1984) Patterns of mortality among migrants to England and Wales from the Indian sub-continent. British Medical Journal 289, 1185–1187.CrossRefGoogle Scholar
Balarajan, R & MacDowall, M (1984) Mortality from congenital malformations by mother's country of birth. Journal of Epidemiology and Community Health 39, 102–106.CrossRefGoogle Scholar
Barker, DJP (1997) Maternal Nutrition, fetal nutrition and diseases in later life. Review. Nutrition 13, 243–249.CrossRefGoogle Scholar
Bhopal, R, Unwin, N, White, M, Yallop, J, Walker, L, Alberti, KGMM et al. (1999) Heterogeneity of coronary heart disease risk factors in Indian, Pakistani, Bangladeshi and European origin populations a cross-sectional study. British Medical Journal 319, 215–220.CrossRefGoogle Scholar
Cappuccio, F, Cook, DG, Atkinson, RW & Strazullo, P (1997) Prevalence, detection and management of cardiovascular risk factors in different ethnic groups in South London. Heart 78, 555–563.CrossRefGoogle ScholarPubMed
Chambers, JC, Obeid, OA, Refsum, H, Ueland, P, Hackett, D, Hooper, J, Turner, RM, Thompson, SG & Kooner, JS (2000) Plasma homocysteine concentrations and risk of coronary heart disease in UK Indian Asian and European men. Lancet 355, 523–527.CrossRefGoogle ScholarPubMed
Chowdhury, F (1998) Health beliefs and knowledge about coronary heart disease: a comparison of Bangladeshi men and their sons. MSc Dissertation, King's College London.Google Scholar
Conley, D & Bennett, NG (2001) Birth weight and income: Interactions across generations. Journal of Health and Social Behavior 42, 450–465.CrossRefGoogle Scholar
CSO (1994) Office of Population Censuses and Surveys (1991) Ssocial Trends, p.26.London: HMSO.Google Scholar
Daly, A, MacDonald, A, Auckett, A, Williams, J, Wolf, A, Davidson, J & Booth, IW (1996) Prevention of anaemia in inner city toddlers by an iron-supplemented cow's milk formula. Archives of Disease in Childhood 75, 9–16.CrossRefGoogle Scholar
Davey-Smith, G, Hart, C, Blane, D, Gillis, C & Hawthorne, V (1997) Lifetime socioeconomic circumstances and mortality; prospective observational study. British Medical Journal 314, 547–552.CrossRefGoogle Scholar
Dawson, DW & Waters, HM (1994) Malnutrition: folate and cobalamin deficiency. British Journal of Biomedical Science 51, 221–227.Google ScholarPubMed
Department of Health and Social Security (1980) Rickets and Osteomalacia. Report on Health and Social Subjects no. 19. London: H.M. Stationery Office.Google Scholar
Dolan, B, Lacey, JH & Evans, C (1990) Eating behaviour and attitudes to weight and shape in British women from three ethnic groups. British Journal of Psychiatry 157, 523–528.Google ScholarPubMed
Dundas, R, Morgan, M, Redfern, J, Lemic-Stojcevic, N & Wolfe, C (2001) Ethnic factors in behavioural risk factors for stroke: Implications for health promotion. Ethnicity and Health 6, 95–103.CrossRefGoogle ScholarPubMed
Dunnigan, MG, Glekin, BM, Henderson, JB, McIntosh, WB, Sumner, D & Sutherland, GR (1985) Prevention of rickets in Asian children: assessment of the Glasgow Campaign. British Medical Journal 291, 239–242.CrossRefGoogle ScholarPubMed
Dunnigan, MG, Paton, JPJ, Haase, S, McNichol, GW, Gardner, MD & Smith, CM (1962) Prevention of rickets in Asian children: assessment of Glasgow campaign. Scottish Medical Journal 7, 159.Google Scholar
Eaton, PM, Wharton, PA & Wharton, BA (1984) Nutrient intakes of pregnant Asian women at Sorrento Maternity Hospital, Birmingham. British Journal of Nutrition 77, 3–7.Google Scholar
