Associations Between Acculturation and Weight, Diet Quality, and Physical Activity Among Latina Breast Cancer Survivors: The ¡Mi Vida Saludable! Study

Santiago‐Torres, Margarita; Contento, Isobel R.; Koch, Pamela; Tsai, Wei‐Yann; Gaffney, Ann Ogden; Marín‐Chollom, Amanda M.; Shi, Zaixing; Ulanday, Kathleene T.; Shen, Hanjie; Hershman, Dawn L.; Greenlee, Heather

doi:10.1016/j.jand.2022.04.002

Cited by 3 publications

(34 citation statements)

References 48 publications

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“…Figure 2 shows the number of studies across the continuum, including preclinical, clinical, and translation and implementation trials. Two studies were determined to be efficacy trials (Women's Healthy Eating and Living or WHEL study) [51,52] and Mi Vida Saludable [44][45][46]), based on having a previous feasibility or pilot study published (WHEL pilot [53] and Cocinar para Su Salud [38][39][40]). The WHEL pilot was not considered for this review [53], because no data were reported on race or ethnicity, likely due to the timing of the study in the 1990s, but this review included Cocinar para Su Salud [38][39][40], the pilot study for Mi Vida Saludable [44][45][46].…”

Section: Methodsmentioning

confidence: 99%

“…Two studies were determined to be efficacy trials (Women's Healthy Eating and Living or WHEL study) [51,52] and Mi Vida Saludable [44][45][46]), based on having a previous feasibility or pilot study published (WHEL pilot [53] and Cocinar para Su Salud [38][39][40]). The WHEL pilot was not considered for this review [53], because no data were reported on race or ethnicity, likely due to the timing of the study in the 1990s, but this review included Cocinar para Su Salud [38][39][40], the pilot study for Mi Vida Saludable [44][45][46]. in this scoping review (Table 1): Avanzando Juntas [36], Bronx Oncology Living Daily (BOLD) Healthy Living [37], Cocinar para Su Salud [38][39][40], La Vida Activa [41], LIVES (Lifestyle Intervention for Ovarian Cancer Enhanced Survival) [42,43], Mi Vida Saludable [44][45][46], My Health [47], Nuestra Salud [48], Prescription (Rx) for Better Breast Health [49,50], and WHEL (Women's Healthy Eating and Living Study) [51,52].…”

Section: Methodsmentioning

confidence: 99%

“…Additional records from clinical trial websites were screened (n = 43) to identify recent interventions, and one new intervention was added. In total, ten nutrition interventions, all RCTs conducted in the U.S., were included in this scoping review (Table 1): Avanzando Juntas [36], Bronx Oncology Living Daily (BOLD) Healthy Living [37], Cocinar para Su Salud [38][39][40], La Vida Activa [41], LIVES (Lifestyle Intervention for Ovarian Cancer Enhanced Survival) [42,43], Mi Vida Saludable [44][45][46], My Health [47], Nuestra Salud [48], Prescription (Rx) for Better Breast Health [49,50], and WHEL (Women's Healthy Eating and Living Study) [51,52]. Ongoing or future planned trials and terminated trials are shown in Supplementary Table S3.…”

Section: Overviewmentioning

confidence: 99%

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A Scoping Review to Explore the Potential Benefits of Nutrition Interventions for Latino/a Adult Cancer Survivors in the US

Johnson,

Stubblefield,

Godinich

et al. 2023

Nutrients

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Despite evidence for the role of healthy diets in preventing cancer, little is known about how nutrition can support positive health outcomes after a cancer diagnosis for Latino/a cancer survivors in the United States (U.S.). The purpose of this scoping review is to understand the potential benefits of nutrition interventions in supporting healthy survivorship among Latino/a cancer survivors in the U.S. A team compiled, evaluated, and summarized the available evidence. Potentially relevant studies were identified from a comprehensive search of peer-reviewed databases and the gray literature. Eligible studies included Latino/a adult cancer survivors with a nutrition education, dietary change, or behavioral intervention; and a nutrition-related health outcome. Data were extracted and summarized using tables. The review included 10 randomized controlled trials, with samples or subsamples of Latino/a cancer survivors. Interventions mostly focused on breast cancer survivors. The results showed some evidence that dietary behaviors, like fruit and vegetable intake, were related to positive outcomes, like a decreased risk of cancer (through changes in DNA methylation), decreased risk breast cancer recurrence (through changes in inflammatory biomarkers), or improved perception of health status. The findings highlight a need for community-engaged and culturally relevant nutrition interventions for Latino/a adults, especially for rural communities; and innovative intervention approaches, including m/ehealth approaches with long-term follow-up.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

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A Scoping Review to Explore the Potential Benefits of Nutrition Interventions for Latino/a Adult Cancer Survivors in the US

