Patterns of Food Consumption are Associated with Obesity,Self-Reported Diabetes and Cardiovascular Disease in Five American Indian Communities |
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| Authors: | Angela C. B. Trude Anna Kharmats Brittany Jock Debra Liu Katherine Lee Paula Andrea Martins |
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| Affiliation: | 1. Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA;2. Health Science Department, Federal University of Sao Paulo, Santos, Brazil;3. Health Science Department, Federal University of Sao Paulo, Santos, Brazil |
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| Abstract: | The relationship between dietary patterns and chronic disease is underexplored in indigenous populations. We assessed diets of 424 American Indian (AI) adults living in 5 rural AI communities. We identified four food patterns. Increased prevalence for cardiovascular disease was highly associated with the consumption of unhealthy snacks and high fat–food patterns (OR 3.6, CI = 1.06, 12.3; and OR 6.0, CI = 1.63, 22.1), respectively. Moreover, the food-consumption pattern appeared to be different by community setting (p < .05). We recommend culturally appropriate community-intervention programs to promote healthy behavior and to prevent diet-related chronic diseases in this high-risk population. |
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| Keywords: | American Indians cardiovascular disease diabetes diet |
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