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Food Intake Patterns Among Women In Rural South Haiti
                                              Michael Dessalines1, Mousson Finnigan2, Amber Hromi-Fiedler1,3, Helena Pachón4, Rafael Pérez-Escamilla1,3
                                        1Nutritional
                                                Sciences, University of Connecticut, Storrs, CT, 2Organization for the Rehabilitation of the Environment (ORE), Camp-Perrin, Haiti, 3Connecticut
                                       NIH EXPORT Center of Excellence for Eliminating Health Disparities among Latinos, Storrs, CT, 4International Center for Tropical Agriculture, CIAT, Cali,
                                                                                                              Colombia

Abstract                                                                      Results
                                                                                                                              Fruits and vegetables                                                                        Breads and cereals                                                                             Dairy & protein group                                                                          Snacks & drinks
 We applied a Food Frequency Questionnaire (FFQ) to 153 mothers of                                                   % consumed in past 3 months              %>3 times per week                                % consumed in past 3 months             %>3 times per week                                       % consumed in past 3 months           % > 3 times per week                              % consumed in past 3 months             % > 3 times per week
 children under five years old in rural South Haiti from June to late July            100
                                                                                                                                                                                     100
                                                                                                                                                                                                                                                                                    90                                                                                                     100
                                                                                                                                                                                                                                                                                                                                                                                           90
 2007. The FFQ contained 55 items and used a 3 months reference                           90
                                                                                                                                                                                        90
                                                                                                                                                                                                                                                                                    80

                                                                                          80                                                                                                                                                                                        70                                                                                                     80
 time period. Over the previous 3 months, the majority of women                                                                                                                         80
                                                                                          70                                                                                                                                                                                        60                                                                                                     70
 reported consuming at least once fruits (98.7%), rice (98.7%), local                     60
                                                                                                                                                                                        70
                                                                                                                                                                                                                                                                                                                                                                                           60
                                                                                                                                                                                        60                                                                                          50
 bread (96.7%), mangos (96.7%), corn (95.4%), plantains (94%),




                                                                                                                                                                                                                                                                                %




                                                                                                                                                                                                                                                                                                                                                                                       %
                                                                                                                                                                                                                                                                                                                                                                                           50




                                                                                  %
                                                                                          50




                                                                                                                                                                                    %
                                                                                                                                                                                        50                                                                                          40
 carrots (93.5%), and sweet potatoes (92.8%), followed by fish (85.0%),                   40                                                                                            40
                                                                                                                                                                                                                                                                                                                                                                                           40
                                                                                                                                                                                                                                                                                    30
 salty snacks (85.0%), raw milk (83.0%), chicken (81.0%), beef                            30                                                                                            30
                                                                                                                                                                                                                                                                                    20
                                                                                                                                                                                                                                                                                                                                                                                           30
                                                                                                                                                                                                                                                                                                                                                                                           20
 (80.4%), papaya (78.9%), concentrated milk (60.8%), liver (53.6%),                       20                                                                                            20
                                                                                                                                                                                                                                                                                    10
                                                                                          10                                                                                                                                                                                                                                                                                               10
 and watermelon (52.3%). However, the median consumption for most                                                                                                                       10
                                                                                                                                                                                                                                                                                     0                                                                                                          0
                                                                                              0                                                                                          0
 nutrient dense foods was less than 2 times per week. Only plantain,




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 beans, rice, local bread and mangoes were consumed 3 or more times




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 per week. Among foods consumed by the majority, the following were




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 infrequently consumed (i.e. median less or equal 2 times a week):                                                                                                                                                         Summary of Dietary Intake Results:% women consuming foods >3 times per week




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 watermelon, sweet potatoes, papaya, pumpkin, carrots, liver, chicken,                                                                 Tubers
                                                                                                             % consumed in past 3 months                 %>3 times per week                                                                          <25%                                                                        25-50%                      50-75%                         >75%
 beef, fish, salty snacks, concentrated milk and kola. The above
                                                                                   100
 results suggest a need for micronutrient enhanced foods in the area to               90
 alleviate potential micronutrient deficiencies. We are currently exploring                                                                                                        papaya                                       green peas                              peanut butter                                   raw milk                          coffee                     mangoes
                                                                                      80
 the potential contributions that orange fleshed sweet potatoes can                   70
 make towards this goal. Funded by CIDA (7034161) through a grant                     60
                                                                                                                                                                                   water melon                                  tomatoes                                evaporated milk                                 pork                              fruit juice                local bread
 to the Centro Internacional de Agricultura Tropical (CIAT).
                                                                              %




                                                                                      50
                                                                                      40                                                                                           lettuce                                      cheese                                  corn                                            powdered                          plantain                   rice (includes
                                                                                      30                                                                                                                                                                                                                                juice                                                        mixed dishes)
                                                                                      20


