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Mahanna A, Howell BM, Worthington AK, Redmond LC, Hiratsuka VY. Fruit and vegetable intake, physical activity, and functional fitness among older adults in urban Alaska. Int J Circumpolar Health 2024; 83:2359164. [PMID: 38807560 PMCID: PMC11138220 DOI: 10.1080/22423982.2024.2359164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 05/20/2024] [Indexed: 05/30/2024] Open
Abstract
Older adults often face barriers to obtaining recommended diet, physical activity, and fitness levels. Understanding these patterns can inform effective interventions targeting health beliefs and behavior. This cross-sectional study included a multicultural sample of 58 older adults (aged 55+ years, M=71.98) living in independent senior housing in urban Southcentral Alaska. Participants completed a questionnaire and the Senior Fitness Test that assessed self-reported fruit and vegetable intake, physical activity, self-efficacy, and functional fitness. T-tests and bivariate correlation analyses were used to test six hypotheses. Results indicated that participants had low physical activity but had a mean fruit and vegetable intake that was statistically significantly higher than the hypothesized "low" score. Only 4.26% of participants met functional fitness standards for balance/agility, and 8.51% met standards for lower-body strength. However, 51.1% met standards for upper-body strength and 46.8% met standards for endurance The results also indicated that nutrition self-efficacy and exercise self-efficacy were positively related to fruit and vegetable intake and physical activity levels, respectively. Interestingly, income was not related to nutrition or activity patterns. These data complicate the picture on dietary and physical activity patterns for older adults in Alaska and offer recommendations for future health promotion activities.
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Affiliation(s)
- Allexis Mahanna
- Population Health Sciences, University of Alaska Anchorage, Anchorage, AK, USA
| | - Britteny M. Howell
- Population Health Sciences, University of Alaska Anchorage, Anchorage, AK, USA
- National Resource Center for Alaska Native Elders, University of Alaska Anchorage, Anchorage, AK, USA
| | | | - Leslie C. Redmond
- Agricultural and Food Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Vanessa Y. Hiratsuka
- National Resource Center for Alaska Native Elders, University of Alaska Anchorage, Anchorage, AK, USA
- Research, Southcentral Foundation, Anchorage, AK, USA
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Hill CM, Nash SH, Hopkins SE, Boyer BB, OBrien DM, Bersamin A. Diet quality is positively associated with intake of traditional foods and does not differ by season in remote Yup'ik communities. Int J Circumpolar Health 2023; 82:2221370. [PMID: 37312577 PMCID: PMC10269404 DOI: 10.1080/22423982.2023.2221370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 05/30/2023] [Accepted: 05/31/2023] [Indexed: 06/15/2023] Open
Abstract
This study evaluated whether traditional food intake and diet quality differed by season in Yup'ik communities and examined the relationship between intake of traditional food groups and diet quality. Data were collected from 38 participants, ages 14-79 years, from two Yup'ik communities in Southwest Alaska from 2008 to 2010. Self-reported intake (24-h recalls) and dietary biomarker (nitrogen stable isotope ratio) data were collected twice in distinct seasons. Diet quality was assessed using the Healthy Eating Index. A paired sample t-test was used to test for seasonal differences in traditional food intake and diet quality, and linear regression was used to evaluate associations between traditional food intake and diet quality. Total traditional food intake and overall diet quality did not significantly differ by season, but there were differences in traditional food group intake and diet quality component scores. Diet quality was strongly associated with intake of traditional food groups including fish, tundra greens, and berries. Given the strong relationship between traditional food intake and diet quality, policies should aim to ensure continued access to traditional foods in Yup'ik communities amid environmental changes in the circumpolar North.
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Affiliation(s)
- Courtney M Hill
- Department of Biology and Wildlife, University of Fairbanks Alaska, Fairbanks, AK, USA
| | - Sarah H. Nash
- Center for Alaska Native Health Research, Institute for Arctic Biology, University of Alaska, Fairbanks, AK, USA
- Department of Epidemiology, University of Iowa, Iowa City, IA, USA
| | - Scarlett E. Hopkins
- Center for Alaska Native Health Research, Institute for Arctic Biology, University of Alaska, Fairbanks, AK, USA
- Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR, USA
| | - Bert B. Boyer
- Center for Alaska Native Health Research, Institute for Arctic Biology, University of Alaska, Fairbanks, AK, USA
- Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR, USA
| | - Diane M. OBrien
- Department of Biology and Wildlife, University of Fairbanks Alaska, Fairbanks, AK, USA
- Center for Alaska Native Health Research, Institute for Arctic Biology, University of Alaska, Fairbanks, AK, USA
| | - Andrea Bersamin
- Department of Biology and Wildlife, University of Fairbanks Alaska, Fairbanks, AK, USA
- Center for Alaska Native Health Research, Institute for Arctic Biology, University of Alaska, Fairbanks, AK, USA
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Ohle KA, Koller KR, Walch AK, Lee FR, Palmer L, Nu J, Thomas TK. Alaska Native Parents' Decision-Making About Food, Beverages, and Screen Time for Young Children: Formative Insights From the "Got Neqpiaq?" Project. FAMILY & COMMUNITY HEALTH 2023; 46:250-258. [PMID: 37703513 PMCID: PMC10502956 DOI: 10.1097/fch.0000000000000370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/15/2023]
Abstract
With rising childhood obesity rates, ensuring children adopt healthy habits early is imperative. Given the unique context for Alaska Native families living in rural remote communities, who are concurrently experiencing changes in traditional practices, we investigated what impacts parents' decisions as they relate to daily living before revising a preschool curriculum focused on healthy habits. The objective of this study was to explore factors influencing parents' decisions about their children's foods, beverages, and activities. In focus group discussions with AN parents of young children across 12 communities, we asked about meals, traditional foods, beverages, physical activity, and screen time. All sessions were recorded, transcribed, and analyzed using open and selective coding to allow the most important themes to emerge. As parents discussed how they make decisions, several trends emerged related to adults' and children's food and beverage preferences; the impact of adult modeling on children; and how convenience, seasonality, access, and a reluctance to engage in conflict all impact decision-making. Parents and other community members shared important perspectives on exposing children to traditional subsistence foods and activities and passing important traditional knowledge to them at an early age. These perspectives will form the basis for preschool curricula in these communities.
