Barriers, Opportunities, and Challenges in Addressing Disparities in Diet‐Related Cardiovascular Disease in the United States

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

Neal D. Barnard¹  Christina Shay²  Michael Miller³  Penny M. Kris‐Etherton⁴  Kristina S. Petersen⁴  Muzi Na⁴  Linda Van Horn⁵  Andrew M. Freeman⁶  Gladys Velarde⁷  Emilio Ros⁸  Kim Williams⁹  James H. O'Keefe^1,10  Paul Douglass^1,11  David L. Katz^1,12 

[1] Adjunct Faculty George Washington University School of Medicine Physicians Committee for Responsible Medicine Washington DC;Center for Health Metrics and Evaluation American Heart Association American Heart Association Dallas TX;Department of Medicine University of Maryland School of Medicine Baltimore MD;Department of Nutritional Sciences The Pennsylvania State University University Park PA;Department of Preventive Medicine Feinberg School of Medicine Northwestern University Chicago IL;Division of Cardiology Department of Medicine National Jewish Health Denver CO;Division of Cardiology Department of Medicine University of Florida Jacksonville FL;Lipid Clinic Endocrinology and Nutrition Service Institut d'Investigacions Biomediques August Pi Sunyer Hospital Clinic University of Barcelona, and Centro de Investigación Biomédica en Red (CIBER) Fisiopatología de la Obesidad y Nutrición Instituto de Salud Carlos III Madrid Spain;Rush University Medical Center Chicago IL;Saint Luke's Mid America Heart Institute School of Medicine University of Missouri–Kansas City MO;Wellstar Medical Group, Metro Atlanta Cardiovascular Medicine Atlanta GA;Yale‐Griffin Prevention Research Center Derby CT;

关键词: cardiovascular disease prevention;    cardiovascular disease risk factors;    diet;    disparities;    nutrition;    social determinants;   

DOI  :  10.1161/JAHA.119.014433

来源: DOAJ

【 摘 要 】

Abstract In the United States, cardiovascular disease (CVD) is the leading cause of death and disability. Suboptimal diet quality is responsible for a greater percentage of CVD‐related morbidity and mortality than any other modifiable risk factor. Further troubling are the stark racial/ethnic and socioeconomic disparities in diet quality. This represents a major public health concern that urgently requires a coordinated effort to better characterize the barriers to healthy dietary practices in population groups disproportionally affected by CVD and poor diet quality to inform multifaceted approaches at the government (policy), community environment, sociocultural, and individual levels. This paper reviews the barriers, opportunities, and challenges involved in shifting population behaviors, especially in underserved populations, toward healthy dietary practices. It is imperative that public health policies address the social determinants of nutrition more intensively than previously in order to significantly decrease CVD on a population‐wide basis.

【 授权许可】

Unknown