Page 259 - Nutrition Essentials for Nursing Practice
P. 259

C H A P T E R 1 0 Cultural and Religious Influences on Food and Nutrition                                                           247

Table 10.5 Traditional Mexican Foods and the Effects of Acculturation

Food Group Foods Commonly Consumed                             Effects of Acculturation

Grains      Corn, rice                                         Rice eaten as part of a mixed dish with vegeta-
                                                                  bles decreases; intake of plain rice increases.
Vegetables  Cactus, calabaza criolla (green pumpkin), chili
Fruit          peppers, corn, jicama, lettuce, onions, peas,   Flour tortillas are used more often than corn
Milk           plantains, potatoes, squash, tomatillos, toma-     tortillas.
Meat and       toes, yams, yucca
                                                               Intake of white bread and sweetened cereals
   beans    Avocados, bananas, carambola, cherimoya, coco-        increases.
Fats           nut, passion fruit, guava, lemons, limes, man-
Beverages      goes, melon, oranges, papaya, pineapple,        Intake of most vegetables decreases.
               strawberries
                                                               Intake of bananas, apples, oranges, orange
            Goat and cow’s milk (whole is preferred),             juice, and cantaloupe remains relatively
               evaporated milk, café con leche, hot               constant.
               chocolate, cheese
                                                               Milk intake increases related to its use with a
            Beef, goat, pork, chicken, turkey, shrimp, eggs       new food, such as ready-to-eat breakfast
            Legumes: black beans, chickpeas, kidney               cereal; whole milk is replaced with low-fat
                                                                  or nonfat milk.
               beans, pinto beans
                                                               Red meat intake increases.
            Butter, lard, Mexican cream                        Legume intake falls.
                                                               Intake of traditional meat and vegetable
            Fruit-based beverage
                                                                  preparations declines drastically.
                                                               Butter, margarine, and salad dressing intake

                                                                  increases related to introduction of cooked
                                                                  vegetables and salads.
                                                               Severe decline in fruit-based beverage
                                                                  consumption; increased use of highly
                                                                  sweetened drinks (e.g., Kool-Aid, soft
                                                                  drinks) and caffeinated beverages
                                                               Alcohol intake increases.

Source: Kittler, P., Sucher, K., & Nahikian-Nelms, M. (2012). Food and culture (6th ed.). Belmont, CA: Wadsworth Cengage Learning.

Nutrition-Related Health Problems

                             Mexican Americans have the highest HEI scores of all ethnic groups, especially regarding fruit
                             and vegetable intake (Ervin, 2011). However, acculturation generally decreases the quality of
                             the diet. Studies on Mexico-born Americans show that the intake of fiber, fruit, legumes, and
                             vegetables decreases with duration of residence in the United States, whereas consumption
                             of processed foods, refined carbohydrates, and added sugars increases (Sofianou et al., 2011).
                             Acculturation also changes food consumption behaviors, such as increases in eating out, eat-
                             ing at fast-food outlets, and eating salty snacks, which contribute to higher fat and sodium
                             intakes (Ayala, Baquero, and Klinger, 2008). In general, Hispanic/Mexican Americans have

                             ■ A high prevalence of overweight and obesity. Based on statistics for 2007–2010, the prevalence
                               of obesity is 36.3% among Mexican males and 44.6% among Mexican females, with obesity
                               defined as a BMI of 30 or higher (OMH, 2012c). For overweight (BMI Ն25), the prevalence
                               is 81.3% among Mexican males and 78.0% among Mexican females (OMH, 2012c). Compared
                               to Whites, the concept of ideal weight may be higher for Mexican Americans.

                             ■ A higher prevalence of type 2 diabetes (15.3% among Mexican Americans) than either
                               African Americans (14.6%) or Whites (8.3%) (Fryar et al., 2010). In 2008, Hispanics
   254   255   256   257   258   259   260   261   262   263   264