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Affiliation(s)
- Kathryn A Ohle
- Early Childhood Education, Grand Valley State University, Grand Rapids, Michigan (Dr Ohle); Alaska Native Tribal Health Consortium, Research Services, Anchorage, Alaska (Drs Koller and Thomas and Ms Lee); Dietetics & Nutrition, University of Alaska Anchorage (Dr Walch); RurAL Cap Head Start, Anchorage, Alaska (Ms Palmer); and Center for Alaska Native Health Research, University of Alaska Fairbanks (Ms Nu)
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Walch AK, Ohle KA, Koller KR, Alexie L, Lee F, Palmer L, Nu J, Thomas TK, Bersamin A. Impact of Assistance Programs on Indigenous Ways of Life in 12 Rural Remote Western Alaska Native Communities: Elder Perspectives Shared in Formative Work for the "Got Neqpiaq?" Project. Int J Circumpolar Health 2022; 81:2024679. [PMID: 35037587 PMCID: PMC8765241 DOI: 10.1080/22423982.2021.2024679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 12/21/2021] [Accepted: 12/28/2021] [Indexed: 11/16/2022] Open
Abstract
For more than 50 years, government programmes in the USA have been in place to help those in need have consistent access to food and education. However, questions have surfaced regarding whether or not these support impact traditional ways, such as cultural activities, food preferences, and overall health, particularly for Indigenous populations. In this paper, we share insights voiced by Alaska Native Elders in the Yukon-Kuskokwim region of Alaska and their perceptions of regulations, assistance, and the impact government assistance programmes have had on their culture. Elders raised concerns so that those administering these programmes will consider how best to meet food security and education needs without interfering with Indigenous cultural practices and traditional lifestyle.
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Affiliation(s)
- Amanda K. Walch
- Dietetics & Nutrition, University of Alaska Anchorage, Anchorage, Alaska, USA
| | - Kathryn A. Ohle
- Early Childhood Education, Grand Valley State University, Grand Rapids, Michigan, USA
| | - Kathryn R. Koller
- Research Nurse Supervisor, Alaska Native Tribal Health Consortium, Research Services, Anchorage, Alaska, USA
| | - Lucinda Alexie
- Yukon-Kuskokwim Health Corporation Research Department, Associate Research Coordinator, Bethel, Alaska, USA
| | - Flora Lee
- Epidemiology Research Nurse, Alaska Native Tribal Health Consortium Research Services, Anchorage, Alaska, USA
| | - Lea Palmer
- Registered Dietitian Nutritionist, RurAL Cap Head Start, Anchorage, Alaska, USA
| | - Jennifer Nu
- Research Associate, Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, Alaska, USA
| | - Timothy K. Thomas
- Alaska Native Tribal Health Consortium Research Services, Anchorage, Alaska, USA
| | - Andrea Bersamin
- Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, Alaska, USA
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Sanders MA, Oppezzo M, Skan J, Benowitz NL, Schnellbaecher M, Prochaska JJ. Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease. PLoS One 2022; 17:e0275445. [PMID: 36178914 PMCID: PMC9524684 DOI: 10.1371/journal.pone.0275445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 09/15/2022] [Indexed: 11/18/2022] Open
Abstract
This cross-sectional study assessed how traditional eating relates to cultural and community factors. Alaska Native adults from the Norton Sound region were recruited and surveyed between 2015-2018 for a randomized clinical trial of multiple risk behavior change interventions for cardiovascular disease prevention. Participants (n = 291) were 49% female with a mean age of 47 years (SD = 14). A 34-item food frequency questionnaire assessed consumption of foods traditional and nontraditional to the regional Alaska Native diet. A novel measure, termed the "traditional foods index", was computed as weekly servings of culturally traditional food consumption divided by total foods reported. Overall, the sample's traditional foods index averaged 21%±16%, with higher values reported by participants assessed in summer (23%±17%) than winter (19%±15%, p<0.05); by women (22%±16%) than men (19%±16%, p < .05); and by residents of smaller communities (22%±17%) than the comparatively larger community of Nome (17%±14%, p<0.05). The traditional foods index was correlated with age (r = .26, p < .01), as well as the cultural variables of community connectedness (r = .19, p < .01), community standing (r = .15, p < .01), and traditional language comprehension (r = .19, p < .01). In a multivariate regression model, age, community connectedness, and community standing remained significantly associated with traditional diet. These findings may inform the design and evaluation of community-based, culturally-relevant dietary initiatives for heart health.
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Affiliation(s)
- Mark A. Sanders
- Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California, United States of America
| | - Marily Oppezzo
- Department of Medicine, Stanford Prevention Research Center, Stanford University, Stanford, California, United States of America
| | - Jordan Skan
- Cardiology Department, Alaska Native Tribal Health Consortium, Anchorage, Alaska, United States of America
| | - Neal L. Benowitz
- Department of Medicine, Division of Cardiology, Program in Clinical Pharmacology, and the Center for Tobacco Control Research and Education, UCSF, San Francisco, California, United States of America
| | - Matthew Schnellbaecher
- Cardiology Department, Alaska Native Tribal Health Consortium, Anchorage, Alaska, United States of America
| | - Judith J. Prochaska
- Department of Medicine, Stanford Prevention Research Center, Stanford University, Stanford, California, United States of America
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Mazur-Włodarczyk K, Gruszecka-Kosowska A. Conventional or Organic? Motives and Trends in Polish Vegetable Consumption. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4667. [PMID: 35457534 PMCID: PMC9032158 DOI: 10.3390/ijerph19084667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 03/29/2022] [Accepted: 04/08/2022] [Indexed: 12/10/2022]
Abstract
Vegetables constitute a major component of human food security. They are the main sources of essential nutrients including antioxidants, natural dyes, minerals, and vitamins. Eating habit issues related to the consumption of vegetables are gaining importance within the context of a healthy lifestyle, longevity, and physical fitness. Additionally, food quality is of primary importance, and so-called eco-food (defined as food as natural as possible, without fertilizers, pesticides, or preservatives) seems to be the most popular world-trend in healthy nutrition. Keeping these ideas in focus, research on vegetable consumption in Poland in the context of conventional or organic production was performed using online questionnaire surveys. The results revealed that the rate of vegetable consumption depended primarily on economic status, except for the potato, which was a staple cutting across all economic strata. Among the 108 analyzed respondents, 74% bought vegetables from certified organic farms. However, 59% bought organic vegetables "rarely" or "sometimes", and only 15% "often". Next, respondents chose to buy vegetables from fresh food markets (45%) and in local shops (41%). About 20% of the respondents acquired vegetables from their own farms. Among the reasons for choosing vegetables from certified organic farms, respondents mentioned in decreasing order: "desire for proper nutrition" (30%), "thinking that organic vegetables are healthier" (28%), and "organic vegetables are generally better" (7%).