Study Design                                                                          10
                                                                                          0
                                                                                                        white yam                         yellow yam                sweet potato
                                                                                                                                                                                   pumpkin                                      chicken                                 sweet and salty                                 fruits                            beans
                                                                                                                                                                                                                                                                                                                                                                                                                  Fieldworker training session
 •Location: Camp-Perrin, South Haiti                                                      Seasonal consumption of sweet potatoes                                                   soup                                                                                 snacks
 •Cross-sectional, convenience sample                                                                        % of seasonal consumption                    %>3 times per week
                                                                                                                                                                                   pumpkin                                      beef                                    white bread                                     wheat bread                       herbal tea
 •N=153 healthy non-pregnant mothers with children < 5 y                          100
                                                                                   90
 •55-item Food Frequency Questionnaire (FFQ). Items per food group                 80
 were: Fruits & vegetables (15 items), milk, dairy & protein foods (10             70
                                                                                                                                                                                   okra                                         crab                                    soda (regular/diet)
 items), bread & cereals (10 items), snacks & drinks (11 items), tubers            60
                                                                                                                                                                                                                                                                        and kola
 (3 items), sweet potato seasonality (6 items)
                                                                              %




                                                                                   50
                                                                                   40
 •Survey applied in Creole by three fieldworkers trained, standardized             30                                                                                              carrots                                      sweet potatoes                          liver
 and closely monitored                                                             20
                                                                                   10
 •Study conducted in the context of a larger study whose objective was                                                                                                             beets                                        yams                                    fish
                                                                                      0
 to evaluate the potential for biofortified sweet potato to improve vitamin                   White skin     White skin Yellow skin Yellow skin Red skin in Red skin in
                                                                                                                                                                                                                                                                                                                                                                                                                  Fieldworker conducting food intake interview

 A intake among pre-school children and their mothers                                          in winter     in summer   in winter  in summer     winter     summer
                                                                                                                                                                                   green peas                                   alcoholic beverages
                                                                                   Note: Winter or raining season: April to June, October and November
                                                                                   Summer or dry season: November to March




Participants’ Background Characteristics
Participants' background characteristics (N=153)                                                                                                                                                                                                                                                                                                Conclusion
                                           n           % or mean (SD)                                                                                                                                                                                                                                                                              • Foods consumed by the majority of women at least 3 times per
Maternal age (years)                       153         32.0 (7.0)                                                                                                                                                                                                                                                                                  week were staples such as rice, beans, plantains, mangoes and
Child age (months)                         153         30.7 (12.6)                                                                                                                                                                                                                                                                                 local bread.
Elementary school not completed (%)        68          44.4                                                                                                                                                                                                                                                                                        • Mangoes played an important role in the diet during the season
Farming (%)                                91          59.5                                                                                                                                                                                                                                                                                        when the study was conducted.
Income <$30.00 per month (%)               100         65.4                                                                                                                                                                                                                                                                                        • Foods consumed infrequently included nutrient dense foods such
Child with diarrhea past 2 weeks (%)       39          25.5                                                                                                                                                                                                                                                                                        as vegetables, several fruits, animal protein and dairy foods.
Child with malaria (in past 2 months %) 51             33.3
                                                                                                                                                                                                                                                                                                                                                   • Results indicate that the quality of the diet consumed by the target
Child stunting [< -2 HAZ] (%)              62          43.4                                                                                                                                                                                                                                                                                        women was very low.
Maternal BMI
                                                                                                                                                                                                                                                                                                                                                   • There is a need for micronutrient enhanced foods in the area to
   Underweight [<20 kg/m2] (%)             52          34.0                                                                                                                                                                                                                                                                                        alleviate potential micronutrient deficiencies.
   Adequate weight [20 - <25 kg/m2] (%) 77             50.3
   Overweight [25 - <30 kg/m2] (%)         19          12.4
   Obese [ >30 kg/m2] (%)                  5            3.3                                   Fieldworker with participant                                                                                  Children from a participating household

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Poster37: Food intake patterns among women in rural South Haiti

