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Accepted manuscript

Enablers and barriers to dietary change for Māori with nutrition-related conditions in Aotearoa, New Zealand: a scoping review

Published online by Cambridge University Press:  22 October 2024

Christina McKerchar ,
Christine Barthow ,
Tania Huria ,
Bernadette Jones ,
Kirsten Coppell Open the ORCID record for Kirsten Coppell [Opens in a new window] ,
Rosemary Hall ,
Tutangi Amataiti ,
Amber Parry-Strong ,
Soana Muimuiheata  and
Morag Wright-McNaughton
...Show all authors
Christina McKerchar*
Affiliation:
Department of Population Health, University of Otago, Christchurch, PO Box 4345, Christchurch 8140, New Zealand
Christine Barthow
Affiliation:
Department of Medicine, University of Otago, Wellington, PO Box 7343 Wellington South 6242, New Zealand
Tania Huria
Affiliation:
Department of Māori Indigenous Health Innovation, University of Otago, Christchurch, PO Box 4345, Christchurch 8140, New Zealand
Bernadette Jones
Affiliation:
Department of Medicine, University of Otago, Wellington, PO Box 7343 Wellington South 6242, New Zealand
Kirsten Coppell
Affiliation:
Department of Medicine, University of Otago, Wellington, PO Box 7343 Wellington South 6242, New Zealand
Rosemary Hall
Affiliation:
Department of Medicine, University of Otago, Wellington, PO Box 7343 Wellington South 6242, New Zealand
Tutangi Amataiti
Affiliation:
Department of Medicine, University of Otago, Wellington, PO Box 7343 Wellington South 6242, New Zealand
Amber Parry-Strong
Affiliation:
Centre for Endocrine, Diabetes and Obesity Research (CEDOR), PO Box 7902, Wellington South, Wellington, New Zealand.
Soana Muimuiheata
Affiliation:
Total well-being consultancy services Ltd, 222b Buckland Road, Mangere East, Auckland, 2024, New Zealand
Morag Wright-McNaughton
Affiliation:
Formerly of Department of Medicine, University of Otago, Wellington, PO Box 7343 Wellington South 6242, New Zealand
Jeremy Krebs
Affiliation:
Department of Medicine, University of Otago, Wellington, PO Box 7343 Wellington South 6242, New Zealand
*
Corresponding author: Christina McKerchar, Department of Population Health, University of Otago, Christchurch, PO Box 4345, Christchurch 8140, New Zealand, [email protected]; 64 3 364 3638
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Abstract

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Objective:

Māori, the Indigenous population of Aotearoa New Zealand, face a substantial burden of nutrition-related diseases, especially obesity and type 2 diabetes. Weight loss, through dietary change, is a central component of obesity and diabetes prevention and management; however, most approaches have not been designed with or evaluated specifically for Māori. The aim of this study was to review literature on the enablers and barriers to dietary change, for Māori.

Design:

Relevant literature published from January 2000 to May 2024 was identified by searches in Medline (Ovid), Embase (Ovid), Scopus, Indigenous health (informit), CINAHL (EBSCO), Web of Science and NZResearch. Studies included Māori and reflected enablers and barriers to dietary change for individuals/whānau (families). Data identifying the aims, methods, interventions, location, population studied and identified enablers and barriers to dietary change and responsiveness to Māori were extracted. Enablers and barriers to dietary change were mapped to a New Zealand indigenous health framework, the Meihana model.

Setting:

Settings included studies based in Aotearoa New Zealand, where participants were free living and able to determine their dietary intake.

Participants:

Studies included at least 30% Māori participants.

Results:

Twenty two of 77 identified records met the inclusion criteria. Records included a diverse range of research approaches.

Conclusions:

Using a relevant Indigenous model, this study highlights that multiple and diverse enablers and barriers to dietary change exist for Māori and the critical importance of developing interventions, in close partnership with Indigenous communities, grounded in Indigenous understandings of health.

Type
Scoping Review
Information
Public Health Nutrition , Accepted manuscript , pp. 1 - 51
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Authors 2024