Characteristics of the community‐level diet of Aboriginal people in remote northern Australia

Brimblecombe, Julie; Ferguson, Megan; Liberato, Selma C.; O’Dea, Kerin

doi:10.5694/mja12.11407

Cited by 61 publications

(133 citation statements)

References 12 publications

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“…Importantly, self-efficacy is considered the most important precursor to behaviour change (42) . In addition, by taking their meals home, they included the family unit into the food work processes, providing the family an opportunity to sample new and healthier foods and to discuss important factors such as cost, preferences, dietary patterns and habits (8)(9)(10)(11)(12)(13) that had the potential to influence dietary change, which is important in the prevention of nutritionrelated disease (40,43,44) . Compared with other countries of the world, Australia is classified as 'food secure' (45) .…”

Section: Discussionmentioning

confidence: 99%

“…Barriers to healthy eating and food security among Australian Indigenous families have been attributed to poor nutritional knowledge and cooking skills, budgeting issues, high food prices, ease of access to convenience foods, poor access to nutritious foods and large household numbers (8)(9)(10)(11) . This has resulted in poor nutrition throughout the life span, causing inadequate consumption of proteins, carbohydrates, fats, minerals, vitamins and micronutrients, which are all essential in maintaining biological and physiological health (11)(12)(13) .…”

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confidence: 99%

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An ethnographic action research study to investigate the experiences of Bindjareb women participating in the cooking and nutrition component of an Aboriginal health promotion programme in regional Western Australia

Nilson

Kearing-Salmon

Morrison

et al. 2015

Public Health Nutr.

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Objective: To investigate the experiences of women participating in a cooking and nutrition component of a health promotion research initiative in an Australian Aboriginal regional community. Design: Weekly facilitated cooking and nutrition classes were conducted during school terms over 12 months. An ethnographic action research study was conducted for the programme duration with data gathered by participant and direct observation, four yarning groups and six individual yarning sessions. The aim was to determine the ways the cooking and nutrition component facilitated lifestyle change, enabled engagement, encouraged community ownership and influenced community action. Setting: Regional Bindjareb community in the Nyungar nation of Western Australia. Subjects: A sample of seventeen Aboriginal women aged between 18 and 60 years from the two kinships in two towns in one shire took part in the study. The recruitment and consent process was managed by community Elders and leaders. Results: Major themes emerged highlighting the development of participants and their recognition of the need for change: the impact of history on current nutritional health of Indigenous Australians; acknowledging shame; challenges of change around nutrition and healthy eating; the undermining effect of mistrust and limited resources; the importance of community control when developing health promotion programmes; finding life purpose through learning; and the need for planning and partnerships to achieve community determination. Conclusions: Suggested principles for developing cooking and nutrition interventions are: consideration of community needs; understanding the impact of historical factors on health; understanding family and community tensions; and the engagement of long-term partnerships to develop community determination.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

An ethnographic action research study to investigate the experiences of Bindjareb women participating in the cooking and nutrition component of an Aboriginal health promotion programme in regional Western Australia

Nilson

Kearing-Salmon

Morrison

et al. 2015

Public Health Nutr.

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“…Gray et al showed that women aged over 65 gained almost twice the muscle strength following exercise with omega III. Nutritional concerns, lack of availability of omega III rich foods may raise questions about the external validity of negative studies for the NT [86]. The proven agent Omacor is expensive and administrators will debate cost benefit.…”

Section: Beta Blockersmentioning

confidence: 99%

Do We Need A Wider Therapeutic Paradigm For Heart Failure With Comorbidities?: A Remote Australian Perspective

Iyngkaran¹,

Thomas²

2016

Health Care: Current Reviews

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Forty percent of CHF clients can suffer with up to five or more comorbidity, a rate that is likely higher in the NT. Large CHF trials AbstractCongestive Heart Failure a leading cause of morbidity and mortality is often associated with comorbidities and with it polypharmacy. Improved pathophysiological understanding, the available therapeutics, clinical guidelines and structured programs for comprehensive care have not benefited all clients in the Northern Territory of Australia. The Northern Territory has both a unique geography and demography including a sizeable Indigenous population. Additional factors that can affect heart failure management are prevalent in remote areas and are not well addressed within randomized controlled trials. This review is focused on building a case for widening the therapeutic paradigm for heart failure with comorbidities. We focus on a brief overview of heart failure and its associated comorbidities, the common overlapping physiological processes, the interpretation of the external validity of trial evidence, and finally exploring the available evidence for the important therapies within the guidelines. A need to consider a wider therapeutic paradigm may also have relevance for clients in other health systems.

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“…The data utilised in the present study were monthly food and beverage turnover figures for one year (including nutritional information) derived from electronic transaction data from all food providers in three very remote Indigenous communities in the Northern Territory, Australia (9) . A thorough description of the quality of the overall average intake derived from these data has been previously reported and discussed by Brimblecombe et al (9) .…”

Section: Overviewmentioning

confidence: 99%

“…from a 24 h diet recall during a survey) (8) or an average intake from a sustained period (e.g. from monthly food and beverage provider turnover) (9) . Although both of these approaches can provide valuable information about overall diet quality, they do not identify how it may fluctuate over short periods of extremes; for example, during an acute period (day/s) of reduced money availability.…”

Section: Overviewmentioning

confidence: 99%

Fluctuations in money availability within an income cycle impacts diet quality of remote Indigenous Australians

Wycherley¹,

Pekarsky²,

Ferguson³

et al. 2017

Public Health Nutr.

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Objective: To consider the plausible nutritional impacts of fluctuations in money availability within an income cycle for remote Indigenous Australians. Design: Community-level dietary intake (energy, micro/macronutrients) and expenditure on foods and beverages (F&B) were estimated over one year for three remote Indigenous Australian communities (Northern Territory, Australia) using monthly F&B transaction data. F&B that were likely to be consumed during a period within an income cycle when money was relatively limited (low money period (LMP) foods) were identified by panel consensus and scenario modelling was conducted to simulate the nutritional outcomes of a range of F&B selection responses to having an LMP. Results: All scenarios resulted in reduced diet quality during the LMP relative to overall average diet values. Protein and fat energy percentages were reduced and carbohydrate energy percentage increased. Despite reduced expenditure, declines in energy intake were typically buffered due to the reduced energy cost ($AU/MJ) of the LMP diet. The micronutrient profile of the LMP diet was substantially poorer, such that additional key micronutrients dropped below population-weighted Estimated Average Requirements/Adequate Intakes. Conclusions: The modelling undertaken herein suggests that even a short period of low money within an income cycle may noticeably contribute to the reduced diet quality of remote Indigenous Australians and exacerbate lifestyle disease risk. Dietary strategies that are designed to respond to diets and expenditure during different income cycle periods, rather than the overall average diet and expenditure, should be considered for improving diet quality and reducing cardiometabolic disease risk in remote Indigenous Australians.

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Characteristics of the community‐level diet of Aboriginal people in remote northern Australia

Cited by 61 publications

References 12 publications

An ethnographic action research study to investigate the experiences of Bindjareb women participating in the cooking and nutrition component of an Aboriginal health promotion programme in regional Western Australia

An ethnographic action research study to investigate the experiences of Bindjareb women participating in the cooking and nutrition component of an Aboriginal health promotion programme in regional Western Australia

Do We Need A Wider Therapeutic Paradigm For Heart Failure With Comorbidities?: A Remote Australian Perspective

Fluctuations in money availability within an income cycle impacts diet quality of remote Indigenous Australians

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