Document Detail


Assessment and characterization of the diet of an isolated population in the Bolivian Andes.
MedLine Citation:
PMID:  20721984     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The goal of this research is to characterize the composition and nutrient adequacy of the diets in the northern region of the Department of Potosí, Bolivia. Communities in this semiarid, mountainous region are isolated and impoverished having the highest rates of child malnutrition and under-five mortality in the Americas.
METHODS: A total of 2,222 twenty-four-hour dietary recalls were conducted in 30 communities during May and November 2006 and May and November 2007. Food composition data were compiled from diverse published sources and integrated with the recall data to estimate intakes of energy, protein, fat, carbohydrates, and seven micronutrients. Diets were characterized in terms of food sources, seasonality, and nutrient adequacy.
RESULTS: The diet relies heavily on the potato and other tubers (54% of dietary energy) and grains (30% of dietary energy). Although crop production is seasonal, off-season consumption of chuño helps to minimize seasonal fluctuations in dietary energy intake. Despite relative monotony, intakes of iron, vitamin C, most B vitamins, and vitamin A in adults are probably adequate; riboflavin, calcium, and vitamin A intakes in children are low. Nevertheless, extremely low dietary fat intakes (approximately 3-9% of dietary energy from fat) likely prevent adequate absorption of fat-soluble vitamins as well as lead to deficiencies of essential fatty acids.
CONCLUSIONS: Dietary inadequacies, especially of fats, may explain much of the poor health observed in northern Potosí. An improved diet may be possible through increasing production and intake of local fat-rich food sources such as small animals.
Authors:
Peter R Berti; Andrew D Jones; Yesmina Cruz; Sergio Larrea; Ross Borja; Stephen Sherwood
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of human biology : the official journal of the Human Biology Council     Volume:  22     ISSN:  1520-6300     ISO Abbreviation:  Am. J. Hum. Biol.     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-10-19     Completed Date:  2011-02-03     Revised Date:  2011-03-16    
Medline Journal Info:
Nlm Unique ID:  8915029     Medline TA:  Am J Hum Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  741-9     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley-Liss, Inc.
Affiliation:
HealthBridge, Ottawa, Ontario, Canada. pberti@healthbridge.ca
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bolivia / epidemiology
Cereals
Child
Child, Preschool
Diet*
Energy Intake
Humans
Infant
Infant, Newborn
Micronutrients
Middle Aged
Nutrition Surveys*
Solanum tuberosum
Young Adult
Chemical
Reg. No./Substance:
0/Micronutrients

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