Immigrants from the third world are more prone to acquire nutritional deficiency diseases, such as rickets, osteomalacia and iron deficiency anemia than the rest of the population in the recipient countries. Lately, evidence is also emerging that some immigrant groups are particularly susceptible to diseases related to overputrition, such as coronary heart disease and non-insulin dependent diabetes.
The purpose of this review article is to give a holistic view of the nutrition related diseases and disorders among immigrants. It deals with the prevalence of these diseases among immigrants in Northern European countries, and looks into some of the hypotheses, which have been put forward to explain why immigrant groups are more prone to acquire these diseases than the rest of the population. The focus of this part of the paper is the process of dietary change after migration. The practical implications of the findings from the literature review are then discussed.
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References
1.
AraldsenH. (1985)Mat, helse og kultur; oppfatninger omkring mat, kosthold og helse blant vietnamesiske flyktninger i Norge. M.Sc. thesis. Institute for Nutrition Research, University of Oslo, Norway.
2.
BrookeO.G.BrownI.R.F.BoneC.D.M.CarterN.D.CleeveH.J.W.MaxwellJ.D.RobinsonV.P.WinderS.M. (1980). Vitamin D supplements in pregnant Asian women; effects on calcium status and fetal growth. British Medical Journal, 280, 751–754.
3.
BrunvandL.HaugE. (1993). Vitamin D deficiency amongst Pakistani women in Oslo. Acta Obstetrica Gynecologica Scandinavia. In press.
4.
DallmanP.R. (1989). Iron deficiency: Does it matter?Journal of Internal Medicine, 226, 367–72.
5.
DammanS.ThonerG. (1989). Der er barn mellom to kulturer; En beskrivelse og verdering av pakistanske innvandrerbarns kosthold. Mimeo. Institute for Nutrition Research, University of Oslo, Norway.
6.
DentC.E.GuptaM.M. (1975). Plasma 25-hydroxy vitamin D levels during pregnancy in caucasians and in vegetarian and non-vegetarian Asians. Lancet, ii, 456–459.
7.
DugganM.B.SteelG.ElwysG.HarbottleL.NobleC. (1991). Iron status, energy intake, and nutritional status of healthy young Asian children. Archives of disease in childhood, 66, 1386–1389.
8.
DunninganM.G. (1962). Late rickets and osteomalacia in the Pakistani community in Glasgow. Scottish Medical Journal, 7, 159–167.
9.
ElvebakkenK.T.MøllerG.Bødtker HenriksenJ. (1985). Kostveiledning og ernœringsopplysning blant vietnamesiske flyktninger. Report from a seminar. Department of preventive health, Bergen municipality, Norway.
10.
FallC.H.D.BarkerD.J.P.OsmondC.WinterP.D.ClarkP.M.S.HalesC.N. (1992). Relation of infant feeding to adult serum cholesterol concentration and death from ischemic heart disease. British Medical Journal, 304, 801–5.
11.
FinchP.J.AngL.ColstonK.W.NisbetJ.MaxwellJ.D. (1992). Blunted seasonal variation in serum 25 hydroxy vitamin D and increased risk of osteomalacia in vegetarian London Asians. European Journal of Clinical Nutrition, 46, 7, 509–515.
12.
ForsdahlA. (1977). Are poor living conditions in childhood and adolescence an important risk factor for arteriosclerotic heart disease?British Journal of Preventive and Social Medicine, 31, 91–95.
13.
GrindulisH.ScottP.H.BeltonN.R.WhartonB.A. (1986). Combined deficiency of iron and vitamin D in Asian toddlers. Archives of Diseases in Childhood, 61, 843–848.
14.
GrothM. (1990). Notat om indvandreres kost i Danmark, specielt med henblik på børn. Danish Food Authority, Copenhagen, Denmark.
15.
GuptaM.M.RoundJ.M.StampT.B.C. (1974). Spontaneous cure of vitamin D deficiency of Asians during summer in Britain. Lancet, i, 586–588.
16.
HalesC.N.BarkerD.J.P.ClarkP.M.S.CoxL.J.FallC.OsmondC.WinterP.D. (1991). Fetal and infant growth and impaired glucose tolerance at age 64 years. British Medical Journal, 303, 1019–1022.
17.
HalvorsenK.HalvorsenS. (1983). Rakitt—en aktuell sykdom. Tidskrift for den Norske lœgeforening, 103(13), 1054–1057.
18.
HeckmattJ.Z.PeacockM.DaviesA.E.J.McMurrayJ.IsherwoodD.M. (1979). Plasma 25-hydroxy vitamin D in pregnant Asian women and their babies. Lancet, ii, 546–549.
19.
HelmanC.G. (1990). Culture, Health and Illness. Wright, London.
20.
HenderssonJ.B.DunniganM.G.McIntoshW.B.Abdul-MotaalA.A.GettinbyG.GletinB.M. (1987). The importance of limited exposure to ultraviolet radiation and dietary factors in the aetiology of Asian rickets: a risk factor model. Quarterly Journal of Medicine, New Series, 63(241), 413–425.
21.
HenderssonJ.B.DunniganM.G.McIntoshm W.B.Abdul MottalA.HoleD. (1990). Asian Osteomalacia is determined by dietary factors when exposure to ultraviolet radiation is restricted: A risk factor model. Quarterly Journal of Medicine, New Series, 76(281), 923–933.