Johnson,

Stubblefield,

Godinich

et al. 2023

Nutrients

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“…Acculturation is a multi-dimensional process in which immigrants may adopt new beliefs, practices, and behavior of the country they immigrated to, while retaining the culture, values, and beliefs of their country of origin [14]. Despite some potential benefits associated with acculturation (e.g., increased leisure-time physical activity (PA) and exercise) [12,13], research with Hispanic immigrants in the US has found that greater acculturation is associated with decreased diet quality [15][16][17][18], increased sedentary behaviors [12,13], and risk of obesity [19][20][21]. Due to the higher prevalence of obesity among Hispanic adults, the health risks of obesity, and the increasing number of Hispanic immigrants in the US, it is essential to understand factors that may promote changes in obesity-related health behaviors among Hispanics in the US.…”

Section: Introductionmentioning

confidence: 99%

Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level?

Greaney

Ward-Ritacco

et al. 2023

IJERPH

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This cross-sectional study explored differences in the receipt of health care provider (HCP) counseling to control/lose weight and adopt weight-related lifestyle behavior changes among Hispanic respondents according to acculturation level. Differences in reported action regarding HCP counseling were also examined. Data from four National Health and Nutrition Examination Survey (NHANES) cycles (2011–2018) were analyzed, with the analytic sample limited to Hispanic respondents who were overweight/obese. Respondents’ acculturation levels were derived from their reported country of origin and the primary language spoken at home. Respondents who reported speaking only Spanish or more Spanish than English at home were classified as primarily speaking Spanish at home. In contrast, those who reported speaking Spanish and English equally, more English than Spanish, or only English were categorized as primarily speaking English at home. Weighted multivariate logistic regression models were utilized to calculate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) to determine if differences in acculturation levels existed regarding the likelihood of receiving HCP counseling to (1) control/lose weight, (2) increase exercise/PA, and (3) reduce fat/calorie intake. Similar analyses examined differences in reported action regarding HCP counseling according to acculturation level. The analysis found no significant differences in receiving HCP counseling according to acculturation level. However, non-US-born respondents who primarily spoke Spanish at home were less likely than US-born respondents to report acting to control/lose weight (p = 0.009) or increase exercise/PA (p = 0.048), but were more likely to report having taken action to reduce fat/calorie intake (p = 0.016). This study revealed differences between acting on recommendations of health care professionals according to acculturation level, indicating a need for interventions tailored to acculturation levels.

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“…This suggestion is due, at least in part, to the way acculturation impacts diet itself. Some studies have found that less acculturated Latinx individuals have healthier diets than those who are more acculturated [ 53 , 54 ]. Other studies make the relationship more apparent by pointing to higher intake of fruits and vegetables in communities that are oriented more towards Latinx cultures of origin rather than the U.S. mainstream culture [ 51 ] and lower intake of sodium and empty calories by Latinx youth who were considered integrated in terms of acculturation [ 52 ].…”

Section: Introductionmentioning

confidence: 99%

Stress and Health Outcomes in Midwestern Latinx Youth: The Moderating Role of Ethnic Pride

Jones

Grendell

Bezzant

et al. 2022

IJERPH

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Background: Stress has been linked to numerous health outcomes, including internalizing and externalizing behaviors, self-esteem, and physical health. Culture has also been linked to stress and health. This study examined the links between stress and health, and the potential moderating role of Latinx ethnic pride (LEP). Methods: The sample consisted of 119 Latinx youth from the Midwestern U.S. Mothers and youth completed surveys. Variables included the Multicultural Events Scale for Adolescents (MESA), parent and home stressors/risks (PHSR), LEP, depressive symptoms, aggression, frustration, and self-esteem. Research assistants measured child heights and weights and calculated BMI percentiles. Results: LEP was negatively related to MESA, depressive symptoms, aggression, and frustration, and positively related to self-esteem. MESA and PHSR were associated with depressive symptoms, aggression, frustration, and self-esteem, but not with BMI percentile. In adjusted regression analyses, LEP moderated the effects MESA had on frustration and self-esteem, marginally moderated the link between MESA and depressive symptoms, and was not related to aggression or BMI percentile. LEP did not moderate the relationship between PHSR with any health outcomes. Conclusions: Stressors were generally related to child mental health. LEP may play an important role in protecting against some of the effects of stressful events on mental health outcomes.

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Associations Between Acculturation and Weight, Diet Quality, and Physical Activity Among Latina Breast Cancer Survivors: The ¡Mi Vida Saludable! Study

Cited by 3 publications

References 48 publications

A Scoping Review to Explore the Potential Benefits of Nutrition Interventions for Latino/a Adult Cancer Survivors in the US

A Scoping Review to Explore the Potential Benefits of Nutrition Interventions for Latino/a Adult Cancer Survivors in the US

Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level?

Stress and Health Outcomes in Midwestern Latinx Youth: The Moderating Role of Ethnic Pride

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