Diabetes on the Navajo nation: what role can gardening and agriculture extension play to reduce it?

作者: Dan Smeal , Kevin A Lombard , Mick K O'Neill , Susan Forster-Cox

DOI: 10.22605/RRH640

关键词:

摘要: Diabetes has emerged as a serious health problem in the Navajo nation, largest Indigenous tribe US. Persons with diabetes are at greater risk for developing other diseases such cardiovascular disease. Navajos almost certainly face diminished quality of life if their is not managed properly. Aside from genetics, incidence highly correlated income, poor diet, and limited physical exercise. A review literature also implicates dietary shifts initiated by historical events contemporary trends. Numerous studies have shown that moderate consumption fruits vegetables, combined exercise, reduces or delays onset many including diabetes. As part larger holistic approach, home community garden projects successfully addressed nutrition food security issues on grassroots scale. The tradition farming therefore expanding interventions to include promotion gardens provides multiple opportunities. benefits these actions include: (i) variety nutritious grown locally; (ii) activity attained through act daily gardening tasks; (iii) positive income garnered terms savings otherwise purchased stores excess produce canned, desired, sold farmer's market trading post; (iv) mental outlook sense accomplishment harvest time, bonding earth, spiritual growth. objectives this article were development nation though literature, provide insight into role diet exercise progression disease, offer cases suggestions can play reduction. concluding discussion proposes multidisciplinary approach tackling involving public officials, nutritionists, horticultural extension agents could be applied internationally similar multicultural, semi-arid climates.

参考文章(22)
L. W. Rice, H. D. Tindall, R. P. Rice, Fruit and Vegetable Production in Warm Climates ,(1990)
Mieke Faber, Michael AS Phungula, Sonja L Venter, Muhammad A Dhansay, AJ Spinnler Benadé, Home gardens focusing on the production of yellow and dark-green leafy vegetables increase the serum retinol concentrations of 2-5-y-old children in South Africa. The American Journal of Clinical Nutrition. ,vol. 76, pp. 1048- 1054 ,(2002) , 10.1093/AJCN/76.5.1048
Carol Ballew, Linda L White, Karen F Strauss, Lois J Benson, James M Mendlein, Ali H Mokdad, None, Intake of Nutrients and Food Sources of Nutrients among the Navajo: Findings from the Navajo Health and Nutrition Survey Journal of Nutrition. ,vol. 127, ,(1997) , 10.1093/JN/127.10.2085S
Julie C. Will, Karen F. Strauss, James M. Mendlein, Carol Ballew, Linda L. White, Douglas G. Peter, Diabetes mellitus among Navajo Indians: findings from the Navajo Health and Nutrition Survey. Journal of Nutrition. ,vol. 127, ,(1997) , 10.1093/JN/127.10.2106S
N. R. Burrows, L. S. Geiss, M. M. Engelgau, K. J. Acton, Prevalence of diabetes among Native Americans and Alaska Natives, 1990-1997: an increasing burden. Diabetes Care. ,vol. 23, pp. 1786- 1790 ,(2000) , 10.2337/DIACARE.23.12.1786
Patrick J. O'Connor, Benjamin F. Crabtree, Roy M. Nakamura, Mortality experience of Navajos with type 2 diabetes mellitus Ethnicity & Health. ,vol. 2, pp. 155- 162 ,(1997) , 10.1080/13557858.1997.9961824
Leslie D. Cunningham-Sabo, Sally M. Davis, Kathleen M. Koehler, Michael L. Fugate, Jennifer A. DiTucci, Betty J. Skipper, Food preferences, practices, and cancer‐related food and nutrition knowledge of southwestern American Indian youth Cancer. ,vol. 78, pp. 1617- 1622 ,(1996) , 10.1002/(SICI)1097-0142(19961001)78:7+<1617::AID-CNCR18>3.0.CO;2-8
Felecia G. Wood, Ethnic differences in exercise among adults with diabetes. Western Journal of Nursing Research. ,vol. 24, pp. 502- 515 ,(2002) , 10.1177/019394502400446388
SUSAN M. YURGALEVITCH, ANDREA M. KRISKA, THOMAS K. WELTY, OSCAR GO, DAVID C. ROBBINS, BARBARA V. HOWARD, Physical activity and lipids and lipoproteins in American Indians ages 45-74 Medicine and Science in Sports and Exercise. ,vol. 30, pp. 543- 549 ,(1998) , 10.1097/00005768-199804000-00012