Public Health Nutrition最新文献

{"title":"Improvement of serum folate status in the US women of reproductive age with fortified iodised salt with folic acid (FISFA study).","authors":"Anastasia Arynchyna-Smith, Alexander N Arynchyn, Vijaya Kancherla, Kenneth Anselmi, Inmaculada Aban, Ron C Hoogeveen, Lyn M Steffen, David J Becker, Andrzej Kulczycki, Waldemar A Carlo, Jeffrey P Blount","doi":"10.1017/S1368980024001903","DOIUrl":"10.1017/S1368980024001903","url":null,"abstract":"<p><strong>Objective: </strong>Mandatory folic acid fortification of enriched grains has reduced neural tube defect prevalence in several countries. We examined salt as an additional vehicle for folic acid fortification. The primary objective was to examine the change in serum folate concentration after 1 month of consumption of fortified iodised salt with folic acid (FISFA) among women of reproductive age. The secondary objectives were to examine (1) the feasibility of implementing FISFA intervention and (2) the acceptability of FISFA.</p><p><strong>Design: </strong>We conducted a pre–post intervention study (January–April 2023). Participants received a FISFA saltshaker with the study salt (1 g of sodium chloride salt fortified with 100 mcg of folic acid) to use instead of regular table salt for 1 month. Serum folate was measured using the Elecsys Folate-III immunoassay method at baseline and 1-month endpoint. Change in serum folate was assessed using a two-tailed Wilcoxon signed rank test for paired samples.</p><p><strong>Setting: </strong>Metropolitan city, Southern USA.</p><p><strong>Participants: </strong>Non-pregnant, 18–40-year-old women who lived alone/with a partner.</p><p><strong>Results: </strong>Thirty-two eligible women consented to participate, including eleven non-Hispanic-White, eleven non-Hispanic-Black and ten Hispanic. Post-intervention, there was a significant increase in median serum folate concentration of 1·40 nmol/l (IQR 0·74–2·05; <i>P</i> < 0·001) from 24·08 nmol/l to 25·96 nmol/l in an analytical sample of <i>n</i> 29. An increase was seen in 28/29 (93 %) participants. Feasibility: 100 % study consent and compliance. FISFA acceptability: 25 d average use; 1·28 g average daily intake; 96·7 % and 90 % reported taste and colour of FISFA as highly acceptable, respectively.</p><p><strong>Conclusions: </strong>FISFA is an effective approach to increasing serum folate concentrations among women of reproductive age. Findings should be replicated in a larger study.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"27 1","pages":"e218"},"PeriodicalIF":3.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The promotion of ultra-processed foods in modern retail food outlets in rural and urban areas in Kenya.","authors":"Caroline H Karugu, Charles Agyemang, Milkah N Wanjohi, Veronica Ojiambo, Sharon Mugo, Richard E Sanya, Michelle Holdworth, Amos Laar, Stefanie Vandevijvere, Gershim Asiki","doi":"10.1017/S1368980024002155","DOIUrl":"10.1017/S1368980024002155","url":null,"abstract":"<p><strong>Objective: </strong>To assess the availability and marketing of ultra-processed foods (UPF) in modern retail food outlets (supermarkets and minimarts) in Kenya and associated factors.</p><p><strong>Design: </strong>This cross-sectional study was conducted in Kenya from August 2021 to October 2021. Variables included the geographic location and the socio-economic status (SES) levels, the food items displayed for sale and advertised in the stores, and locations in the stores such as the entrance.</p><p><strong>Setting: </strong>Three counties in Kenya (Nairobi - urban, Mombasa - coastal tourist and Baringo - rural). Each county was stratified into high and low SES using national poverty indices.</p><p><strong>Participants: </strong>Food outlets that offered a self-service, had at least one checkout and had a minimum of two stocked aisles were assessed.</p><p><strong>Results: </strong>Of 115 outlets assessed, UPF occupied 33 % of the cumulative shelf space. UPF were the most advertised foods (60 %) and constituted 40 % of foods available for sale. The most commonly used promotional characters were cartoon characters (18 %). UPF were significantly more available for sale in Mombasa (urban) compared to Baringo (rural) (adjusted prevalence rate ratios (APRR): 1·13, 95 % CI 1·00, 1·26, <i>P</i> = 0·005). UPF advertisements were significantly higher in Mombasa ((APRR): 2·18: 1·26, 3·79, <i>P</i> = 0·005) compared to Baringo and Nairobi counties. There was a significantly higher rate of advertisement of UPF in larger outlets ((APRR): 1·68: 1·06, 2·67 <i>P</i> = 0·001) compared to smaller outlets.</p><p><strong>Conclusions: </strong>The high marketing and availability of UPF in modern retail outlets in Kenya calls for policies regulating unhealthy food advertisements in different settings in the country.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e240"},"PeriodicalIF":3.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor: willingness <i>v</i>. ability to pay for a universal cost-shared school food programme in Canada.","authors":"Dana Lee Olstad, Eldon Spackman","doi":"10.1017/S1368980024001940","DOIUrl":"10.1017/S1368980024001940","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"27 1","pages":"e219"},"PeriodicalIF":3.