Food-based dietary guidelines of Arabic-speaking countries: a culturally congruent profile.

Laura Coats, Joshua Bernstein, Elizabeth Dodge, Lori Bechard, Basil H Aboul-Enein

Journal: Public health nutrition 2020;22(6):1129-1137

PMID: 30744726

Abstract

OBJECTIVE

Dietary guidelines for food groups, types and portion sizes are common practice at the national level. As the relationship between nutrition and disease and the influence of cultural identity on individual behaviour become clearer, dietary guidelines necessarily evolve. Today, the Arabic-speaking region is experiencing a dual burden of undernutrition and increasing rates of overweight and obesity. Cultural congruency among dietary guidelines in the Arabic-speaking region and how they affect health education, health promotion, and nutrition programme planning or individual dietary behaviours have yet to be examined. The present work provides dietitians and public health professionals a narrative review of proposed food guidelines for the Arabic-speaking region.

DESIGN

The current review examined five established dietary guidelines within the Arabic-speaking region, namely the Arab Food Dome (Arab Gulf states), the Healthy Food Palm (Saudi Arabia), the Lebanese Dietary Guidelines, the Omani Guide to Healthy Eating and the Qatar Dietary Guidelines, and compared findings with the regional Eastern Mediterranean guidelines developed by the WHO. Individual guideline recommendations are tabled for comparative review.

SETTING

The Arabic-speaking region.ParticipantsRespective Arabic-speaking populations.

RESULTS

Health educators, community health practitioners and nutrition professionals can benefit from the cultural contexts associated with dietary guidelines in this region.

CONCLUSIONS

Community-level policy and individual behaviour change will benefit from cultural sensitivity; health communication and behaviour change programming require cultural competence provided in the present review; and programme evaluation efforts (prior to and after implementation) should include a detailed understanding of how culture shapes regional policy and individual nutrition behaviours.

Address: 1University of Mississippi Medical Center,Department of Physiology and Biophysics,Arthur C. Guyton Research Center,Jackson,MS,USA.; 2A.T. Still University of Health Sciences,College of Graduate Health Studies,Kirksville,MO,USA.; 3University of New England,College of Graduate & Professional Studies,Portland,ME,USA.; 4Northeastern University,College of Professional Studies,Pediatric Critical Care Nutrition,Boston Children's Hospital and Harvard Medical School,Boston,MA,USA.; 5London School of Hygiene & Tropical Medicine,Department of Global Health & Development,15-17 Tavistock Place,London WC1H 9SH,UK.
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