Implications of market integration for cardiovascular and metabolic health among an indigenous Amazonian Ecuadorian population

作者：Liebert Melissa A^*; Snodgrass J Josh; Madimenos Felicia C; Cepon Tara J; Blackwell Aaron D; Sugiyama Lawrence S

来源：Annals of Human Biology, 2013, 40(3): 228-242.

DOI：10.3109/03014460.2012.759621

• Market integration
• cardiovascular disease
• metabolic disorders
• Amazonia

Background: Market integration (MI), the suite of social and cultural changes that occur with economic development, has been associated with negative health outcomes such as cardiovascular disease; however, key questions remain about how this transition manifests at the local level. %26lt;br%26gt;Aim: The present paper investigates the effects of MI on health among Shuar, an indigenous lowland Ecuadorian population, with the goal of better understanding the mechanisms responsible for this health transition. %26lt;br%26gt;Subjects and methods: This study examines associations between measures of MI and several dimensions of cardiovascular and metabolic health (fasting glucose, lipids [LDL, HDL and total cholesterol; triglycerides] and blood pressure) among 348 adults. %26lt;br%26gt;Results: Overall, Shuar males and females have relatively favourable cardiovascular and metabolic health. Shuar who live closer to town have higher total (p %26lt; 0.001) and HDL cholesterol (p %26lt; 0.001), while Shuar in more remote regions have higher diastolic blood pressure (p = 0.007). HDL cholesterol is positively associated with consumption of market foods (r = 0.140; p = 0.045) and ownership of consumer products (r = 0.184; p = 0.029). %26lt;br%26gt;Conclusions: This study provides evidence that MI among Shuar is not a uniformly negative process but instead produces complex cardiovascular and metabolic health outcomes.

• 出版日期2013-5