title: Patterns of Food Consumption are Associated with Obesity, Self-Reported Diabetes and Cardiovascular Disease in Five American Indian Communities.
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.
authors.affiliation: Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health,, Baltimore, Maryland, USA.
authors.forename: Angela C B
authors.initials: AC
authors.lastname: Trude
authors.forename: Anna
authors.initials: A
authors.lastname: Kharmats
authors.forename: Brittany
authors.initials: B
authors.lastname: Jock
authors.forename: Debra
authors.initials: D
authors.lastname: Liu
authors.forename: Katherine
authors.initials: K
authors.lastname: Lee
authors.forename: Paula Andrea
authors.initials: PA
authors.lastname: Martins
authors.forename: Marla
authors.initials: M
authors.lastname: Pardilla
authors.forename: Jaqueline
authors.initials: J
authors.lastname: Swartz
authors.forename: Joel
authors.initials: J
authors.lastname: Gittelsohn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000208:ethnology / Q000209:etiology*; D003920:Diabetes Mellitus / Q000208:ethnology / Q000209:etiology*; D004032:Diet / Q000208:ethnology*; D059305:Diet, High-Fat / Q000009:adverse effects; D004041:Dietary Fats / Q000009:adverse effects; D005247:Feeding Behavior / Q000208:ethnology*; D005260:Female; D006801:Humans; D007198:Indians, North American; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D009765:Obesity / Q000208:ethnology / Q000209:etiology*; D016017:Odds Ratio; D015995:Prevalence; D012111:Residence Characteristics; D057566:Self Report; D062410:Snacks; D015206:Southwestern United States; D055815:Young Adult
chemical_list: D004041:Dietary Fats
keywords: American Indians; cardiovascular disease; diabetes; diet