Lifestyle of Asian Indians with coronary heart disease: The Australian context

Mohan, Shantala; Wilkes, Lesley M; Jackson, Debra

doi:10.1016/j.colegn.2007.03.001

Cited by 20 publications

(34 citation statements)

References 23 publications

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“…Seven conducted individual interviews [22,27,32,46,47,55,56], three conducted focus groups [50,52,57], and two used both methods to address various research questions pertaining to PA; none of these studies explored behaviors related to ST [48,49]. Eight studies were conducted in the UK [23,46,48,49,52-54,58], and one each in Canada [47], Australia [51], the US [50], and Norway [15]. Participants from five studies were recruited from general medical practices [23,46,47,51,52,58], three from community centers/sports clubs [15,52,54], one via media release [51], one recruited participants by identifying people from participant observations [49], one from a larger cross sectional study [50] and one did not describe participant recruitment [48].…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies were conducted in the UK [23,46,48,49,52-54,58], and one each in Canada [47], Australia [51], the US [50], and Norway [15]. Participants from five studies were recruited from general medical practices [23,46,47,51,52,58], three from community centers/sports clubs [15,52,54], one via media release [51], one recruited participants by identifying people from participant observations [49], one from a larger cross sectional study [50] and one did not describe participant recruitment [48]. Nine studies included male and female participants [23,46-52,58] and three were restricted to women [15,53,54].…”

Section: Resultsmentioning

confidence: 99%

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Physical activity among South Asian women: a systematic, mixed-methods review

Babakus

Thompson

2012

Int J Behav Nutr Phys Act

124

195

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IntroductionThe objective of this systematic mixed-methods review is to assess what is currently known about the levels of physical activity (PA) and sedentary time (ST) and to contextualize these behaviors among South Asian women with an immigrant background.MethodsA systematic search of the literature was conducted using combinations of the key words PA, ST, South Asian, and immigrant. A mixed-methods approach was used to analyze and synthesize all evidence, both quantitative and qualitative. Twenty-six quantitative and twelve qualitative studies were identified as meeting the inclusion criteria.ResultsStudies quantifying PA and ST among South Asian women showed low levels of PA compared with South Asian men and with white European comparison populations. However making valid comparisons between studies was challenging due to a lack of standardized PA measurement. The majority of studies indicated that South Asian women did not meet recommended amounts of PA for health benefits. Few studies assessed ST. Themes emerging from qualitative studies included cultural and structural barriers to PA, faith and education as facilitators, and a lack of understanding of the recommended amounts of PA and its benefits among South Asian women.ConclusionsQuantitative and qualitative evidence indicate that South Asian women do not perform the recommended level of PA for health benefits. Both types of studies suffer from limitations due to methods of data collection. More research should be dedicated to standardizing objective PA measurement and to understanding how to utilize the resources of the individuals and communities to increase PA levels and overall health of South Asian women.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Physical activity among South Asian women: a systematic, mixed-methods review

Babakus

Thompson

2012

Int J Behav Nutr Phys Act

124

195

View full text Add to dashboard Cite

show abstract

“…However, more recent findings of high prevalence of NCDs (Deepa, Anjana, Manjula, Venkat Narayan, & Mohan, 2011;Mohan et al, 2008;Ramachandran, Mary, Yamuna, Murugesan, & Snehalatha, 2008) in some urban areas of India indicate the possibility of physiological and epigenetic factors (Chambers et al, 2001;Kooner et al, 2011) that increase the susceptibility of Indians to metabolic disorders such as T2DM. These factors are exacerbated by dietary changes, increasing obesity and declining physical activity as a result of modernisation and urbanisation (Mohan, 2004;Shetty, 2002), described widely in the literature as 'nutrition transition' (Shetty, 2002), characterised by high sugar, high fat, highly refined modern diets.…”

Section: The Dynamics Of Migration Food and Healthmentioning

confidence: 99%

“…This attitude of approaching health care professionals only when necessary and reluctance to access primary prevention continues to prevail among much of the Indian community in Australia, and has been observed among the Indian community in other countries (Enas, 2000;Mohan, Wilkes, & Jackson, 2008).…”

Section: Health and Psychosocial Influencesmentioning

confidence: 99%

An exploration of dietary practices among South Indians in Brisbane, Australia

Thomas¹

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“…Diabetics regularly visited by a specialist nurse or dietician showed no significant improvement in diabetes knowledge or self-management 52 , regardless of the presence of asian link workers 53 . They continued with their previous dietary habits despite detriment to glycaemic control 54 and even after suffering a cardiac event 55 . additionally, south asian T2D and CVD patients find it difficult to adhere publicly to a healthy dietary or lifestyle programme 56 , resulting in any glycaemic control which may be achieved in the home being overturned by fasting and festivals 14 , possibly through fear of alienation from the sa community 54 .…”

Section: South Asians and Key Cvd Risk Factorsmentioning

confidence: 99%

South Asians and their increased cardiovascular risk: A review of risk factors and diet and lifestyle modification

Nicoll¹,

Henein²

2015

ICFJ

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South Asians (SAs) have a significantly higher incidence and severity of type 2 diabetes and cardiovascular disease (CVD) than Caucasians and can present with atypical ischaemic symptoms. This can present a challenge for health professionals who may not be aware of the lowered thresholds recommended for SA body mass index, waist circumference and age. Although SAs are likely to have all the hallmarks of metabolic syndrome: central obesity, insulin resistance, impaired glucose tolerance, reduced high density lipoprotein, high triglycerides and hypertension, conventional risk factors alone do not fully predict the increased CVD risk among this community. Furthermore, SAs themselves may not be aware of their increased predisposition to disease nor of the dietary and lifestyle modifications which could reduce the risk and severity of their condition. Even where some modification has been attempted, there may be cultural pressure to conform to a traditional diet and the requirements for fasting and feasting. Principally, SAs should avoid large late meals, reduce sugary sweets and drinks, alcohol and foods fried in plant oils which create damaging transfats, while increasing protein and non-fried vegetables to help glycaemic control. Chewing paan, with or without added tobacco, is a particular risk factor for both CVD and cancer, on a par with the dangers of smoking. Although not in the culture, exercise would also be of great benefit.

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Lifestyle of Asian Indians with coronary heart disease: The Australian context

Cited by 20 publications

References 23 publications

Physical activity among South Asian women: a systematic, mixed-methods review

Physical activity among South Asian women: a systematic, mixed-methods review

An exploration of dietary practices among South Indians in Brisbane, Australia

South Asians and their increased cardiovascular risk: A review of risk factors and diet and lifestyle modification

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