ABSTRACT

Chronic cardiometabolic disease is a consequence of the complex interaction among risk factors including lifestyle determinants. Differences among contrasting lifestyles, biology, and environmental factors among ethnocultural groups contribute to a varying degree of cardiometabolic risk. The dysglycemia-based chronic disease model promotes guidelines for intensity of lifestyle interventions. Successful implementation must be flexible for cultural adaptation. Transcultural medicine incorporates the cultural elements that are relevant to routine encounters between healthcare professionals and patients, as well as guidelines, protocols, and policies that can optimize health care among different human populations.