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      Factors associated with the intake of traditional foods in the Eeyou Istchee (Cree) of northern Quebec include age, speaking the Cree language and food sovereignty indicators

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          ABSTRACT

          The Eeyouch are a First Nations (Cree) population that live above 49.6°N latitude in Eeyou Istchee in northern Quebec. Eeyouch rely on traditional foods (TF) hunted, fished or gathered from the land. The overarching aim of this study was to achieve an understanding of the factors associated with TF intake among Eeyouch. Data were from 465 women and 330 men who participated in the Nituuchischaayihtitaau Aschii Multi-Community Environment-and-Health (E&H) study. The relationship between TF consumption and dietary, health, sociodemographic and food sovereignty (i.e. being a hunter or receiving Income Security to hunt, trap or fish) variables was examined using linear and logistic regression. Analyses were stratified by sex because of the male/female discrepancy in being a hunter. Among respondents, almost all (99.7%) consumed TF, 51% were hunters and 10% received Income Security. Higher intake of TF was associated with lower consumption of less nutritious ultra-processed products (UPP). In women, TF intake increased with age, hunting and receiving Income Security, but decreased with high school education. In men, TF intake increased with age and speaking only Cree at home. The findings suggest that increased food sovereignty would result in improved diet quality among Eeyouch through increased TF intake and decreased UPP intake.

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          Consumption of ultra-processed foods predicts diet quality in Canada.

          This study describes food consumption patterns in Canada according to the types of food processing using the Nova classification and investigates the association between consumption of ultra-processed foods and the nutrient profile of the diet. Dietary intakes of 33,694 individuals from the 2004 Canadian Community Health Survey aged 2 years and above were analyzed. Food and drinks were classified using Nova into unprocessed or minimally processed foods, processed culinary ingredients, processed foods and ultra-processed foods. Average consumption (total daily energy intake) and relative consumption (% of total energy intake) provided by each of the food groups were calculated. Consumption of ultra-processed foods according to sex, age, education, residential location and relative family revenue was assessed. Mean nutrient content of ultra-processed foods and non-ultra-processed foods were compared, and the average nutrient content of the overall diet across quintiles of dietary share of ultra-processed foods was measured. In 2004, 48% of calories consumed by Canadians came from ultra-processed foods. Consumption of such foods was high amongst all socioeconomic groups, and particularly in children and adolescents. As a group, ultra-processed foods were grossly nutritionally inferior to non-ultra-processed foods. After adjusting for covariates, a significant and positive relationship was found between the dietary share of ultra-processed foods and the content in carbohydrates, free sugars, total and saturated fats and energy density, while an inverse relationship was observed with the dietary content in protein, fiber, vitamins A, C, D, B6 and B12, niacin, thiamine, riboflavin, as well as zinc, iron, magnesium, calcium, phosphorus and potassium. Lowering the dietary share of ultra-processed foods and raising consumption of hand-made meals from unprocessed or minimally processed foods would substantially improve the diet quality of Canadian.
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            Effectiveness of the US Department of Agriculture 5-step multiple-pass method in assessing food intake in obese and nonobese women.

            National surveys of food intake rely on the 24-h dietary recall method for assessing the nutrient intakes of Americans. This observational validation study was conducted under controlled conditions to test the effectiveness of the US Department of Agriculture (USDA) 5-step multiple-pass method for dietary recall; to test the ability of normal weight, overweight, and obese women to recall food intake; and to test the accuracy of macronutrient recall. Women (n = 49) aged 21-65 y with a body mass index (in kg/m(2)) of 20-45 selected all meals and snacks for 1 d from a wide variety of foods. A 24-h dietary recall with the use of the USDA 5-step multiple-pass method was administered by telephone the following day. Analysis of variance and covariance tested the overall accuracy of recall and the effect of BMI on dietary recall. As a population, the women overestimated their energy and carbohydrate intakes by 8-10%. No significant differences between mean actual and recalled intakes of energy and the macronutrients were observed in the obese women. Normal-weight and overweight women significantly (P < 0.01) overestimated their energy, protein, and carbohydrate intakes. Recalled fat intake was not significantly different from actual intake in women across the BMI range studied. The USDA 5-step multiple-pass method effectively assessed mean energy intake within 10% of mean actual intake on the previous day. Obese women more accurately recalled food intake than did overweight and normal-weight women despite undereating on the day of the study.
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              Arctic indigenous peoples experience the nutrition transition with changing dietary patterns and obesity.

