Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Oct;15(10):1948-58.
doi: 10.1017/S1368980012000122. Epub 2012 Feb 21.

Dietary patterns are associated with dietary recommendations but have limited relationship to BMI in the Communities Advancing the Studies of Tribal Nations Across the Lifespan (CoASTAL) cohort

Marie K Fialkowski  1 , Megan A McCrory, Sparkle M Roberts, J Kathleen Tracy, Lynn M Grattan, Carol J Boushey
Affiliations

Dietary patterns are associated with dietary recommendations but have limited relationship to BMI in the Communities Advancing the Studies of Tribal Nations Across the Lifespan (CoASTAL) cohort

Marie K Fialkowski et al. Public Health Nutr. 2012 Oct.

Abstract

Objective: Traditional food systems in indigenous groups have historically had health-promoting benefits. The objectives of the present study were to determine if a traditional dietary pattern of Pacific Northwest Tribal Nations (PNwT) could be derived using reduced rank regression and if the pattern would be associated with lower BMI and current Dietary Reference Intakes.

Design: The baseline data from the Communities Advancing the Studies of Tribal Nations Across the Lifespan (CoASTAL) cohort were used to derive dietary patterns for the total sample and those with plausibly reported energy intakes.

Setting: Pacific Northwest Coast of Washington State, USA.

Subjects: Adult PNwT members of the CoASTAL cohort with laboratory-measured weight and height and up to 4 d of dietary records (n 418).

Results: A traditional dietary pattern did not evolve from the analysis. Moderate consumption of a sweet drinks dietary pattern was associated with lower BMI while higher consumption of a vegetarian-based dietary pattern was associated with higher BMI. The highest consumers of the vegetarian-based dietary pattern were almost six times more likely to meet the recommendations for dietary fibre.

Conclusions: Distinct dietary patterns were found. Further exploration is needed to confirm whether the lack of finding a traditional pattern is due to methodology or the loss of a traditional dietary pattern among this population. Longitudinal assessment of the CoASTAL cohort's dietary patterns needs to continue.

PubMed Disclaimer

Conflict of interest statement

Author disclosures: M. K. Fialkowski, M. A. McCrory, S. M. Roberts, J. K. Tracy, L. M. Grattan, C. J. Boushey, no conflicts of interest.

All authors were involved in critical review of the manuscript and approved the final manuscript. None of the authors had a conflict of interest.

References

    1. Pleis JR, Lethbridge-Cejku M. Summary health statistics for U.S. adults: National Health Interview Survey, 2006. National Center for Health Statistics. Vital Health Stat. 2007;10(235) - PubMed
    1. Steele CB, Cardinez CJ, Richardson LC, et al. Surveillance for health behaviors of American Indians and Alaska Natives - findings from the Behavioral Risk Factor Surveillance System, 2000–2006. Cancer. 2008;113:1131–1141. - PubMed
    1. National Heart, Lung and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence report. National Institute of Health; 1998. Publication No. 98–4803. - PubMed
    1. Kuhnlein HV, Receveur O. Dietary change and traditional food systems of indigenous peoples. Annu Rev Nutr. 1996;16:417–442. - PubMed
    1. Kuhnlein HV, Receveur O, Chan HM. Traditional food systems research with Canadian indigenous peoples. Int J Circumpolar Health. 2001;60:112–122. - PubMed

Publication types

MeSH terms