Cardiovascular disease among Alaska Natives: a review of the literature

Schumacher, C.; Davidson, Michael; Ehrsam, Gretchen

doi:10.3402/ijch.v62i4.17579

Cited by 46 publications

(33 citation statements)

References 22 publications

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“…This nutrition transition is associated with greater, often excessive, intake of refined carbohydrate and fat and insufficient intake of many nutrients (e.g. dietary fibre, folate, potassium, vitamins A, B6, and D), leading to a double burden of under-nutrition and over-nutrition (46,63,(68)(69)(70)(71)(72)(73)(74)(75)(76)(77)(78) . Moreover, food security presents a growing issue, particularly for traditional foods, as climate change alters the physical landscape and poverty rates among the Aboriginal populations remain high (46,(79)(80)(81)(82)(83)(84)(85)(86)(87)(88) .…”

Section: Proceedings Of the Nutrition Societymentioning

confidence: 99%

Development and use of FFQ among adults in diverse settings across the globe

Sharma

2011

Proc. Nutr. Soc.

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In nutritional epidemiology, development of valid dietary assessment instruments specific to populations in diverse settings is of paramount importance. Such instruments are essential when trying to characterise dietary patterns and intake, investigate diet-disease associations, inform and evaluate nutrition interventions, assess nutrient-gene interactions, conduct cross-country comparison studies and monitor nutrition transitions. The FFQ is a relatively inexpensive tool for measuring long-term dietary intake for large populations and for allowing researchers to track dietary changes over time. However, FFQ must be population specific to capture the local diet and available foods. Collecting 24-h dietary recalls and utilising community feedback to build the FFQ ensures that a culturally appropriate instrument is developed. This article presents several examples describing FFQ development and utilisation in different settings globally. In the Canadian Arctic, FFQ were developed and utilised to inform and evaluate a communitybased intervention programme, characterise the diet and track dietary changes occurring among Inuit and Inuvialuit, populations experiencing rising rates of chronic disease and likely to be extremely vulnerable to the potential effects of climate change. Another example is an FFQ developed to assess sodium intake and evaluate a sodium reduction trial in a high-risk population in Barbados. An example is provided from Brazil, where an FFQ was developed to assess associations between diet, heterocyclic aromatic amines and colorectal adenoma among Japanese Brazilians and to conduct cross-country comparisons. These and other case studies highlight the diversity in dietary intake between populations and the need for FFQ to be developed to capture this diversity. FFQ: Nutritional epidemiology: Interventions: Multi-ethnic populations Dietary assessment methodologiesIn nutritional epidemiology, a variety of different approaches can be used to measure food and nutrient intakes in individuals and populations. These range from relatively simple techniques such as 24-h dietary recalls, estimated or weighed food records, narrative diet histories and FFQ, to the more complex biochemical approach of measuring static or functional markers of nutrient intake in blood, urine or other biological samples. The selection of a dietary assessment methodology depends on the population under investigation and typically involves a compromise between the desired level of accuracy and organisational or financial constraints (1) . Biochemical markers of nutrient intake, while arguably more objective than other methods, are used infrequently outside of small validation or pilot studies due to their high cost and logistical requirements (2) . Food records and 24-h dietary recalls are expensive and

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Section: Proceedings Of the Nutrition Societymentioning

confidence: 99%

Development and use of FFQ among adults in diverse settings across the globe

Sharma

2011

Proc. Nutr. Soc.

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“…However, increased Western acculturation has not only changed their dietary habits but has also led to decreased activity levels. Between 1994 and 1998, death rates due to CVD were 30-40% higher in Alaska Natives (aged 25-54 y) than in whites in the United States (9). Similarly, the death rate due to stroke is also higher among Alaska Natives than their US white counterparts (9).…”

Section: Introductionmentioning

confidence: 96%

Genetic variation in APOJ, LPL, and TNFRSF10B affects plasma fatty acid distribution in Alaskan Eskimos

Voruganti

Cole

Ebbesson

et al. 2010

The American Journal of Clinical Nutrition

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“…21 Alaskan Natives are a diverse group with differences in diet, geographic location, lifestyle, and socioeconomic status (SES). 22 The stroke literature has not thoroughly examined stroke in American Indians and Alaskan Natives. In addition, racial and ethnic misclassification of American Indian and Alaskan Native groups has significantly limited assessment of national rates of cardiovascular disease mortality.…”

Section: Definitionsmentioning

confidence: 99%

Racial-Ethnic Disparities in Stroke Care: The American Experience

Cruz‐Flores¹,

Rabinstein²,

Biller³

et al. 2011

Stroke

423

261

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Purpose-Our goal is to describe the effect of race and ethnicity on stroke epidemiology, personal beliefs, access to care, response to treatment, and participation in clinical research. In addition, we seek to determine the state of knowledge on the main factors that may explain disparities in stroke care, with the goal of identifying gaps in knowledge to guide future research. The intended audience includes physicians, nurses, other healthcare professionals, and policy makers. Methods-Members of the writing group were appointed by the American Heart Association Stroke Council Scientific Statement Oversight Committee and represent different areas of expertise in relation to racial-ethnic disparities in stroke care. The writing group reviewed the relevant literature, with an emphasis on reports published since 1972. The statement was approved by the writing group; the statement underwent peer review, then was approved by the American Heart Association Science Advisory and Coordinating Committee. Results-There are limitations in the definitions of racial and ethnic categories currently in use. For the purpose of this statement, we used the racial categories defined by the US federal government: white, black or African American, Asian, American Indian/Alaskan Native, and Native Hawaiian/other Pacific Islander. There are 2 ethnic categories: people of Hispanic/Latino origin or not of Hispanic/Latino origin. There are differences in the distribution of the burden of risk factors, stroke incidence and prevalence, and stroke mortality among different racial and ethnic groups. In addition, there are disparities in stroke care between minority groups compared with whites. These disparities include lack of awareness of stroke symptoms and signs and lack of knowledge about the need for urgent treatment and the causal role of risk factors. There are also differences in attitudes, beliefs, and compliance among minorities compared with whites. Differences in socioeconomic status and insurance coverage, mistrust of the healthcare system, the relatively limitedThe findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on April 6, 2011. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@woltersklu...

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Cardiovascular disease among Alaska Natives: a review of the literature

Cited by 46 publications

References 22 publications

Development and use of FFQ among adults in diverse settings across the globe

Development and use of FFQ among adults in diverse settings across the globe

Genetic variation in APOJ, LPL, and TNFRSF10B affects plasma fatty acid distribution in Alaskan Eskimos

Racial-Ethnic Disparities in Stroke Care: The American Experience

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