              Indigenous Peoples globally are part of the nutrition transition. They may be among the most extreme for the extent of dietary change experienced in the last few decades. In this paper, we report survey data from 44 representative communities from 3 large cultural areas of the Canadian Arctic: the Yukon First Nations, Dene/Métis, and Inuit communities. Dietary change was represented in 2 ways: 1) considering the current proportion of traditional food (TF) in contrast to the precontact period (100% TF); and 2) the amount of TF consumed by older vs. younger generations. Total diet, TF, and BMI data from adults were investigated. On days when TF was consumed, there was significantly less (P 40 y old consistently consumed more (P or = 30 kg/m(2)) of Arctic adults exceeded all-Canadian rates. Measures to improve nutrient-dense market food (MF) availability and use are called for, as are ways to maintain or increase TF use.
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                Author and article information

                Journal
                Int J Circumpolar Health
                Int J Circumpolar Health
                ZICH
                zich20
                International Journal of Circumpolar Health
                Taylor & Francis
                1239-9736
                2242-3982
                2018
                25 October 2018
                : 77
                : 1
                : 1536251
                Affiliations
                [a ]Department of Agricultural, Food and Nutritional Science, University of Alberta , Edmonton, AB, Canada
                [b ]Département de nutrition, Faculté de Médecine, Université de Montréal , Montréal, QC, Canada
                [c ]Axe Santé publique et pratiques optimales en santé, Centre de recherche du Centre Hospitalier Universitaire (CHU) de Québec , Québec, QC, Canada
                [d ]Department of Social and Preventive Medicine, Université Laval , Québec, QC, Canada
                [e ]Cree Board of health and Social Services of James Bay , Montreal, QC, Canada
                Author notes
                CONTACT Willows Noreen noreen.willows@ 123456ualberta.ca Department of Agricultural, Food and Nutritional Science, University of Alberta , Mailbox #54 11405 87 Avenue, Edmonton, ABT6G 2P5, Canada
                Author information
                http://orcid.org/0000-0002-8550-5213
                http://orcid.org/0000-0002-4426-7108
                http://orcid.org/0000-0001-8409-7855
                http://orcid.org/0000-0001-6629-5612
                http://orcid.org/0000-0001-5672-0371
                Article
                1536251
                10.1080/22423982.2018.1536251
                6211274
                30360700
                a16e96b7-f28c-4108-9a24-4a59eda3e34b
                © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 03 May 2018
                : 25 September 2018
                : 27 September 2018
                Page count
                Tables: 4, References: 56, Pages: 11
                Funding
                Funded by: Canadian Institutes for Health Research (CIHR) 10.13039/501100000024
                Award ID: 348833
                Funding for this analysis was provided by an operating grant from the Canadian Institutes for Health Research (CIHR) for the research project “Pulling Together for Health Research: Food Security in First Nations Communities”, grant numbers [348833] and [334049]. The data used in this article originate from the Nituuchischyihtitaau Aschii: Multi-Community Environment and Health Longitudinal Study in Iiyiyiu Aschii with financial contribution from Niskamoon Corporation. At the time of this research, Noreen Willows was the recipient of a Health Scholar award from Alberta Innovates Health Solutions.
                Categories
                Research Article

                Medicine
                cree,first nations,diet,nova,ultra-processed product,ultra-processed food,health,lifestyle
                Medicine
                cree, first nations, diet, nova, ultra-processed product, ultra-processed food, health, lifestyle

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