Social Awareness of Whole Grains and the Feasibility of Replacement with Refined Grains: A Qualitative Study.

Bread focus groups oryza qualitative research whole grains

Journal

International journal of preventive medicine
ISSN: 2008-7802
Titre abrégé: Int J Prev Med
Pays: Iran
ID NLM: 101535380

Informations de publication

Date de publication:
2021
Historique:
received: 22 12 2019
accepted: 19 05 2020
entrez: 27 8 2021
pubmed: 28 8 2021
medline: 28 8 2021
Statut: epublish

Résumé

A correlation between type 2 diabetes and refined carbohydrates has been proven, while several studies have indicated that Iranian daily diets are poor in term of proper carbohydrates. It was thus considered absolutely critical to conduct a qualitative study in terms of people's attitudes toward whole grains, and the feasibility of their replacing existing refined carbohydrates in their diets. The aim of this study is to probe Iranian awareness of whole grains, to explore barriers to refined-grain substitution with whole grains and legumes, and to assess whole-grain sensory perceptions. Focus group discussions (FGDs) and taste tests conducted between July 2016 and March 2017 in urban and rural areas of Kurdistan, Yazd, and Tehran provinces in Iran. A total of 96 healthy men and women (aged 40-65, BMI ≥25 kg/m Four themes and 11 sub-themes emerged. Cultural beliefs, traditional eating patterns, sensory properties, and familial acceptance were the most influential factors in choosing the type of bread and rice. Simultaneously they are the most prominent barriers to consuming whole grains and legumes. Plain cooked brown rice had the lowest mean sensory attribute score and traditional whole-wheat flatbread was the highest. There was a higher acceptance tendency toward using traditional whole-wheat flatbread rather than refined grains, as it was consistent with preference and priority. However, low availability was the largest substitution problem.

Sections du résumé

BACKGROUND BACKGROUND
A correlation between type 2 diabetes and refined carbohydrates has been proven, while several studies have indicated that Iranian daily diets are poor in term of proper carbohydrates. It was thus considered absolutely critical to conduct a qualitative study in terms of people's attitudes toward whole grains, and the feasibility of their replacing existing refined carbohydrates in their diets. The aim of this study is to probe Iranian awareness of whole grains, to explore barriers to refined-grain substitution with whole grains and legumes, and to assess whole-grain sensory perceptions.
METHODS METHODS
Focus group discussions (FGDs) and taste tests conducted between July 2016 and March 2017 in urban and rural areas of Kurdistan, Yazd, and Tehran provinces in Iran. A total of 96 healthy men and women (aged 40-65, BMI ≥25 kg/m
RESULTS RESULTS
Four themes and 11 sub-themes emerged. Cultural beliefs, traditional eating patterns, sensory properties, and familial acceptance were the most influential factors in choosing the type of bread and rice. Simultaneously they are the most prominent barriers to consuming whole grains and legumes. Plain cooked brown rice had the lowest mean sensory attribute score and traditional whole-wheat flatbread was the highest.
CONCLUSIONS CONCLUSIONS
There was a higher acceptance tendency toward using traditional whole-wheat flatbread rather than refined grains, as it was consistent with preference and priority. However, low availability was the largest substitution problem.

Identifiants

pubmed: 34447498
doi: 10.4103/ijpvm.IJPVM_401_19
pii: IJPVM-12-56
pmc: PMC8356947
doi:

Types de publication

Journal Article

Langues

eng

Pagination

56

Informations de copyright

Copyright: © 2021 International Journal of Preventive Medicine.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

BMJ Open. 2015 May 20;5(5):e006385
pubmed: 25995236
Arch Iran Med. 2012 Oct;15(10):648-9
pubmed: 23020542
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
Appetite. 2001 Jun;36(3):189-200
pubmed: 11358343
Oncol Nurs Forum. 2014 Sep;41(5):545-7
pubmed: 25158659
Public Health Nutr. 2002 Feb;5(1A):149-55
pubmed: 12027278
J Am Diet Assoc. 2010 Aug;110(8):1216-21
pubmed: 20656097
Am J Clin Nutr. 2014 Jul;100(1):278-88
pubmed: 24898241
Psychol Bull. 2003 Nov;129(6):873-86
pubmed: 14599286
Am J Clin Nutr. 2015 Dec;102(6):1543-53
pubmed: 26537938
J Nutr Educ Behav. 2018 Jul - Aug;50(7):675-686
pubmed: 29709444
Appetite. 2014 Oct;81:200-8
pubmed: 24973509
J Am Diet Assoc. 2011 Oct;111(10):1517-22
pubmed: 21963018
Ann Behav Med. 2009 Dec;38 Suppl 1:S31-6
pubmed: 19885714
BMC Public Health. 2012 Dec 10;12:1064
pubmed: 23227832
Appetite. 2004 Apr;42(2):221-5
pubmed: 15010186
Appetite. 2015 Mar;86:3-18
pubmed: 25174571
Int J Food Sci Nutr. 2016;67(2):161-9
pubmed: 26915989
BMC Public Health. 2017 Jan 31;17(1):133
pubmed: 28137245
Appetite. 2013 Mar;62:236-41
pubmed: 22421053
J Nutr. 2008 Aug;138(8):1469-75
pubmed: 18641193
Acad Med. 2014 Sep;89(9):1245-51
pubmed: 24979285

Auteurs

Fatemeh Kazemi (F)

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Goodarz Danaei (G)

Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Farshad Farzadfar (F)

Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Ghobad Moradi (G)

Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Vasanti Malik (V)

Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Mahboubeh Parsaeian (M)

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Hamed Pouraram (H)

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Negar Zamaninour (N)

Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.

Ahmad R Dorosty Motlagh (AR)

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Classifications MeSH