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Affiliation(s)
- Katarzyna Mazur-Włodarczyk
- Faculty of Economics and Management, Department of Enterprise Management, E-Business and Electronic Economy, Opole University of Technology, E-Business and Electronic Economy, 7 Luboszycka St, 45-036 Opole, Poland
| | - Agnieszka Gruszecka-Kosowska
- Department of Environmental Protection, Faculty of Geology, Geophysics, and Environmental Protection, AGH University of Science and Technology, al. A. Mickiewicza 30, 30-059 Krakow, Poland;
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Walch AK, Ohle KA, Koller KR, Alexie L, Sapp F, Thomas TK, Bersamin A. Alaska Native Elders' perspectives on dietary patterns in rural, remote communities. BMC Public Health 2021; 21:1645. [PMID: 34503462 PMCID: PMC8427848 DOI: 10.1186/s12889-021-11598-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 08/04/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Given the increasing rates of childhood obesity in Alaska Native children and the understanding that the most effective interventions are informed by and reflect the cultural knowledge of the community in which they are implemented, this project sought to gather the wisdom of local Yup'ik and Cup'ik Elders in the Yukon-Kuskokwim region of Alaska around how to maintain a healthy diet and active lifestyle. METHODS Perspectives were sought through the use of semi-structured focus groups, which were completed in person in twelve communities. All conversations were recorded, translated, transcribed, and analyzed using a qualitative approach, where key themes were identified. RESULTS Elders provided a clear and consistent recollection of what their life looked like when they were young and expressed their perspectives related to maintaining a healthy and traditional lifestyle. The key themes the Elders discussed included an emphasis on the nutritional and cultural benefits of traditional foods; concerns around changing dietary patterns such as the consumption of processed foods and sugar sweetened beverages; and concerns on the time and use of screens. Elders also expressed a desire to help younger generations learn traditional subsistence practices. CONCLUSIONS The risk of obesity in Alaska Native children is high and intervention efforts should be grounded in local knowledge and values. The perspectives from Yup'ik and Cup'ik Elders in the Yukon-Kuskokwim Delta area of Alaska provide a better understanding on local views of how to maintain a healthy diet, physical activities, and traditional values.
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Affiliation(s)
- Amanda K. Walch
- Dietetics & Nutrition Department, University of Alaska Anchorage, 146 Professional Studies Building, 3211 Providence Drive, Anchorage, AK 99508 USA
| | - Kathryn A. Ohle
- Early Childhood Education, Grand Valley State University, 441C Richard M. DeVos Center, 401 Fulton St. W, Grand Rapids, MI 49504-6431 USA
| | - Kathryn R. Koller
- Clinical & Research Services, Alaska Native Tribal Health Consortium, 3900 Ambassador Dr., Ste. 201, Anchorage, AK 99508 USA
| | - Lucinda Alexie
- Division of YKHC Medical Director, Yukon Kuskokwim Health Corporation, Post Office Box 528, Bethel, AK USA
| | - Flora Sapp
- Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, PO BOX 757000, Fairbanks, AK 99775 USA
| | - Timothy K. Thomas
- Clinical & Research Services, Alaska Native Tribal Health Consortium, 3900 Ambassador Dr., Ste. 201, Anchorage, AK 99508 USA
| | - Andrea Bersamin
- Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, PO BOX 757000, Fairbanks, AK 99775 USA
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Koller KR, Wilson A, Normolle DP, Nicholson JK, Li JV, Kinross J, Lee FR, Flanagan CA, Merculieff ZT, Iyer P, Lammers DL, Thomas TK, O'Keefe SJD. Dietary fibre to reduce colon cancer risk in Alaska Native people: the Alaska FIRST randomised clinical trial protocol. BMJ Open 2021; 11:e047162. [PMID: 34452959 PMCID: PMC8404459 DOI: 10.1136/bmjopen-2020-047162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Accepted: 08/09/2021] [Indexed: 01/05/2023] Open
Abstract
INTRODUCTION Diet, shown to impact colorectal cancer (CRC) risk, is a modifiable environmental factor. Fibre foods fermented by gut microbiota produce metabolites that not only provide food for the colonic epithelium but also exert regulatory effects on colonic mucosal inflammation and proliferation. We describe methods used in a double-blinded, randomised, controlled trial with Alaska Native (AN) people to determine if dietary fibre supplementation can substantially reduce CRC risk among people with the highest reported CRC incidence worldwide. METHODS AND ANALYSES Eligible patients undergoing routine screening colonoscopy consent to baseline assessments and specimen/data collection (blood, urine, stool, saliva, breath and colon mucosal biopsies) at the time of colonoscopy. Following an 8-week stabilisation period to re-establish normal gut microbiota post colonoscopy, study personnel randomise participants to either a high fibre supplement (resistant starch, n=30) or placebo (digestible starch, n=30) condition, repeating stool sample collection. During the 28-day supplement trial, each participant consumes their usual diet plus their supplement under direct observation. On day 29, participants undergo a flexible sigmoidoscopy to obtain mucosal biopsy samples to measure the effect of the supplement on inflammatory and proliferative biomarkers of cancer risk, with follow-up assessments and data/specimen collection similar to baseline. Secondary outcome measures include the impact of a high fibre supplement on the oral and colonic microbiome and biofluid metabolome. ETHICS AND DISSEMINATION Approvals were obtained from the Alaska Area and University of Pittsburgh Institutional Review Boards and Alaska Native Tribal Health Consortium and Southcentral Foundation research review bodies. A data safety monitoring board, material transfer agreements and weekly study team meetings provide regular oversight throughout the study. Study findings will first be shared with AN tribal leaders, health administrators, providers and community members. Peer-reviewed journal articles and conference presentations will be forthcoming once approved by tribal review bodies. TRIAL REGISTRATION NUMBER NCT03028831.
