دورية أكاديمية
أعرض في EDS

Intergenerational differences in healthy eating beliefs among British Pakistanis with type 2 diabetes.

التفاصيل البيبلوغرافية
العنوان: Intergenerational differences in healthy eating beliefs among British Pakistanis with type 2 diabetes.
المؤلفون: Iqbal S; Department of Psychology, Faculty of Management, Law and Social Sciences, University of Bradford, Bradford, UK., Iqbal H; Department of Public Health, Faculty of Health, University of Bradford, Bradford, UK., Kagan C; Research institute of Health and Social Change, Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK.
المصدر: Diabetic medicine : a journal of the British Diabetic Association [Diabet Med] 2024 Apr; Vol. 41 (4), pp. e15222. Date of Electronic Publication: 2023 Sep 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: England NLM ID: 8500858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-5491 (Electronic) Linking ISSN: 07423071 NLM ISO Abbreviation: Diabet Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Blackwell Science
Original Publication: Chichester [Sussex, England] ; New York : Wiley, [c1984-
مواضيع طبية MeSH: Diabetes Mellitus, Type 2*/epidemiology , Diabetes Mellitus, Type 2*/prevention & control , South Asian People*, Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Asian People ; Diet ; Diet, Healthy ; Qualitative Research ; United Kingdom
مستخلص: Introduction: There are growing concerns on how to prevent, slow down and induce remission of type 2 diabetes mellitus (T2DM). Recent evidence has found diet and lifestyle interventions can cause remission of T2DM, however, there are challenges for diverse groups such as British Pakistanis who are four times more at risk of T2DM. There is a need to understand the food behaviours of different generational groups to develop culturally appropriate strategies to support diabetes prevention programmes.
Aims: This study explores beliefs about healthy eating and food practices related to T2DM among British Pakistanis to understand the challenges they face in implementing healthy diets.
Method: We carried out 26 semi-structured qualitative interviews via telephone and face-to-face. The sample included T2DM British Pakistanis living in Bradford (UK), aged between 18 and 71 with a mean age of 50 (SD = 17.04). Among the participants, 14 were women (54%) and 12 were men (46%), with interviews conducted in both English (76%) and Urdu (24%). Participants were grouped under three generation groups based on age (first generation 65+; second generation 40-64; younger generation 18-39 years). There was no biological link between the generational groups, and they were not part of the same family. Data were analysed using qualitative reflexive thematic analysis.
Results: Findings were categorised into three themes: knowledge and awareness of diabetes symptoms; social and family context of food practices and making sense of healthy eating. The family was the fundamental unit of understanding food-related health behaviours. Eating traditional food was perceived as healthy and deemed practical for first generations who were the initial members of their family to settle in the UK as well as the second generations who had parents born in Pakistan. Younger British Pakistanis were born in the UK and reported that they struggled to eat alternative foods within the home and manage their T2DM.
Conclusion: These findings improve our understanding of how three generations of British Pakistanis with T2DM negotiate healthy diets. There is a need for culturally tailored diet modifications and interventions, where different generational needs can be specifically targeted to adopt healthier diets which should be shared and encouraged.
(© 2023 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.)
References: World Health Organisation. Improving diabetes outcomes for all, a hundred years on from the discovery of insulin: report of the Global Diabetes Summit. 2021. Accessed October 27, 2022. https://www.who.int/publications/i/item/9789240038943.
Cho NH, Shaw JE, Karuranga S, et al. IDF Diabetes Atlas: global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271-281. doi:10.1016/j.diabres.2018.02.023.
Bhopal R, Douglas A, Sheikh A, et al. Diabetes incidence in a high-risk UK population at 7 years: linkage of the Prevention of Diabetes and Obesity in South Asians (PODOSA) trial to the Scottish Diabetes Register. Diabet Med. 2021;38(2):e14369. doi:10.1111/dme.14369.
Narayan KV, Kanaya AM. Why are South Asians prone to type 2 diabetes? A hypothesis based on underexplored pathways. Diabetologia. 2020;63(6):1103-1109. doi:10.1007/s00125-020-05132-5.
Roberts K, Cade J, Dawson J, Holdsworth M. Empirically derived dietary patterns in UK adults are associated with sociodemographic characteristics, lifestyle, and diet quality. Nutrients. 2018;10, 2-7.
