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Artigos de revistas sobre o assunto "Aboriginal nutrition"
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Browne, Jennifer, Karen Adams, Petah Atkinson, Deborah Gleeson e Rick Hayes. "Food and nutrition programs for Aboriginal and Torres Strait Islander Australians: an overview of systematic reviews". Australian Health Review 42, n.º 6 (2018): 689. http://dx.doi.org/10.1071/ah17082.
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Objective To provide an overview of previous reviews of programs that aimed to improve nutritional status or diet-related health outcomes for Aboriginal and Torres Strait Islander peoples, in order to determine what programs are effective and why. Methods A systematic search of databases and relevant websites was undertaken to identify reviews of nutrition interventions for Aboriginal and Torres Strait Islander Australians. Pairs of reviewers undertook study selection and data extraction and performed quality assessment using a validated tool. Results Twelve papers reporting 11 reviews were identified. Two reviews were rated high quality, three were rated medium and six were rated low quality. The reviews demonstrated that a positive effect on nutrition and chronic disease indicators can be a result of: 1) incorporating nutrition and breastfeeding advice into maternal and child health care services; and 2) multifaceted community nutrition programs. The evidence suggests that the most important factor determining the success of Aboriginal and Torres Strait Islander food and nutrition programs is community involvement in (and, ideally, control of) program development and implementation. Conclusions Community-directed food and nutrition programs, especially those with multiple components that address the underlying causes of nutrition issues, can be effective in improving nutrition-related outcomes. What is known about the topic? More effective action is urgently required in order to reduce the unacceptable health inequalities between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians. Food insecurity and nutrition-related chronic conditions are responsible for a large proportion of the ill health experienced by Australia’s First Peoples. What does this paper add? This narrative overview of 11 reviews published between 2005 and 2015 provides a synthesis of the current evidence for improving Aboriginal and Torres Strait Islander nutrition across the lifespan. The findings suggest that community-based and community-controlled programs, especially those with multiple components that address the underlying causes of nutrition issues, have the greatest potential to improve nutrition-related health outcomes. What are the implications for practitioners? Food and nutrition programs that are initiated and designed by local Aboriginal and Torres Strait Islander people are most likely to be effective. Nutrition and breastfeeding education and advice should be consistently incorporated into maternal and child healthcare services. Nutrition issues should be addressed through multifaceted approaches that address improving individual knowledge and skills, as well as strategies that increase access to nutritious food and provide a healthy food environment.
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Helson, Catherine, Ruth Walker, Claire Palermo, Kim Rounsefell, Yudit Aron, Catherine MacDonald, Petah Atkinson e Jennifer Browne. "Is Aboriginal nutrition a priority for local government? A policy analysis". Public Health Nutrition 20, n.º 16 (14 de agosto de 2017): 3019–28. http://dx.doi.org/10.1017/s1368980017001902.
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AbstractObjectiveThe present study aimed to explore how Australian local governments prioritise the health and well-being of Aboriginal populations and the extent to which nutrition is addressed by local government health policy.DesignIn the state of Victoria, Australia, all seventy-nine local governments’ public health policy documents were retrieved. Inclusion of Aboriginal health and nutrition in policy documents was analysed using quantitative content analysis. Representation of Aboriginal nutrition ‘problems’ and ‘solutions’ was examined using qualitative framing analysis. The socio-ecological framework was used to classify the types of Aboriginal nutrition issues and strategies within policy documents.SettingVictoria, Australia.SubjectsLocal governments’ public health policy documents (n79).ResultsA small proportion (14 %,n11) of local governments addressed Aboriginal health and well-being in terms of nutrition. Where strategies aimed at nutrition existed, they mostly focused on individual factors rather than the broader macroenvironment.ConclusionsA limited number of Victorian local governments address nutrition as a health issue for their Aboriginal populations in policy documents. Nutrition needs to be addressed as a community and social responsibility rather than merely an individual ‘behaviour’. Partnerships are required to ensure Aboriginal people lead government policy development.
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Kuralneethi, Silambarasi, Sharifah Intan Zainun Sharif Ishak e Vaidehi Ulaganathan. "Association between dietary quality and growth of the aboriginal primary school children in Negeri Sembilan". British Food Journal 124, n.º 5 (6 de outubro de 2021): 1712–26. http://dx.doi.org/10.1108/bfj-04-2021-0350.
