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Acculturation is Associated with Dietary Patterns in South Asians in America

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Abstract

Acculturation may influence diet pattern, a risk factor for cardiometabolic disease. We assessed whether strength of traditional cultural beliefs and practices, a robust measure of acculturation, affects diet pattern among South Asians in America. With data from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) cohort, we used ordinal logistic regression to assess the association between strength of traditional cultural beliefs, 6 cultural practices and diet pattern. Of 892 participants, 47% were women. Weaker traditional cultural beliefs [OR(95%CI) 1.07(1.04,1.10)] and cultural practices (p < 0.05) were associated with consuming more of the Animal Protein dietary pattern and less [0.95(0.93,0.97)] of the Fried snacks, Sweets, High-fat dairy (FSHD) pattern (P < 0.05). South Asians in America with stronger traditional cultural beliefs and practices were more likely to consume the FSHD pattern. Prevention programs may consider dietary pattern modification as part of comprehensive risk reduction in South Asians.

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References

  1. Gulati S, Misra A. Sugar intake, obesity, and diabetes in India. Nutrients. 2014;6(12):5955–74.

    Article  Google Scholar 

  2. Bhattacharya M. A historical exploration of Indian diets and a possible link to insulin resistance syndrome. Appetite. 2015;95:421–54.

    Article  Google Scholar 

  3. Novotny R, et al. US acculturation is associated with health behaviors and obesity, but not their change, with a hotel-based intervention among Asian-Pacific Islanders. J Acad Nutr Diet. 2012;112(5):649–56.

    Article  Google Scholar 

  4. Anand SS, et al. Differences in risk factors, atherosclerosis, and cardiovascular disease between ethnic groups in Canada: the study of health assessment and risk in ethnic groups (SHARE). Lancet. 2000;356(9226):279–84.

    Article  CAS  Google Scholar 

  5. Danaei G, et al. The global cardiovascular risk transition: associations of four metabolic risk factors with national income, urbanization, and Western diet in 1980 and 2008. Circulation. 2013;127(14):1493–8.

    Article  Google Scholar 

  6. Mukherjea A, et al. Asian Indian views on diet and health in the United States: importance of understanding cultural and social factors to address disparities. Family Commun Health. 2013;36(4):311–23.

    Article  Google Scholar 

  7. Rajpathak SN, et al. Elevated risk of type 2 diabetes and metabolic syndrome among Asians and south Asians: results from the 2004 New York City HANES. Ethn Dis. 2010;20(3):225–30.

    PubMed  Google Scholar 

  8. Gadgil MD, et al. Dietary patterns in Asian Indians in the United States: an analysis of the metabolic syndrome and atherosclerosis in South Asians living in America study. J Acad Nutr Diet. 2014;114(2):238–43.

    Article  Google Scholar 

  9. Gadgil MD, et al. Dietary patterns are associated with metabolic risk factors in South Asians living in the United States. J Nutr. 2015;145(6):1211–7.

    Article  CAS  Google Scholar 

  10. Chiuve SE, et al. Alternative dietary indices both strongly predict risk of chronic disease. J Nutr. 2012;142(6):1009–188.

    Article  CAS  Google Scholar 

  11. Kanaya AM, Kandula N, Herrington D, et al. Mediators of atherosclerosis in South Asians living in America (MASALA) study: objectives, methods, and cohort description. Clin Cardiol. 2013;36(12):713–20. https://doi.org/10.1002/clc.22219.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Kelemen LE, et al. Development and evaluation of cultural food frequency questionnaires for South Asians, Chinese, and Europeans in North America. J Am Diet Assoc. 2003;103(9):1178–84.

    Article  Google Scholar 

  13. Kanaya AM, et al. Prevalence and correlates of diabetes in South asian indians in the United States: findings from the metabolic syndrome and atherosclerosis in South asians living in america study and the multi-ethnic study of atherosclerosis. Metab Syndr Relat Disord. 2010;8(2):157–64.