Shah MK, Naing S, Kurra N, et al. A culturally adapted, social support-based, diabetes group visit model for Bangladeshi adults in the USA: a feasibility study. Pilot Feasibility Stud. 2022;8(1):18. doi:10.1186/s40814-022-00974-9.
Hawley JA, Sassone-Corsi P, Zierath JR. Chrono-nutrition for the prevention and treatment of obesity and type 2 diabetes: from mice to men. Diabetologia. 2020;63(11):2253-2259. doi:10.1007/s00125-020-05238-w.
Lean ME, Leslie WS, Barnes AC, et al. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. Lancet. 2018;391:541-551.
Taylor R, Leslie WS, Barnes AC, et al. Clinical and metabolic features of the randomised controlled diabetes remission clinical trial (DiRECT) cohort. Diabetologia. 2018;61(3):589-598. doi:10.1007/s00125-017-4503-0.
Mete R, Shield A, Murray K, Bacon R, Kellett J. What is healthy eating? A qualitative exploration. Public Health Nutr. 2019;22(13):2408-2418. doi:10.1017/S1368980019001046.
Rai A, Misra R, Khan H, Shukla S, Patel DC, Brown A. Systematic review of the barriers and facilitators to dietary modification in people living with type 2 diabetes and prediabetes from South-Asian ethnic populations. Diabet Med. 2023;40:e15132. doi:10.1111/dme.15132.
Lang S, Gibson S, Ng KW, Truby H. Understanding children and young people's experiences pursuing weight loss maintenance using the socio-ecological model: a qualitative systematic literature review. Obes Rev. 2021;22(5):e13172. doi:10.1111/obr.13172.
Shier V, Nicosia N, Datar A. Neighborhood and home food environment and children's diet and obesity: evidence from military personnel's installation assignment. Soc Sci Med. 2016;158:122-131. doi:10.1016/j.socscimed.2016.03.043.
Patel NR, Kennedy A, Blickem C, Rogers A, Reeves D, Chew-Graham C. Having diabetes and having to fast: a qualitative study of British Muslims with diabetes. Health Expect. 2015;18(5):1698-1708. doi:10.1111/hex.12163.
Christensen BJ, Iepsen EW, Lundgren J, et al. Instrumentalization of eating improves weight loss maintenance in obesity. Obes Facts. 2018;10(6):633-647. doi:10.1159/000481138.
Sauder KA, Ritchie ND. Reducing intergenerational obesity and diabetes risk. Diabetologia. 2021;64(3):481-490. doi:10.1007/s00125-020-05341-y.
Wright J, Small N, Raynor P, et al. Cohort profile: The Born in Bradford multi-ethnic family cohort study. Int J Epidemiol. 2013;42. doi: 10.1093/ije/dys112.
Razieh C, Khunti K, Davies MJ, et al. Association of depression and anxiety with clinical, sociodemographic, lifestyle and environmental factors in South Asian and white European individuals at high risk of diabetes. Diabet Med. 2019;36(9):1158-1167. doi:10.1111/dme.13986.
Campbell S, Greenwood M, Prior S, et al. Purposive sampling: complex or simple? Research case examples. J Res Nurs. 2020;25(8):652-661. doi:10.1177/1744987120927206.
Public Health England. Diabetes Prevalence Model. 2016. Accessed December 12, 2022. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/612306/Diabetesprevalencemodelbriefing.pdf.
Al-Amer R, Ramjan L, Glew P, Darwish M, Salamonson Y. Translation of interviews from a source language to a target language: examining issues in cross-cultural health care research. J Clin Nurs. 2015;24:1151-1162.
Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77-101. doi: 10.1191/1478088706qp063oa.
Gupta SS, Teede H, Aroni R. Spicing up your advice for South Asian and Anglo-Australians with type 2 diabetes and CVD: do cultural constructions of diet matter? Appetite. 2018;120:679-697. doi:10.1016/j.appet.2017.10.007.
Moonesinghe R, Beckles GLA, Liu T, Khoury MJ. The contribution of family history to the burden of diagnosed diabetes, undiagnosed diabetes, and prediabetes in the United States: analysis of the National Health and Nutrition Examination Survey, 2009-2014. Genet Med. 2018;20(10):1159-1166. doi:10.1038/gim.2017.238.