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PurposeThis study aims to determine the association between dietary quality and growth of the aboriginal primary school children in Negeri Sembilan, Malaysia.Design/methodology/approachThe cross-sectional study was carried out in Negeri Sembilan. A total of 194 school-aged aboriginal children participated in the study. The dietary intake and socioeconomic status data were collected from the parents using an interviewer-administrated structured questionnaire comprised of sociodemographic questions and three days of dietary recall. The Malaysian Healthy Eating Index was used to determine the diet quality of children. WHO Anthro Plus software was used to determine the z-score of weight-for-age (WAZ), height-for-age (HAZ) and body mass index (BMI)-for-age (BAZ).FindingsAmong all children, 15, 9 and 5% of them were stunted, underweight and thin, respectively. On the other hand, 16 and 12% of the children were overweight and obese, respectively. The aboriginal children were at risk of poor diet quality (37.19 ± 12.07) and had high dietary protein and fat intake than national recommended nutrient intake. The children achieved micronutrients intake, except for calcium. There was no significant association between total diet quality scores with growth indices among the aboriginal children. There is significant negative correlation between dietary vitamin A intake with HAZ (r = −0.168, p < 0.05) and WAZ (r = −0.219, p < 0.05) z-score of the aboriginal children.Originality/valueAlthough there was a reduction in under-nutrition among the aborigines, an increasing over-nutrition status among aborigines should be considered, especially in terms of poor dietary quality and intake.
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Kuralneethi, Silambarasi, Sharifah Intan Zainun Sharif Ishak e Vaidehi Ulaganathan. "Association between dietary quality and growth of the aboriginal primary school children in Negeri Sembilan". British Food Journal 124, n.º 5 (6 de outubro de 2021): 1712–26. http://dx.doi.org/10.1108/bfj-04-2021-0350.
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PurposeThis study aims to determine the association between dietary quality and growth of the aboriginal primary school children in Negeri Sembilan, Malaysia.Design/methodology/approachThe cross-sectional study was carried out in Negeri Sembilan. A total of 194 school-aged aboriginal children participated in the study. The dietary intake and socioeconomic status data were collected from the parents using an interviewer-administrated structured questionnaire comprised of sociodemographic questions and three days of dietary recall. The Malaysian Healthy Eating Index was used to determine the diet quality of children. WHO Anthro Plus software was used to determine the z-score of weight-for-age (WAZ), height-for-age (HAZ) and body mass index (BMI)-for-age (BAZ).FindingsAmong all children, 15, 9 and 5% of them were stunted, underweight and thin, respectively. On the other hand, 16 and 12% of the children were overweight and obese, respectively. The aboriginal children were at risk of poor diet quality (37.19 ± 12.07) and had high dietary protein and fat intake than national recommended nutrient intake. The children achieved micronutrients intake, except for calcium. There was no significant association between total diet quality scores with growth indices among the aboriginal children. There is significant negative correlation between dietary vitamin A intake with HAZ (r = −0.168, p < 0.05) and WAZ (r = −0.219, p < 0.05) z-score of the aboriginal children.Originality/valueAlthough there was a reduction in under-nutrition among the aborigines, an increasing over-nutrition status among aborigines should be considered, especially in terms of poor dietary quality and intake.
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Browne, Jennifer, Deborah Gleeson, Karen Adams, Deanne Minniecon e Rick Hayes. "Strengthening Aboriginal and Torres Strait Islander health policy: lessons from a case study of food and nutrition". Public Health Nutrition 22, n.º 15 (22 de maio de 2019): 2868–78. http://dx.doi.org/10.1017/s1368980019001198.
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AbstractObjective:To examine key factors influencing the prioritisation of food and nutrition in Aboriginal and Torres Strait Islander health policy during 1996–2015.Design:A qualitative policy analysis case study was undertaken, combining document analysis with thematic analysis of key informant interviews.Setting:Australia.Participants:Key actors involved in Aboriginal and Torres Strait Islander health policy between 1996 and 2015 (n 38).Results:Prioritisation of food and nutrition in policy reduced over time. Several factors which may have impeded the prioritisation of nutrition were identified. These included lack of cohesion among the community of nutritionists, Aboriginal and Torres Strait Islander leaders and civil society actors advocating for nutrition; the absence of an institutional home for nutrition policy; and lack of consensus and a compelling policy narrative about how priority nutrition issues should be addressed. Political factors including ideology, dismantling of public health nutrition governance structures and missing the opportunities presented by ‘policy windows’ were also viewed as barriers to nutrition policy change. Finally, the complexity and multifaceted nature of nutrition as a policy problem and perceived lack of evidence-based solutions may also have constrained its prioritisation in Aboriginal and Torres Strait Islander health policy.Conclusions:Future advocacy should focus on embedding nutrition within holistic approaches to health and building a collective voice through advocacy coalitions with Aboriginal and Torres Strait Islander leadership. Strategic communication and seizing political opportunities may be as important as evidence for raising the priority of Aboriginal and Torres Strait Islander health issues.
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Porykali, Bobby, Alyse Davies, Cassandra Brooks, Hannah Melville, Margaret Allman-Farinelli e Julieann Coombes. "Effects of Nutritional Interventions on Cardiovascular Disease Health Outcomes in Aboriginal and Torres Strait Islander Australians: A Scoping Review". Nutrients 13, n.º 11 (15 de novembro de 2021): 4084. http://dx.doi.org/10.3390/nu13114084.
