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Folate status and health behaviours in two Australian Indigenous populations in north Queensland

  • Ming Li (a1), Robyn McDermott (a1), Katina D'Onise (a1) and Dympna Leonard (a2)
Abstract
Abstract Objective

To assess nutritional status using red-cell folate (RCF) and associated health behaviours including fruit and vegetable intake, smoking, drinking and physical activity in two Indigenous populations living in remote northern Australia.

Design

A cross-sectional survey conducted during 1998–2000.

Setting

Twenty-six rural communities in north Queensland, Australia.

Subjects

A total of 2524 Indigenous people aged 15 years and over was included in the study. Self-reported fruit and vegetable intake, tobacco smoking, alcohol intake and physical activity were recorded. RCF was measured using the Bayer Advia Centaur automated immunoassay system. The association between low RCF (RCF<295 nmol/l) and risk factors was analysed using general linear models adjusted for demographic factors and covariates, namely BMI, diabetes and dyslipidaemia.

Results

The prevalence of RCF deficiency was higher in Aboriginal participants compared with Torres Strait Islanders (25·6 % v. 14·8 %, P < 0·001). Young women of childbearing age were more likely to have low RCF. Among Aboriginal adults, smoking was strongly associated with low RCF (risk ratio = 1·9, 95 % CI 1·5, 2·5 in females and risk ratio = 2·9, 95 % CI 1·9, 4·2 in males).

Conclusions

Indigenous Australians, especially women of childbearing age, had high prevalence of low RCF. Smoking was associated with insufficient folate independent of fruit and vegetable intake and alcohol consumption in the Aboriginal population. This population with an already higher risk of obesity and higher rate of tobacco smoking should be targeted to improve nutrition status to prevent ill health such as diabetes and CVD.

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Copyright
Corresponding author
*Corresponding author: Email mingl.li@unisa.edu.au
Linked references
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3. K Abu-Saad & D Fraser (2010) Maternal nutrition and birth outcomes. Epidemiol Rev 32, 525.

4. J Hung , JP Beilby , MW Knuiman (2003) Folate and vitamin B12 and risk of fatal cardiovascular disease: cohort study from Busselton, Western Australia. BMJ 326, 131136.

6. SC Larsson , E Giovannucci & A Wolk (2007) Folate and risk of breast cancer: a meta-analysis. J Natl Cancer Inst 99, 6476.

7. M Sanjoaquin , N Allen , E Couto (2005) Folate intake and colorectal cancer risk: a meta-analytic approach. Int J Cancer 113, 825828.

9. K Okumura & H Tsukamoto (2011) Folate in smokers. Clin Chim Acta 412, 521526.

11. D Mannino , J Mulinare , E Ford (2003) Tobacco smoke exposure and decreased serum and red blood cell folate levels: data from the Third National Health and Nutrition Examination Survey. Nicotine Tob Res 5, 357362.

16. E Mclean , B de Benoist & LH Allen (2008) Review of the magnitude of folate and vitamin B12 deficiencies worldwide. Food Nutr Bull 29, 2 Suppl., S38S50.

18. G Miller , R McDermott , B McCulloch (2002) The Well Person's Health Check: a population screening program in indigenous communities in north Queensland. Aust Health Rev 25, 136147.

20. N Harada , V Chiu , A King (2001) An evaluation of three self-report physical activity instruments for older adults. Med Sci Sports Exerc 33, 962970.

21. M Attebring , J Herlitz , A Berndt (2001) Are patients truthful about their smoking habits? A validation of self-report about smoking cessation with biochemical markers of smoking activity amongst patients with ischemic heart disease. J Int Med Res 249, 145151.

22. D Dunstan , P Zimmet , T Welborn Australian Diabetes, Obesity and Lifestyle Study (AusDiab) (2002) The Australian Diabetes, Obesity and Lifestyle Study (AusDiab) – methods and response rates. Diabetes Res Clin Pract 57, 119129.

26. M Li & RA McDermott (2010) Using anthropometric indices to predict cardio-metabolic risk factors in Australian indigenous populations. Diabetes Res Clin Pract 87, 401406.

28. K Giskes , G Turrell , C Patterson (2002) Socioeconomic differences among Australian adults in consumption of fruit and vegetables and intake of vitamins A, C and folate. J Hum Nutr Diet 15, 375385.

30. S Hickling , J Hung , M Knuiman (2005) Impact of voluntary folate fortification on plasma homocysteine and serum folate in Australia from 1995 to 2001: a population based cohort study. J Epidemiol Community Health 59, 371376.

32. C Colapinto , D O'Connor & M Tremblay (2011) Folate status of the population in the Canadian Health Measures Survey. CMAJ 183, E100E106.

34. M Harrison , A Lee , M Findlay (2010) The increasing cost of healthy food. Aust N Z J Public Health 34, 179186.

36. L Bazzano , K Reynolds , K Holder (2006) Effect of folic acid supplementation on risk of cardiovascular diseases. JAMA 296, 27202726.

37. M Siahpush , R Borland & M Scollo (2004) Is household smoking status associated with expenditure on food at restaurants, alcohol, gambling and insurance? Results from the 1998–99 household expenditure survey, Australia. Tob Control 13, 409414.

38. D Leonard , R Beilin & M Moran (1995) Which way kaikai blo umi? Food and nutrition in the Torres Strait. Aust J Public Health 19, 589595.

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Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
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