Dietary intake and development of a quantitative FFQ for a nutritional intervention to reduce the risk of chronic disease in the Navajo Nation.

Abstract:

OBJECTIVES:To characterize dietary intake for Navajo adults, to identify foods for a nutritional intervention programme and to develop a culturally appropriate quantitative FFQ (QFFQ) for evaluating the impact of the intervention programme. DESIGN:A cross-sectional study was conducted using 24 h dietary recalls. SETTING:Navajo Nation, USA. SUBJECTS:Seventy-nine (forty men, thirty-nine women) aged 18-71 years completed 24 h dietary recalls. RESULTS:The median daily energy intake was 11 585 kJ (2769 kcal) for men and 8519 kJ (2036 kcal) for women. The greatest contributors to energy were fried potato dishes, sweetened juices/drinks, regular pop, bread, tortillas and burritos (contributing approximately 30 % of total energy intake). The mean number of meat servings was over twice that recommended (2-3 servings recommended v. 7.4 consumed by men and 5.3 by women). The mean servings of vegetables were well below the recommendation of 3-5 servings (1.0 serving for men and 1.2 servings for women). The final QFFQ contains 177 food and drink items. CONCLUSIONS:Our study found that major contributors to total energy, fat and sugar intakes in the Navajo Nation included mostly processed meats and sweetened drinks. A nutritional intervention will target these foods and promote acceptable and healthier alternatives. In addition, we were able to identify foods and beverages for inclusion on a culturally appropriate QFFQ to assess dietary intake. This QFFQ will be used to evaluate the effectiveness of our intervention on food and food group consumption and nutrient intake.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Sharma S,Yacavone M,Cao X,Pardilla M,Qi M,Gittelsohn J

doi

10.1017/S1368980009005266

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

350-9

issue

3

eissn

1368-9800

issn

1475-2727

pii

S1368980009005266

journal_volume

13

pub_type

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