Document Detail

Anemia in the Turks and Caicos Islands: exploring the dietary link.
MedLine Citation:
PMID:  17682364     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To conduct the first national dietary survey and examine inter-island differences in and relationships between iron consumption and reports of anemia. DESIGN AND METHODS: A total of 144 households, randomly selected from electoral lists for Grand Turk (n=48), Providenciales (n=46), and Middle Caicos (n=50), participated in the survey. Food consumption (via food frequency questionnaire), self-reported health history, and sociodemographic data were collected from female household-heads during home interviews. Data on frequency of consumption and tabulated iron score for each "normal" food portion size were used to calculate each household's iron-intake-score. Chi-squared analyses were used to compare inter-island intake score categories. RESULTS: Households were assigned to low (<100), medium (100-160), or high (>160) iron-intake-score categories. The proportion of households with low scores was lower on Grand Turk (<5%) and Providenciales (0%) compared to Middle Caicos (20%), the least developed island. CONCLUSION: Suboptimal iron intakes, especially on Middle Caicos, support the prevailing view that anemia in vulnerable groups could be of dietary origin. Findings highlight the need for additional research to determine how various factors (eg, diet, supplement use, physiology, and environment) impact iron status. In the short term, we must identify and treat cases and provide culturally appropriate nutrition education to increase dietary iron intake and promote safe use of multivitamin/mineral supplements. National dependence on imported foods makes this the most viable public health intervention option until the etiology of anemia is fully determined.
Terese E Maitland
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ethnicity & disease     Volume:  17     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2007  
Date Detail:
Created Date:  2007-08-08     Completed Date:  2007-11-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  313-9     Citation Subset:  IM    
Stempel School of Public Health, Florida International University, Miami, FL 33199, USA.
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MeSH Terms
Anemia, Iron-Deficiency / epidemiology*,  etiology
Food Habits*
Health Surveys
Interviews as Topic
West Indies / epidemiology

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