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Associations among the food environment, diet quality and weight status in Cree children in Québec

  • Shauna M Downs (a1), Amber Arnold (a1), Dru Marshall (a2), Linda J McCargar (a1), Kim D Raine (a3) and Noreen D Willows (a1)...

To explore the relationship among children’s diet quality, weight status and food environment in subarctic Canada.


In the cross-sectional study, children’s BMI was calculated, diet quality was assessed using three 24 h dietary recalls and children were asked about their home food environment and source of meals.


Two Aboriginal Cree communities in northern Québec.


Two hundred and one children in grades 4–6.


The majority (64·2 %) of children were overweight (29·9 %) or obese (34·3 %). Weight status was not associated with reported restaurant meal frequency or the home food environment. The 18 % of children who consumed three or more restaurant meals in the three days of recall consumed, on average, 2004 kJ (479 kcal) more energy daily than children consuming no restaurant meals and had higher intakes of fat, saturated fat, Ca and soda. Most foods contributing to energy and dietary fat were energy-dense market foods of low nutritional value such as sweetened beverages and snack foods. Only 68 % of children reported often having fruits and vegetables in the home and 98·5 % of children consumed less than 5 fruits and vegetables daily. Many children (42·8 %) were at risk of Zn inadequacy. Only 19 % of children consumed 2 or more servings of milk daily, and the mean intakes of Ca and vitamin D were below the recommended adequate intake. Traditional game meat was consumed infrequently, but contributed significantly to Fe and Zn intake.


Childhood obesity in subarctic communities prevailed in a food environment typified by high-energy-density commercial foods of low nutritional value.

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1.Shields M (2005) Measured Obesity: Overweight Canadian children and adolescents. (accessed January 2006).
2.Wang Y & Lobstein T (2006) Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 1, 1125.
3.Bowman SA, Gortmaker SL, Ebbeling CB, Pereira MA & Ludwig DS (2004) Effects of fast-food consumption on energy intake and diet quality among children in a national household survey. Pediatrics 113, 112118.
4.Garriguet D (2006) Nutrition: Findings from the Canadian Community Health Survey, Overview of Canadians’ Eating Habits. (accessed November 2006).
5.Prentice AM & Jebb SA (2003) Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev 4, 187194.
6.Anderson PM & Butcher KE (2006) Childhood obesity: trends and potential causes. Future Child 16, 1945.
7.Hanson NI, Neumark-Sztainer D, Eisenberg ME, Story M & Wall M (2005) Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Public Health Nutr 8, 7785.
8.Davis M, Baranowski T, Resnicow K, Baranowski J, Doyle C, Smith M, Wang DT, Yaroch A & Hebert D (2000) Gimme 5 fruit and vegetables for fun and health: process evaluation. Health Educ Behav 27, 167176.
9.Willows ND (2005) Overweight in Aboriginal children: prevalence, implications and solutions. J Aboriginal Health 2, 7685.
10.Story M, Stevens J, Himes J, Stone E, Rock BH, Ethelbah B & Davis S (2003) Obesity in American-Indian children: prevalence, consequences, and prevention. Prev Med 37, Suppl., S3S12.
11.Frohlich KL, Ross N & Richmond C (2006) Health disparities in Canada today: some evidence and a theoretical framework. Health Policy 79, 132143.
12.Popkin BM & Gordon-Larsen P (2004) The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord 28, Suppl. 3, S2S9.
13.Willows ND (2005) Determinants of healthy eating in Aboriginal peoples in Canada: the current state of knowledge and research gaps. Can J Public Health 96, Suppl. 3, S32S41.
14.Kuhnlein HV, Receveur O, Soueida R & Egeland GM (2004) Arctic indigenous peoples experience the nutrition transition with changing dietary patterns and obesity. J Nutr 134, 14471453.
15.Pong RW & Pitblado JR (2001) Don’t take ‘geography’ for granted! Some methodological issues in measuring geographic distribution of physicians. Can J Rural Med 6, 103112.
16.Cole TJ, Bellizzi MC, Flegal KM & Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 12401243.
17.Gibson RS (2005) Principles of Nutritional Assessment, 2nd ed. New York: Oxford University Press.
18.Institute of Medicine (2000) Dietary Reference Intakes: Applications in Dietary Assessment. Washington, DC: National Academy Press.
19.First Nations Centre (2005) Children’s survey: Preliminary findings of the First Nations Regional Longitudinal Health Survey (RHS) 2002–03. (accessed September 2006).
20.Trifonopoulos M, Kuhnlein HV & Receveur O (1998) Analysis of 24-hour recalls of 164 fourth- to sixth-grade Mohawk children in Kahnawake. J Am Diet Assoc 98, 814816.
21.Stroehla BC, Malcoe LH & Velie EM (2005) Dietary sources of nutrients among rural Native American and white children. J Am Diet Assoc 105, 19081916.
22.Berti PR, Hamilton SE, Receveur O & Kuhnlein HV (1999) Food use and nutrient adequacy in Baffin Inuit children and adolescents. Can J Diet Pract Res 60, 6370.
23.Kuhnlein HV, Soueida R & Receveur O (1996) Dietary nutrient profiles of Canadian Baffin Island Inuit differ by food source, season, and age. J Am Diet Assoc 96, 155162.
24.Kuhnlein HV & Receveur O (2007) Local cultural animal food contributes high levels of nutrients for Arctic Canadian Indigenous adults and children. J Nutr 137, 11101114.
25.Zoumas-Morse C, Rock CL, Sobo EJ & Neuhouser ML (2001) Children’s patterns of macronutrient intake and associations with restaurant and home eating. J Am Diet Assoc 101, 923925.
26.French SA, Story M, Neumark-Sztainer D, Fulkerson JA & Hannan P (2001) Fast food restaurant use among adolescents: associations with nutrient intake, food choices and behavioral and psychosocial variables. Int J Obes Relat Metab Disord 25, 18231833.
27.Gable S & Lutz S (2000) Household, parent, and child contributions to childhood obesity. Fam Relat 49, 293300.
28.Haire-Joshu D & Nanney MS (2002) Prevention of overweight and obesity in children: influences on the food environment. Diabetes Educ 28, 415423.
29.Statistics Canada (2002) Profile of Marital Status, Common-Law Status, Families, Dwellings and Households, for Canada, Provinces, Territorities, Census Divisions and Census Subdivisions, 2001 Census. 95F0487XCB2001001. Ottawa: Statistics Canada.
30.Government of Canada (2004) Canada’s performance, annual report to parliament. (accessed January 2006).
31.Ricciuto L, Tarasuk V & Yatchew A (2006) Socio-demographic influences on food purchasing among Canadian households. Eur J Clin Nutr 60, 778790.
32.Willows ND, Iserhoff R, Napash L, Leclerc L & Verrall T (2005) Anxiety about food supply in Cree women with infants in Quebec. Int J Circumpolar Health 64, 5564.
33.Drewnowski A & Specter SE (2004) Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr 79, 616.
34.Cummins S & Macintyre S (2006) Food environments and obesity – neighbourhood or nation? Int J Epidemiol 35, 100104.
35.Glanz K, Sallis JF, Saelens BE & Frank LD (2005) Healthy nutrition environments: concepts and measures. Am J Health Promot 19, 330333.
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Public Health Nutrition
  • ISSN: 1368-9800
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