Everson, SA, Goldberg, DE, Helmrich, SP, Lakka, TA, Lynch, JW, Kaplan, GA & Salonen, JT (1998) Weight gain and the risk of developing insulin resistance syndrome. Diabetes Care 21, 1637–1643.CrossRefGoogle ScholarPubMed
Farooqi, A & Bhavsar, M (2001) Project Dil: A co-ordinated primary care and community health promotion programme for reducing risk factors of coronary heart disease amongst the South Asian community of Leicester - experiences and evaluation of the project. Ethnicity and Health 6, 265–270.CrossRefGoogle Scholar
Fuller, KE (2000) Low birth weight infants: The continuing ethnic disparity and the interaction of biology and environment. Ethnicity and Disease 10, 432–445.Google ScholarPubMed
Gardner, CD & Kramer, HC (1995) Monosunsaturated versus polyunsaturated dietary fat and serum lipids - a meta-analysis. Arteriosclerosis, Thrombosis and Vascular Biology 15, 1917–1927.CrossRefGoogle ScholarPubMed
Harding, S & Balarajan, R (2001) Longitudinal study of socio-economic differences in mortality among South Asian and West Indian Migrants. Ethnicity and Disease 6, 121–128.CrossRefGoogle ScholarPubMed
Hattersley, L & Creeser, R (1995) Longitudinal Study 1971-1991: History, Organisation and Quality of Data. London: H.M. Stationery Office.Google Scholar
Hauner, H (2002) Insulin resistance and the metabolic syndrome - a challenge of the new millennium. European Journal of Clinical Nutrition 56, Suppl.1, 525–529.CrossRefGoogle ScholarPubMed
Hawthorne, K (2001) Effect of culturally appropriate health education on glycaemic control and knowledge of diabetes in British Pakistani women with type 2 diabetes mellitus. Health Education Research 16, 373–381.CrossRefGoogle ScholarPubMed
Health Education Authority (2000) Black and Ethnic Minority Groups in England: The Second Health and Lifestyles Survey. London: Health Education Authority.Google Scholar
Homocysteine Lowering Trialists Collaboration (1998) Lowering blood homocysteine with folic acid based supplements: meta analysis of randomised trials. British Medical Journal 316, 894–898.CrossRefGoogle Scholar
Hyder, N (1999) Maternal and infant nutrition: a comparison of Pakistani and Caucasian mothers in the UK. MPhil Dissertation, King's College London.Google Scholar
Jenkins, DJA, Axelsen, M, Kendall, CWC, Augustin, LSA, Vuksan, V & Smith, U (2000) Dietary fibre, lente carbohydrates and the insulin-resistant diseases. British Journal of Nutrition 83, Suppl. 1, S157-S163.CrossRefGoogle ScholarPubMed
Kassam-Khamis, T, Thomas, J & Judd, P (1996) Eating habits of second generation South Asia and in the UK. Scandinavian Journal of Nutrition 40, 84–87.Google Scholar
Kramer, MS (1987) Determinants of low birth weight: Methodological assessment and meta-analysis. Bulletin of the World Health Organization 65, 663–737.Google ScholarPubMed
Kuh, D & Ben-Shlomo, Y (editors) (1997) A Life Course Approach to Chronic Disease Epidemiology. Oxford: Oxford University Press.CrossRefGoogle Scholar
Lawson, MS & Thomas, M (1999) Vitamin D concentration in Asian children aged 2 years living in England: Population Survey. British Medical Journal 318, 28.CrossRefGoogle ScholarPubMed
Lops, VR, Hunter, LP & Lynn, RD (1995) Anaemia in pregnancy. American Family Physician 51, 1189–1197.Google Scholar
Lovejoy, J & DiGirolamo, M (1992) Habitual dietary intake and insulin sensitivity in lean and obese adults. American Journal of Clinical Nutrition 55, 1174–1179.CrossRefGoogle ScholarPubMed
McCully, KS (1969) Vascular pathology of homocysteinemia: implications for the pathogenesis of arteriosclerosis. American Journal of Pathology 56, 111–128.Google ScholarPubMed