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the interplay between emotional attitudes towards diabetes, eating behaviour and glycaemic control in patients with type 2 diabetes mellitus.","authors":"Olívia Garbin Koller, Tamires Freire de Carvalho Santana Andrade, Antônio Bonfada Collares Machado, Jessica Pinto Polet, Bárbara Pelicioli Riboldi, Cíntia Corte Real Rodrigues, Jussara Carnevale de Almeida","doi":"10.1017/S1368980024002179","DOIUrl":"10.1017/S1368980024002179","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the association between emotional attitudes towards diabetes, eating behaviour styles and glycaemic control in outpatients with type 2 diabetes.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Setting: </strong>Endocrinology Division of Hospital de Clínicas de Porto Alegre, Brazil.</p><p><strong>Participants: </strong>Ninety-one outpatients diagnosed with type 2 diabetes. Baseline assessments included data on clinical parameters, lifestyle factors, laboratory results, eating behaviour styles and emotional attitudes. All patients received nutritional counseling following diabetes recommendations. A follow-up visit was scheduled approximately 90 days later to evaluate changes in weight, medication dosages and glycated Hb (HbA1c) values. Patients were categorised based on their emotional attitude scores towards diabetes (positive or negative), and their characteristics were compared using appropriate statistical tests.</p><p><strong>Results: </strong>At baseline, no differences were observed in the proportion of patients with good glycaemic control, eating behaviour styles and emotional attitudes. However, patients with a positive attitude towards the disease exhibited a significantly better response in glycaemic control compared with the reference group (OR = 3·47; 95 % CI = 1·12, 10·75), after adjusting for diabetes duration, sex and medication effect score. However, when BMI was included in the model, the association did not reach statistical significance. Therefore, these results should be interpreted with caution.</p><p><strong>Conclusions: </strong>Patients with a positive attitude towards diabetes showed a greater reduction in HbA1c levels following nutritional counseling. However, baseline BMI could be a potential confounding factor.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e237"},"PeriodicalIF":3.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding consumer beliefs and choices related to food safety: a qualitative study in urban Ethiopia.","authors":"Stella Nordhagen, Smret Hagos, Genet Gebremedhin, James Lee","doi":"10.1017/S1368980024002131","DOIUrl":"10.1017/S1368980024002131","url":null,"abstract":"<p><strong>Objective: </strong>Provide an in-depth examination of consumers' food safety beliefs and practices to draw implications for interventions to improve nutrition and food safety in Ethiopia.</p><p><strong>Design: </strong>Adapted Focused Ethnographic Study approach using in-person semi-structured interviews and free-listing exercises, in two iterative phases.</p><p><strong>Setting: </strong>A traditional food market in Hawassa, a mid-sized city.</p><p><strong>Participants: </strong>Forty-six market shoppers, selected randomly in line with quotas for age and gender.</p><p><strong>Results: </strong>Consumers did not clearly differentiate between quality and safety, seeing them through connected concepts such as 'freshness'. While most respondents had some understanding of the causes of unsafe food, they did not generally worry about becoming ill themselves and felt food safety risks were easily mitigated through in-home behaviours. Thus, food safety practices were not a main motivator of market or vendor choice. There was no evidence that food safety concerns led consumers to prefer packaged, processed food or to avoid consuming fresh foods.</p><p><strong>Conclusions: </strong>The study offers novel depth and detail on a topic of strong policy relevance. While building on an encouraging base of understanding of food safety, there remains considerable scope for increasing knowledge, particularly with regard to the need to procure safe food as opposed to expecting household-level practices to mitigate all safety risks. Motivating customers to give food safety factors more consideration when making food purchasing decisions, such as by leveraging emotion-based communication from trusted messengers to elevate the issue's salience in their minds, may contribute to improvements in food safety in low-income countries such as Ethiopia.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e239"},"PeriodicalIF":3.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a new anthropometric equation to predict fat mass percentage in a heterogeneous Caucasian population.","authors":"Daniel Rojano-Ortega, Heliodoro Moya-Amaya, Antonio Molina-López, Antonio Jesús Berral-Aguilar, Francisco José Berral-de la Rosa","doi":"10.1017/S136898002400209X","DOIUrl":"10.1017/S136898002400209X","url":null,"abstract":"<p><strong>Objective: </strong>(1) To develop a new regression equation for estimating fat mass percentage (%FM) from anthropometric measurements in a heterogeneous Caucasian population and (2) to compare it with the Durnin and Womersley equation, which is one of the most used anthropometric equations for FM assessment.