Dympna Leonard1,2, Danielle Aquino3,4, Nyssa Hadgraft5,6, Fintan Thompson1, Julia V Marley6,7. 1. Centre for Chronic Disease Prevention, Cairns Institute, James Cook University, Cairns, Queensland, Australia. 2. Tropical Public Health Services, Queensland Health, Cairns, Queensland, Australia. 3. Menzies School of Health Research, Darwin, Northern Territory, Australia. 4. Indigenous Australia Program, The Fred Hollows Foundation, Katherine, Northern Territory, Australia. 5. Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia. 6. Kimberley Aboriginal Medical Services Ltd., Broome, Western Australia, Australia. 7. The Rural Clinical School of Western Australia, The University of Western Australia, Perth, Western Australia, Australia.
Abstract
AIM: To describe the first foods of Aboriginal and Torres Strait Islander infants and young children who were recruited to a nutrition promotion and anaemia prevention program conducted from 2010 to 2012, in six remote communities across northern Australia. METHODS: Food records (24-hour diet history, food variety checklist) were completed on recruitment by interview with a parent or carer. Cross-sectional analysis assessed the proportion of participants consuming recommended and not-recommended foods and drinks and meeting recommendations for meal frequency and dietary diversity. RESULTS: Of 245 Aboriginal and Torres Strait Islander participants aged 6-24 months, 227 (92.7%) had a recruitment food record. On the previous day, most (67.4%) had breastmilk, nearly all (98.2%) ate solid food, but only 13% ate fruit, 33% had neither fruit nor vegetables, and 25% had sweet drinks. Children living in smaller households (3-5 people) were more likely to meet the criteria for frequency of meals than those living in larger households of 12-31 people (93% vs 78%, P = 0.012 for trend over household size). Only 30% met the criteria for dietary diversity. Where information was available (n = 91), dietary diversity was adequate more often in 'pay week' compared to 'not pay week' (31.3% vs 9.3%, P = 0.007). CONCLUSION: Support for current beneficial breast-feeding practices and promotion of nutrient-dense complementary foods, need to be embedded in initiatives for improved family food security. Good nutrition in early life can reduce the disparity in health, education and economic status between Aboriginal and Torres Strait Islander peoples and other Australians.
AIM: To describe the first foods of Aboriginal and Torres Strait Islander infants and young children who were recruited to a nutrition promotion and anaemia prevention program conducted from 2010 to 2012, in six remote communities across northern Australia. METHODS: Food records (24-hour diet history, food variety checklist) were completed on recruitment by interview with a parent or carer. Cross-sectional analysis assessed the proportion of participants consuming recommended and not-recommended foods and drinks and meeting recommendations for meal frequency and dietary diversity. RESULTS: Of 245 Aboriginal and Torres Strait Islander participants aged 6-24 months, 227 (92.7%) had a recruitment food record. On the previous day, most (67.4%) had breastmilk, nearly all (98.2%) ate solid food, but only 13% ate fruit, 33% had neither fruit nor vegetables, and 25% had sweet drinks. Children living in smaller households (3-5 people) were more likely to meet the criteria for frequency of meals than those living in larger households of 12-31 people (93% vs 78%, P = 0.012 for trend over household size). Only 30% met the criteria for dietary diversity. Where information was available (n = 91), dietary diversity was adequate more often in 'pay week' compared to 'not pay week' (31.3% vs 9.3%, P = 0.007). CONCLUSION: Support for current beneficial breast-feeding practices and promotion of nutrient-dense complementary foods, need to be embedded in initiatives for improved family food security. Good nutrition in early life can reduce the disparity in health, education and economic status between Aboriginal and Torres Strait Islander peoples and other Australians.
Authors: Kathleen M Wright; Joanne Dono; Aimee L Brownbill; Odette Pearson Nee Gibson; Jacqueline Bowden; Thomas P Wycherley; Wendy Keech; Kerin O'Dea; David Roder; Jodie C Avery; Caroline L Miller Journal: BMJ Open Date: 2019-02-27 Impact factor: 2.692
Authors: Katherine A Thurber; Johanna Long; Minette Salmon; Adolfo G Cuevas; Raymond Lovett Journal: Public Health Nutr Date: 2019-08-28 Impact factor: 4.022
Authors: Jessie Kai; John J Chen; Kathryn L Braun; Joseph Keaweʻaimoku Kaholokula; Rachel Novotny; Carol J Boushey; Marie K Fialkowski Journal: Children (Basel) Date: 2022-01-02