دانلود رایگان مقاله انگلیسی رژیم گیاهخواری و خطر کاردیو متابولیک در بین سرخپوستان آسیایی در ایالات متحده - هینداوی 2018

Research studies have shown that plant-based diets confer cardiovascular and metabolic health benefits. Asian Indians (AIs) in the US (who have often followed plant-based diets) have elevated risk for chronic diseases such as diabetes, metabolic syndrome, and obesity suggesting ethnic vulnerability that imply genetic and/or lifestyle causative links. This study explored the association between this ethnic group and diabetes, obesity, and metabolic syndrome after controlling for demographics, acculturation, family history of diabetes, and lifestyle and clinical risk factors. The sample comprised of 1038 randomly selected adult AIs in seven US sites. Prevalence and metabolic syndrome was estimated, and obesity was calculated using the WHO Asian criteria. Multivariate analysis included multinomial logistic regression. The mean age and length of residency in the US were 47 and 18.5 years, respectively. The majority of respondents were vegetarians (62%) and educated. A vegetarian lifestyle was associated with females, food label users, respondents with poor/fair current health status, less acculturated, and those who reported their diet had not changed after coming to the US. Vegetarian status was a protective factor and lowered the risk for diabetes but not for metabolic syndrome and obesity in the regression model. Results provide a firm basis for educational programs.

12. Conclusion

The findings clearly indicated that while a vegetarian diet lowered the risk for diabetes among immigrant AIs in the United States, paradoxically, immigrant AIs have high rates of diabetes, metabolic syndrome, and obesity. A vegetarian lifestyle was associated with females, food label users, respondents with poor/fair current health status, and those who were less acculturated and reported that their diet had not changed after coming to the US. Hence, there exists a gap between knowledge of NCD risk factors and the need for screenings and lifestyle modifications to effectively lower those risks. Plans for future research include enhancing data collection to include the variants of vegetarian diets and the quality of vegetarian diets followed by this ethnic group that negatively impacts body composition and subsequent NCDs to better understand the associations in this high-risk ethnic group using similar population-based studies.