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Food Perceptions and Dietary Changes for Chronic Condition Management in Rural Peru: Insights for Health Promotion

Peru is undergoing a nutrition transition and, at the country level, it faces a double burden of disease where several different conditions require dietary changes to maintain a healthy life and prevent complications. Through semistructured interviews in rural Peru with people affected by three infe...

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Autores principales: Perez-Leon, Silvana, Pesantes, M. Amalia, Aya Pastrana, Nathaly, Raman, Shivani, Miranda, Jaime, Suggs, L. Suzanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267004/
https://www.ncbi.nlm.nih.gov/pubmed/30360485
http://dx.doi.org/10.3390/nu10111563
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author Perez-Leon, Silvana
Pesantes, M. Amalia
Aya Pastrana, Nathaly
Raman, Shivani
Miranda, Jaime
Suggs, L. Suzanne
author_facet Perez-Leon, Silvana
Pesantes, M. Amalia
Aya Pastrana, Nathaly
Raman, Shivani
Miranda, Jaime
Suggs, L. Suzanne
author_sort Perez-Leon, Silvana
collection PubMed
description Peru is undergoing a nutrition transition and, at the country level, it faces a double burden of disease where several different conditions require dietary changes to maintain a healthy life and prevent complications. Through semistructured interviews in rural Peru with people affected by three infectious and noninfectious chronic conditions (type 2 diabetes, hypertension, and neurocysticercosis), their relatives, and focus group discussions with community members, we analyzed their perspectives on the value of food and the challenges of dietary changes due to medical diagnosis. The findings show the various ways in which people from rural northern Peru conceptualize good (buena alimentación) and bad (mala alimentación) food, and that food choices are based on life-long learning, experience, exposure, and availability. In the context of poverty, required changes are not only related to what people recognize as healthy food, such as fruits and vegetables, but also of work, family, trust, taste, as well as affordability and accessibility of foods. In this paper we discuss the complexity of introducing dietary changes in poor rural communities whose perspectives on food are poorly understood and rarely taken into consideration by health professionals when promoting behavior change.
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spelling pubmed-62670042018-12-06 Food Perceptions and Dietary Changes for Chronic Condition Management in Rural Peru: Insights for Health Promotion Perez-Leon, Silvana Pesantes, M. Amalia Aya Pastrana, Nathaly Raman, Shivani Miranda, Jaime Suggs, L. Suzanne Nutrients Article Peru is undergoing a nutrition transition and, at the country level, it faces a double burden of disease where several different conditions require dietary changes to maintain a healthy life and prevent complications. Through semistructured interviews in rural Peru with people affected by three infectious and noninfectious chronic conditions (type 2 diabetes, hypertension, and neurocysticercosis), their relatives, and focus group discussions with community members, we analyzed their perspectives on the value of food and the challenges of dietary changes due to medical diagnosis. The findings show the various ways in which people from rural northern Peru conceptualize good (buena alimentación) and bad (mala alimentación) food, and that food choices are based on life-long learning, experience, exposure, and availability. In the context of poverty, required changes are not only related to what people recognize as healthy food, such as fruits and vegetables, but also of work, family, trust, taste, as well as affordability and accessibility of foods. In this paper we discuss the complexity of introducing dietary changes in poor rural communities whose perspectives on food are poorly understood and rarely taken into consideration by health professionals when promoting behavior change. MDPI 2018-10-23 /pmc/articles/PMC6267004/ /pubmed/30360485 http://dx.doi.org/10.3390/nu10111563 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Perez-Leon, Silvana
Pesantes, M. Amalia
Aya Pastrana, Nathaly
Raman, Shivani
Miranda, Jaime
Suggs, L. Suzanne
Food Perceptions and Dietary Changes for Chronic Condition Management in Rural Peru: Insights for Health Promotion
title Food Perceptions and Dietary Changes for Chronic Condition Management in Rural Peru: Insights for Health Promotion
title_full Food Perceptions and Dietary Changes for Chronic Condition Management in Rural Peru: Insights for Health Promotion
title_fullStr Food Perceptions and Dietary Changes for Chronic Condition Management in Rural Peru: Insights for Health Promotion
title_full_unstemmed Food Perceptions and Dietary Changes for Chronic Condition Management in Rural Peru: Insights for Health Promotion
title_short Food Perceptions and Dietary Changes for Chronic Condition Management in Rural Peru: Insights for Health Promotion
title_sort food perceptions and dietary changes for chronic condition management in rural peru: insights for health promotion
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267004/
https://www.ncbi.nlm.nih.gov/pubmed/30360485
http://dx.doi.org/10.3390/nu10111563
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