Kaufer Laura, Englberger Lois, Cue Roger, Lorens Adelino, Albert Kiped, Pedrus Podis, Kuhnlein Harriet V
Center for Indigenous Peoples' Nutrition and Environment and School of Dietetics and Human Nutrition, McGill University, Montreal, Canada.
Pac Health Dialog. 2010 Apr;16(1):61-73.
Federated States of Micronesia (FSM) faces increasing rates of non-communicable diseases related to the neglect of the traditional food system and the shift to consumption of imported food and adoption of sedentary lifestyles. To reverse this trend, a two-year, food-based intervention in one Pohnpeian community in FSM promoted local food production and consumption using a variety of approaches including education, training, agriculture and social marketing following a "Go Local" message. Foods promoted were banana, giant swamp taro, breadfruit and pandanus varieties, green leafy vegetables and fruits for their provitamin A and total carotenoids, vitamins, minerals and fiber content. An evaluation was conducted in a random sample of households (n=47) to examine the extent of dietary changes following the intervention. Results indicated increased (110%) provitamin A carotenoid intake; increased frequency of consumption of local banana (53%), giant swamp taro (475%), and local vegetables (130%); and increased dietary diversity from local food. Exposure to intervention activities was high and there were positive changes in attitudes towards local food. The intervention approaches appear to have been successful in this short period. It is likely that similar approaches in additional communities in Pohnpei and other parts of the Pacific would also be successful in promoting local food. Evidence gathering should continue to document the long-term health outcomes of increased reliance on local food.
密克罗尼西亚联邦（FSM）面临着与传统食物系统被忽视、转向进口食品消费以及采用久坐不动生活方式相关的非传染性疾病发病率不断上升的问题。为扭转这一趋势，在密克罗尼西亚联邦波纳佩州的一个社区进行了为期两年的以食物为基础的干预措施，通过包括教育、培训、农业和社会营销等多种方法，遵循“选择本地食物”的理念，促进当地食物的生产和消费。所推广的食物包括香蕉、巨型沼泽芋、面包果和露兜树品种、绿叶蔬菜以及富含维生素A原和总类胡萝卜素、维生素、矿物质和纤维的水果。对随机抽取的家庭样本（n = 47）进行了评估，以检查干预措施实施后饮食变化的程度。结果表明，维生素A原类胡萝卜素摄入量增加了110%；当地香蕉（53%）、巨型沼泽芋（475%）和当地蔬菜（130%）的消费频率增加；并且从当地食物中获取的饮食多样性增加。对干预活动的参与度很高，对当地食物的态度也有积极变化。在这一短时期内，这些干预方法似乎取得了成功。在波纳佩州的其他社区以及太平洋其他地区采用类似方法，很可能也会成功促进当地食物的消费。应继续收集证据，记录增加对当地食物依赖的长期健康结果。