  • 1. Food Intake Patterns Among Women In Rural South Haiti Michael Dessalines1, Mousson Finnigan2, Amber Hromi-Fiedler1,3, Helena Pachón4, Rafael Pérez-Escamilla1,3 1Nutritional Sciences, University of Connecticut, Storrs, CT, 2Organization for the Rehabilitation of the Environment (ORE), Camp-Perrin, Haiti, 3Connecticut NIH EXPORT Center of Excellence for Eliminating Health Disparities among Latinos, Storrs, CT, 4International Center for Tropical Agriculture, CIAT, Cali, Colombia Abstract Results Fruits and vegetables Breads and cereals Dairy & protein group Snacks & drinks We applied a Food Frequency Questionnaire (FFQ) to 153 mothers of % consumed in past 3 months %>3 times per week % consumed in past 3 months %>3 times per week % consumed in past 3 months % > 3 times per week % consumed in past 3 months % > 3 times per week children under five years old in rural South Haiti from June to late July 100 100 90 100 90 2007. The FFQ contained 55 items and used a 3 months reference 90 90 80 80 70 80 time period. Over the previous 3 months, the majority of women 80 70 60 70 reported consuming at least once fruits (98.7%), rice (98.7%), local 60 70 60 60 50 bread (96.7%), mangos (96.7%), corn (95.4%), plantains (94%), % % 50 % 50 % 50 40 carrots (93.5%), and sweet potatoes (92.8%), followed by fish (85.0%), 40 40 40 30 salty snacks (85.0%), raw milk (83.0%), chicken (81.0%), beef 30 30 20 30 20 (80.4%), papaya (78.9%), concentrated milk (60.8%), liver (53.6%), 20 20 10 10 10 and watermelon (52.3%). However, the median consumption for most 10 0 0 0 0 nutrient dense foods was less than 2 times per week. Only plantain, r ilk ilk er t se h p ef n rk ab tt e ks e ea a ur ice pla p a e e er on pu in la es m uce in it pa o at aya o ts as ra s s rim fis n ke d t ti rn d ic ra rk od ad u in e fr u be po od ffe m liv at an m et g ee a ko ke rr o co ac ea cr be pk ea lt bu ki ok ri c so he el pe ju ju an co po w ic ok nt re be m rs sh beans, rice, local bread and mangoes were consumed 3 or more times tt co ts w d p oo a be ic ch sn m m am br br ch ca le ag d te it rb m ut n to lb ra n & ch & la er fr u die re tc ki ee a te at an he y sp rb ca s gu e or e lt & hi he ee an ric ba gr pe sa wd lo w pu ap re w per week. Among foods consumed by the majority, the following were s & w sw be an po m ev e ri c be & u rh e infrequently consumed (i.e. median less or equal 2 times a week): Summary of Dietary Intake Results:% women consuming foods >3 times per week & ri c e ri c watermelon, sweet potatoes, papaya, pumpkin, carrots, liver, chicken, Tubers % consumed in past 3 months %>3 times per week <25% 25-50% 50-75% >75% beef, fish, salty snacks, concentrated milk and kola. The above 100 results suggest a need for micronutrient enhanced foods in the area to 90 alleviate potential micronutrient deficiencies. We are currently exploring papaya green peas peanut butter raw milk coffee mangoes 80 the potential contributions that orange fleshed sweet potatoes can 70 make towards this goal. Funded by CIDA (7034161) through a grant 60 water melon tomatoes evaporated milk pork fruit juice local bread to the Centro Internacional de Agricultura Tropical (CIAT). % 50 40 lettuce cheese corn powdered plantain rice (includes 30 juice mixed dishes) 20 Study Design 10 0 white yam yellow yam sweet potato pumpkin chicken sweet and salty fruits beans Fieldworker training session •Location: Camp-Perrin, South Haiti Seasonal consumption of sweet potatoes soup snacks •Cross-sectional, convenience sample % of seasonal consumption %>3 times per week pumpkin beef white bread wheat bread herbal tea •N=153 healthy non-pregnant mothers with children < 5 y 100 90 •55-item Food Frequency Questionnaire (FFQ). Items per food group 80 were: Fruits & vegetables (15 items), milk, dairy & protein foods (10 70 okra crab soda (regular/diet) items), bread & cereals (10 items), snacks & drinks (11 items), tubers 60 and kola (3 items), sweet potato seasonality (6 items) % 50 40 •Survey applied in Creole by three fieldworkers trained, standardized 30 carrots sweet potatoes liver and closely monitored 20 10 •Study conducted in the context of a larger study whose objective was beets yams fish 0 to evaluate the potential for biofortified sweet potato to improve vitamin White skin White skin Yellow skin Yellow skin Red skin in Red skin in Fieldworker conducting food intake interview A intake among pre-school children and their mothers in winter in summer in winter in summer winter summer green peas alcoholic beverages Note: Winter or raining season: April to June, October and November Summer or dry season: November to March Participants’ Background Characteristics Participants' background characteristics (N=153) Conclusion n % or mean (SD) • Foods consumed by the majority of women at least 3 times per Maternal age (years) 153 32.0 (7.0) week were staples such as rice, beans, plantains, mangoes and Child age (months) 153 30.7 (12.6) local bread. Elementary school not completed (%) 68 44.4 • Mangoes played an important role in the diet during the season Farming (%) 91 59.5 when the study was conducted. Income <$30.00 per month (%) 100 65.4 • Foods consumed infrequently included nutrient dense foods such Child with diarrhea past 2 weeks (%) 39 25.5 as vegetables, several fruits, animal protein and dairy foods. Child with malaria (in past 2 months %) 51 33.3 • Results indicate that the quality of the diet consumed by the target Child stunting [< -2 HAZ] (%) 62 43.4 women was very low. Maternal BMI • There is a need for micronutrient enhanced foods in the area to Underweight [<20 kg/m2] (%) 52 34.0 alleviate potential micronutrient deficiencies. Adequate weight [20 - <25 kg/m2] (%) 77 50.3 Overweight [25 - <30 kg/m2] (%) 19 12.4 Obese [ >30 kg/m2] (%) 5 3.3 Fieldworker with participant Children from a participating household