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Dietary correlates of an at-risk BMI among Inuit adults in the Canadian high arctic: cross-sectional international polar year Inuit health survey, 2007-2008.
Nutr J. 2012 Sep 18; 11:73.NJ

Abstract

BACKGROUND

The study's objective was to investigate the dietary correlates of an at-risk body mass index (BMI) among Inuit adults from thirty-six communities across the Canadian Arctic using data from the cross-sectional International Polar Year Inuit Health Survey, conducted in 2007-2008.

METHODS

The survey included assessments of 24-hr dietary recall, sociodemographics, physical activity, and anthropometry. Dietary characteristics of overweight and obesity were similar and therefore combined into one at- risk BMI category (≥25 kg/m2) for analyses. The relationship between an at-risk BMI and energy intake from macronutrients, high sugar drinks, high-fat foods, saturated fatty acids, and traditional foods were examined entering each dietary variable separately into a logistic regression model as an independent variable. Analyses were adjusted for age, sex, region, kcalories, walking, smoking and alcohol consumption. Further multivariable models considered selected dietary variables together in one model.

RESULTS

An at-risk BMI was present for 64% with a prevalence of overweight and obesity of 28% and 36%, respectively. Consumption of high-sugar drinks (>15.5% E) was significantly related with having an at-risk BMI (OR = 1.6; 95% CI 1.2; 2.2), whereas the % E from total carbohydrate evaluated as a continuous variable and as quartiles was inversely related to an at-risk BMI (P -trend < 0.05) in multivariable analyses. While % E from high-fat foods was positively related to an at-risk BMI, the findings were not significant in a model controlling for high-sugar drinks and % E from carbohydrates.

CONCLUSIONS

The prevalence of overweight and obesity is of public health concern among Inuit. The current findings highlight the obesogenic potential of high-sugar drink consumption in an ethnically distinct population undergoing rapid cultural changes and raises concerns regarding carbohydrate restricted diets. Health promotion programs aimed at preventing the development of an unhealthy body weight should focus on physical activity and the promotion of healthy diets with reduced intake of sugar drinks.

Authors+Show Affiliations

Centre for Indigenous Peoples' Nutrition and Environment (CINE) and School of Dietetics and Human Nutrition, McGill University, 21,111 Lakeshore Rd, Ste-Anne-de-Bellevue, Quebec H9X 3 V9, Canada.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22989025

Citation

Zienczuk, Natalia, et al. "Dietary Correlates of an At-risk BMI Among Inuit Adults in the Canadian High Arctic: Cross-sectional International Polar Year Inuit Health Survey, 2007-2008." Nutrition Journal, vol. 11, 2012, p. 73.
Zienczuk N, Young TK, Cao ZR, et al. Dietary correlates of an at-risk BMI among Inuit adults in the Canadian high arctic: cross-sectional international polar year Inuit health survey, 2007-2008. Nutr J. 2012;11:73.
Zienczuk, N., Young, T. K., Cao, Z. R., & Egeland, G. M. (2012). Dietary correlates of an at-risk BMI among Inuit adults in the Canadian high arctic: cross-sectional international polar year Inuit health survey, 2007-2008. Nutrition Journal, 11, 73. https://doi.org/10.1186/1475-2891-11-73
Zienczuk N, et al. Dietary Correlates of an At-risk BMI Among Inuit Adults in the Canadian High Arctic: Cross-sectional International Polar Year Inuit Health Survey, 2007-2008. Nutr J. 2012 Sep 18;11:73. PubMed PMID: 22989025.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary correlates of an at-risk BMI among Inuit adults in the Canadian high arctic: cross-sectional international polar year Inuit health survey, 2007-2008. AU - Zienczuk,Natalia, AU - Young,T Kue, AU - Cao,Zhirong R, AU - Egeland,Grace M, Y1 - 2012/09/18/ PY - 2011/11/25/received PY - 2012/09/07/accepted PY - 2012/9/20/entrez PY - 2012/9/20/pubmed PY - 2013/4/13/medline SP - 73 EP - 73 JF - Nutrition journal JO - Nutr J VL - 11 N2 - BACKGROUND: The study's objective was to investigate the dietary correlates of an at-risk body mass index (BMI) among Inuit adults from thirty-six communities across the Canadian Arctic using data from the cross-sectional International Polar Year Inuit Health Survey, conducted in 2007-2008. METHODS: The survey included assessments of 24-hr dietary recall, sociodemographics, physical activity, and anthropometry. Dietary characteristics of overweight and obesity were similar and therefore combined into one at- risk BMI category (≥25 kg/m2) for analyses. The relationship between an at-risk BMI and energy intake from macronutrients, high sugar drinks, high-fat foods, saturated fatty acids, and traditional foods were examined entering each dietary variable separately into a logistic regression model as an independent variable. Analyses were adjusted for age, sex, region, kcalories, walking, smoking and alcohol consumption. Further multivariable models considered selected dietary variables together in one model. RESULTS: An at-risk BMI was present for 64% with a prevalence of overweight and obesity of 28% and 36%, respectively. Consumption of high-sugar drinks (>15.5% E) was significantly related with having an at-risk BMI (OR = 1.6; 95% CI 1.2; 2.2), whereas the % E from total carbohydrate evaluated as a continuous variable and as quartiles was inversely related to an at-risk BMI (P -trend < 0.05) in multivariable analyses. While % E from high-fat foods was positively related to an at-risk BMI, the findings were not significant in a model controlling for high-sugar drinks and % E from carbohydrates. CONCLUSIONS: The prevalence of overweight and obesity is of public health concern among Inuit. The current findings highlight the obesogenic potential of high-sugar drink consumption in an ethnically distinct population undergoing rapid cultural changes and raises concerns regarding carbohydrate restricted diets. Health promotion programs aimed at preventing the development of an unhealthy body weight should focus on physical activity and the promotion of healthy diets with reduced intake of sugar drinks. SN - 1475-2891 UR - https://www.unboundmedicine.com/medline/citation/22989025/Dietary_correlates_of_an_at_risk_BMI_among_Inuit_adults_in_the_Canadian_high_arctic:_cross_sectional_international_polar_year_Inuit_health_survey_2007_2008_ L2 - https://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-11-73 DB - PRIME DP - Unbound Medicine ER -