Fluctuations in money availability within an income cycle impacts diet quality of remote Indigenous Australians
Autor: | Megan Ferguson, Thomas P. Wycherley, Brita Pekarsky, Kerin O'Dea, Julie Brimblecombe |
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Přispěvatelé: | Wycherley, Thomas P, Pekarsky, Brita AK, Ferguson, Megan M, O'Dea, Kerin, Brimblecombe, Julie K |
Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
Rural Population Native Hawaiian or Other Pacific Islander Medicine (miscellaneous) Aboriginal health Biology Choice Behavior Indigenous 03 medical and health sciences Food Preferences 0302 clinical medicine Environmental health Lifestyle disease medicine Food Quality Humans 030212 general & internal medicine Micronutrients Northern territory Life Style CVD risk 030109 nutrition & dietetics Nutrition and Dietetics Dietary intake Public Health Environmental and Occupational Health Australia Micronutrient medicine.disease Cardiometabolic disease Research Papers Diet nutrition Nutrition Assessment Diet quality Socioeconomic Factors Food Mental Recall Energy cost Income Energy Metabolism |
Zdroj: | Public Health Nutr |
ISSN: | 1475-2727 1368-9800 |
Popis: | ObjectiveTo consider the plausible nutritional impacts of fluctuations in money availability within an income cycle for remote Indigenous Australians.DesignCommunity-level dietary intake (energy, micro/macronutrients) and expenditure on foods and beverages (F&B) were estimated over one year for three remote Indigenous Australian communities (Northern Territory, Australia) using monthly F&B transaction data. F&B that were likely to be consumed during a period within an income cycle when money was relatively limited (low money period (LMP) foods) were identified by panel consensus and scenario modelling was conducted to simulate the nutritional outcomes of a range of F&B selection responses to having an LMP.ResultsAll scenarios resulted in reduced diet quality during the LMP relative to overall average diet values. Protein and fat energy percentages were reduced and carbohydrate energy percentage increased. Despite reduced expenditure, declines in energy intake were typically buffered due to the reduced energy cost ($AU/MJ) of the LMP diet. The micronutrient profile of the LMP diet was substantially poorer, such that additional key micronutrients dropped below population-weighted Estimated Average Requirements/Adequate Intakes.ConclusionsThe modelling undertaken herein suggests that even a short period of low money within an income cycle may noticeably contribute to the reduced diet quality of remote Indigenous Australians and exacerbate lifestyle disease risk. Dietary strategies that are designed to respond to diets and expenditure during different income cycle periods, rather than the overall average diet and expenditure, should be considered for improving diet quality and reducing cardiometabolic disease risk in remote Indigenous Australians. |
Databáze: | OpenAIRE |
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