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Nutrition interventions can support Aboriginal and Torres Strait Islander peoples to reduce their risk of cardiovascular disease (CVD). This review examines nutritional interventions aiming to improve CVD outcomes and appraises peer-reviewed interventions using an Aboriginal and Torres Strait Islander Quality Appraisal Tool. Five electronic databases and grey literature were searched, applying no time limit. Two reviewers completed the screening, data extraction and quality assessment independently. The study quality was assessed using the South Australian Health and Medical Research Institute and the Centre of Research Excellence in Aboriginal Chronic Disease Knowledge Translation and Exchange Aboriginal and Torres Strait Islander Quality Appraisal Tool (QAT). Twenty-one nutrition programs were included in this review. Twelve reported on anthropometric measurements, ten on biochemical and/or hematological measurements and sixteen on other outcome domains. Most programs reported improvements in measurable CVD risk factors, including reduced body mass index (BMI), waist circumference (WC), weight, blood pressure and improved lipid profiles. Most programs performed well at community engagement and capacity strengthening, but many lacked the inclusion of Indigenous research paradigms, governance and strengths-based approaches. This review highlights the need for contemporary nutrition programs aimed at improving cardiovascular health outcomes to include additional key cultural components.
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Chong, Su, Geeta Appannah e Norhasmah Sulaiman. "Predictors of Diet Quality as Measured by Malaysian Healthy Eating Index among Aboriginal Women (Mah Meri) in Malaysia". Nutrients 11, n.º 1 (10 de janeiro de 2019): 135. http://dx.doi.org/10.3390/nu11010135.
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Socioeconomic status and nutrition knowledge are the determining factors of food choices. However, their relationship with diet quality is ambiguous among aboriginal women in Malaysia. Henceforth, the objective of this study was to examine diet quality and its predictors among the aboriginal women from the Mah Meri ethnic group in Malaysia. Data on socioeconomic characteristics, nutrition knowledge, and 24-h dietary recalls were obtained through face-to-face interviews with the respondents. Household food insecurity was assessed using Radimer/Cornell Hunger and Food Insecurity Instrument. The Malaysian Healthy Eating Index (HEI) was used to measure the diet quality of this population. The overall diet quality of the respondents was poor, with a mean Malaysian HEI score of 45.3%. Household income (r = 0.242, p < 0.001) and nutrition knowledge (r = 0.150, p < 0.05) were positively correlated with diet quality. More importantly, the predictors of diet quality were marital status (β = 0.181, p < 0.01), household income (β = 0.237, p < 0.001), food security status (β = −0.151, p < 0.01), and fat intake (β = −0.438, p < 0.001). Women being married and those with higher household income was associated with a better diet quality among Malaysian aborigines.
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GRACEY, M. "Nutrition of Australian Aboriginal infants and children". Journal of Paediatrics and Child Health 27, n.º 5 (outubro de 1991): 259–71. http://dx.doi.org/10.1111/j.1440-1754.1991.tb02536.x.
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Shannon, Cindy. "Acculturation: Aboriginal and Torres Strait Islander nutrition". Asia Pacific Journal of Clinical Nutrition 11 (dezembro de 2002): S576—S578. http://dx.doi.org/10.1046/j.0964-7058.2002.00352.x.
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Barnes, A. "Online nutrition education in an Aboriginal community". Topics in Clinical Nutrition 14, n.º 4 (setembro de 1999): 85. http://dx.doi.org/10.1097/00008486-199909000-00015.
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Priestly, Jacqueline Rita. "Growing stronger together : cross-cultural nutrition partnerships in the Northern Territory 1974-2000 /". View thesis, 2003. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031219.105829/index.html.
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Lee, Amanda (Amanda Joan). "Survival tucker : aboriginal dietary intake and a successful community-based nutrition intervention project". Thesis, The University of Sydney, 1992. http://hdl.handle.net/2123/9463.
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Priestly, Jacqueline Rita, University of Western Sydney, College of Social and Health Sciences e School of Sociology and Justice Studies. "Growing stronger together : cross-cultural nutrition partnerships in the Northern Territory 1974-2000". THESIS_CSHS_SJS_Priestly_J.xml, 2003. http://handle.uws.edu.au:8081/1959.7/266.
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This thesis incorporates social history and consultative action research to analyse the development of cross-cultural nutrition services for Indigenous communities in the Northern Territory from 1974-2000 and promote the development of stronger partnerships in 1999-2001.The historical development of nutrition services is analysed against current theory and a model of capacity building for health promotion. Nutrition infrastructure and services have developed systematically, incrementally and substantially. Strengths include the development of enduring and successful inter-cultural partnerships and leadership.Two facilitative narratives which aim to improve inter-cultural knowledge sharing, strengthen capacity and promote participatory action in community based projects were developed, implemented and partially evaluated. Services can be further strengthened by long-term commitments to examining power issues, promoting improved Indigenous control and problem solving and comprehensive bi cultural evaluation that identifies significant indicators to improving outcomes. Participatory action research, facilitative story telling, capacity building, Indigenous education theory and critical social science can inform and guide these efforts in complementary ways.Master of Arts (Hons) (Critical Social Science)
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Priestly, Jacqueline Rita. "Growing stronger together : cross-cultural nutrition partnerships in the Northern Territory 1974-2000". Thesis, View thesis, 2003. http://handle.uws.edu.au:8081/1959.7/266.
