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Transcultural Applications to Lifestyle Medicine

  • Osama Hamdy
  • Jeffrey I. MechanickEmail author
Chapter

Abstract

The prevalence of chronic disease is not a generic American health-care problem. Rather, chronic disease expression varies among different cultures outside the USA as well as within the USA among a diverse population of multicultural Americans. Health-care professionals must act without bias in a sensitive and appropriate manner when caring for patients from different cultures. The principles of lifestyle medicine must therefore be adapted to optimize implementation and success. Variables in transcultural adaptation range from biological to environmental factors. These include genetic and epigenetic interactions, nutrition (eating patterns, food policy, food politics, and food sourcing), physical activity, socio-economic, religious and spiritual, and other attitudes and behaviors. There is a great need to incorporate transcultural adaptation to clinical practice, medical education, and scientific research to advance this necessary component of effective lifestyle medicine. Case studies are provided for the Latino and Asian Indian cultures in the USA.

Keywords

Transcultural Lifestyle Nutrition Healthy eating Physical activity 

Abbreviations

A1C

Glycated hemoglobin

BMI

Body mass index

CVD

Cardiovascular disease

DASH

Dietary Approaches to Stop Hypertension

EDC

Endocrine disrupting compounds

GI

Glycemic index

HCP

Health-care professionals

MUFA

Monounsaturated fatty acids

n-3 PUFA

Omega-3 polyunsaturated fatty acids

PA

Physical activity

T2D

type-2 diabetes

tDNA

Transcultural Diabetes Nutrition Algorithm

WC

Waist circumference

WHR

Waist-to-hip ratio

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Division of Endocrinology, Diabetes and Bone DiseaseIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Joslin Diabetes CenterHarvard Medical SchoolBostonUSA

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