Department of Health and Kinesiology, Purdue University, West Lafayette, IN 47907, USA.
J Nutr. 2010 May;140(5):992-8. doi: 10.3945/jn.109.114629. Epub 2010 Mar 17.
Diet is influential in the etiology of chronic diseases in many populations including Native Americans. The objective of this report is to present the first comprehensive dietary survey, to our knowledge, of a representative sample of nonpregnant adults from Pacific Northwest tribal nations participating in the Communities Advancing the Studies of Tribal Nations Across the Lifespan (CoASTAL) cohort. Only participants who completed 1-4 d of dietary records and had weights and heights measured in the laboratory were eligible for this analysis (n = 418). Mean nutrient intakes were stratified by gender for the total sample, those with plausibly reported energy intakes (rEI), and those with implausibly rEI. Estimates of nutrient intakes were compared with Dietary Reference Intakes (DRI). Nutrient estimates from NHANES 2001-2002 were used as a reference. Among both men and women, total fat contributed 34-37% of energy intake and saturated fat contributed 11-12% of energy intake. Daily cholesterol intakes ranged from 262 to 442 mg. A majority of men and women were not meeting recommendations for vitamins A, C, and E, magnesium, and sodium. For a majority of the nutrients examined, plausibility resulted in higher mean estimates. The CoASTAL cohort nutrient profile is similar to NHANES 2001-2002, with a majority of DRI recommendations not being met. Adequate dietary intake information may be more important for this population, because Native Americans experience a disproportionate burden for diseases.
饮食在包括美洲原住民在内的许多人群的慢性病病因中具有重要影响。本报告的目的是展示我们所知道的第一个针对参与社区推进全生命周期部落民族研究(CoASTAL)队列的太平洋西北地区部落民族的非孕妇成年人的代表性样本的综合饮食调查。只有完成了 1-4 天饮食记录并且在实验室中测量了体重和身高的参与者才有资格进行这项分析(n=418)。对于总样本、那些具有合理报告能量摄入量(rEI)的人和那些具有不合理 rEI 的人,按性别对平均营养素摄入量进行分层。将营养素摄入量的估计值与膳食参考摄入量(DRI)进行比较。使用 2001-2002 年 NHANES 的营养素估计值作为参考。在男性和女性中,总脂肪摄入量占能量摄入量的 34-37%,饱和脂肪摄入量占能量摄入量的 11-12%。每日胆固醇摄入量范围为 262 至 442 毫克。大多数男性和女性都没有达到维生素 A、C 和 E、镁和钠的推荐摄入量。对于大多数检查的营养素,合理的估计值更高。CoASTAL 队列的营养素特征与 2001-2002 年 NHANES 相似,大多数 DRI 建议都没有得到满足。对于这个人群来说,充足的饮食摄入信息可能更为重要,因为美洲原住民面临着不成比例的疾病负担。