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This thesis incorporates social history and consultative action research to analyse the development of cross-cultural nutrition services for Indigenous communities in the Northern Territory from 1974-2000 and promote the development of stronger partnerships in 1999-2001.The historical development of nutrition services is analysed against current theory and a model of capacity building for health promotion. Nutrition infrastructure and services have developed systematically, incrementally and substantially. Strengths include the development of enduring and successful inter-cultural partnerships and leadership.Two facilitative narratives which aim to improve inter-cultural knowledge sharing, strengthen capacity and promote participatory action in community based projects were developed, implemented and partially evaluated. Services can be further strengthened by long-term commitments to examining power issues, promoting improved Indigenous control and problem solving and comprehensive bi cultural evaluation that identifies significant indicators to improving outcomes. Participatory action research, facilitative story telling, capacity building, Indigenous education theory and critical social science can inform and guide these efforts in complementary ways.
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Guyot, Melissa. "Impacts of climate change on traditional food security in aboriginal communities in Northern Canada". Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=18275.
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This thesis explores the impact of climate changes on the harvest of traditional foods and characterizes the implication of these changes on the diet of Aboriginal Peoples in northern Canada. Combinations of qualitative and quantitative methods were used to document and estimate the local harvest pattern of key species of traditional food. Overall results between the estimated amount of available food from the harvest and the estimated amount of dietary intake did not agree, however, strong agreements were seen in two species: moose and whitefish. The relationship of harvest data to dietary intake is complex and requires two accurate and complete data sets. If these exist, predicting the intake of traditional foods from harvest data is possible. Qualitative results portray that community members are witnessing variable changes in climate which are affecting their traditional food harvest and are altering their harvest mechanisms to adapt to these changes.Cette thèse regard l'impact des changements environmentales sur la récolte des aliments traditionnels et characterise l'implication de ses changements sur la diète des membres de la communauté. Une combinaison de méthode quantitative et qualitative ont été utilisé pour documenter et estimer la séquence de la récolte des animaux clées locales. En général, les résultats entre la nourriture disponible estimé provennant de la récolte et le montant estimé pour la consumption alimentaire n'étaient pas égaux, parcontre, la ratio entre aurignal et poisson blanc étaient bonne. La relation entre les résultats numériques concernent la récolte et la consumption alimentaire sont complèxes et requièrent deux coordonnées d'informations numériques completes. Si cela existe, il serait possible de prédir la consumption des aliments traditionalles provenant de la récolte. Les résultats qualitatifs dénoncent des changements climatiques affectant la récolte des aliments traditionnels et alterent la façon dont les membres de la communauté font leur récolte pour adapter à ces changements climatiques.
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Mulheron, Tracy. "Diabetes and its effect on the life expectancy of Indigenous Australians". Thesis, Indigenous Heath Studies, 2001. http://hdl.handle.net/2123/5703.
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It has been established that diabetes does have an effect and impacts greatly on the life expectancy of Indigenous Australians. A possible explanation is that Indigenous Australians generally have different needs, primarily because of the variation in culture differences. For this reason it is imperative that health officials have an understanding of these additional pre-disposing factors and the associated complications which have resulted as a part of the colonisation process. These factors including diet, nutrition, exercise, obesity and have influenced and resulted, in a change to the way of life for many Indigenous Australians, primarily from a traditional to modern diet.
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Bambrick, Hilary Jane, e Hilary Bambrick@anu edu au. "Child growth and Type 2 Diabetes Mellitus in a Queensland Aboriginal Community". The Australian National University. Faculty of Arts, 2003. http://thesis.anu.edu.au./public/adt-ANU20050905.121211.