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Affiliation(s)
- Kathryn R Koller
- Research Services, Alaska Native Tribal Health Consortium, Anchorage, Alaska, USA
| | - Annette Wilson
- Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Daniel P Normolle
- Hillman Cancer Center Biostatistics Facility, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Jeremy K Nicholson
- Australian National Phenome Center, Murdoch University, Perth, Western Australia, Australia
| | - Jia V Li
- Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK
| | - James Kinross
- Department of Surgery and Cancer, Imperial College London, London, UK
| | - Flora R Lee
- Research Services, Alaska Native Tribal Health Consortium, Anchorage, Alaska, USA
| | - Christie A Flanagan
- Alaska Native Epidemiology Center, Alaska Native Tribal Health Consortium, Anchorage, Alaska, USA
| | - Zoe T Merculieff
- Wellness and Prevention, Alaska Native Tribal Health Consortium, Anchorage, Alaska, USA
| | - Priya Iyer
- Hillman Cancer Center Biostatistics Facility, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Daniela L Lammers
- Research Services, Alaska Native Tribal Health Consortium, Anchorage, Alaska, USA
| | - Timothy K Thomas
- Research Services, Alaska Native Tribal Health Consortium, Anchorage, Alaska, USA
| | - Stephen J D O'Keefe
- Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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Koller KR, Flanagan CA, Nu J, Lee FR, Desnoyers C, Walch A, Alexie L, Bersamin A, Thomas TK. Storekeeper perspectives on improving dietary intake in 12 rural remote western Alaska communities: the "Got Neqpiaq?" project. Int J Circumpolar Health 2021; 80:1961393. [PMID: 34350814 PMCID: PMC8344255 DOI: 10.1080/22423982.2021.1961393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Low intake of fruits and vegetables and high intake of sugar-sweetened beverages persists as a public health concern in rural remote Alaska Native (AN) communities. Conducting key informant interviews with 22 storekeepers in 12 communities in the Yukon-Kuskokwim region of Alaska, we explored potential factors impeding or facilitating dietary change towards healthier food choices. We selected these sites as part of a multi-level intervention aimed at introducing more traditional AN subsistence foods, increasing fruit and vegetable intake, and decreasing SSB consumption among young children enrolled in Head Start (preschool) programmes (Clinicaltrials.gov #NCT03601299). Storekeepers in these communities agreed that seasonality and flight schedules were primary factors determining commercial foods’ availability. Several storekeepers noted that federal food assistance programmes that specify which food items may be purchased with funds received from the programme and community policies that set limits on less healthy items promote customer purchases of healthier products. The fact that storekeepers are comfortable enforcing government assistance programme guidelines, company policies, and tribal resolutions suggests an important role storekeepers play in improving nutritional intake in their communities.
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Affiliation(s)
- Kathryn R Koller
- Research Nurse Supervisor,Alaska Native Tribal Health Consortium Research Services, Anchorage, Alaska, USA
| | - Christie A Flanagan
- Research Program Manager, Alaska Native Tribal Health Consortium Research Services, Anchorage, Alaska, USA
| | - Jennifer Nu
- Research Associate, Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, Alaska, USA
| | - Flora R Lee
- Research Nurse, Alaska Native Tribal Health Consortium Research Services Anchorage, Alaska, USA
| | - Christine Desnoyers
- Research Coordinator, Yukon-Kuskokwim Health Corporation, Bethel Alaska, USA
| | - Amanda Walch
- Assistant Professor of Dietetics & Nutrition, University of Alaska Anchorage, Anchorage, Alaska, USA
| | - Lucinda Alexie
- Associate Research Coordinator, Yukon-Kuskokwim Health Corporation Research Department, Bethel, Alaska, USA
| | - Andrea Bersamin
- Associate Professor, Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, Alaska, USA
| | - Timothy K Thomas
- Director,Alaska Native Tribal Health Consortium, Research Services, Anchorage, Alaska, USA
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10
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Hill CM, Paschall MJ, O'Brien DM, Bersamin A. Characterizing Vegetable and Fruit Intake in a Remote Alaska Native Community Using Reflection Spectroscopy and 24-Hour Recalls. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2021; 53:712-718. [PMID: 33715972 PMCID: PMC8783602 DOI: 10.1016/j.jneb.2021.02.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 02/01/2021] [Accepted: 02/05/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Characterize vegetable and fruit (VF) intake in a Yup'ik community using self-reported intake and skin carotenoid status (SCS) and evaluate the relationship between SCS and fish intake. METHODS Self-reported VF intake was measured using the 24-hour recall, SCS was measured by reflection spectroscopy via the Veggie Meter (Longevity Link Corporation), and fish intake was estimated by the nitrogen isotope ratio (NIR) for 80 participants in a remote community in Southwestern Alaska. Bivariate correlations were used to assess the relationship between self-reported VF intake, SCS, and NIR. RESULTS Intake of all VF subgroups was low. The SCS was higher for males (262.7 vs 185.3; P = 0.002) and participants consuming more than 1 VF serving (232.5 vs 183.0; P = 0.02). It was not associated with the NIR. CONCLUSIONS AND IMPLICATIONS Increasing VF intake is a way to improve diet in Yup'ik communities and the Veggie Meter is a simple and noninvasive tool to facilitate surveillance efforts.
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Affiliation(s)
- Courtney M Hill
- Department of Biology and Wildlife, University of Alaska Fairbanks, Fairbanks, AK
| | - Mallie J Paschall
- Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA
| | - Diane M O'Brien
- Department of Biology and Wildlife, University of Alaska Fairbanks, Fairbanks, AK; Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK
| | - Andrea Bersamin
- Department of Biology and Wildlife, University of Alaska Fairbanks, Fairbanks, AK; Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK.