Garnweidner LM, Terragni L, Pettersen KS, Mosdøl A. Perceptions of the host country's food culture among female immigrants from Africa and Asia: aspects relevant for cultural sensitivity in nutrition communication. J Nutr Educ Behav. 2012;44(4):335-342. doi:10.1016/j.jneb.2011.08.005.
Iqbal H, West J, McEachan RRC, Haith-Cooper M. Developing an obesity research agenda with British Pakistani women living in deprived areas with involvement from multisectoral stakeholders: research priority setting with a seldom heard group. Health Expect. 2022;25:1619-1632. doi:10.1111/hex.13504.
Pollard SL, Zachary DA, Wingert K, Booker SS, Surkan PJ. Family and community influences on diabetes-related dietary change in a low-income urban neighborhood. Diabetes Educ. 2014;40(4):462-469. doi:10.1177/0145721714527520.
Sidhu T, Lemetyinen H, Edge D. ‘Diabetes doesn't matter as long as we're keeping traditions alive’: a qualitative study exploring the knowledge and awareness of type 2 diabetes and related risk factors amongst the young Punjabi Sikh population in the UK. Ethn Health. 2022;27(4):781-799. doi:10.1080/13557858.2020.1827141.
Lucas A, Murray E, Kinra S. Heath beliefs of UK South Asians related to lifestyle diseases: a review of qualitative literature. J Obes. 2013;2013:827674. doi:10.1155/2013/827674.
Michie S, Atkins L, West R. The Behaviour Change Wheel: A Guide to Designing Interventions. Silverback Publishing; 2014.
Hawkes RE, Miles LM, French DP. The theoretical basis of a nationally implemented type 2 diabetes prevention programme: how is the programme expected to produce changes in behaviour? Int J Behav Nutr Phys Act. 2021;18(1):64. doi:10.1186/s12966-021-01134-7.
Goff LM, Moore AP, Harding S, Rivas C. Development of Healthy Eating and Active Lifestyles for Diabetes, a culturally tailored diabetes self-management education and support programme for Black-British adults: a participatory research approach. Diabet Med. 2021;38(11):e14594. doi:10.1111/dme.14594.
National Institute for Health and Care Excellence. Type 2 diabetes: prevention in people at high risk. 2017. Accessed November 26, 2021. https://www.nice.org.uk/guidance/ph38/resources/type-2-diabetes-prevention-in-people-at-high-risk-pdf-1996304192197.
Evans SD. From Amelioration to Transformation in Human Services: Towards Critical Practice. Vanderbilt University; 2005.
Low LL, Tong SF, Low WY. Social influences of help-seeking behaviour among patients with type 2 diabetes mellitus in Malaysia. Asia Pac J Public Health. 2015;28(1_suppl):17S-25S. doi:10.1177/1010539515596807.
Koh A, Swanepoel DW, Ling A, Ho BL, Tan SY, Lim J. Digital health promotion: promise and peril. Health Promot Int. 2021;36(suppl 1):i70-i80. doi:10.1093/heapro/daab134.
Muilwijk M, Nicolaou M, Qureshi SA, et al. Dietary and physical activity recommendations to prevent type 2 diabetes in South Asian adults: a systematic review. PLoS One. 2018;13(7):e0200681. doi:10.1371/journal.pone.0200681.
Patel RM, Misra R, Raj S, Balasubramanyam A. Effectiveness of a group-based culturally tailored lifestyle intervention program on changes in risk factors for type 2 diabetes among Asian Indians in the United States. J Diabetes Res. 2017;2017:2751980. doi:10.1155/2017/2751980.
فهرسة مساهمة: Keywords: British Pakistanis; T2DM; diabetes, health interventions; intergenerational differences; qualitative research
تواريخ الأحداث: Date Created: 20230910 Date Completed: 20240315 Latest Revision: 20240510
رمز التحديث: 20240511
DOI: 10.1111/dme.15222
PMID: 37690127
قاعدة البيانات: MEDLINE
الوصف
تدمد:1464-5491
DOI:10.1111/dme.15222