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Globally, the prevalence of Type 2 diabetes is rising. The most affected populations are those that have undergone recent and rapid transition towards a Western lifestyle, characterised by energy-dense diets and physical inactivity.¶
Two major hypotheses have attempted to explain the variation in diabetes prevalence, both between and within populations, beyond the contributions made by adult lifestyle. The thrifty genotype hypothesis proposes that some populations are genetically well adapted to surviving in a subsistence environment, and are predisposed to develop diabetes when the dietary environment changes to one that is fat and carbohydrate rich. The programming hypothesis focuses on the developmental environment, particularly on prenatal and early postnatal conditions: nutritional deprivation in utero and early postnatal life, measured by low birthweight and disrupted child growth, is proposed to alter metabolism permanently so that risk of diabetes is increased with subsequent exposure to an energy-dense diet. Both hypotheses emphasise discord between adaptation (genetic or developmental) and current environment, and both now put forward insulin resistance as a likely mechanism for predisposition.¶
Diabetes contributes significantly to morbidity and mortality among Australia’s Indigenous population. Indigenous babies are more likely to be low birthweight, and typical patterns of child growth include periods of faltering and rapid catch-up. Although there have been numerous studies in other populations, the programming hypothesis has not previously been tested in an Australian Indigenous community. The framework of the programming hypothesis is thus expanded to consider exposure of whole populations to adverse prenatal and postnatal environments, and the influence this may have on diabetes prevalence.¶
The present study took place in Cherbourg, a large Aboriginal community in southeast Queensland with a high prevalence of diabetes. Study participants were adults with diagnosed diabetes and a random sample of adults who had never been diagnosed with diabetes. Data were collected on five current risk factors for diabetes (general and central obesity, blood pressure, age and family history), in addition to fasting blood glucose levels. A lifestyle survey was also conducted. Participants’ medical records detailing weight growth from birth to five years were analysed with regard to adult diabetes risk to determine whether childhood weight and rate of weight gain were associated with subsequent diabetes. Adult lifestyle factors were
xiialso explored to determine whether variation in nutrition and physical activity was related to level of diabetes risk.¶
Approximately 20% of adults in Cherbourg have diagnosed diabetes. Prevalence may be as high as 38.5% in females and 42% in males if those who are high-risk (abnormal fasting glucose and three additional factors) are included. Among those over 40 years, total prevalence is estimated to be 51% for females and 59% for males.¶
Patterns of early childhood growth may contribute to risk of diabetes among adults. In particular, relatively rapid weight growth to five years is associated with both general and central obesity among adult women. This lends some qualified support to the programming hypothesis as catch-up growth has previously been incorporated into the model; however, although the most consistent association was found among those who gained weight more rapidly, it was also found that risk is increased among children who are heavier at any age.¶
No consistent associations were found between intrauterine growth retardation (as determined by lower than median birthweight and higher than median weight growth velocity to one and three months) and diabetes risk among women or men. A larger study sample with greater statistical power may have yielded less ambiguous results.¶
Among adults, levels of physical activity may be more important than nutritional intake in moderating diabetes risk, although features of diet, such as high intake of simple carbohydrates, may contribute to risk in the community overall, especially in the context of physical inactivity. A genetic component is not ruled out. Two additional areas which require further investigation include stress and high rates of infection, both of which are highly relevant to the study community, and may contribute to the insulin resistance syndrome.¶
Some accepted thresholds indicating increased diabetes risk may not be appropriate in this population. Given the relationship between waist circumference and other diabetes risk factors and the propensity for central fat deposition among women even with low body mass index (BMI), it is recommended that the threshold where BMI is considered a risk be lowered by 5kg/m2 for women, while no such recommendation is made for men.¶
There are a number of social barriers to better community health, including attitudes to exercise and obesity, patterns of alcohol and tobacco use and consumption of fresh foods. Some of these barriers are exacerbated by gender roles and expectations.¶
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Goedert, Kimberly A. "Environmental, social, and economic changes affecting the nutrition and health of the Kimberley region Australian Aboriginals". Diss., Connect to online resource, 2006. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1433495.
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HWA, WANG JAU, e 王昭華. "Correlation of the nutrition knowledge, attitudes and behaviors among aboriginal students in Nantou". Thesis, 2014. http://ndltd.ncl.edu.tw/handle/40857954895302253846.
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碩士弘光科技大學
食品科技所
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The research is aimed at investigating the relevance and relationship among nutritional knowledge, attitudes and eating behaviors of Taiwanese aboriginal junior high school students. Based on the students in the school district, 1063 questionnaires are given and 938 of them are retrieved (the response rate is up to 88.24%). 839 questionnaires are valid to be analyzed in the survey. The statistics approaches include descriptive statistics, average value and standard variation, independent sample t test, one-way ANOVA, Pearson’s Correlation and univariate. Two of the findings are worth summarizing: 1 Fundamental variances: First, gender is obviously relevant to nutritional knowledge and eating behaviors. Besides, there is significant relation between glade and eating behaviors. Parents’ educational degree has great effect on nutritional knowledge; however, only father’s educational degree influences upon eating behaviors significantly. What’s more, the economic conditions of the students’ families play an important role in nutritional attitudes and eating behaviors. School education is the main source of the information about nutrition and food. 2 The score regarding nutritional knowledge is not good; in contrast, the one regarding nutritional attitudes is better. In addition, the score related to eating behaviors is the most excellent, which reveals their positive eating behaviors. Further, nutritional knowledge and attitudes correlate positively, and so do nutritional attitudes and eating behaviors. Suggestions of the research result: 1 Tribal culture should be included in school education in the aboriginal area to enhance the students’ absorption about nutritional knowledge and understanding about the characteristics of their tribal eating culture. 2 Encourage the parents to upgrade their nutritional knowledge and improve their eating behaviors in expectation of affecting children’s eating attitudes. 3 To increase the books on nutrition in the school library to make the students absorb relevant information. 4 Cultivate good nutritional attitudes and eating behaviors by means of the provision of educational resources to the aboriginal tribal churches and the holdings of the activities concerning nutrition supported by community resources. 5 The incorporation of health education and lunch hygiene education into school courses can contribute to promote students’ knowledge and attitudes with reference to nutrition.