22.
HenriksenC. (1992). Kosthold og vitamin status blant gravide pakistanere i Oslo. M.Sc. Thesis. Institute for Nutrition Research, University of Oslo, Norway.
23.
HillmanL.S.HaddadJ.G. (1974). Human perinatal vitamin D metabolism. In: 25-hydroxy vitamin D in maternal and cord blood. Journal of Pediatrics, 84, 742–749.
24.
HjernA. (1990). The health of newly resettled refugee children from Chile and the Middle East. Doctoral thesis. Karolinska Institutet, Stockholm, Sweden.
25.
Häggkvist (1975). Om turkiska skolbarns kostvanor. Stockholms skoldirektion, Stockholm, Sweden.
Koctürk-RuneforsT. (1988). Some reflections over problems encountered in the nutritional consultation of immigrants from Turkey. Näringsforskning, 32(1), 34–36.
28.
Kocktürk-RuneforsT. (1990). Changes in food habits and nutritional status of immigrants from Turkey in Sweden. In: Nutritional consequences of changes in living conditions and life-styles. Eds SomogyiJ.C.KoskinenE.H.Bibl. Nutr Dieta, Basel Karger, No. 45, 157–164.
29.
Koctürk-RuneforsT. (1991). A model for adaptation to a new food pattern; the case of immigrants. In: Palatable Worlds, Socio-cultural food studies. FürstE.PrättäläR.EkströmM.HolmL.KjærnesU. (eds). Solum Forlag, Oslo, Norway.
30.
LindrothM.WestgrenU.LaurinS. (1986). Rickets in very low birthweight infants. Acta Pœdiatrica Scandinavia, 75, 927–931.
31.
LozoffB.JimenezE.WolfA. (1991). Long term developmental outcome of infants with iron deficiency. The New England Journal of Medicine, 325(19), 687–694.
32.
McKeigueP.M. (1989). Coronary heart disease in south Asians overseas: a review. Journal of Clinical Epidemiology, 42(7), 597–609.
33.
MjönesS.KoctürkT. (1986). Growth, Nutritional Status and Infant Mortality of Turkish Immigrant Preschool children. Scandinavian Journal of Primary Health Care, 4, 183–190.
34.
National Nutrition Council (1991). Utvikling i norsk kosthold, Oslo, Norway.
35.
NeelJ.V. (1989). Thrifty genotype rendered detrimental by progress. Lancet, 839–840.
36.
NeiderudJ.PhilipI. (1990). Greek immigrant children in southern Sweden in comparison with Greek and Swedish children. II meal pattern and food habits. Acta Paediatrica Scandinavia, 79(10), 920–9.
37.
Nordic Nutritional Recommendations (1989). Nordisk Ministerråd, permanente nordiske utvalg for næringsmiddelspørsmål. Rapport nr 1989:2. Stockholm, Sweden.
38.
O'HareE.UttleyW.S.BeltonN.R.WestwoodA.LevinS.D.AndersonF. (1984). Persisting vitamin D deficiency in the Asian adolescent. Archives ofdisease in childhood, 59, 766–770.
39.
ParkW.PaustH.KaufmanH.J.Offermann (1987). Osteomalacia of the motherrickets of the newborn. European Journal of Pediatrics, 146, 292–293.
40.
RahejaB. (1989). Indian diet—Diabetes and its complications. International diabetes foundation bulletin, 33(1), 5–10.
41.
SolemI.H. (1982). Barnemat, kultur og samfunn. En undersøkelse av ammig og sådbarns kosthold og helse blant innvandrere i Oslo. M.Sc. thesis. Institute for Nutrition Research, University of Oslo, Norway.
42.
SørensenE. (1989). Innvandrerbarn i sykehus. Tidskrift for den Norske Lœgeforening, 109(13), 1377–80.
43.
StephensW.P.KliminkP.S.WarringtonS.TaylorJ.L. (1982). Observations on the dietary practices of Asians in the United Kingdom. Human Nutrition; Applied Nutrition, 36A, 438–444.
44.
StoltenbergC. (1993). Graviditetsdiabetes hos pakistanske kvinner i Norge. Norsk Epidemiologi, 2(3). In press.
45.
UlldallP.JensenJ.Munch ChristensenK. (1984a). Ernæringsproblemer i småbarnealderen. I. Tyrkiske og Pakistanske småbørns næringsstofintagelse og ernæringsstatus. Ugeskrift for Lœger i Danmark, 146(8), 563–566.
46.
UlldalP.JensenJ.PetersenR.Munch ChristensenK. (1984b). Ernæringsproblemer i småbarnealderen. Småbørnskosten hos indvandrerbørn og danske børn med og uten jernmangelanemi. Ugeskrift for Lœger i Danmark, 146(8), 567–570.
47.
VyT. (1971). Nutritional value and composition in foodstuffs of the diet of the Vietnamese rural adult. American Journal of Clinical Nutrition, 14, 38–40.
48.
WillsM.R.PhillipsJ.B.DayR.C.BatemanE.C. (1972). Phytic acid and nutritional rickets in immigrants. Lancet, I, 771–773.
49.
ZimmetP.DowseG.K.FinchC. (1990). The epidemiology of NIDDM. IDF bulletin, 35(3), 3–8.
