A Qualitative Exploration of Diet-Related Noncommunicable Diseases from the Perspectives of Thai Buddhist Monks in Chiang Mai Province, Thailand
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Abstract
The global increase in noncommunicable diseases, particularly in Thailand, is attributed to changes in lifestyle and diet. This qualitative study focuses on Thai Buddhist monks whose diets have shifted from traditional plant-based foods to unhealthy options. Through in-depth interviews with 37 Thai Buddhist monks in Muang District, Chiang Mai Province, it is revealed that Thai Buddhist monks are aware of noncommunicable diseases like hypertension and diabetes mellitus but lack understanding of diet’s role in these diseases. The study highlights Thai Buddhist monks’ concerns about the nutritional quality of alms food, which is primarily processed and lacking in nutrients, and the challenges faced due to monastic precepts. Strategies suggested include nutrition education for monks and lay donors and collaboration with health organizations to mitigate noncommunicable disease risks. This research emphasizes the necessity for targeted interventions and policy reforms to enhance Thai Buddhist monks’ dietary health and prevent noncommunicable diseases. Additionally, the study reveals gaps in monks’ knowledge about noncommunicable diseases and dietary health, suggesting the importance of targeted nutrition education and policy interventions. It emphasizes the role of monks as influential figures in shaping societal eating habits and the potential of monk-led initiatives in promoting healthier dietary practices in Thai communities.
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References
• Aekplakorn, W., Chariyalertsak, S., Kessomboon, P., Assanangkornchai, S., Taneepanichskul, S., & Putwatana, P. (2018). Prevalence of diabetes and relationship with socioeconomic status in the Thai population: National Health Examination Survey, 2004–2014. Journal of Diabetes Research, 2018, Article 1654530. https://doi.org/10.1155/2018/1654530
• Chanwikrai, Y., Wungrath, J., Taechangam, S., Pachotikarn, C., & Yamamoto, S. (2022). Frequent snacks improved energy intake and nutritional status in community-dwelling older adults at risk of malnutrition, Chiang Mai, Thailand. Journal of Education and Community Health, 9(1), 11–17. https://doi.org/10.34172/jech.2022.3
• Chouraqui, J.-P., Turck, D., Briend, A., Darmaun, D., Bocquet, A., Feillet, F., Frelut, M.-L., Girardet, J.-P., Guimber, D., Hankard, R., Lapillonne, A., Peretti, N., Roze, J.-C., Siméoni, U., Dupont, C., & the Committee on Nutrition of the French Society of Pediatrics. (2021). Religious dietary rules and their potential nutritional and health consequences. International Journal of Epidemiology, 50(1), 12–26. https://doi.org/10.1093/ije/dyaa182
• FAO, IFAD, UNICEF, WFP, & WHO. (2020). The state of food security and nutrition in the world 2020: Transforming food systems for affordable healthy diets. FAO. https://doi.org/10.4060/ca9692en
• Jansen, B. (2015). The monastery rules: Buddhist monastic organization in pre-modern Tibet. Zutphen: Koninklijke Wöhrmann.
• Jeamjitvibool, T., Tankumpuan, T., Lukkahatai, N., & Davidson, P. M. (2022). Noncommunicable diseases and social determinants of health in Buddhist monks: An integrative review. Research in Nursing & Health, 45(2), 249–260. https://doi.org/10.1002/nur.22215
• Jongsuksomsakul, P. (2022). A participatory study with volunteer monks to create media for promoting better health among monks in the northern part of Thailand. Journal of Business, Innovation and Sustainability, 17(2), 1–19. https://so02.tci-thaijo.org/index.php/BECJournal/article/view/244727
• Kalra, S., Priya, G., Grewal, E., Aye, T. T., Waraich, B. K., SweLatt, T., Khun, T., Phanvarine, M., Sutta, S., Kaush, U., Manilka, R., Ruder, S., & Kalra, B. (2018). Lessons for the health-care practitioner from Buddhism. Indian Journal of Endocrinology and Metabolism, 22(6), 812–817. https://doi.org/10.4103/ijem.IJEM_286_17
• Kamkokgruad, T., Chatthongpisut, R., & Intajarurnsan, S. (2019). Nutritional value of popular foods offered to monks by Thai Buddhists. Naresuan University Journal: Science and Technology (NUJST), 27(1), 32–43. https://doi.org/10.14456/nujst.2019.4
• Kang, S., Kang, M., & Lim, H. (2021). Global and regional patterns in noncommunicable diseases and dietary factors across national income levels. Nutrients, 13(10), Article 3595. https://doi.org/10.3390/nu13103595
• Khunluek, K., Sararat, P., & Phrarachrattanalongkorn. (2019). The health promotion guidelines to control monk’s blood pressure in Nong Khai Province. Proceedings of the International Nursing Conference on Chronic Disease Management, Pekalongan, Indonesia, August 7–8, 2019, Paper No. INC2DM. https://proceeding.unikal.ac.id/index.php/Nursing/article/view/195/148
• Kwancharoen, R., Leewattanapat, P., & Suraamornkul, S. (2019). Metabolic syndrome of Thai Buddhist monks in Bangkok metropolitan temples. Journal of the Medical Association of Thailand, 102, 14–19.
