Food Sources of Macronutrients in the Diets of Fifth Grade Children on Guam.

PURPOSE. This study was conducted to develop food lists consisting of the top food sources for energy (calories), protein, carbohydrate, fat, cholesterol, and dietary fiber for children in the fifth grade on Guam. METHODS. The food intake of fifth-grade children on Guam, ages 9 through 13, was collected using a one-day food record and computer-analyzed for nutrient content. The 1,006 individual food items from the food records were condensed into 194 food aggregations. Food lists including the 50 major contributors of each nutrient were formulated. Each list represents at least 82% of the total intake per macronutrient. PRINCIPAL FINDINGS. Many of the major contributors of energy, total fat, cholesterol, and protein in the diet of children on Guam are meat dishes, fried chicken, canned corned beef, and whole milk. Rice is consumed frequently and is an important contributor of energy, protien, carbohydrate, and fiber. Sweet beverages provide much of the dietary energy and carbohydrate. Potato and tortilla chips, although low in fiber, are eaten frequently and become major contributors of fiber. CONCLUSIONS. The foods that contribute to macronutrient intake in these fifth graders include many that are high in fat, processed, have low nutrient density, and are unlike foods traditionally consumed on Guam. RELEVANCE. These lists identify foods currently being consumed by children on Guam. These lists can be used to develop culturally specific nutrition education and dietary assessment instruments for children on Guam in an effort to reduce chronic disease risk factors and encourage positive health behaviors in children. KEY WORDS. Macronutrients, Energy, Food, Diet, Children, Guam, Chamorro