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© 2007 American Society for Nutrition J. Nutr. 137:1110-1114, April 2007


Symposium: Food-Based Approaches to Combating Micronutrient Deficiencies in Children of Developing Countries

Local Cultural Animal Food Contributes High Levels of Nutrients for Arctic Canadian Indigenous Adults and Children1,2

Harriet V. Kuhnlein3,4,* and Olivier Receveur5

3 Centre for Indigenous Peoples' Nutrition and Environment (CINE) and 4 School of Dietetics and Human Nutrition, McGill University, Ste. Anne de Bellevue H9X3V9, Canada and 5 Department of Nutrition, University of Montréal, Montréal J3C3KS, Canada

* To whom correspondence should be addressed. E-mail: harriet.kuhnlein{at}mcgill.ca.


    ABSTRACT
 TOP
 ABSTRACT
 LITERATURE CITED
 
Food systems of Canadian Arctic Indigenous Peoples contain many species of traditional animal and plant food, but the extent of use today is limited because purchased food displaces much of the traditional species from the diet. Frequency and 24-h dietary interviews of Arctic adults and children were used to investigate these trends. The most frequently consumed Arctic foods were derived from animals and fish. In adults these foods contributed 6–40% of daily energy of adults. Children ate much less, 0.4–15% of energy, and >40% of their total energy was contributed by "sweet" and "fat" food sources. Nevertheless, for adults and children, even a single portion of local animal or fish food resulted in increased (P < 0.05) levels of energy, protein, vitamin D, vitamin E, riboflavin, vitamin B-6, iron, zinc, copper, magnesium, manganese, phosphorus, and potassium; although children had similar results for these nutrients, they did not reach significance for energy, vitamin D, or manganese. Because market foods are the major source of energy in the Arctic, traditional animal-source foods are extremely important to ensure high dietary quality of both adults and children.


Animal-source foods (ASF)6 are viewed as essential in most human societies because of their high nutrient content. In food-based approaches to ameliorating multiple micronutrient deficiencies, particularly in developing countries, the use of ASF in combination with plant foods is seen as effective and efficacious (1) provided that cultural and household-level constraints are accommodated (2). Successful efforts to increase intake of ASF have been documented, yet concerns have been expressed about the amount of saturated fat and additional energy from ASF or their derivatives and their possible contribution to the nutrition transition in developing societies (2,3). In Canadian Arctic food systems there are abundant animals and fish in addition to purchased foods. Studies of Yukon First Nations, Dene/Métis, and Inuit cultural groups demonstrate extensive knowledge of diverse food sources, unique foods with exceptional nutrient quality, and unique patterns of food use incorporating varying levels of local cultural food with purchased market food (MF) (49). In this article, we present data on dietary food sources for adults of these 3 groups and selected samples of Dene (10,11) and Inuit children.

Methods of data collection

Dietary data were collected during 2 seasons in 3 major dietary surveys of adults and a study of Dene children residing in Yukon and Northwest Territories (NWT) communities as described earlier (811). For this article, data from 24-h food intake recalls and frequency interviews, comprised of lists of traditional food (TF) species, were derived from these studies. Community meetings were conducted to create complete food lists of species currently known and used and to develop lists of species and their consumed parts, which were incorporated into frequency interviews for each cultural group. Daily intake from 24-h recall data was dichotomized into the TF and MF. Recall data were used to calculate mean intakes of food groups as percentage of total energy. TF groups consisted of land mammals, sea mammals, fish, birds, and plants. For MF, food groups represent the main categories (grains, meats, fruits and vegetables, dairy, meat alternatives). "Mixed dishes" included primarily savory foods containing meats (e.g., pizza, preprepared pasta with sauce), vegetables, and/or fruit. The "sweet/fat" MF group contained foods with sugar or fat as primary ingredients (e.g., crystal drinks, colas, margarine, lard, mayonnaise, nonfruit dessert).

Statistical methods

Macro and micronutrient intakes in days with and without TF were calculated as least-squares means ± SEM (Kruskal-Wallis nonparametric ANOVA adjusted for food source, age, gender, season, site, and day of week) (see Tables 3 and 4). In children, the ANOVA was adjusted for the effects of the variables after rank transformation of raw values. Nutrient composition is based on dietary analysis of the study population (6,7).


