Design, setting and participants: A multisite 12-month assessment (July 2010 to June 2011) of community-level diet in three remote Aboriginal communities in the Northern Territory, linking data from food outlets and food services to the Australian Food and Nutrient Database.
Results: One-quarter (24.8%; SD, 1.4%) of total food expenditure was on non-alcoholic beverages; 15.6% (SD, 1.2%) was on sugar-sweetened drinks. 2.2% (SD, 0.2%) was spent on fruit and 5.4% (SD, 0.4%) on vegetables. Sugars contributed 25.7%–34.3% of dietary energy, 71% of which was table sugar and sugar-sweetened beverages. Dietary protein contributed 12.5%–14.1% of energy, lower than the recommended 15%–25% optimum. Furthermore, white bread was a major source of energy and most nutrients in all three communities.
Conclusion: Very poor dietary quality continues to be a characteristic of remote Aboriginal community nutrition profiles since the earliest studies almost three decades ago. Significant proportions of key nutrients are provided from poor-quality nutrient-fortified processed foods. Further evidence regarding the impact of the cost of food on food purchasing in this context is urgently needed and should include cost–benefit analysis of improved dietary intake on health outcomes.
- 1. Council of Australian Governments. National strategy for food security in remote Indigenous communities. 2009. http://www.coag.gov.au/sites/default/files/nat_strat_food_security.pdf (accessed Feb 2013).
- 2. Australian Bureau of Statistics. The health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples, 2005. Canberra: Commonwealth of Australia, 2005. (ABS Cat. No. 4704.0.) http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4704.02005?OpenDocument (accessed Mar 2013).
- 3. Vos T, Barker B, Begg S, et al. Burden of disease and injury in Aboriginal and Torres Strait Islander Peoples: the Indigenous health gap. Int J Epidemiol 2009; 38: 470-477.
- 4. National Health and Medical Research Council. Nutrition in Aboriginal and Torres Strait Islander peoples: an information paper. Canberra: Commonwealth of Australia, 2000. http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/n26.pdf (accessed Feb 2013).
- 5. Lee AJ, O’Dea K, Mathews JD. Apparent dietary intake in remote Aboriginal communities. Aust J Public Health 1994; 18: 190-197.
- 6. Brimblecombe JK, McDonnell J, Barnes A, et al. Impact of income management on store sales in the Northern Territory. Med J Aust 2010; 192: 549-554. <MJA full text>
- 7. Brimblecombe J, Mackerras D, Clifford P, O’Dea K. Does the store-turnover method still provide a useful guide to food intakes in Aboriginal communities? Aust N Z J Public Health 2006; 30: 444-447.
- 8. Brimblecombe J, Liddle R, O’Dea K. Use of point-of-sale data to assess food and nutrient quality in remote stores. Public Health Nutr 2012; 25 Sep. [Epub ahead of print.]
- 9. Brimblecombe J. Keeping track of healthy foods: towards improving the nutritional quality of foods sold in community stores in remote Australia. Darwin: Menzies School of Health Research, 2008.
- 10. Food Standards Australia New Zealand. Food composition program. AUSNUT 2007. Australian food, supplement and nutrient database 2007 for estimation of population nutrient intakes. Explanatory notes. http://www.foodstandards. gov.au/_srcfiles/AUSNUT%202007%20-%20Explanatory%20 Notes.pdf. (accessed Mar 2013).
- 11. Australian Bureau of Statistics. 2011 Census QuickStats. 2012. http://www.censusdata.abs.gov. au/census_services/getproduct/census/2011/quickstat/0 (accessed Feb 2013).
- 12. Australian Government Department of Health and Ageing, National Health and Medical Research Council; New Zealand Ministry of Health: Manatu Hauora. Nutrient reference values for Australia and New Zealand including recommended dietary intakes. Canberra: Commonwealth of Australia, 2006. http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/n35.pdf (accessed Feb 2013).