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Martinho VJPD, Bartkiene E, Djekic I, Tarcea M, Barić IC, Černelič-Bizjak M, Szűcs V, Sarcona A, El-Kenawy A, Ferreira V, Klava D, Korzeniowska M, Vittadini E, Leal M, Bolhuis D, Papageorgiou M, Guiné RPF. Determinants of economic motivations for food choice: insights for the understanding of consumer behaviour. Int J Food Sci Nutr 2021; 73:127-139. [PMID: 34148490 DOI: 10.1080/09637486.2021.1939659] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Food consumption involves several dimensions, being some of them directly associated with the consumers' characteristics. The interrelationships between these domains impact consumer behaviour for food choice and the consequent decisions for food consumption. In these frameworks, economic motivations are determinant. On the other hand, the scientific literature highlights that the economic-based stimuli to choose food is still underexplored. In this perspective, the objective of this study was to assess the main sociodemographic and anthropometric determinants of the economic motivations for food choice. For that, a questionnaire survey was carried out involving 11,919 respondents from 16 countries. A validated questionnaire was used, translated into the native languages in all participating countries, using a back-translation process. First, the information obtained was assessed through factor analysis to reduce the number of variables associated with the economic motivations and to identify indexes. After, and considering the indexes obtained as dependent variables, a classification and regression tree analysis was performed. As main insights, it is highlighted that the main determinants of the economic motivations are country of residence, age, gender, civil state, professional activity, educational level, living environment, responsibility for buying food, weight, height, body mass index, healthy diets and physical exercise practices. Additionally, the results also reveal that economic motivations may be associated with two indexes, one related to convenience attitudes and the other to quality concerns. Finally, the younger persons and the women are the social groups more concerned with healthy diets and food quality. In conclusion, this work confirmed that food choice is to a high extent influenced by several sociodemographic and behavioural factors.
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Affiliation(s)
- Vítor J P D Martinho
- Agricultural School and CERNAS-IPV Research Centre, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Elena Bartkiene
- Department of Food Safety and Quality, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Ilija Djekic
- Faculty of Agriculture, University of Belgrade, Belgrade, Serbia
| | - Monica Tarcea
- Department of Community Nutrition and Food Safety, University of Medicine, Pharmacy, Science and Technology, Targu-Mures, Romania
| | - Irena Colić Barić
- Faculty of Food Technology and Biotechnology, University of Zagreb, Zagreb, Croatia
| | | | - Viktória Szűcs
- Directorate of Food Industry, Hungarian Chamber of Agriculture, Budapest, Hungary
| | - Alessandra Sarcona
- Department of Nutrition, West Chester University of Pennsylvania, West Chester, PA, USA
| | - Ayman El-Kenawy
- Molecular Biology Department, Genetic Engineering and Biotechnology Institute, University of Sadat City, Sadat, Egypt
| | - Vanessa Ferreira
- Department of Nutrition, Faculty of Biological and Health Sciences, UFVJM University, Diamantina, Brazil
| | - Dace Klava
- Faculty of Food Technology, Latvian University of Agriculture, Jelgava, Latvia
| | - Małgorzata Korzeniowska
- Faculty of Biotechnology and Food Science, Wrocław University of Environmental and Life Sciences, Wroclaw, Poland
| | - Elena Vittadini
- School of Biosciences and Veterinary Medicine, University of Camerino, Camerino, Italy
| | - Marcela Leal
- Red IESVIDAS (Investigación en Estilos de Vida Saludable)/CONINUT (Consorcio de Investigadores en Nutriología), Buenos Aires, Argentina
| | - Dieuwerke Bolhuis
- Food Quality and Design Group, Wageningen University & Research, Wageningen, The Netherlands
| | - Maria Papageorgiou
- Department of Food Science and Technology, International Hellenic University, Thessaloniki, Greece
| | - Raquel P F Guiné
- Agricultural School and CERNAS-IPV Research Centre, Polytechnic Institute of Viseu, Viseu, Portugal
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Kenny TA, Little M, Lemieux T, Griffin PJ, Wesche SD, Ota Y, Batal M, Chan HM, Lemire M. The Retail Food Sector and Indigenous Peoples in High-Income Countries: A Systematic Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17238818. [PMID: 33261090 PMCID: PMC7730644 DOI: 10.3390/ijerph17238818] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 11/17/2020] [Accepted: 11/18/2020] [Indexed: 02/06/2023]
Abstract
Indigenous Peoples in high-income countries experience higher burdens of food insecurity, obesity, and diet-related health conditions compared to national averages. The objective of this systematic scoping review is to synthesize information from the published literature on the methods/approaches, findings, and scope for research and interventions on the retail food sector servicing Indigenous Peoples in high-income countries. A structured literature search in two major international databases yielded 139 relevant peer-reviewed articles from nine countries. Most research was conducted in Oceania and North America, and in rural and remote regions. Several convergent issues were identified across global regions including limited grocery store availability/access, heightened exposure to unhealthy food environments, inadequate market food supplies (i.e., high prices, limited availability, and poor quality), and common underlying structural factors including socio-economic inequality and colonialism. A list of actions that can modify the nature and structure of retailing systems to enhance the availability, accessibility, and quality of healthful foods is identified. While continuing to (re)align research with community priorities, international collaboration may foster enhanced opportunities to strengthen the evidence base for policy and practice and contribute to the amelioration of diet quality and health at the population level.
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Affiliation(s)
- Tiff-Annie Kenny
- Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Quebec, QC G1V 0A6, Canada;
- Centre de recherche du CHU de Québec, Université Laval, Axe santé des populations et pratiques optimales en santé, Quebec, QC G1E 6W2, Canada
- Correspondence: or
| | - Matthew Little
- School of Public Health and Social Policy, University of Victoria, Victoria, BC V8P 5C2, Canada;
| | - Tad Lemieux
- Department of English Language and Literature, Carleton University, Ottawa, ON K1S 5B6, Canada;
| | - P. Joshua Griffin
- School of Marine and Environmental Affairs, University of Washington, Seattle, WA 98105, USA; (P.J.G.); (Y.O.)
- Department of American Indian Studies, University of Washington, Seattle, WA 98195, USA
| | - Sonia D. Wesche
- Department of Geography, Environment and Geomatics, Faculty of Arts, University of Ottawa, Ottawa, ON K1N 6N5, Canada;
| | - Yoshitaka Ota
- School of Marine and Environmental Affairs, University of Washington, Seattle, WA 98105, USA; (P.J.G.); (Y.O.)