</p><p><strong>Design: </strong>Body mass, stature and four skinfolds (biceps, triceps, subscapular and supracrestal) were assessed by an accredited anthropometrist, according to the International Society for Advancement in Kinanthropometry. Participants completed a dual-energy X-ray absorptiometry (DXA) whole-body scan to determine their %FM. A new anthropometric equation to estimate %FM was developed using multiple forward regression analyses with DXA as the reference method. Tests for the accuracy of the different equations included mean differences, coefficient of determination, SE of the estimate (SEE), concordance correlation coefficient (CCC) and Bland-Altman plots.</p><p><strong>Setting: </strong>Spain.</p><p><strong>Participants: </strong>Two hundred and eighteen healthy Caucasian participants aged 18-65 years participated in this cross-sectional study.</p><p><strong>Results: </strong>Our proposed equation explained 89·9 % of the variance in the DXA-derived %FM, with a low random error (SEE = 3·00 %), a very strong agreement (CCC = 0·93), no fixed or proportional bias and a relatively low individual variability (5·84 %). However, the Durnin and Womersley equations obtained a fixed bias of -3·65 % when compared with DXA and a greater individual variability (6·74 %).</p><p><strong>Conclusions: </strong>The proposed equation can accurately estimate %FM in a heterogeneous Caucasian population with a wide age range (18-65 years). Additionally, the Durnin and Womersley equation was inadequate when applied to our participants.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e233"},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"M-SAKHI - Mobile health solutions to help community providers promote maternal and infant nutrition and health: a description of development of the Program Impact Pathway using Theory of Change.","authors":"Archana B Patel, Priyanka N Kuhite, Samreen Sadaf Khan, Amrita Puranik, Ashraful Alam, Michael J Dibley","doi":"10.1017/S1368980024001265","DOIUrl":"10.1017/S1368980024001265","url":null,"abstract":"<p><strong>Objective: </strong>Behaviour Change Communication (BCC) intervention programmes often lack documentation of successful processes. This manuscript aims to describe the development of Program Impact Pathway (PIP) using Theory of Change (ToC) approach for a mHealth BCC intervention titled 'Mobile Solutions Aiding Knowledge for Health Improvement (M-SAKHI)' aimed at reducing stunting in infants at 18 months of age.</p><p><strong>Design: </strong>The PIP was developed using ToC to design the intervention and plan its implementation. Literature review and data from previous pilots helped to identify health service gaps that needed to be addressed by the PIP of this intervention.</p><p><strong>Setting: </strong>M-SAKHI was implemented in 244 villages under governance of forty primary health centres of Nagpur and Bhandara districts of eastern Maharashtra in central India.</p><p><strong>Participants: </strong>The study investigators and the public health stakeholders participated in developing the PIP. M-SAKHI evaluation study recruited 2501 pregnant women who were followed up through delivery until their infants were 18 months old.</p><p><strong>Results: </strong>The PIP was developed, and it identified the following pathways for the final impact: (1) improving maternal and infant nutrition, (2) early recognition of maternal and infant danger signs, (3) improving access and utilisation to healthcare services, (4) improving hygiene, sanitation and immunisation practices, and (5) improving implementation and service delivery of community health workers through their training, monitoring and supervision in real time.</p><p><strong>Conclusion: </strong>This paper will illustrate the significance of development of PIP for M-SAKHI. It can aid other community-based programmes to design their PIP for nutrition-based BCC interventions.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"27 1","pages":"e217"},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of sodium intake knowledge and attitude: a cross-national analysis of socio-economic and health factors.","authors":"Santosh Kumar Rauniyar, Yuta Tanoue, Cyrus Ghaznavi, Hitomi Hayabuchi, Toshihide Nishimura, Yukari Takemi, Shuhei Nomura","doi":"10.1017/S1368980024001551","DOIUrl":"10.1017/S1368980024001551","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to conduct a comparative analysis across nations to: (1) identify the determinants influencing knowledge and attitudes related to sodium (Na) intake and (2) to analyse the association between knowledge and attitudes related to Na intake.</p><p><strong>Design: </strong>We utilised a secondary data from a cross-sectional study that was conducted across seven nations. Structural equation modelling (SEM) was utilised to assess the impact of socio-economic and health-related predictors on knowledge and attitudes pertaining to Na intake and further to investigate the relationship between knowledge and attitude.</p><p><strong>Setting: </strong>Indonesia, Brazil, Thailand, Japan, France, the UK and the USA.</p><p><strong>Participants: </strong>7090 participants aged 15 years and above were included in the study.