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Ashman, Amy. "Optimising dietary intake and nutrition related health outcomes in Aboriginal women and their children". Thesis, 2017. http://hdl.handle.net/1959.13/1349922.
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Research Doctorate - Doctor of Philosophy (PhD)Aboriginal Australians have high rates of many chronic diseases, the causes of which are multi-factorial. Optimal nutrition throughout life is protective against a number of adverse health outcomes, and can begin with setting the scene for lifelong health in utero and in the first years of life. However, little is currently known about the dietary intakes of Aboriginal Australian women in pregnancy and in the postpartum period, and their children, particularly in early infancy. This thesis by publication is presented as a series of published research articles. Specific research aims and the results of studies arising from this thesis are summarised below. Dietitians are well-placed to support and work alongside Aboriginal communities in developing and supporting strategies to optimise nutrition for Aboriginal woman and children. Dietitians must demonstrate cultural competency, however opportunities for practical experiences working with Aboriginal communities are limited during undergraduate nutrition degree programs. The aim of the first study was to evaluate the cultural awareness experiences of student and new-graduate dietitians working in an Aboriginal ArtsHealth setting. Six participants reported on their experiences through either written feedback (via email) or oral feedback (via semi-structured interview). A generic inductive approach was used for qualitative data analysis. Key themes emerged around ‘building rapport’ and ‘developing cultural understanding’. Some participants reported an increased understanding of the context around health disparity for Aboriginal Australians, and the experiences of the student and new-graduate dietitians were overwhelmingly positive. To optimise nutrition, current nutrition practices and dietary intakes need to be quantified. The second study of this thesis reports on the dietary intakes and anthropometric and body composition measures of a sample of women and their infants from the Gomeroi gaaynggal study, a prospective longitudinal cohort of Aboriginal women and their children in regional NSW from pregnancy to five years postpartum. A cross-sectional analysis of n=73 mother-child dyads from three months to five years postpartum found a breastfeeding initiation rate of 85.9%, with a median (interquartile range [IQR]) duration of 1.4 months (0.5 – 4.0). Introduction of infants to solid foods and cow’s milk were at 5.0 months (4.0–6.0) and 12.0 months (10.0–13.0) respectively. At one year postpartum 66.7% of women were overweight or obese, and 63.7% were overweight or obese at 2 years postpartum. Results from the Gomeroi gaaynggal cohort were preliminary, but suggest that women in this cohort may benefit from further support to optimise nutrition for themselves and their children. Providing women with tailored nutrition advice requires appropriate tools for dietary assessment. Image-based dietary records are emerging as a novel method for dietary assessment that limits some of the participant burden associated with traditional methods of dietary assessment. The Diet Bytes and Baby Bumps study used image-based dietary records captured via smartphones and a purpose-built brief tool (the Selected Nutrient and Diet Quality [SNaQ] tool) to assess nutrient and food group intakes of pregnant women and to inform the delivery of tailored nutrition advice to participants during their pregnancy. Twenty-five women (27 recruited, including 8 Aboriginal Australians, one withdrawn, one incomplete), had image-based records appropriate for analysis. Median intakes of core food groups of grains and cereals, vegetables, fruit, meat and dairy were reported as being below recommendations, but intakes of energy-dense, nutrient-poor foods exceeded recommendations. Cohen kappa showed moderate to substantial agreement between the SNaQ tool and the nutrient analysis software when assessing adequacy of micronutrient intakes. Relative validity was established by comparison of the image-based dietary records and 24-hour food recalls. There were significant correlations between the two methods of dietary assessment for energy, macronutrients and micronutrient intakes (r=.40–.94, all P<.05), with acceptable agreement between methods. Seventeen women reported changing their diets as a result of receiving personalised nutrition advice. The DietBytes method of image-based dietary assessment was well-received, with 88% of participants stating they would use the method again, including all Aboriginal participants. A systematic review was conducted to identify existing programs that have aimed to improve nutrition-related outcomes in Indigenous pregnant women worldwide, and to identify positive factors contributing to successful programs. This review consisted of 27 studies (20 programs) from Australia, Canada, and the United States of America; the most prevalent outcome measures were breastfeeding initiation/duration (n=11 programs) and birth weight (n=9 programs). Activities employed within programs that resulted in statistically significant improvements in health and/or nutrition outcomes included individual counselling and education, and involvement of peer counsellors or other Indigenous program staff. In successful programs, emphasis was placed on designing nutrition interventions in collaboration with Indigenous communities. This research thesis has highlighted key areas for improving dietary intake and nutrition-related health of Aboriginal Australian women and their children, including breastfeeding duration, appropriate timing of introduction to solid food and cow’s milk, nutrient and food group intake of pregnant and postpartum women, and improving rates of overweight and obesity in women postpartum. An image-based dietary record method of dietary assessment has demonstrated relative validity and acceptability for dietary assessment of Aboriginal pregnant women and acceptability to guide nutrition counselling. Dietitians can best support Aboriginal women and children by working in collaboration with communities to optimise nutrition, and support practice-based student experiences during university training where possible to assist in development of cultural competency skills.