- Nippon Foundation Ocean Nexus Center, EarthLab, University of Washington; Seattle, WA 98195, USA
| | - Malek Batal
- Département de nutrition, Faculté de médecine, Université de Montréal, Montreal, QC H3T 1J4, Canada;
- Centre de recherche en santé publique (CReSP), Montreal, Quebec, QC H3N 1X9, Canada
| | - Hing Man Chan
- Department of Biology, University of Ottawa, Ottawa, ON K1N 9A7, Canada;
| | - Melanie Lemire
- Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Quebec, QC G1V 0A6, Canada;
- Centre de recherche du CHU de Québec, Université Laval, Axe santé des populations et pratiques optimales en santé, Quebec, QC G1E 6W2, Canada
- Institut de biologie intégrative et des systèmes (IBIS), Université Laval, Quebec, QC G1V 0A6, Canada
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Luongo G, Skinner K, Phillipps B, Yu Z, Martin D, Mah CL. The Retail Food Environment, Store Foods, and Diet and Health among Indigenous Populations: a Scoping Review. Curr Obes Rep 2020; 9:288-306. [PMID: 32780322 DOI: 10.1007/s13679-020-00399-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
PURPOSE OF THE REVIEW Describe the state of knowledge on how the retail food environment contributes to diet-related health and obesity among Indigenous populations, and assess how the literature incorporates Indigenous perspectives, methodologies and engagement throughout the research process. Outcomes included dietary behaviour (purchasing, intakes and diet quality) and diet-related health outcomes (weight-related outcomes, non-communicable diseases and holistic health or definitions of health as defined by Indigenous populations involved in the study). RECENT FINDINGS Of fifty included articles (1996-2019), the largest proportions described Indigenous communities in Canada (20 studies, 40%), the USA (16, 32%) and Australia (9, 18%). Among articles that specified the Indigenous population of focus (42 studies, 84%), the largest proportion (11 studies, 26%) took place in Inuit communities, followed by Aboriginal and Torres Strait Islander communities (8 studies, 19%). The included literature encompassed four main study designs: type A, dietary intakes of store foods (14 studies, 28%), and type B, store food environments (16, 32%), comprised the greatest proportion of articles; the remainder were type C, store food environments and diet (7, 14%), and type D, store food environment interventions (13, 26%). Of the studies that assessed diet or health outcomes (36, 72%), 22 (61%) assessed dietary intakes; 16 (44%) sales/purchasing; and 8 (22%) weight-related outcomes. Store foods tended to contribute the greatest amount of dietary energy to the diets of Indigenous peoples and increased non-communicable disease risk as compared to traditional foods. Multi-pronged interventions appeared to have positive impacts on dietary behaviours, food purchasing and nutrition knowledge; promotion and nutrition education alone had more mixed effects. Of the nine studies which were found to have strong engagement with Indigenous populations, eight had moderate or high methodological quality. Eighteen studies (36%) did not mention any engagement with Indigenous populations. The literature confirmed the importance of store foods to the total energy intake of the contemporary diets of Indigenous people, the gaps in accessing both retail food environments and traditional foods and the potential for both new dietary assessment research and retail food environment intervention strategies to better align with and privilege Indigenous Ways of Knowing.
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Affiliation(s)
- Gabriella Luongo
- School of Health Administration, Dalhousie University, Sir Charles Tupper Medical Building, 5850 College Street, 2nd floor, PO Box 15000, Halifax, NS, B3H 4R2, Canada.
| | - Kelly Skinner
- School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada
| | - Breanna Phillipps
- School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada
| | - Ziwa Yu
- School of Nursing, Dalhousie University, 5869 University Avenue, PO BOX 15000, Halifax, NS, B3H 4R2, Canada
| | - Debbie Martin
- School of Health and Human Performance, Dalhousie University, Stairs House, 6230 South Street, PO Box 15000, Halifax, NS, B3H 4R2, Canada
| | - Catherine L Mah
- School of Health Administration, Dalhousie University, Sir Charles Tupper Medical Building, 5850 College Street, 2nd floor, PO Box 15000, Halifax, NS, B3H 4R2, Canada
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Redwood DG, Day GM, Beans JA, Hiratsuka VY, Nash SH, Howard BV, Umans JG, Koller KR. Alaska Native Traditional Food and Harvesting Activity Patterns over 10 Years of Follow-Up. Curr Dev Nutr 2019; 3:nzz114. [PMID: 31723724 PMCID: PMC6834783 DOI: 10.1093/cdn/nzz114] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 09/20/2019] [Accepted: 10/07/2019] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Alaska Native (AN) traditional foods and associated harvesting activities are beneficial to human health. OBJECTIVE This study assessed longitudinal self-reported traditional food use and harvesting activities among Alaska Native and American Indian (AN/AI) participants in the Alaska Education and Research Towards Health (EARTH) study. METHODS In 2004-2006, southcentral Alaska EARTH study participants (n = 1320) completed diet and activity questionnaires which were repeated in 2015-2017; results were compared between participants who completed both questionnaires (n = 388). RESULTS In the follow-up questionnaire, >93% of participants reported eating ≥1 traditional food in the past year. The top 3 traditional foods were fish (75%), moose (42%), and shellfish (41%). Women were more likely than men to consume traditional foods, especially fish, gathered berries, shellfish, and seal oil (P < 0.05). Participants aged ≥60 y in the original cohort were significantly more likely to consume fish and shellfish at follow-up, whereas those aged 40-59 y were the most likely of the 3 age groups to consume seal oil (P < 0.05). Between the original cohort and follow-up, there was a significant decline in the mean number of traditional foods eaten from 6.3 to 5.5, as well as reduced consumption of multiple traditional foods (P < 0.001). Over 59% of participants reported ≥1 traditional harvesting activity in the past year; this proportion did not significantly change between baseline and follow-up. Picking berries/greens (44%), cutting/smoking fish or meat (33%), and fishing (30%) were the most common activities. Participation in traditional harvesting activities was greater among women than men (P < 0.05), but did not differ by age. CONCLUSIONS Longitudinal follow-up demonstrated that AN/AI people maintained participation in traditional harvesting activities, but the variety of traditional foods declined significantly among both men and women. Promotion of traditional foods and harvesting activities that serve as protective factors against chronic diseases may benefit this population.
