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Are recommended dietary patterns equitable

Bibliographic Data

ID15096082
AuthorsVivian Hsing-Chun Wang (0000-0002-5638-204X, Department of Public, corresponding author), Victoria Foster (0000-0001-8869-9511, New York University), Stella S Yi (0000-0002-9943-2609, New York University)
Year2021
Volume25
Issue2
Pages1-7
Publication date2021-10-04
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980021004158
PMID34602107
OpenAlexW3204877780
LanguageEN
Citations received2
References cited47

Objective: Dietary recommendations (DR) in the USA may be inadequate at improving diets in racial/ethnic minority communities and may require redesign of the systems driving their development over the long term. Meanwhile, cultural adaptation of evidence-based DR may be an important strategy for mitigating nutrition disparities, but less is known about the adaptability of these recommendations to meet the needs of diverse groups. We examined the content and origin of major DRs – aspects that provide context on their potential universality across populations and evaluated their potential for cultural adaptation. Design: Case studies of Dietary Approaches to Stop Hypertension (DASH), the Mediterranean diet (MD), the EAT-Lancet diet (EAT) and the NOVA classification system. Setting: United States. Participants: Racial/ethnic minority populations. Results: Current DR differ in their origin/evolution but are similar in their reductionist emphasis on physical health. DASH has been successfully adapted for some cultures but may be challenged by the need for intensive resources; MD may be more beneficial if applied as part of a broader set of food procurement/preparation practices than as just diet alone; EAT-Lancet adaptation may not honor existing country-specific practices that are already beneficial to human and environmental health (e.g. traditional/plant-based diets); evidence for cultural adaptation is limited with NOVA, but classification of levels of food processing has potential for widespread application. Conclusions: For DR to equitably support diverse populations, they must move beyond a Eurocentric or ‘general population’ framing, be more inclusive of cultural differences and honour social practices to improve diet and reduce disparities

Adaptation (eye · Dash · Environmental health · Ethnic group · Framing (construction · Geography · Health equity · Honour · Political science · Population · Public health · Consumer Attitudes and Food Labeling · Medicine · Nursing · Nutrition, Genetics, and Disease · Nutritional Studies and Diet · Psychology

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Citations per year0.67
Citation span2023 - 2024 (2)
Highly citedNo

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