Sources of Energy and Six Nutrients in Diets of Low-Income Hispanic-American Women and their Children: Quantitative Data from HHANES, 1982-1984

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Abstract

Objective Identification of important food sources of energy, protein, fat, vitamin A, vitamin C, calcium, and iron for low-income Hispanic women and their children.

Design A subset of 24-hour recalls from the Hispanic Health and Nutrition Examination Survey (HHANES), a sample representing 76% of the Hispanic-origin population, provides the most comprehensive examination of Hispanic food habits in the United States.

Subjects/samples The sample, which approximates the population of the Special Supplemental Food Program for Women, Infants, and Children (WIC), included 1,046 17- to 34-year-old women with household income less than 185% of poverty level and their 1- to 5-year-old children (n=1,063).

Main outcome measures Tables show the percentage that each food contributes to total intake of energy and six nutrients for women and for children and percentage of persons who reported consuming each food during a 24-hour period.

Results Cultural foods contributed less to the energy and nutrient intake of the population than expected, with few exceptions, notably beans, rice, tortillas, and salsa. Major sources of energy and nutrients were similar to those seen for blacks and whites in the second National Health and Nutrition Examination Survey (1976-1980).

Applications The data presented should be useful to researchers designing dietary assessment instruments and to nutrition educators designing or adapting educational materials. The data may be of particular interest to WIC staff who work with low-income Hispanic populations. J Am Diet Assoc. 1995;95: 195-208.

Section snippets

Methods

HHANES, conducted by the National Center for Health Statistics (NCHS), used a highly stratified, multistage probability design similar to that of the second National Health and Nutrition Examination Survey (NHANES II) (7). HHANES researchers surveyed 15,924 persons in three ethnic groups of the Hispanic population of the United States: Mexican Americans (southwestern states), Cuban Americans (Bade County, Florida) and Puerto Ricans (New York City area, including neighboring parts of New Jersey

Results

Table 1, Table 2, Table 3, Table 4, Table 5, Table 6, Table 7 present the top 50 food sources of energy and six key nutrients — food energy (kilocalories), protein, fat, vitamin A, vitamin C, calcium, and iron — in the diets of low-income Hispanic women. Data on the ranking of these foods in their 1- to 5-year-old children is also shown. The tables indicate the percentage contribution of each food item to total population intake and the percentage of persons who ate the food on the recall day.

Discussion

As Americans seek to modify their diet along more healthful lines, several questions arise for epidemiologists and other health professionals. Which foods are the major contributors of the offending or the desirable nutrients and, therefore, should be included in questionnaires or might be candidates for dietary modification? Answers may be different for different population subgroups. Cultural food choices have long been thought to be notably different from “average” American intake, such as

Applications

Our data were used to develop a food frequency questionnaire for low-income Hispanic women and children, which we are now validating. The food lists may be useful in designing other dietary assessment tools, educational materials, and counseling interventions for Hispanic women and children. The results may be of particular interest to WIG staff working with low-income Hispanic populations. Dietary patterns and problems seem to be broadly similar among whites, blacks, and Hispanics, and minimal

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