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Affiliation(s)
| | - Gretchen M Day
- Alaska Native Tribal Health Consortium, Anchorage, AK, USA
| | | | | | - Sarah H Nash
- Alaska Native Tribal Health Consortium, Anchorage, AK, USA
| | | | - Jason G Umans
- Medstar Health Research Institute, Hyattsville, MD, USA
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Walch A, Bersamin A, Loring P, Johnson R, Tholl M. A scoping review of traditional food security in Alaska. Int J Circumpolar Health 2018; 77:1419678. [PMID: 29292675 PMCID: PMC5757232 DOI: 10.1080/22423982.2017.1419678] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2017] [Accepted: 11/22/2017] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Food insecurity is a public health concern. The pillars of food security include food access, availability and utilisation. For some indigenous peoples, the pillars may focus on traditional foods. OBJECTIVE To conduct a scoping review on traditional foods and food security in Alaska. DESIGN Google Scholar and the High North Research Documents were used to search for relevant primary research using the following terms: “traditional foods”, “food security”, “access”, “availability”, “utilisation”, “Alaska”, “Alaska Native” and “indigenous”. RESULTS Twenty four articles from Google Scholar and four articles from the High North Research Documents met the inclusion criteria. The articles revealed three types of research approaches, those that quantified traditional food intake (n=18), those that quantified food security (n=2), and qualitative articles that addressed at least one pillar of food security (n=8). CONCLUSIONS Studies that estimate the prevalence of traditional food insecurity in Alaska are virtually absent from the literature. Instead most studies provide a review of factors related to food security. Research investigating dietary intake of traditional foods is more prevalent. Future research should include direct measurements of traditional food intake and food security to provide a more complete picture of traditional food security in Alaska.
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Affiliation(s)
- Amanda Walch
- Department of Biology & Wildlife, University of Alaska Fairbanks, Fairbanks, AK, USA
| | - Andrea Bersamin
- Department of Biology & Wildlife, University of Alaska Fairbanks, Fairbanks, AK, USA
| | - Philip Loring
- School of Environment and Sustainability, University of Saskatchewan, Saskatoon, Saskatchewan
| | - Rhonda Johnson
- Department of Health Sciences, University of Alaska Anchorage, Anchorage, AK, USA
| | - Melissa Tholl
- Department of Dietetics & Nutrition, University of Alaska Anchorage, Anchorage, AK, USA
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16
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Power JM, Braun KL, Bersamin A. Exploring the Potential for Technology-Based Nutrition Education Among WIC Recipients in Remote Alaska Native Communities. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:S186-S191.e1. [PMID: 28689556 PMCID: PMC5505314 DOI: 10.1016/j.jneb.2016.11.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 11/12/2016] [Accepted: 11/15/2016] [Indexed: 05/03/2023]
Abstract
OBJECTIVE Estimate media technology use in Alaska Native communities to inform the feasibility of technology-based nutrition education. METHODS A self-administered questionnaire was mailed to a random selection of about 50% of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) authorized representatives in remote Alaska Native communities (n = 975). Media technology use, interest in media technology-based nutrition education, and potential barriers were assessed. Chi-square tests were used to investigate associations among technology use, age, and education. RESULTS Technology use was common among respondents (n = 368); use was significantly more common among younger age groups and participants with a higher level of education. Smartphone (78.8%) and Facebook (95.8%) use was comparable to national averages, but having a computer at home (38.4%) was much less likely. Less than 50% of participants have Internet access at home. CONCLUSIONS AND IMPLICATIONS Findings shed light on new opportunities for WIC and other programs to deliver nutrition education to Alaska Native people in remote communities.
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Affiliation(s)
- Julianne M Power
- Center for Alaska Native Health Research and the Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK
| | - Kathryn L Braun
- Office of Public Health Studies, University of Hawai'i, Honolulu, Hawaii
| | - Andrea Bersamin
- Center for Alaska Native Health Research and the Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK.
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Elwan D, de Schweinitz P, Wojcicki JM. Beverage consumption in an Alaska Native village: a mixed-methods study of behaviour, attitudes and access. Int J Circumpolar Health 2016; 75:29905. [PMID: 26928369 PMCID: PMC4770868 DOI: 10.3402/ijch.v75.29905] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 01/31/2016] [Accepted: 01/31/2016] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND American Indians/Alaska Natives (AI/AN) have the highest prevalence of obesity for any racial/ethnic group. Previous studies examining risk factors for obesity have identified excessive sugar-sweetened beverage (SSB) and inadequate water consumption as major risk factors for this population group. The historical scarcity of water in rural Alaska may explain consumption patterns including reliance on SSBs and other packaged drinks. METHODS Our study was designed to assess SSB, water and other beverage consumption and attitudes towards consumption in Alaska Native children and adults residing in rural Alaska. During summer 2014, 2 focus groups were conducted employing community members in a small rural village more than 200 air miles west of Fairbanks, Alaska. Interviews were completed with shop owners, Early Head Start and Head Start program instructors (n=7). SSB and total beverage intakes were measured using a modified version of the BEVQ-15, (n=69). RESULTS High rates of SSB consumption (defined as sweetened juice beverages, soda, sweet tea, energy drink or sports drinks) and low rates of water consumption were reported for all age groups in the village. All adolescents and 81% of children reported drinking SSBs at least once per week in the last month, and 48% of adolescents and 29% of younger children reported daily consumption. Fifty-two per cent of adults reported consuming SSBs at least once per week and 20% reported daily consumption. Twenty-five per cent of adolescents reported never drinking water in the past month, and 19% of younger children and 21% of adults did not consume water daily. CONCLUSION Alaska Native children and adults living in the Interior Alaska consume high amounts of SSBs including energy drinks and insufficient amounts of water. Interventions targeting beverage consumption are urgently needed for the Alaska Native population in rural Alaska.