</p><p><strong>Results: </strong>SEM analysis showed a strong association between knowledge about Na intake and related attitude across all countries, particularly in the UK (2·65, 95 % CI 1·48-3·82), France (2·62, 1·45-3·79) and the USA (1·97, 1·21-2·73). In Brazil, Japan and France, individuals or family members having certain health conditions such as raised blood pressure, heart diseases, strokes or other diseases exhibited a positive attitude towards reducing Na intake. Conversely, socio-economic factors like education and income demonstrated the complexity of influences on knowledge and attitudes about Na intake.</p><p><strong>Conclusion: </strong>The study underscores the need for tailored public health interventions to reduce excessive Na consumption, considering the diverse cultural, social and economic factors. It highlights the complex determinants of knowledge and attitudes towards Na intake, calling for further research in varied populations.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"27 1","pages":"e216"},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana.","authors":"Nana Ama Frimpomaa Agyapong, Reginald Adjetey Annan, Florian Kroll, Charles Apprey, Linda Nana Esi Aduku, Robert Aidoo, Elizabeth Catherina Swart","doi":"10.1017/S1368980024002118","DOIUrl":"10.1017/S1368980024002118","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine differences in food consumption by the NOVA food categories in South Africa and Ghana and how they relate to poverty and food supply systems.</p><p><strong>Design: </strong>This study used a cross-sectional design to assess household food acquisition and lived poverty index.</p><p><strong>Setting: </strong>The study was conducted in Khayelitsha and Mount Frere, urban and rural communities in South Africa, respectively, and Ahodwo and Ejuratia, urban and rural communities in Ghana, respectively.</p><p><strong>Participant: </strong>An adult in charge of or knowledgeable about household food acquisition and consumption was selected to participate in the study.</p><p><strong>Results: </strong>A total of 1299 households participated in the study. Supermarkets were a prominent source of ultra-processed foods for households in South Africa, while informal outlets were an important source of ultra-processed foods in Ghana. Consumption of unprocessed foods was higher among South African households (58·2 %) than Ghanaian households (41·8 %). In South Africa, deprivation was associated with increased odds of infrequent consumption of both unprocessed foods (OR 3·431 <i>P</i> < 0·001) and ultra-processed foods (OR 2·656 <i>P</i> < 0·001) compared with non-deprivation. In Ghana, no significant differences were observed between deprived households and non-deprived households in relation to the consumption of the NOVA food classes.</p><p><strong>Conclusion: </strong>Different food supply systems and poverty are associated with household acquisition of the different NOVA food classes. Policies should be geared towards formal shops in South Africa and informal shops in Ghana to reduce the consumption of key obesogenic foods.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e260"},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enablers and barriers to dietary change for Māori with nutrition-related conditions in Aotearoa New Zealand: a scoping review.","authors":"Christina McKerchar, Christine Barthow, Tania Huria, Bernadette Jones, Kirsten J Coppell, Rosemary Hall, Tutangi Amataiti, Amber Parry-Strong, Soana Muimuiheata, Morag Wright-McNaughton, Jeremy Krebs","doi":"10.1017/S136898002400212X","DOIUrl":"10.1017/S136898002400212X","url":null,"abstract":"<p><strong>Objective: </strong>Māori, the Indigenous population of Aotearoa New Zealand, face a substantial burden of nutrition-related diseases, especially obesity and type 2 diabetes. Weight loss, through dietary change, is a central component of obesity and diabetes prevention and management; however, most approaches have not been designed with or evaluated specifically for Māori. The aim of this study was to review literature on the enablers and barriers to dietary change, for Māori.</p><p><strong>Design: </strong>Relevant literature published from January 2000 to May 2024 was identified by searches in Medline (Ovid), Embase (Ovid), Scopus, Indigenous health (informit), CINAHL (EBSCO), Web of Science and NZResearch. Studies included Māori and reflected enablers and barriers to dietary change for individuals/whānau (families). Data identifying the aims, methods, interventions, location, population studied and identified enablers and barriers to dietary change and responsiveness to Māori were extracted. Enablers and barriers to dietary change were mapped to a New Zealand Indigenous health framework, the Meihana model.</p><p><strong>Setting: </strong>Settings included studies based in Aotearoa New Zealand, where participants were free living and able to determine their dietary intake.</p><p><strong>Participants: </strong>Studies included at least 30 % Māori participants.</p><p><strong>Results: </strong>Twenty-two of the seventy-seven identified records met the inclusion criteria. Records included a diverse range of research approaches.</p><p><strong>Conclusions: </strong>Using a relevant Indigenous model, this study highlights that multiple and diverse enablers and barriers to dietary change exist for Māori and the critical importance of developing interventions, in close partnership with Indigenous communities, grounded in Indigenous understandings of health.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e245"},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}