• Lee, J. T., Hamid, F., Pati, S., Atun, R., & Millett, C. (2015). Impact of noncommunicable disease multimorbidity on healthcare utilisation and out-of-pocket expenditures in middle-income countries: Cross-sectional analysis. PLOS ONE, 10(7), Article e0127199. https://doi.org/10.1371/journal.pone.0127199
• Lim, S. S., Vos, T., Flaxman, A. D., Danaei, G., Shibuya, K., Adair-Rohani, H., AlMazroa, M. A., Amann, M., Anderson, H. R., & Andrews, K. G. (2012). A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2224–2260. https://doi.org/10.1016/S0140-6736(12)61766-8
• McDaniel, J. (2010). The emotional lives of Buddhist monks in modern Thai film. Journal of Religion & Film, 14(2), Article 9. https://doi.org/10.32873/uno.dc.jrf.14.02.09
• Mo-suwan, L., Nontarak, J., Aekplakorn, W., & Satheannoppakao, W. (2014). Computer game use and television viewing increased risk for overweight among low activity girls: Fourth Thai National Health Examination Survey 2008–2009. International Journal of Pediatrics, 2014, Article 364702. https://doi.org/10.1155/2014/364702
• Muka, T., Imo, D., Jaspers, L., Colpani, V., Chaker, L., van der Lee, S. J., Mendis, S., Chowdhury, R., Bramer, W. M., Falla, A., Pazoki, R., & Franco, O. H. (2015). The global impact of non-communicable diseases on healthcare spending and national income: A systematic review. European Journal of Epidemiology, 30(3), 251–277. https://doi.org/10.1007/s10654-014-9984-2
• National Office of Buddhism. (2021). Information on temples and monks in 2021. https://www.onab.go.th/th/page/item/index/id/
• Parinyano (Jantapaso), P. A., Chimhad, P., & Nuthongkaew, K. (2020). The guidelines for managing the health of monks and novices in Mueang District, Songkhla Province. Journal of MCU Nakhondhat, 7(4), 46–57. https://so03.tci-thaijo.org/index.php/JMND/article/view/242476
• Phrakhru Phisitthammanites (Charuwat Chanthaprom), & Waseeweeras, W. (2022). Botbat khong phra song kap kan khapkhluen thammnuyon sukkhaphap nai kan lot patjai siang thang sukkhaphap chak rok mai tittor ruea rong [The role of monks with the drive for health constitution to health risk factors from non-contagious chronic diseases]. Journal of MCU Nakhondhat, 9(6), 242–249. https://so03.tci-thaijo.org/index.php/JMND/article/view/262073
• Phra Maha Saiyan Wisatho, & Wichuma, N. (2023). Kan tham bun sai bat thi mo som khong chao phut thai nai patchuban [Appropriate food offering of Thai Buddhists in contemporary times]. Journal of Roi Kaensarn Academi, 8(2), 497–511. Mahachulalongkornrajavidyalaya University. https://so02.tci-thaijo.org/index.php/JRKSA/article/view/258713
• Phulkerd, S., Thapsuwan, S., Chamratrithirong, A., & Gray, R. S. (2021). Influence of healthy lifestyle behaviors on life satisfaction in the aging population of Thailand: A national population-based survey. BMC Public Health, 21, Article 43. https://doi.org/10.1186/s12889-020-10032-9
• Rimpeekool, W., Kirk, M., Yiengprugsawan, V., Banwell, C., Seubsman, S.-A., & Sleigh, A. (2017). Nutrition label experience and consumption of transitional foods among a nationwide cohort of 42,750 Thai adults. British Food Journal, 119(2), 425–439. https://doi.org/10.1108/BFJ-07-2016-0327
• Saklayen, M. G. (2018). The global epidemic of the metabolic syndrome. Current Hypertension Reports, 20(2), Article 12. https://doi.org/10.1007/s11906-018-0812-z
• Sararuk, M., Sungvaree, V., & Dampangsri, V. (2017). Khwam chuk lae patjai thi samphan kap kan chep puai duai rok ruea rong khong phra phikkhu song amphoe Warinchamrab Changwat Ubon Ratchathani [Prevalence and factors associated with chronic illness of monks in Amphoe Warinchamrab, Ubon Ratchathani Province]. Journal of Science and Technology, 19(1), 37–48. https://li01.tci-thaijo.org/index.php/sci_ubu/article/view/86427