McKeigue, P & Sevak, L (1994) Coronary heart disease in South Asian communities.London: Health Education Authority.Google Scholar
Mather, H & Keen, H (1985) The Southall Diabetes Survey. Prevalence of known diabetes in Asians and Europeans. British Medical Journal 291, 1081–1084.CrossRefGoogle Scholar
Matthews, JH & Wood, JK (1984) Megaloblastic anaemia in vegetarian Asians. Clinical and Laboratory Haematology 6, 1–7.CrossRefGoogle ScholarPubMed
Murphy, J, Riordan, P, Newcombe, RG, Coles, EC & Pearson, JF (1986) Relation of haemoglobin levels in first and second trimester to outcome of pregnancy. Lancet i, 992–995.CrossRefGoogle Scholar
Nazroo, JY (2001) South Asian people and heart disease: An assessment of the importance of socioeconomic position. Ethnicity and Disease 11, 401–411.Google ScholarPubMed
Pomerleau, J, McKeigue, PM & Chaturvedi, N (1999) Factors associated with obesity in South Asian, Afro-Caribbean and European women. International Journal of Obesity 23, 25–33.CrossRefGoogle ScholarPubMed
Purnell, JQ & Brunzell, JD (1997) The central role of dietary fat, not carbohydrate in the insulin resistance syndrome. Current Opinion in Lipidology 8, 17–22.CrossRefGoogle Scholar
Raleigh, VS (1997) Diabetes and hypertension in Britain's ethnic minorities: implications for the future of renal services. British Medical Journal 314, 209–213.CrossRefGoogle ScholarPubMed
Raleigh, VS & Balarajan, R (1995) The Health of Infants and Children among Ethnic Minorities. The Health of Our Children. London: H.M. Stationery Office.Google Scholar
Reaven, GM (1997) Do high carbohydrate diets prevent the development or attenuate the manifestations (or both) of syndrome X? A viewpoint strongly against. Current Opinion in Lipidology 8, 23–27.CrossRefGoogle ScholarPubMed
Resnicow, K, Baranowski, T, Ahluwalia, JS & Braithwaite, RL (1999) Cultural sensitivity in public health: defined and demystified. Ethnicity and Disease 9, 10–21.Google ScholarPubMed
Riccardi, G & Rivellese, AA (2000) Dietary treatment of the metabolic syndrome - the optimal diet. British Journal of Nutrition 83, Suppl. 1, S143-S148.CrossRefGoogle ScholarPubMed
Robertson, I, Glekin, BM, Henderson, JB, McIntosh, WB, Lakhani, A & Dunnigan, MG (1982) Nutritional deficiencies among ethnic minorities in the United Kingdom. Proceedings of the Nutrition Society 41, 243–256.CrossRefGoogle ScholarPubMed
Roderick, PJ, Jones, I, Raleight, VS, McGeown, M & Mallick, N (1994) Population need for renal replacement therapy in Thames regions: ethnic dimension. British Medical Journal 309, 1111–1114.CrossRefGoogle ScholarPubMed
Sacks, FM, Svetkey, LP, Vollmer, WM, Appel, LJ, Bray, GA, Harsha, D, Obarzanek, E, Conlin, PR, Mille, ER, Simons-Morton, DG, Karanja, N & Lin, P-H (2001) Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension (DASH) diet. New England Journal of Medicine 344, 3–10.CrossRefGoogle ScholarPubMed
Scholl, TO & Hediger, ML (1994) Anaemia and iron-deficiency: compilation of data on pregnancy outcome. American Journal of Clinical Nutrition 59, Suppl., 492S-501S.CrossRefGoogle ScholarPubMed
Sharma, S, Cade, J, Riste, L & Cruickshank, K (1999) Nutrient intake trends among African- caribbeans in Britain: a migrant population and its second generation. Public Health Nutrition 2, 469–476.CrossRefGoogle Scholar
Sheikh, N & Thomas, J (1994) factors influencing food choice among ethnic minority adolescents. Part 2. Nutrition and Food Science 5, 29–35.CrossRefGoogle Scholar