Livros sobre o assunto "Aboriginal nutrition"
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Zakrevsky, E. Aboriginal Community Foodstores Project: Assessment of nutritional status. [East Perth, W.A.]: Office of Aboriginal Health, Health Dept. of W.A., 1996.
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Palmer, Kingsley. Diet and dust in the desert: An aboriginal community Maralinga Lands, South Australia. Canberra: Aboriginal Studies Press, 1991.
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George, Kate L. Community stores and the promotion of health: An assessment of community stores and their functions in the promotion of health in Aboriginal communities : a report to the Health Department of Western Australia. [East Perth, W.A: The Dept.], 1996.
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1957-, Stanton Bruce, ed. From Food Mail to Nutrition North Canada: Report of the Standing Committee on Aboriginal Affairs and Northern Development. [Ottawa]: Standing Committee on Aboriginal Affairs and Northern Development, 2011.
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Cosgrove, Richard, e Jillian Garvey. Behavioural inferences from Late Pleistocene Aboriginal Australia. Editado por Umberto Albarella, Mauro Rizzetto, Hannah Russ, Kim Vickers e Sarah Viner-Daniels. Oxford University Press, 2017. http://dx.doi.org/10.1093/oxfordhb/9780199686476.013.49.
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Detailed research into marsupial behavioural ecology and modelling of past Aboriginal exploitation of terrestrial fauna has been scarce. Poor bone preservation is one limiting factor in Australian archaeological sites, but so has been the lack of research concerning the ecology and physiology of Australia’s endemic fauna. Much research has focused on marine and fresh-water shell-fish found in coastal and inland midden sites. Detailed studies into areas such as seasonality of past human occupation and nutritional returns from terrestrial prey species have not had the same attention. This chapter reviews the current level of published Australian research into two aspects of faunal studies, seasonality and nutrition. It describes the patterns from well-researched faunal data excavated from the Ice Age sites in southwest Tasmania. Concentration is on the vertebrate fauna found in seven limestone cave sites to examine any temporal changes to seasonal butchery and identify any differences between seasonally occupied sites.
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House, APN, e CE Harwood, eds. Australian Dry-zone Acacias for Human Food. CSIRO Publishing, 1992. http://dx.doi.org/10.1071/9780643100718.
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Australia's unique and diverse woody flora has become socially, economically and environmentally important in many other countries. The seed of some Acacia species showing promise in planting programs in semi-arid areas has been a part of the traditional diet of Australia's Aboriginal people. The dry seed may be ground to flour, mixed with water and eaten as a paste or baked to form a cake. Forest tree breeding has focussed on wood production, selecting taller, faster-growing varieties.
The same principles of selection and improvement can be applied to improve seed yields and nutritional properties of shrubs. The selection criteria would include seed characters such as taste, seed coat thickness and nutritive value to maximize their food value. The book looks at the possibility of building upon the traditional knowledge of Aboriginal Australians, using modern scientific methods, for the benefit of people in the world's dry areas.
Australian Dry-zone Acacias for Human Food documents the proceedings of a workshop held at Glen Helen, Northern Territory, Australia. The purpose of the meeting was to examine the idea of developing the food value of the seed of Australia's dry-zone acacias.
This book covers a summary of the workshop conlcusions, the invited papers, and recommendations of the working groups.
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Farrer, Keith. To Feed A Nation. CSIRO Publishing, 2005. http://dx.doi.org/10.1071/9780643092174.
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To Feed a Nation takes the reader on a journey over the centuries, describing the slow and arduous development of Australian food technology and science from before European settlement to the latter half of the twentieth century.
The first part of the book gives a fascinating glimpse into Aboriginal food and culture, outlines the primitive state of European food technology at the time of the First Fleet, and shows how the colonists tried to transfer to Australia the village technologies they knew in England.
The second part describes how, for most of the nineteenth century, technology preceded science – the processing and storage of food relied on methods which, by trial and error, had been shown to work – and food science was slow to emerge.
The final part of the book highlights the twentieth century watershed — how a growing understanding of the nature of food, the principles of nutrition, and the role of micro-organisms, was able to propel food technology to where it is today.
The publication of To Feed a Nation has been sponsored by the Food Technology Association of Victoria.
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Luyckx, Valerie A. Nephron numbers and hyperfiltration as drivers of progression. Editado por David J. Goldsmith. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0138.
