Abstract
Children in the Commonwealth of the Northern Mariana Islands have been shown to have
nutrient deficiencies, but data were estimated from a non–population-based sample.
The current study is a cross-sectional assessment of 420 Commonwealth of the Northern
Mariana Islands children, 6 months to 10 years old. Diet, height, and weight were
measured. Dietary intake was collected with a 24-hour dietary recall and analyzed
using the Pacific Tracker dietary assessment tool. Prevalence of dietary nutrient
adequacy was estimated by the Estimated Average Requirement cut-point method. Fiber
intake was one-third Adequate Intake (AI) and sodium intake was above the Tolerable
Upper Intake Level for all ages. Calcium intake was half the AI for 4 to 8 years old,
and less than half the AI for 9 to 10 years old. Meat/meat alternatives were double
the recommendation, while all other food groups were below the recommendation for
all ages. Prevalence of dietary nutrient adequacy for vitamin A, vitamin C, vitamin
E, folate, magnesium, and phosphorus was lowest among 9- to 10-year-olds. Based on
body mass index-for-age percentiles, 45% of 7- to 10-year-olds, 26% of 4- to 6-year-olds,
and 25% of 2- to 3-year-olds were overweight or obese. Increasing whole grain, fruit,
vegetable, and dairy intakes; reducing meat intakes and high-calorie foods and drinks;
and increasing physical activity could improve nutrient intakes and body mass index
status in this population.
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Biography
Y. C. Paulino is a graduate student and research assistant in epidemiology, Cancer Research Center of Hawaii, Honolulu
Biography
P. Coleman is an extension nutrition educator, Expanded Food and Nutrition Education Program, Northern Marianas College, Saipan, Commonwealth of the Northern Mariana Islands (CNMI)
Biography
N. H. Davison is program coordinator, Department of Human Nutrition, Food, and Animal Sciences, University of Hawaii at Manoa, Honolulu
Biography
S. K. Lee is a research assistant, Department of Human Nutrition, Food, and Animal Sciences, University of Hawaii at Manoa, Honolulu
Biography
T. B. Camacho, program manager, Diabetes Prevention and Control, Department of Public Health, Saipan, CNMI
Biography
L. F. Tenorio is deputy secretary of the Public Health Administration, Department of Public Health, Saipan, CNMI
Biography
S. P. Murphy is a researcher (professor) of epidemiology, Cancer Research Center of Hawaii, Honolulu
Biography
R. Novotny is a professor, Department of Human Nutrition, Food, and Animal Sciences, University of Hawaii at Manoa, Honolulu, and director of the Center for Health Research, Kaiser Permanente, Honolulu, HI
Article info
Publication history
Accepted:
June 25,
2008
Identification
Copyright
© 2008 American Dietetic Association. Published by Elsevier Inc. All rights reserved.