    Article  CAS  Google Scholar 

  14. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3–9.

    Article  CAS  Google Scholar 

  15. Jin Y, Kandula NR, Kanaya AM, Talegawkar SA. Vegetarian diet is inversely associated with prevalence of depression in middle-older aged South Asians in the United States. Ethn Health. 2019;1–8. https://doi.org/10.1080/13557858.2019.1606166.

  16. Lesser IA, Gasevic D, Lear SA. The association between acculturation and dietary patterns of South Asian immigrants. PLoS ONE. 2014;9(2):e88495.

    Article  Google Scholar 

  17. Talegawkar SA, et al. Dietary intakes among South Asian adults differ by length of residence in the USA. Publ Health Nutr. 2016;19(2):348–55.

    Article  Google Scholar 

  18. Garduno-Diaz SD, Khokhar S. South Asian dietary patterns and their association with risk factors for the metabolic syndrome. J Hum Nutr Diet. 2013;26(2):145–55.

    Article  CAS  Google Scholar 

  19. Venkataraman R, et al. Prevalence of diabetes mellitus and related conditions in Asian Indians living in the United States. Am J Cardiol. 2004;94(7):977–80.

    Article  Google Scholar 

  20. Liu E, et al. Cross-sectional association of dietary patterns with insulin-resistant phenotypes among adults without diabetes in the Framingham Offspring Study. Br J Nutr. 2009;102(4):576–83.

    Article  CAS  Google Scholar 

  21. Judd SE, et al. Dietary patterns are associated with incident stroke and contribute to excess risk of stroke in black Americans. Stroke; A J Cereb Circul. 2013;44(12):3305–11.

    Article  CAS  Google Scholar 

  22. Newby PK, et al. Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr. 2003;77(6):1417–25.

    Article  CAS  Google Scholar 

  23. van Woudenbergh GJ, et al. Meat consumption and its association with C-reactive protein and incident type 2 diabetes: the Rotterdam study. Diab Care. 2012;35(7):1499–505.

    Article  Google Scholar 

  24. Liu L, et al. Dietary pattern, the metabolic syndrome, and left ventricular mass and systolic function: the multi-ethnic study of atherosclerosis. Am J Clin Nutr. 2009;90(2):362–8.

    Article  CAS  Google Scholar 

  25. Khan SA, Jackson RT, Momen B. The relationship between diet quality and acculturation of immigrated South Asian American adults and their association with metabolic syndrome. PLoS ONE. 2016;11(6):e0156851.

    Article  Google Scholar 

  26. Newby PK. Plant foods and plant-based diets: protective against childhood obesity? Am J Clin Nutr. 1587S;89(5):1572S–87S.

    Article  CAS  Google Scholar 

  27. Steffen LM, et al. Associations of plant food, dairy product, and meat intakes with 15-y incidence of elevated blood pressure in young black and white adults: the coronary artery risk development in young adults (CARDIA) study. Am J Clin Nutr. 2005;82(6):1169–74.

    Article  CAS  Google Scholar 

  28. Satija A, et al. Plant-based dietary patterns and incidence of type 2 diabetes in US men and women: results from three prospective cohort studies. PLoS Med. 2016;13(6):e1002039.

    Article  Google Scholar 

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Acknowledgements

The project described was supported by Grant Number R01HL093009 from the National Heart, Lung, And Blood Institute and the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, through UCSF-CTSI Grant Number UL1 RR024131. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, And Blood Institute or the National Institutes of Health. The authors thank the other investigators, the staff, and the participants of the MASALA study for their valuable contributions.

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Correspondence to Meghana D. Gadgil.

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Gadgil, M.D., Kandula, N.R. & Kanaya, A.M. Acculturation is Associated with Dietary Patterns in South Asians in America. J Immigrant Minority Health 22, 1135–1140 (2020). https://doi.org/10.1007/s10903-020-01016-3

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