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Reported macronutrient intake and metabolic risk factors: immigrant women from Iran and Turkey compared with native Swedish women
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
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2006 (English)In: Scandinavian Journal of Food and Nutrition, ISSN 1748-2976, E-ISSN 1748-2984, Vol. 50, no 4Article in journal (Refereed) Published
Abstract [en]

Background: Immigrants in general seem to be more vulnerable than the host populations to developing nutrition-related chronic conditions. This may be in part related to diverging dietary habits. Objective: The aim of the study was to examine the nutrient intake and its relationship to metabolic variables among immigrant versus native Swedish women. Design: A cross-sectional health survey of 157 randomly selected foreign-born and native Swedish women. This included 24 h dietary recall repeated four times and administered in the native language. Results: Underreporting was significant, especially among immigrant women. There were no major differences in terms of energy distribution of the macronutrients between very low energy reporters and acceptable energy reporters, indicating that the dietary data reflected the qualitative composition in spite of the underreporting of energy intake. Immigrant women consumed less alcohol and obtained a lower proportion of their energy from saturated fatty acids, but a higher proportion from polyunsaturated fatty acids, sucrose and total carbohydrates. Associations between dietary variables and metabolic risk factors were relatively weak. Conclusions: Underreporting might have attenuated possible associations between diet and risk factors. The study illustrates specific problems in the dietary assessment and the need to develop valid techniques when studying groups of people of diverging ethnic backgrounds.

Place, publisher, year, edition, pages
2006. Vol. 50, no 4
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-94761OAI: oai:DiVA.org:uu-94761DiVA: diva2:168733
Available from: 2006-09-08 Created: 2006-09-08 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Diet and Metabolic Risk Factors in Immigrant Women from the Middle East and Swedish-Born Women: A Cross-Sectional Study of Women from Iran, Turkey and Sweden
Open this publication in new window or tab >>Diet and Metabolic Risk Factors in Immigrant Women from the Middle East and Swedish-Born Women: A Cross-Sectional Study of Women from Iran, Turkey and Sweden
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The increasing number of immigrants in Sweden during the past decades has brought the health of different ethnic groups into focus. Many groups of immigrants in Sweden have a higher risk of cardiovascular disease (CVD) and coronary heart disease (CHD) than a Swedish reference group. The objective of this thesis was to study the health status and prevalence of metabolic risk factors among immigrant women from Iran and Turkey in comparison with native-Swedish women. The analyses are based on a cross-sectional study of first-generation immigrant women and women born in Sweden aged 35-64. The women underwent a clinical examination, including blood sampling and anthropometric measurements. Dietary intake was assessed by four repeated 24-hour food intake recalls.

The results show important ethnic differences in risk factors for CHD and the metabolic syndrome between the immigrant and the Swedish-born women. Immigrant women from Iran and Turkey are heavier, with a higher prevalence of abdominal obesity and an unfavourable lipid profile and a high degree of physical inactivity during leisure-time, which may predispose for a higher incidence of diabetes and atherosclerotic CVD. The associations between dietary variables and metabolic risk factors were generally relatively weak. The degree of underreporting of the energy was significant, especially among immigrant women, which might have attenuated possible associations. The fatty acid profile of the diet and in serum among the immigrant women indicated both favourable and unfavourable features, despite a higher prevalence of obesity and dyslipidemia compared to the Swedish-born women. Signs of oxidative stress and inflammation are evident in the immigrant women from the Middle East.

With reference to ethnical differences in metabolic risk factors, as demonstrated in this thesis, increased emphasis should be given to modifying the underlying factors such as overweight/obesity and physical inactivity associated with the metabolic syndrome in various immigrant groups.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2006. 70 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 15
Keyword
Caring sciences, cardiovascular factors, metabolic risk factors, immigrants, Iranian, Turkish, Swedish, Middle East, dietary intake, underreporting, dietary fat, fat sources, antioxidant intake, oxidative stress, inflammation, C-reactive protein, isoprostanes, Vårdvetenskap
Identifiers
urn:nbn:se:uu:diva-7103 (URN)91-554-6631-1 (ISBN)
Public defence
2006-09-29, Maria salen, Stiftets Hus, Dragarbrunsgatan 71, Uppsala, 09:15
Opponent
Supervisors
Available from: 2006-09-08 Created: 2006-09-08Bibliographically approved

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http://www.foodandnutritionresearch.net/index.php/fnr/article/view/1598

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Daryani, Achraf

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