Nutritional characteristics and body mass index of children in the Commonwealth of the Northern Mariana Islands.J Am Diet Assoc. 2008 Dec; 108(12):2100-4.JA
Children in the Commonwealth of the Northern Mariana Islands have been shown to have nutrient deficiencies, but data were estimated from a non-population-based sample. The current study is a cross-sectional assessment of 420 Commonwealth of the Northern Mariana Islands children, 6 months to 10 years old. Diet, height, and weight were measured. Dietary intake was collected with a 24-hour dietary recall and analyzed using the Pacific Tracker dietary assessment tool. Prevalence of dietary nutrient adequacy was estimated by the Estimated Average Requirement cut-point method. Fiber intake was one-third Adequate Intake (AI) and sodium intake was above the Tolerable Upper Intake Level for all ages. Calcium intake was half the AI for 4 to 8 years old, and less than half the AI for 9 to 10 years old. Meat/meat alternatives were double the recommendation, while all other food groups were below the recommendation for all ages. Prevalence of dietary nutrient adequacy for vitamin A, vitamin C, vitamin E, folate, magnesium, and phosphorus was lowest among 9- to 10-year-olds. Based on body mass index-for-age percentiles, 45% of 7- to 10-year-olds, 26% of 4- to 6-year-olds, and 25% of 2- to 3-year-olds were overweight or obese. Increasing whole grain, fruit, vegetable, and dairy intakes; reducing meat intakes and high-calorie foods and drinks; and increasing physical activity could improve nutrient intakes and body mass index status in this population.