title: Determinants of changes in dietary patterns among Chinese immigrants: a cross-sectional analysis.
abstract: BACKGROUND
  Chinese individuals who have immigrated to a Western country initially tend to have a lower risk of cardiovascular disease (CVD) compared to people who are already living there. Some studies have found, however, that CVD risk increases over time in immigrants and that immigration to a western country is associated with changes in dietary patterns. This could have unfavourable effects on the risk of CVD. There is limited knowledge on the food patterns, awareness and knowledge about healthy nutrition among Chinese immigrants. The objective for this study is to explore changes in food patterns, and levels of awareness and knowledge of healthy nutrition by length of residence among Chinese immigrants to Canada.
  
  
  METHODS
  120 Chinese individuals born in China but currently living in Canada completed an assessment on socio-demographic characteristics, changes in dietary patterns and variables of awareness and knowledge about healthy foods. With ordinal logistic regression the associations between the quartiles of length of residence and dietary patterns, variables of awareness and knowledge about healthy foods were explored, adjusting for age, sex, education and body mass index.
  
  
  RESULTS
  More than 50% of the participants reported increasing consumption of fruits and vegetables, decreasing the use of deep-frying after immigration. Increased awareness and knowledge about healthy foods was reported by more than 50% of the participants. Ordinal regression indicated that Chinese immigrants who lived in Canada the longest, compared to Chinese immigrants who lived in Canada the shortest, consumed significant greater portion sizes (OR: 9.9; 95% CI: 3.11 - 31.15), dined out more frequently (OR: 15.8; 95% CI: 5.0 - 49.85), and consumed convenience foods more often (OR: 3.5; 95% CI: 1.23 - 10.01).
  
  
  CONCLUSIONS
  Chinese immigrants reported some favourable changes in their dietary intake and greater awareness and more knowledge about healthy foods after immigration. However, an increase in portion size, an increased frequency of dining out and an increased consumption of convenience foods could indicate some unfavourable changes. These results suggest that health promotion strategies should build on the observed benefits of improved nutritional knowledge and target areas of portion size and convenience eating.
authors: Department of Health Sciences, Free University, Amsterdam, The Netherlands. d.l.rosenmoller@amc.uva.nl
authors: Doenja L
authors: DL
authors: Rosenmöller
authors: Danijela
authors: D
authors: Gasevic
authors: Jaap
authors: J
authors: Seidell
authors: Scott A
authors: SA
authors: Lear
references: Soc Sci Med. 2009 Jul;69(1):110-20
references: 19427731
references: J Am Diet Assoc. 2001 May;101(5):548-53
references: 11374348
references: R Soc Health J. 1982 Dec;102(6):268-71
references: 7156347
references: Can J Diet Pract Res. 2009 Summer;70(2):73-80
references: 19515270
references: J Am Coll Nutr. 1997 Apr;16(2):127-33
references: 9100212
references: J Am Diet Assoc. 2000 Aug;100(8):934-40
references: 10955052
references: J Nutr. 2010 Jun;140(6):1170-4
references: 20410084
references: Nutr Rev. 2005 Jul;63(7):256-64
references: 16121480
references: Ethn Dis. 2006 Winter;16(1):96-100
references: 16599355
references: Am J Clin Nutr. 2002 Dec;76(6):1207-13
references: 12450884
references: Asia Pac J Clin Nutr. 2002;11 Suppl 3:S562-8
references: 12492648
references: J Am Diet Assoc. 2002 Apr;102(4):483-9
references: 11985405
references: Circulation. 2001 Nov 27;104(22):2746-53
references: 11723030
references: J Am Diet Assoc. 2009 Apr;109(4):610-5
references: 19328255
references: Circulation. 2001 Dec 4;104(23):2855-64
references: 11733407
references: J Nutr Educ. 2001 Nov-Dec;33(6):322-31
references: 12031170
references: J Immigr Minor Health. 2010 Aug;12(4):470-9
references: 19326215
references: Public Health Nutr. 2002 Jun;5(3):433-9
references: 12003655
references: Appetite. 1984 Jun;5(2):117-26
references: 6517565
references: J Am Diet Assoc. 1999 Jan;99(1):54-7
references: 9917732
references: Int J Epidemiol. 1994 Oct;23(5):984-90
references: 7860179
references: Am J Clin Nutr. 2000 Oct;72(4):922-8
references: 11010932
references: Atherosclerosis. 2009 Aug;205(2):584-9
references: 19181317
references: J Am Diet Assoc. 2004 May;104(5):771-8
references: 15127063
references: Am J Public Health. 2002 Feb;92(2):246-9
references: 11818300