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TABLE 3 Percentage energy intake from macronutrients on days with or without TF consumed by Yukon, Dene/Métis, and Inuit adults and by Dene/Yukon children

 

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TABLE 4 Micronutrient intake on days with and without TF for Yukon, Dene/Métis, and Inuit adults and Yukon and Dene children

 
Findings

    ASF Consumption. Over 100 species of wildlife animals, fish, and plant foods were known and used by populations in each cultural group. Species are distributed in 5 TF groups, with those often consumed by adults in the study regions (Table 1). The most frequently consumed animal species were caribou (R. tarandus) and moose (A. alces), and the most important fish were whitefish (Coregonis sp.), salmon (Onchorhynchus sp.), char (S. alpinus), and trout (Salvelinus sp.). Muskox (Ovibos moschatus), several birds, and other fish were also shown to be important. Although many plant species were known and appreciated, they were infrequently consumed (<0.1 d/wk as seasonal average). An exception is the seasonal use of cloudberry and crowberry (Rubus chamaemorus, Empetrum nigrum) by Inuit.


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TABLE 1 TF species consumed in Arctic Canada: number of species and most prominent species

 
The percentage of daily dietary energy contributed by TF varied, as shown by community and individual recalls (Table 2). Adult averages ranged from 17 to 28% of dietary energy derived from traditional animals and fish. Average community intakes varied (6–40%) depending on degree of remoteness or proximity to commercial centers.


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TABLE 2 Percentage of energy from TF

 
Intake of TF by age and gender for adults varied considerably in the 3 cultural groups (Fig. 1). Consistently, older adults consumed more TF (g/d) than younger adults, and men consumed more than women. Older Inuit consumed more TF than any group, with up to 675 g TF/d. Younger generations consumed less TF than older generations. Children consumed much less TF (Table 2). Dene children (10–12 y) from 5 communities in the Yukon and NWT region consumed an average daily energy of only 4.5% (0.4–10.7%) as TF. Fifteen percent of average daily energy came from TF in teens (15–19 y) compared with 28% in adults in the region. An earlier study of Baffin Inuit children reported TF contributing 16% of dietary energy, with >50% of dietary iron and zinc from TF (12). Thus, children and teenagers in these cultures did not consume as much TF animal or fish foods as were freely available.


Figure 1
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Figure 1  TF intake by Yukon (A), Dene/Métis (B), and Inuit (C) men and women of different ages, adjusted for season, site, and day of week. Only consumers of TF were considered in all regions within each cultural area. Values are means from 2 seasons ± SEM. Means without a common letter across age and within gender differ, P < 0.05. Adapted from Kuhnlein et al. (8). *Women are different from men of the same age, P < 0.05.

 
MF items available in Arctic communities are quite consistent geographically. The full list of MF in adult recalls numbers ~200 items. The most frequently consumed foods are generally those considered low in nutrient density. Tea, sugar, white bread, biscuits, lard, crystal powdered drinks, instant coffee, evaporated milk, corn flakes, soft drinks such as Coca-Cola, butter, and eggs were among the most frequently consumed Arctic MF, in order by weight (13). These MF are major sources of energy, appearing frequently in dietary recalls of adults and children. Fat in the form of solid shortening, rice, dry soup mixes, meat products (such as ground beef, fried chicken, bacon), macaroni and cheese, and frankfurters were less frequently consumed MF. The meats reported here are preprocessed, often precooked and presented as frozen items. In the Arctic, MF are generally expensive, primarily because of shipping costs.

Analysis of MF groups as a percentage of total energy from MF in Dene/Métis and Yukon children (n = 222) showed that grains and "other foods" comprised the majority of children's energy, usually >90% of total daily energy because TF was such a small portion of the diet. Meats and alternates from MF comprised 10% of total energy; dairy comprised 8% of total energy. When combined with TF, ~15% of daily energy came from ASF. Of concern was the fact that ~55% of total children's energy was derived from foods identified as fat (21%), sweet (20%), and mixed savory dishes (14%) (10).

The percentages of total energy intake from MF and TF reported by adult Arctic women and men from the 3 cultures are presented as food groups in Figure 2. ASF are represented in both MF and TF. In adult diets, MF meats formed 16–17% of energy, and TF meats and fish an additional portion of 19–20% of energy. Thus, 35–37% of energy for both genders was consumed as ASF, with a greater portion coming from TF meats and fish, which are low in saturated fat and excellent sources of many essential nutrients (57,1417). Women's food group intakes as percentages of daily energy were comparable to those of men, with differences in mean intakes ranging only from 0.03 to 1.35%.


Figure 2
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Figure 2  Percentage of total energy intake from MF and TF groups by adult Yukon, Dene/Métis, and Inuit nonpregnant/nonlactating women (n = 1786 recalls) and men (n = 1622 recalls), adjusted for season, day of week, and cultural group. Values are least square means ± SEM.

