Acculturation and obesity among migrant populations in high income countries - a systematic review

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dc.contributor.author Delavari, M en
dc.contributor.author Sønderlund, AL en
dc.contributor.author Swinburn, Boyd en
dc.contributor.author Mellor, D en
dc.contributor.author Renzaho, A en
dc.coverage.spatial England en
dc.date.accessioned 2015-05-13T00:08:13Z en
dc.date.issued 2013 en
dc.identifier.citation BMC Public Health, 2013, 13, Article number 458. en
dc.identifier.uri http://hdl.handle.net/2292/25479 en
dc.description.abstract BACKGROUND: There is evidence to suggest that immigrant populations from low or medium-income countries to high income countries show a significant change in obesogenic behaviors in the host society, and that these changes are associated with acculturation. However, the results of studies vary depending on how acculturation is measured. The objective of this study is to systematically review the evidence on the relationship between acculturation--as measured with a standardized acculturation scale--and overweight/obesity among adult migrants from low/middle countries to high income countries. METHODS: A systematic review of relevant studies was undertaken using six EBSCOhost databases and following the Centre for Reviews and Dissemination's Guidance for Undertaking Reviews in Health Care. RESULTS: The initial search identified 1135 potentially relevant publications, of which only nine studies met the selection criteria. All of the studies were from the US with migrant populations from eight different countries. Six studies employed bi-directional acculturation scales and three used uni-directional scales. Six studies indicated positive general associations between higher acculturation and body mass index (BMI), and three studies reported that higher acculturation was associated with lower BMI, as mainly among women. CONCLUSION: Despite the small number of studies, a number of potential explanatory hypotheses were developed for these emerging patterns. The 'Healthy Migrant Effect' may diminish with greater acculturation as the host culture potentially promotes more unhealthy weight gain than heritage cultures. This appears particularly so for men and a rapid form of nutrition transition represents a likely contributor. The inconsistent results observed for women may be due to the interplay of cultural influences on body image, food choices and physical activity. That is, the Western ideal of a slim female body and higher values placed on physical activity and fitness may counteract the obesogenic food environment for female migrants. en
dc.language eng en
dc.relation.ispartofseries BMC Public Health en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.biomedcentral.com/about/license http://www.sherpa.ac.uk/romeo/issn/1471-2458/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en
dc.subject Acculturation en
dc.subject Adult en
dc.subject Body Mass Index en
dc.subject Developing Countries en
dc.subject Female en
dc.subject Humans en
dc.subject Male en
dc.subject Middle Aged en
dc.subject Overweight en
dc.subject Social Class en
dc.subject Transients and Migrants en
dc.subject United States en
dc.title Acculturation and obesity among migrant populations in high income countries - a systematic review en
dc.type Journal Article en
dc.identifier.doi 10.1186/1471-2458-13-458 en
pubs.volume 13 en
dc.description.version VoR - Version of Record en
dc.identifier.pmid 23663279 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Journal Article en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype Review en
pubs.elements-id 379941 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Epidemiology & Biostatistics en
dc.identifier.eissn 1471-2458 en
dc.identifier.pii 1471-2458-13-458 en
pubs.number 458 en
pubs.record-created-at-source-date 2015-05-13 en
pubs.dimensions-id 23663279 en


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