Abstract
Objectives: We conducted a study of the food environment and nutritional status among women and children living on a Galapagos Island. Anthropometric and body silhouette data give insight into body size perceptions for women and their young children. We frame our findings in the context of the nutrition transition. Methods: A convenience sample was recruited via word-of-mouth for in-depth interviews and assessments of household food security, dietary intake, anthropometrics, and body image. Interviews took place in 2011 on San Cristobal Island, one of four inhabited islands in the Galapagos archipelago. Twenty women with children between the ages of one and six participated, all permanent residents of San Cristobal Island. Results: Most women (60%) reported limited availability of fresh produce due to an unreliable food supply shipped from mainland Ecuador. Despite reported food insecurity in our sample (55%), more than half of the children (55%) experienced high dietary diversity measured by 24 h recall. Women tended to report less dietary diversity than their children, which may be linked to a stated desire to be thinner. Eighty percent of children were classified as normal weight, while 75% of women were overweight or obese. Conclusions for Practice: Results provide an initial survey of the food landscape on one Galapagos Island. By combining qualitative interviews with indicators of nutritional status, the narrative data allow an interpretation of issues of food security, dietary intakes, dietary diversity, and body size. This study forms the basis for a larger examination of these issues in the Galapagos islands.
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References
Arimond, M., & Ruel, M. T. (2004). Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys. Journal of Nutrition, 134(10), 2579–2585.
Bernal, J., Frongillo, E. A., & Rivera, J. A. (2016). Food insecurity reported by children, but not by mothers, is associated with lower quality of diet and shifts in foods consumed. Maternal and Child Nutrition, 12, 546–557.
Bernal, J., & Lorenzana, P. (2007). La escala de seguridad alimentaria en hogares aplicada a adolescentes en caracas: una medida valida y confiable. Agroalimentaria, 24, 47–54.
Bickel, G., Nord, M., Price, C., Hamilton, W., & Cook, J. (2000). Guide to measuring household food security, Revised 2000. Alexandria: U.S. Department of Agriculture, Food and Nutrition Service.
Coleman-Jensen, A., Nord, M., & Singh, A. (2013). Household Food Security in the United States in 2012. Washington DC: U S. Department of Agriculture.
Daniels, M. C. (2006). Dietary Diversity as a measure of nutritional adequacy throughout childhood. Dissertation, Department of Nutrition at UNC Chapel Hill. Ann Arbor, MI: ProQuest.
Dedoose Version 8.0.35, web application for managing, analyzing, and presenting qualitative and mixed method research data (2018). Los Angeles, CA: SocioCultural Research Consultants, LLC http://www.dedoose.com.
Epler, B. (2007). Tourism, the economy, population growth, and conservation in Galapagos. Charles Darwin Foundation, Puerto Ayora, Santa Cruz Island. Ecuador: Galapagos Islands.
FAO. (2008). Guidelines for measuring household and individual dietary diversity, version 4. Geneva: Food and Agricultural Organization of the United Nations, Nutrition and Consumer Protection Division.
Freire, W. B., Silva-Jaramillo, K. M., Ramírez-Luzuriaga, M. J., Belmont, P., & Waters, W. F. (2014). The double burden of undernutrition and excess body weight in Ecuador. The American Journal of Clinical Nutrition, 100(6), 1636S–1643S.
Freire, W. B., Waters, W. F., Rivas-Mariño, G., & Belmont, P. (2018a). The double burden of chronic malnutrition and overweight and obesity in ecuadorian mothers and children, 1986–2012. Nutrition and Health, 24(3), 163–170.
Freire, W. B., Waters, W. F., Román, D., Jiménez, E., Burgos, E., & Belmont, P. (2018b). Overweight, obesity, and food consumption in galapagos, Ecuador: A window on the world. Globalization and Health, 14(1), 93.
Gerhard, W. A., Choi, W. S., Houck, K. M., & Stewart, J. R. (2017). Water quality at points-of-use in the Galapagos Islands. International Journal of Hygiene and Environmental Health, 220, 485–493.
Hager, E., McGill, A., & Black, M. (2010). Development and validation of a toddler silhouette scale. Obesity, 18, 397–401.
Hanson, K. L., Sobal, J., & Frongillo, E. A. (2007). Gender and marital status clarify associations between food insecurity and body weight. American Society for Clinical Nutrition, 1460–1465.
Hernández, R., Herrera, H., Pérez, A., & Bernal, J. (2011). Estado nutricional y seguridad alimentaria del hogar en niños y jóvenes de zonas suburbanas de Caracas. Anales Venezolanos de Nutrición, 24, 21–26.
