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Estudio exploratorio sobre seguridad alimenticia, dieta, y percepciones sobre la salud nutricional en la Zona de Monteverde [Power Point]
An exploratory study of food security, diet, and perceptions of nutritional health in the Monteverde Zone [Power Point]
A Power Point summarizing the availability and access of nutritious foods for the populations of Caitas and Cerro Plano, the nutritional knowledge mothers in the community have, and education issues within the communities.
Un Power Point resumiendo la disponibilidad y acceso de la comida nutritiva para las poblaciones de Caitas y Cerro Plano, el conocimiento nutricional de las madres en la comunidad y cuestiones educacionales dentro de las comunidades.
Nutrition and health--Costa Rica--Guanacaste--Caitas
Nutrition and health--Costa Rica--Puntarenas--Cerro Plano
Community Health 2003
Regional economics and food insecurity
Cranfill, Tamara B.
Reusser, Meghan...[et al.]
t Community Health
An Exploratory Study of Food Security, Diet, and Perceptions of Nutritional Health in the Monteverde Zone Kate Bowler, Emory University Tamara B. Cranfill, University of Kentucky Kimberly Kossler, East Carolina University Lynley Rappaport, Boston University Meghan Reusser, University of South Florida Garrett Feddersen, intern David Himmelgreen,University of South Florida, faculty advisor
Introduction Worldwide epidemic (WHO, 2002, 1997) Obesity Chronic Health Implications (NIH, 1998)
Frequently Used Definitions Food Insecurity: Limitations to the acquisition and availability of nutritionally adequate and safe foods (Anderson, 1990); can result in both undernutrition and overnutrition At Risk for Overweight: > 85 th percentile on growth charts for age (2 20 yrs) Overweight or Obese: 95 th percentile on growth charts for age (2 20 yrs)
Previous Research Latin America The nutritional situation has shifted away from under nutrition to over nutrition and chronic diseases as the dominant causes of death (Uauy et al., 2001) San Jose, Costa Rica INCIENSA Demonstrated a correlation between lifestyle changes associated with nutrition transition and obesity in children (Nu ez Rivas,et al., 2003) Monteverde, MVI students Two recent health assessments by MVI students showed higher than expected prevalence for overweight and obesity for children and adults (MVI, 2002, 2001)
Purpose Are there instances of food insecurity in households of Ca itas and Cerro Plano? What are the characteristics of diets of children ages 7 12 years in Caitas and Cerro Plano? from those reported by the children? What, if any, obstacles exist to food access? age group related to obesity, nutrition and exercise? To develop a coloring book related to healthy nutritional choices for the children participating in the activities
Methodology Quantitative and qualitative methods in rural (Ca itas) and peri urban (Cerro Plano) areas Participants= 9 mothers and their children (N=11) Semi structured interview of each mother Radimer/Cornell Hunger and Food Insecurity Scale (Frongillo et al.,1997) Nutritional activities at respective schools including daily food diaries, reading of books, and creation of coloring book (N=30; 7 12 yo)
Methodology Analysis SPSS input of quantitative data Categorized foods using Latin American Diet Pyramid as a guide; input in Excel and SPSS Identified trends from interviews
Food Security Results Note: Data corroborated by Ca itas Health Fair Asssessment data ( 3 of 9) (1 of 9) (2 of 9) (3 of 9) Household Insecure 33% (3 of 9)
Child Dietary Results Due to limitations in the methodology, we were unable to classify all the foods that contain fat and sugar in these categories. We were limited to classifying only those foods that we positively could identify as containing sugar and fat. Food preparation techniques that add sugar and fat to foods were not catalogued by the children in their food diaries.
Household Dietary Results
Transportation Results 22% of families reported no means other than walking to buy food. Car 33% ( 3 of 9) (3 of 9) (2 of 9) (1 of 9)
Transportation Results Cont.
Statements from Interviews: Nutritional Knowledge and Education Issues I have gotten information at clinics, health fairs, and from television. It is easier for kids to learn and to grow up with healthy behaviors than it is for adults to learn. Avoid sugar, salt, and fat as much as possible because I know it is not good for our health. People need to do exercise and not eat a lot of meat. Know where food comes from. For example, not in cans. vegetables all the way through to prevent loss of nutrients. If you need to lose some weight, eat less starch, more vegetable and fruits. salads.
Statements from Interviews: Food Access Issues Once a month I go to supermarket because it is too expensive. We usually buy fruits and vegetables from the fruit and vegetable produce vendor. I have a car to go to supermarket but it is not that reliable. Sometimes I go to other towns to by food because it is cheaper and it is not as far to travel. It is hard to eat balanced because it is hard to get to the store because of time. It is not easy to have all ingredients in the house. All kids should be given breakfast at school so they can concentrate and learn without going hungry.
Conclusions Regional economics contribute to Food Insecurity indicated by Influences of limited transportation and higher prices from tourism that impact food variety choices Final classroom discussion revealed basic nutritional knowledge Positive responses from participants Leisure time limited, few recreational areas Effective assessment of simple nutritional understanding, and provide permanent education material for children
Limitations Time constraints resulted in few interviews Difficulty in food classification because lack of detail in food diaries Phrasing of survey questions resulted in general rather than specific information children buying food from the nearby soda changed their dietary intake Children observed copying food diary information
Recommendations from the Community Cooking classes, community cookbook, lectures at community sites Nutritional emphasis in school curriculum Tools for behavior change to implement nutritional knowledge base Access to broader variety of foods National programs to counter fast food advertisements, targeting children Neighborhood walking groups for women Recreational areas in the community
Recommedations for Further Research Repeat this study with increased participant numbers to obtain significant data Qualititative methods (e.g. participant observation) for obtaining more accurate information about food preparation Quantitiative data from local grocers related to volume of oil and sugar sales Relationship between food security, food access, and obesity in the Monteverde Zone Food Consumption Patterns and Obesity in the Monteverde Zone, a new study by USF and MVI Aug 03
Acknowledgements Idal Santamaria Porras, Maria Jesus Vargas Ovares, Ana Laura Vargas for their illustrations for the coloring book Magda and Alexis Torres Ortega, and Luz Marina Artavia for their assistance Gricel Santamaria Hidalgo for her counsel