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The relationship between low birth weight (LBW) and subsequent increased risk of hypertension and renal disease in humans is now well established. The initial hypothesis suggested that an adverse intrauterine environment, reflected by LBW, would impact renal development, resulting in a low nephron number and predisposition to hypertension and renal disease. Studies in various populations have shown a direct correlation between birth weight and nephron number, and in infants, nephron numbers are reduced in those of LBW. Among Caucasian and Australian Aboriginal adults, lower nephron numbers are associated with higher blood pressure, whereas higher nephron numbers appear to protect against hypertension. LBW is currently the best clinical surrogate for low nephron number and has been independently associated with higher blood pressure from infancy through to adulthood in many populations, as well as an increased risk of proteinuria, reduced glomerular filtration rate, chronic kidney disease, and end-stage renal disease in later life. The pathophysiology is analogous to that in other chronic kidney diseases where surviving nephrons are subject to hyperfiltration early on, resulting in glomerular hypertrophy, proteinuria, and eventually, especially in the setting of other renal disease risk factors, glomerulosclerosis, and loss of renal function. Mean nephron number varies by up to 13-fold in certain populations, however, therefore nephron number is unlikely the sole developmentally programmed risk factor for renal disease in later life, but may be a first ‘hit’ impacting an individual’s susceptibility to or resistance to superimposed renal injury. Augmentation of nephron number perinatally has only been addressed in experimental settings. In humans, therefore optimization of nephron number is likely best achieved through good perinatal care and adequate postnatal nutrition. Cardiovascular disease and diabetes are also developmentally programmed and therefore likely coexist in subjects with LBW and low nephron numbers. Awareness of an individual’s birth weight should serve to highlight the possibility of low nephron number and potential risk for future hypertension and renal disease, which may be attenuated by optimization of early nutrition, lifestyle choices, and management of other risk factors for renal disease.
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Maslin, BR, LAJ Thomson, MW McDonald e S. Hamilton-Brown. Edible Wattle Seeds of Southern Australia. CSIRO Publishing, 1998. http://dx.doi.org/10.1071/9780643100916.
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This book identifies 47 Acacia species which have potential for cultivation in the southern semi-arid region of Australia as a source of seed for human consumption.
Eighteen species are regarded as having the greatest potential. Botanical profiles are provided for these species, together with information on the natural distribution, ecology, phenology, growth characteristics and seed attributes.
Two species, Acacia victoriae and Acacia murrayana, appear particularly promising as the seeds of both these have good nutritional characteristics and were commonly used as food by Aborigines. Acacia victoriae is currently the most important wattle used in the Australian bushfood industry.
This book is a useful reference for the bush food industry.
Capítulos de livros sobre o assunto "Aboriginal nutrition"
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Pfeiffer, Susan K., e Richard A. Lazenby. "Low Bone Mass in Past and Present Aboriginal Populations". In Nutrition and Osteoporosis, 35–51. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4757-9092-4_2.
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Willows, Noreen, e Malek Batal. "Nutritional Concerns of Aboriginal Infants and Children in Remote and Northern Canadian Communities: Problems and Therapies". In Nutrition in Infancy, 39–49. Totowa, NJ: Humana Press, 2012. http://dx.doi.org/10.1007/978-1-62703-224-7_3.
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Smith, R. M., R. A. King, R. M. Spargo, D. B. Cheek e J. B. Field. "Zinc, Iron and Copper in the Nutrition of Australian Aboriginal Children". In Trace Elements in Man and Animals 6, 163–64. Boston, MA: Springer US, 1988. http://dx.doi.org/10.1007/978-1-4613-0723-5_50.
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Gracey, Michael, e Helen Sullivan. "A prospective study of growth and nutrition of Aboriginal children from birth to two years in North-West Australia". In Child Nutrition in South East Asia, 107–15. Dordrecht: Springer Netherlands, 1990. http://dx.doi.org/10.1007/978-94-009-1996-9_8.
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Hochberg, Ze’ev, e John Boulton. "A model of children’s growth and adaptation to nutritional stress". In Aboriginal Children, History and Health, 192–202. New York, NY: Routledge, 2016.: Routledge, 2016. http://dx.doi.org/10.4324/9781315666501-11.
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Brand, J. C., e V. Cherikoff. "The nutritional composition of Australian Aboriginal food plants of the desert regions". In Plants for Arid Lands, 53–68. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-011-6830-4_5.
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"Diabetes, Diet and Nutrition". In Introduction to Aboriginal Health and Health Care in Canada. New York, NY: Springer Publishing Company, 2013. http://dx.doi.org/10.1891/9780826117991.0006.
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Gallegos, Danielle. "Food and nutrition for Aboriginal and Torres Strait Islander peoples". In Food & Nutrition, 36–56. Routledge, 2020. http://dx.doi.org/10.4324/9781003115663-5.
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Lee, Amanda, e Kerin O’Dea. "Aboriginal and Torres Strait Islander nutrition and health". In Food & Nutrition Throughout Life, 261–75. Routledge, 2020. http://dx.doi.org/10.4324/9781003115670-17.
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Walters, Krista. "23 ‘A National Priority’: Nutrition Canada’s Survey and the Disciplining of Aboriginal Bodies, 1964–1975". In Edible Histories, Cultural Politics, 433–52. University of Toronto Press, 2012. http://dx.doi.org/10.3138/9781442661509-026.
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