Isanaka, S., Mora-Plazas, M., Lopez-Arana, S., Baylin, A., & Villamor, E. (2007). Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogotá, Colombia. American Society for Clinical Nutrition, 2747–2755.
Kant, A. K. (1996). Indexes of overall diet quality: A review. Journal of the American Dietetic Association, 96(8), 785–791.
Katz, M. L., Gordon-Larsen, P., Bentley, M. E., Kelsey, K., Shields, K., & Ammerman, A. (2004). “Does skinny mean healthy?” perceived ideal, current, and healthy body sizes among African-American girls and their female caregivers. Ethnicity and Disease, 14(4), 533–541.
O’Connor, M., & d’Ozouville, N. (2015). Agricultural use of pesticides on Santa Cruz. In Galapagos Report 2013–2014. GNPD, GCREG, CDF and GC (Ecuador. 30–34). Galapagos: Puerto Ayora.
Olson, C. M. (2005). Food insecurity in women: A recipe for unhealthy trade-offs. Topics in Clinical Nutrition, 20, 321–328.
Page, R., Bentley, M. E., & Waldrop, J. (2013). People Live Here: Maternal and Child Health on Isla Isabela, Galapagos. In S. J. Walsh & C. F. Mena (Eds.), Science and conservation in the Galapagos Islands: frameworks & perspectives (pp. 141–153). New York: Springer.
Popkin, B. M. (2002). An overview on the nutrition transition and its health implications: the Bellagio meeting. Public Health Nutrition, 5(1A), 93–103.
Rousseaud, A., Cruz, E., Naula, E., Ramos, A., Granda, M., Calvopifta, M., Leon, P., Sanchez, D., Zapata, F., Guerrero, J., Gabriel, L., & Falconi, E. (2017). Plan Galapagos: An instrument for the holistic sustainable development of the province. Galapagos Report 2015–2016. GNPD, GCREG, CDF and GC. Puerto Ayora, Galapagos, Ecuador. pp 13–19.
Taylor, J. E., Hardner, J., & Stewart, M. (2006). Ecotourism and economic growth in the Galapagos: An island economy-wide analysis. Giannini Foundation of Agricultural Economics. Working Paper No. 06-001.
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal of Qualitative Health Care, 19(6), 349–357.
Waldrop, J., Page, R., & Bentley, M. (2016). Perceptions of body size in mothers and their young children in the Galapagos Islands. Journal of Maternal and Child Health, 20, 2012–2018.
WHO Anthro version 3.2.2, software for assessing child growth percentiles and Z-scores (2011). World Health Organization http://www.who.int/childgrowth/software/en/.
Williamson, D., Gleaves, D., Watkins, P., & Schlundt, D. G. (1993). Validation of self-ideal body size discrepancy as a measure of body dissatisfaction. Journal of Psychopathology and Behavioral Assessment, 15, 57–68.
World Health Organization. Adult BMI guidelines. Geneva: WHO. Retrieved from http://apps.who.int/bmi/index.jsp?introPage=intro_3.html.
World Health Organization. Child growth standards. Geneva: WHO. Retrieved from http://www.who.int/childgrowth/standards/en/.
World Health Organization Global Health Observatory Data. Child malnutrition country estimates (WHO global database): Children under 5 years stunted. Geneva: WHO. Retrieved from http://apps.who.int/gho/data/node.main.1097?lang=en.
Acknowledgements
We would like to acknowledge the valuable support provided by the UNC Center for Galapagos Studies, the Universidad San Francisco de Quito, and the Galapagos Academic Institute for the Arts and Sciences. We would also like to thank the residents of Isla San Cristóbal for their hospitality and assistance with many aspects of this work.
Funding
This work was supported by the National Science Foundation Graduate Research Fellowship Program (B.N.H.K., Grant No. DGE-1144081) and the University of North Carolina Center for Galapagos Studies (B.N.H.K., M.E.B.; no grant number). The National Science Foundation and the Center for Galapagos Studies had no role in the design, analysis or writing of this article.
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B.N.H.K. and M.E.B. formulated the research questions and designed the study. B.N.H.K. carried out the study. B.N.H.K. and M.F.P. analyzed the data and wrote the article. All authors contributed to finalizing the manuscript and have approved its content.
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This study was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures involving human subjects were approved by the institutional review boards of the University of North Carolina at Chapel Hill and the Universidad San Francisco de Quito. Written informed consent was obtained from all subjects.
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Pera, M.F., Katz, B.N.H. & Bentley, M.E. Dietary Diversity, Food Security, and Body Image among Women and Children on San Cristobal Island, Galapagos. Matern Child Health J 23, 830–838 (2019). https://doi.org/10.1007/s10995-018-02701-4
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DOI: https://doi.org/10.1007/s10995-018-02701-4