 
TF is key to dietary quality

To understand the contribution of traditional, local Arctic food to dietary quality, dietary data were analyzed separately for days with no TF consumption in contrast to days with consumption of 1 or more servings of TF (Table 3). Data were treated separately for adults from each culture and for Dene children. For adults in all 3 cultures, diets on days with TF consistently contained significantly more energy and, as percentage of energy, significantly less carbohydrate and fat and significantly more protein. Additionally, adult diets with TF in the 3 groups had significantly less sucrose and saturated fat. Children's diets analyzed similarly had significantly higher protein as percentage of energy. Other differences in macronutrients and sucrose were not found, likely because of the small sample size and limited amounts of TF consumed.

A similar data treatment for micronutrients revealed a significantly greater percentage of total energy, protein, vitamin D, vitamin E, riboflavin, vitamin B-6, iron, zinc, copper, magnesium, manganese, phosphorus, and potassium for adults consuming at least 1 portion of TF on recall days (Table 4) as well as selenium (not shown) (8,10). Sodium contained in food was higher on days with only MF for adults (not shown). Vitamin C and folate were higher on days without TF for Inuit, as a result of fortification of frequently consumed commercial beverages (not shown) (8).

For children, even with small amounts of TF being consumed, diets of Dene/Yukon children containing TF had significantly more protein, iron, zinc, copper, magnesium, phosphorus, potassium, vitamin E, riboflavin, and vitamin B-6. There were no other significant differences in micronutrient contents of children's diets comparing days with and without TF.

Discussion

Current attention has been called to the contribution of dietary diversity to dietary quality. It has been shown that increasing diversity in either individual food items or in food groups leads to a corresponding increase in dietary quality in North American diets (18). Consideration of the number of animal food species or food groups correlates with dietary diversity because diet diversity appears to be a prerequisite to dietary quality. Animal foods must be considered carefully. All ASF are not of equal nutritional quality, as is evident in the comparison of lean Arctic wildlife mammal tissues with processed meats such as frankfurters and lunch meats, which are high in saturated fat. Furthermore, 1 serving of 1 type of ASF provides more nutrient value (more nutrients, greater density) than any 1 plant food; therefore, animal food or food group should not be given equal "weight" in diversity scores. It remains to be understood how to best include meat and other ASF in dietary diversity calculations and correlations with nutrient quality.

Our work with Arctic food systems and diets reveals that a diversity of animal and plant species are known and used, although many fewer species are used frequently. Nevertheless, fewer than 2 dozen animal and fish species make significant contributions to Arctic dietary quality.

ASF, both TF and MF, are important sources of energy in diets of Arctic adults and children. Larger amounts of traditional meats and fish (combined) were eaten than of purchased meats. Adults' and children's diets invariably included MF, and they may have contained portions of TF, usually as meat or fish. When traditional meats or fish were included, daily intakes were significantly higher in percentage of energy as protein and many micronutrients, including vitamin D, vitamin E, riboflavin, vitamin B-6, iron, zinc, copper, magnesium, manganese, phosphorus, potassium, and selenium than when MF were consumed. For children, daily diets containing these foods had significantly more iron, zinc, copper, magnesium, phosphorus, potassium, vitamin E, riboflavin, and vitamin B-6 than did recall days with no TF. It is very clear that traditional ASF are extremely important for dietary quality in Arctic populations when MF are the major source of energy.


    ACKNOWLEDGMENTS
 
We thank Rula Soueida and Tomoko Nakano for contributions to the original data sets, and Liz Ansell for assistance with the manuscript. We continue to be appreciative of the original participants, interviewers, and data managers who contributed to this work.


    FOOTNOTES
 
1 Presented as part of the symposium "Food-Based Approaches to Combating Micronutrient Deficiencies in Children of Developing Countries" given at the 2006 Experimental Biology meeting on April 3, 2006, San Francisco, CA. Previously presented in part at the 18th International Congress of Nutrition, September 2005, Durban, South Africa, abstract page 11. The symposium was sponsored by the American Society for Nutrition and supported in part by an educational grant from Merck & Company. The supplement is the responsibility of the Guest Editors to whom the Editor of The Journal of Nutrition has delegated supervision of both technical conformity to the published regulations of The Journal of Nutrition and general oversight of the scientific merit of each article. The opinions expressed in this publication are those of the authors and are not attributable to the sponsors or the publisher, Editor, or Editorial Board of The Journal of Nutrition. Guest Editors for the symposium publication are Charlotte G. Neumann and Suzanne P. Murphy. Back

2 Supported by the Canadian Institutes of Health Research (CIHR), Institute of Aboriginal Peoples' Health (IAPH) and Institute of Nutrition, Metabolism and Diabetes (INMD). Back

6 Abbreviations used: ASF, animal-source foods; CINE, Centre for Indigenous Peoples' Nutrition and Environment; MF, market food; NWT, Northwest Territories; TF, traditional food. Back


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