- 13. National Health and Medical Research Council and New Zealand Ministry of Health. Nutrient reference values for Australia and New Zealand. Dietary energy. http://www.nrv.gov.au/energy.htm (accessed Mar 2013).
- 14. National Health and Medical Research Council and New Zealand Ministry of Health. Nutrient reference values for Australia and New Zealand. Summary. Recommendations to reduce chronic disease risk. http://www.nrv.gov.au/disease/summary.htm (accessed Mar 2013).
- 15. Australian Bureau of Statistics. 2006 Census of population and housing. Census tables. Canberra: Commonwealth of Australia, 2007. (ABS Cat. No. 2068.0.)
- 16. Australian Bureau of Statistics. Births, Australia, 2006. Canberra: ABS, 2007. (ABS Cat. No. 3301.0.)
- 17. World Health Organization. Diet, nutrition and the prevention of chronic diseases. Geneva: WHO, 2003. http://whqlibdoc.who.int/trs/who_trs_916.pdf (accessed Feb 2013).
- 18. Gwynn JD, Flood VM, D’Este CA, et al. Poor food and nutrient intake among Indigenous and non-Indigenous rural Australian children. BMC Pediatr 2012; 12: 12.
- 19. Commonwealth Scientific Industrial Research Organisation Preventative Health National Research Flagship, University of South Australia. 2007 Australian National Children’s Nutrition and Physical Activity Survey. Main findings. Canberra: Commonwealth of Australia, 2008. http://www.health.gov.au/internet/main/publishing.nsf/content/66596E8FC68FD1A3CA2574D50027D B86/$File/childrens-nut-phys-survey.pdf (accessed Feb 2013).
- 20. McDermott R, Campbell S, Li M, McCulloch B. The health and nutrition of young indigenous women in north Queensland - intergenerational implications of poor food quality, obesity, diabetes, tobacco smoking and alcohol use. Public Health Nutr 2009; 12: 2143-2149.
- 21. Gwynn JD, Flood VM, D’Este CA, et al. The reliability and validity of a short FFQ among Australian Aboriginal and Torres Strait Islander and non-Indigenous rural children. Public Health Nutr 2011; 14: 388-401.
- 22. Lock K, Pomerleau J, Causer L, et al. The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Bull World Health Organ 2005; 83: 100-108.
- 23. O’Dea K. Traditional diet and food preferences of Australian Aboriginal hunter-gatherers. Philos Trans R Soc Lond B Biol Sci 1991; 334: 233-240.
- 24. Drewnowski A, Darmon N. The economics of obesity: dietary energy density and energy cost. Am J Clin Nutr 2005; 82 (1 Suppl): 265S-273S.
- 25. Brimblecombe JK, O’Dea K. The role of energy cost in food choices for an Aboriginal population in northern Australia. Med J Aust 2009; 190: 549-551. <MJA full text>
- 26. Smith DE. Aboriginal expenditure patterns: an analysis of empirical data and its policy implications. Discussion paper no. 9/1991. Canberra: Centre for Aboriginal Economic Policy Research, 1991. http://caepr.anu.edu.au/sites/default/files/Publications/DP/1991_DP09.pdf (accessed Feb 2013).
- 27. Northern Territory Government. Northern Territory Market Basket Survey 2011. Darwin: Department of Health, 2011. http://digitallibrary.health.nt.gov.au/prodjspui/bitstream/10137/504/1/NT%20Market%20Basket%20%20report%202011.pdf (accessed Feb 2013).
- 28. Australian Bureau of Statistics. Household Expenditure Survey, Australia: detailed expenditure items, 2009-10. Table 3A. Gross income quintile, household expenditure on goods and services. 2011. http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/6530.02009-10?OpenDocument (accessed Feb 2013).
- 29. Food Standards Australia New Zealand. Explanatory notes for use with NUTTAB 2010. Canberra: FSANZ, 2011. http://www.foodstandards. gov.au/_srcfiles/Complete%20Explanatory %20Notes%20with%20Attachments.pdf (accessed Feb 2013).
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