PMID- 37151165
OWN - NLM
STAT- MEDLINE
DCOM- 20230725
LR  - 20231116
IS  - 1464-5491 (Electronic)
IS  - 0742-3071 (Linking)
VI  - 40
IP  - 8
DP  - 2023 Aug
TI  - Systematic review of the barriers and facilitators to dietary modification in 
      people living with type 2 diabetes and pre-diabetes from South Asian ethnic 
      populations.
PG  - e15132
LID - 10.1111/dme.15132 [doi]
AB  - AIMS: Lifestyle and dietary modification are effective in the prevention and 
      management of Type 2 diabetes Mellitus (T2DM). However, South Asian (SA) 
      populations living in Western countries have low adherence rates to healthcare 
      advice and experience poor diabetes control and clinical outcomes compared with 
      the general population. This systematic review aimed to summarise the barriers 
      and facilitators of dietary modification within people from South Asian (SA) 
      ethnicity with T2DM or pre-diabetes. METHODS: A systematic search of PubMed, Web 
      of Science and Scopus generated 3739 articles, of which seven were included. 
      Qualitative and quantitative data were inputted utilising COVIDENCE. Qualitative 
      data were analysed by thematic analysis. RESULTS: Thematic analysis identified 
      three facilitators: (1) cultural sensitivity, (2) health education and (3) 
      support networks. Barriers include (1) healthcare inequity, (2) cultural 
      insensitivity, (3) social pressures, (4) misconceptions and (5) time constraints. 
      Good access to health care and motivation were the most common facilitators 
      discussed. Misconceptions on T2DM management and cultural insensitivity 
      contributed to the majority of barriers discussed. CONCLUSIONS: Culturally 
      tailored interventions could improve adherence to diet modification in people 
      with T2DM from SA ethnicity. Interventions involving the application of social 
      media to challenge intergenerational stigmas and misinformation, distributing 
      culturally appropriate resources and providing diets tailored to the SA palate 
      could help.
CI  - (c) 2023 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on 
      behalf of Diabetes UK.
FAU - Rai, Amar
AU  - Rai A
AD  - Imperial College London School of Medicine, London, UK.
FAU - Misra, Rohan
AU  - Misra R
AD  - University College London Medical School, London, UK.
FAU - Khan, Hasaan
AU  - Khan H
AD  - Imperial College London School of Medicine, London, UK.
FAU - Shukla, Shivani
AU  - Shukla S
AD  - School of Clinical Medicine, University of Cambridge, Cambridge, UK.
FAU - Patel, Dipesh C
AU  - Patel DC
AD  - Division of Medicine, University College London, London, UK.
FAU - Brown, Adrian
AU  - Brown A
AUID- ORCID: 0000-0003-1818-6192
AD  - Centre for Obesity Research, University College London, London, UK.
AD  - Bariatric Centre for Weight Management and Metabolic Surgery, University College 
      London Hospital NHS Trust, London, UK.
AD  - National Institute of Health Research, UCLH Biomedical Research Centre, London, 
      UK.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20230523
PL  - England
TA  - Diabet Med
JT  - Diabetic medicine : a journal of the British Diabetic Association
JID - 8500858
SB  - IM
MH  - Humans
MH  - Asian People
MH  - *Diabetes Mellitus, Type 2/prevention & control
MH  - *Diet/ethnology
MH  - Ethnicity
MH  - *Prediabetic State/therapy
MH  - South Asian People
MH  - Culturally Competent Care
MH  - Health Services Accessibility
OTO - NOTNLM
OT  - South Asian
OT  - Western countries
OT  - diet modification
OT  - ethnicity
OT  - health inequities
OT  - type 2 diabetes mellitus
EDAT- 2023/05/08 06:42
MHDA- 2023/07/17 06:42
CRDT- 2023/05/08 03:45
PHST- 2023/05/02 00:00 [revised]
PHST- 2022/10/27 00:00 [received]
PHST- 2023/05/03 00:00 [accepted]
PHST- 2023/07/17 06:42 [medline]
PHST- 2023/05/08 06:42 [pubmed]
PHST- 2023/05/08 03:45 [entrez]
AID - 10.1111/dme.15132 [doi]
PST - ppublish
SO  - Diabet Med. 2023 Aug;40(8):e15132. doi: 10.1111/dme.15132. Epub 2023 May 23.