Developing a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe - a DEDIPAC study

International Journal of Behavioral Nutrition and Physical Activity

Research

Mary Nicolaou¹  Karien Stronks¹  Gun Roos²  Laura Capranica³  Laura Terragni⁴  Nanna Lien⁵  Lars Jørun Langøien⁶  F. Marijn Stok⁷  Lea Maes⁸  Mario Mazzocchi⁸  Sebastien F. M. Chastin⁹  Katie Powell^1,10  Hibbah Araba Osei-Kwasi^1,10  Michelle Holdsworth^1,10  Pablo Monsivais^1,11  Caroline Mejean^1,12 

[1] Academic Medical Centre, University of Amsterdam, Department of Public Health, Amsterdam Public Health research Institute, Amsterdam, The Netherlands;Consumption Research Norway SIFO, Oslo and Akershus University College of Applied Sciences, Oslo, Norway;Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy;Department of Nursing and Health Promotion Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway;Department of Nutrition, University of Oslo, Oslo, Norway;Department of Physical Education, Norwegian School of Sport Sciences, Oslo, Norway;Department of Psychological Assessment and Health Psychology, University of Konstanz, Constance, Germany;Department of Public Health, Ghent University, Ghent, Belgium;Institute for Applied Health Research, School of Health and Life Science, Glasgow Caledonian University, Glasgow, UK;Public Health Section, School of Health and Related Research-ScHARR, The University of Sheffield, Sheffield, UK;UKCRC Centre for Diet and Activity Research, MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, CB2 0QQ, Cambridge, UK;Present address: Department of Nutrition and Exercise Physiology, Elson S Floyd College of Medicine, Washington State University, WA 99210-1495, Spokane, USA;UMR MOISA, Campus INRA-SupAgro de la Gaillarde, Montpellier, France;

关键词: Minority populations;    Europe;    Migrants;    Immigrants;    Physical activity;    Sedentary behaviour;    Diet;    Framework;    Systems;   

DOI  :  10.1186/s12966-017-0608-6

 received in 2017-02-05, accepted in 2017-10-24,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundSome ethnic minority populations have a higher risk of non-communicable diseases than the majority European population. Diet and physical activity behaviours contribute to this risk, shaped by a system of inter-related factors. This study mapped a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe, to inform research prioritisation and intervention development.MethodsA concept mapping approach guided by systems thinking was used: i. Preparation (protocol and terminology); ii. Generating a list of factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe from evidence (systematic mapping reviews) and ‘eminence’ (89 participants from 24 academic disciplines via brainstorming, an international symposium and expert review) and; iii. Seeking consensus on structuring, rating and clustering factors, based on how they relate to each other; and iv. Interpreting/utilising the framework for research and interventions. Similar steps were undertaken for frameworks developed for the majority European population.ResultsSeven distinct clusters emerged for dietary behaviour (containing 85 factors) and 8 for physical activity behaviours (containing 183 factors). Four clusters were similar across behaviours: Social and cultural environment; Social and material resources; Psychosocial; and Migration context. Similar clusters of factors emerged in the frameworks for diet and physical activity behaviours of the majority European population, except for ‘migration context’. The importance of factors across all clusters was acknowledged, but their relative importance differed for ethnic minority populations compared with the majority population.ConclusionsThis systems-based framework integrates evidence from both expert opinion and published literature, to map the factors influencing dietary and physical activity behaviours in ethnic minority groups. Our findings illustrate that innovative research and complex interventions need to be developed that are sensitive to the needs of ethnic minority populations. A systems approach that encompasses the complexity of the inter-related factors that drive behaviours may inform a more holistic public health paradigm to more effectively reach ethnic minorities living in Europe, as well as the majority host population.

【 授权许可】

CC BY   
© The Author(s). 2017