Dela Cruz Rica, Wolfe Eric, Yonemori Kim M, Fialkowski Marie K, Wilkens Lynne R, Coleman Patricia, Lameko-Mua Sunema, Johnson Emihner, Gilmatam Daisy, Sigrah Cecilia, Shomour Moria, Remengesau Shelley, Alfred Julia, Acosta Mark, Ettienne Reynolette, Deenik Jonathan, Aflague Tanisha F, Nelson Randall, Salazar Kristina Abello, Novotny Rachel, Boushey Carol J
University of Hawaii Cancer Center, Honolulu, Hawaii.
University of Hawaii, College of Tropical Agriculture and Human Resources, Honolulu, Hawaii.
Curr Dev Nutr. 2022 Jun 16;6(7):nzac101. doi: 10.1093/cdn/nzac101. eCollection 2022 Jul.
Traditional Pacific diets have many health benefits, including maintenance of a healthy weight and prevention of various diseases. Few studies have evaluated the frequency at which traditional diets are consumed in the Pacific, especially among children.
This study examined the frequency of traditional and acculturated fruit and vegetable (F&V) intake among children in the US-affiliated Pacific (USAP) region.
Diet records of 3319 children ages 2 to 8 y old were analyzed for frequency of traditional or acculturated F&V intake within USAP jurisdictions of American Samoa, Commonwealth of the Northern Mariana Islands (CNMI), Federated States of Micronesia (FSM; FSM island states include Chuuk, Kosrae, Pohnpei, and Yap), Guam, Hawaii, Republic of the Marshall Islands (RMI), and Republic of Palau.
Of the 95,304 food items recorded among participating children in the USAP jurisdictions, 15.2% were F&Vs. Of the 10 jurisdictions, children in the islands of Chuuk, Kosrae, Yap, and Pohnpei recorded the highest frequencies of traditional F&V intake relative to their total F&V intake (67.8%, 64.8%, 56.7%, and 52.5%, respectively). American Samoa and RMI recorded moderate frequency of traditional F&V intake (38.9% and 46.4%, respectively), whereas children in Hawaii, Guam, and CNMI recorded the lowest frequencies of traditional F&V intake relative to their total F&V intake (10.4%, 12.4%, and 15.3%, respectively). Children in Hawaii, Guam, Palau, and CNMI recorded high frequencies of acculturated F&V intake (37.8%, 31.2%, 34.5%, and 27.9%, respectively).
Overall, children in the USAP jurisdictions participating in this study recorded a low frequency of F&V intake. The differences in traditional F&V intake found between the USAP islands may be due to variation in economic income level and external influences on social and cultural norms among the island populations and variations of cost, accessibility, and convenience of each category of food to each island's population.
传统的太平洋饮食对健康有诸多益处,包括维持健康体重和预防各种疾病。很少有研究评估太平洋地区传统饮食的消费频率,尤其是在儿童中。
本研究调查了美属太平洋地区(USAP)儿童传统和文化适应型水果和蔬菜(F&V)的摄入频率。
分析了美属萨摩亚、北马里亚纳群岛联邦(CNMI)、密克罗尼西亚联邦(FSM;FSM岛屿州包括楚克、科斯雷、波纳佩和雅浦)、关岛、夏威夷、马绍尔群岛共和国(RMI)和帕劳共和国等USAP辖区内3319名2至8岁儿童的饮食记录,以了解传统或文化适应型F&V的摄入频率。
在USAP辖区参与研究的儿童记录的95304种食物中,15.2%是F&V。在这10个辖区中,楚克、科斯雷、雅浦和波纳佩岛的儿童传统F&V摄入量占总F&V摄入量的比例最高(分别为67.8%、64.8%、56.7%和52.5%)。美属萨摩亚和RMI的传统F&V摄入频率适中(分别为38.9%和46.4%),而夏威夷、关岛和CNMI的儿童传统F&V摄入量占总F&V摄入量的比例最低(分别为10.4%、12.4%和15.3%)。夏威夷、关岛、帕劳和CNMI的儿童文化适应型F&V摄入频率较高(分别为37.8%、31.2%、34.5%和27.9%)。
总体而言,参与本研究的USAP辖区儿童的F&V摄入频率较低。USAP各岛屿之间传统F&V摄入量的差异可能是由于各岛屿人口的经济收入水平差异、社会和文化规范受到的外部影响,以及各类食物对各岛屿人口的成本、可及性和便利性差异。