• Show, Y. R. (2023). Fluid motherhood: Gender, Chinese religions, and kinship maneuvers in the Buddhist women’s Southern Sea diaspora (1880–1960). Inter-Asia Cultural Studies, 24(4), 643–661. https://doi.org/10.1080/14649373.2023.2221494
• Singh, T. P., de Schweinitz, P. A., Khanna, I., & Norbu, C. (2022). Buddhist monks as community organizers: An indigenous response to COVID-19 in the Spiti Valley of Northern India. Critical Public Health, 32(1), 97–103. https://doi.org/10.1080/09581596.2021.1931662
• Southard, D. (2021). A community of monastic development practice: The formation of a nationwide collaborative development monk network. Development in Practice, 32(5), 684–693. https://doi.org/10.1080/09614524.2021.1958163
• Srimantayamas, V., Fongkaew, W., Suksatit, B., Aree, P., & Kosachunhanun, N. (2020). Health behaviors and health-related quality of life among Buddhist monks with metabolic syndrome. Pacific Rim International Journal of Nursing Research, 24(2), 159–171. https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/156769
• Srithong, K., Jearajit, C., Suksatit, B., & Promjittiphong, C. (2021). Sathankan khwam rop ru dan sukkhaphap khong phra song nai sangkhom Thai [Health literacy situation of monks in Thai society]. Journal of MCU Peace Studies, 9(5), 1794–1804. https://so03.tci-thaijo.org/index.php/journal-peace/article/view/254370
• Suksatit, B., Vasasiri, P., Singmanee, C., Samerchua, W., Wientong, P., Jeenapongsa, S., & Waisayanand, N. (2019, July 25–29). Monk volunteer health advocacy project: A multidisciplinary collaboration for training and capacity-building for Buddhist monks. Presented at the 30th International Nursing Research Congress, Calgary, Alberta, Canada. https://stti.confex.com/stti/congrs19/webprogram/Paper97619.html
• Thich, P. H. (2019). A Buddhist approach to consumption. Journal of Marketing Management, 35(5–6), 427–450. https://doi.org/10.1080/0267257X.2019.1588557
• Timothy, D. J., & Ron, A. S. (2015). Religious heritage, spiritual aliment, and food for the soul. In D. J. Timothy (Ed.), Heritage Cuisines: Traditions, Identities and Tourism (pp. 104–118). Routledge.
• Tseng, M.-L., Lim, M. K., Ali, M. H., Christianti, G., & Juladacha, P. (2021). Assessing the sustainable food system in Thailand under uncertainties: Governance, distribution, and storage drive technological innovation. Journal of Industrial and Production Engineering, 39(1), 1–18. https://doi.org/10.1080/21681015.2021.1951858
• Vermeersch, S. (2016). Views on Buddhist precepts and morality in late Koryŏ. Journal of Korean Religions, 7(1), 35–65. https://doi.org/10.1353/jkr.2016.0001
• Wasnik, K. P. (2020). Buddha on happiness. Blue Rose Publishers.
• World Health Organization. (2023, September 16). Noncommunicable diseases. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
• Wungrath, J., & Autorn, N. (2021). Effectiveness of Line application and telephone-based counseling to improve medication adherence: A randomized control trial study among uncontrolled type 2 diabetes patients. Health Promotion Perspectives, 11(4), 438–443. https://doi.org/10.34172/hpp.2021.55
• Wungrath, J., Khumai, N., & Phrommasen, P. (2022). The effect of health promotion program on perceived self-efficacy and self-care practices among elderly with multimorbidity in Chiang Mai, Thailand. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 17(3), 198–203. https://doi.org/10.21109/kesmas.v17i3.5991
• Xiao, N., Long, Q., Tang, X., & Tang, S. (2014). A community-based approach to non-communicable chronic disease management within a context of advancing universal health coverage in China: Progress and challenges. BMC Public Health, 14(Suppl 2), Article S2. https://doi.org/10.1186/1471-2458-14-S2-S2
• Zhan, R. (2023). Research on Dunhuang’s precept certificates, rites for conferring precepts, and ordination licenses. In J. Chen (Ed.), Disciplinary rituals in Dunhuang Buddhism (Vol. 7, Studies on East Asian Religions, pp. 156–202). Brill.