Siddiqi, N (1999) Knowledge, attitudes and beliefs of Pakistani women about overweight, obesity and related factors. MSc Dissertation, King's College London.Google Scholar
Sinaiko, AR, Donahue, RP, Jacobs, DR & Prineas, RJ (1999) relation of weight and rate of increase in weight during childhood and adolescence to body size, blood pressure, fasting insulin and lipids in young adults. The Minneapolis Children's Blood Pressure Study. Circulation 99, 1471–1476.CrossRefGoogle ScholarPubMed
Smith, P & Prior, G (1996) Fourth National Survey of Ethnic Minorities: Technical Report. London: Social and Community Planning Research.Google Scholar
Steer, PJ, Alam, MA, Wadsworth, J & Welch, A (1995) Relation between haemoglobin concentration and birth weight in different ethnic groups. British Medical Journal 310, 489–491.CrossRefGoogle ScholarPubMed
Stevens, J, Kumanyika, SK & Keil, JE (1994) Attitudes towards body size and dieting:differences between elderly black and white women. American Journal of Public Health 84, 1322–1325.CrossRefGoogle Scholar
Svetkey, LP, Simons-Morton, D, Vollmer, WM, Appel, LJ, Conlin, PR, Ryan, DH, Ard, J & Kennedy, BM (1999) Effects of dietary patterns on blood pressure. Sub group analysis of the Dietary Approaches to Stop Hypertension (DASH) randomized clinical trial. Archives of Internal Medicine 159, 285–293.CrossRefGoogle Scholar
Terry, PB, Bissenden, JG, Condie, RG & Matthew, PM (1985) Ethnic differences in congenital malformations. Archives of Disease in Childhood 60, 866–876.CrossRefGoogle ScholarPubMed
Thame, M, Wilks, RJ, McFarlane-Anderson, N, Bennett, FI & Forrester, TE (1997) Relationship between maternal nutritional status and infant's eight and body proportions at birth. European Journal of Clinical Nutrition 51, 134–138.CrossRefGoogle Scholar
Thomas, J (1994) New approaches to achieving dietary change. Current Opinion in Lipidology5, 36–41.Google ScholarPubMed
Thomas, J, Regis, D & Balding, J (1996) A comparison of health related behaviour of South Asian and Caucasian schoolchildren aged 12-15 years. Scandinavian Journal of Nutrition 40, Suppl. 31, 101–103.Google Scholar
Thomas, M & Avery, V (1997) Infant Feeding in Asian Families Early Feeding Practices and Growth. A Survey Carried Out by the Social Survey Division of the Office of National Statistics on Behalf of the Department of Health. London: The Stationery Office.Google Scholar
Tice, JA, Ross, E, Coxson, PG, Rosenberg, I, Weinstein, MC & Hunink, MG (2001) Cost effectiveness of vitamin therapy to lower plasma homocysteine levels for the prevention of coronary heart disease. Journal of the American Medical Association 286, 936–943.CrossRefGoogle ScholarPubMed
Warnes, T (1996) The age structure and ageing of the ethnic groups. In Ethnicity in the 1991 Census, Vol. 1, pp. 151–177 [Ratcliffe, P, editor]. London: H.M. Stationery Office.Google Scholar
Wharton, PA, Eaton, PM & Wharton, BA (1984) Subethnic variation in the diets of Moslem, Sikh and Hindu pregnant women at Sorrento Maternity Hospital, Birmingham. British Journal of Nutrition 52, 469–476.CrossRefGoogle ScholarPubMed
Whincup, PH, Gilg, JA, Papacosta, O, Seymour, C, Miller, G, Alberti, KGMM & Cook, DG (2002) Early evidence of ethnic differences in cardiovascular risk: cross sectional comparison of British South Asian and white children. British Medical Journal 324, 635–638.CrossRefGoogle ScholarPubMed
Working Party of the National Advisory Committee on Nutrition Education (1983) Proposals for Nutritional Guidelines for Health Education in Britain. London: Health Education Council.Google Scholar