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Affiliation(s)
- Deena Elwan
- Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA
| | - Peter de Schweinitz
- Chief Andrew Isaac Health Center, Tanana Chiefs Conference, Fairbanks, AK, USA
| | - Janet M Wojcicki
- Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA;
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Correction: Development of a Quantitative Food Frequency Questionnaire for Use among the Yup'ik People of Western Alaska. PLoS One 2016; 11:e0150317. [PMID: 26901783 PMCID: PMC4762947 DOI: 10.1371/journal.pone.0150317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Xavier ICDVM, Hardman CM, Andrade MLSDS, de Barros MVG. Frequency of consumption of fruits, vegetables and soft drinks: a comparative study among adolescents in urban and rural areas. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2015; 17:371-80. [PMID: 24918410 DOI: 10.1590/1809-4503201400020007eng] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2012] [Accepted: 01/15/2013] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To compare the frequency of consumption of fruits, vegetables and soft drinks among adolescents living in urban and rural areas of Pernambuco State. METHODS A cross-sectional study based on secondary analysis of data from a representative sample of high school students in Pernambuco (n = 4,207, 14 - 19 years) was conducted. Data were collected through a previously validated questionnaire. Adolescents who reported a daily consumption of soft drinks and occasional consumption of fruits, juices and vegetables were classified as exposed to inadequate standard of consumption of these foods. The independent variable was the place of residence (urban/rural). Data were analyzed by frequency distribution, χ2 test and binary logistic regression. RESULTS It was observed that students residing in rural areas had a higher prevalence of occasional consumption of natural fruit juices (37.6%; 95%CI 36.1 - 39.0) than those living in urban areas (32.1%; 95%CI 30.7 - 33.6). The proportion of students exposed to daily consumption of soft drinks was higher among those who reported they lived in urban areas (65.0%; 95%CI 63.5 - 66.4) compared to those who reported living in rural areas (55.3%; 95%CI 53.8 - 56.9). CONCLUSION Adolescent students living in rural areas had a higher prevalence of low consumption of natural fruit juices while those residing in urban areas had a higher prevalence of daily consumption of soda drinks.
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Green SH, Glanz K. Development of the Perceived Nutrition Environment Measures Survey. Am J Prev Med 2015; 49:50-61. [PMID: 26094227 DOI: 10.1016/j.amepre.2015.02.004] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Revised: 01/23/2015] [Accepted: 02/04/2015] [Indexed: 01/27/2023]
Abstract
INTRODUCTION Objective, observational measures of nutrition environments are now well established and widely used. Individuals' perceptions of their nutrition environments may be equally or more important, but are less well conceptualized, and comprehensive measures are not available. This paper describes the development of the Perceived Nutrition Environment Measures Survey (NEMS-P), its test-retest reliability, and its ability to discern differences between lower- and higher-SES neighborhoods. METHODS This research involved five steps: (1) development of a conceptual model and inventory of items; (2) expert review; (3) pilot testing and cognitive interviews; (4) revising the survey; and (5) administering the revised survey to participants in neighborhoods of high and low SES on two occasions to evaluate neighborhood differences and test-retest reliability. Data were collected in 2010 and 2011 and analyzed in 2011 and 2012. RESULTS The final survey has 118 items. Fifty-three core items represent three types of perceived nutrition environments: community nutrition environment, consumer nutrition environment, and home food environment. Test-retest reliability for core constructs of perceived nutrition environments was moderate to good (0.52-0.83) for most measured constructs. Residents of higher-SES neighborhoods reported higher availability scores in stores, stronger agreement that healthy options were available in nearby restaurants, and higher scores for accessibility of healthy foods in their homes. CONCLUSIONS The NEMS-P has moderate to good test-retest reliability and can discriminate perceptions of nutrition environments between residents of higher- and lower-SES neighborhoods. This survey is available and ready to be used.
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Affiliation(s)
- Sarah H Green
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
| | - Karen Glanz
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania
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Ntwenya JE, Kinabo J, Msuya J, Mamiro P, Majili ZS. Dietary patterns and household food insecurity in rural populations of Kilosa district, Tanzania. PLoS One 2015; 10:e0126038. [PMID: 25996146 PMCID: PMC4440765 DOI: 10.1371/journal.pone.0126038] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Accepted: 03/27/2015] [Indexed: 11/19/2022] Open
Abstract
Introduction Few studies have investigated the relationship between dietary pattern and household food insecurity. The objective of the present analysis was to describe the food consumption patterns and to relate these with the prevalence of food insecurity in the context of a rural community. Methodology Three hundred and seven (307) randomly selected households in Kilosa district participated in the study. Data were collected during the rainy season (February–May) and post harvest season (September–October) in the year 2011. Food consumption pattern was determined using a 24-h dietary recall method. Food insecurity data were based on the 30 day recall experience to food insecurity in the household. Factor analysis method using Principal Components extraction function was used to derive the dietary patterns and correlation analysis was used to establish the existing relationship between household food insecurity and dietary patterns factor score. Results Four food consumption patterns namely (I) Meat and milk; (II) Pulses, legumes, nuts and cooking oils; (III) fish (and other sea foods), roots and tubers; (IV) Cereals, vegetables and fruits consumption patterns were identified during harvest season. Dietary patterns identified during the rainy season were as follows: (I) Fruits, cooking oils, fats, roots and tubers (II) Eggs, meat, milk and milk products (III) Fish, other sea foods, vegetables, roots and tubers and (IV) Pulses, legumes, nuts, cereals and vegetables. Household food insecurity was 80% and 69% during rainy and harvest–seasons, respectively (P = 0.01). Household food insecurity access scale score was negatively correlated with the factor scores on household dietary diversity. Conclusion Food consumption patterns and food insecurity varied by seasons with worst scenarios most prevalent during the rainy season. The risk for inadequate dietary diversity was higher among food insecure households compared to food secure households. Effort geared at alleviating household food insecurity could contribute to consumption of a wide range of food items at the household level.
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Affiliation(s)
- Julius Edward Ntwenya
- University of Dodoma, Department of Public Health, P.O. BOX 395, Dodoma. Tanzania
- * E-mail:
| | - Joyce Kinabo
- Sokoine University of Agriculture, Department of Food Science and Technology P.O. Box 3006, Morogoro, Tanzania
| | - John Msuya
- Sokoine University of Agriculture, Department of Food Science and Technology P.O. Box 3006, Morogoro, Tanzania
| | - Peter Mamiro
- Sokoine University of Agriculture, Department of Food Science and Technology P.O. Box 3006, Morogoro, Tanzania
| | - Zahara Saidi Majili
- Sokoine University of Agriculture, Department of Food Science and Technology P.O. Box 3006, Morogoro, Tanzania
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Fodor JG, Helis E, Yazdekhasti N, Vohnout B. “Fishing” for the Origins of the “Eskimos and Heart Disease” Story: Facts or Wishful Thinking? Can J Cardiol 2014; 30:864-8. [DOI: 10.1016/j.cjca.2014.04.007] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2013] [Revised: 04/07/2014] [Accepted: 04/07/2014] [Indexed: 12/31/2022] Open
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