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Nutritional Concerns of Aboriginal Infants and Children in Remote and Northern Canadian Communities: Problems and Therapies

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Nutrition in Infancy

Part of the book series: Nutrition and Health ((NH))

Abstract

In Canada, “Aboriginal peoples” is the term used to describe the descendants of the original inhabitants of North America. The Canadian Constitution recognizes three groups of Aboriginal people—Indians (i.e., First Nations), Métis and Inuit each with unique heritages, languages, cultural practices, and spiritual beliefs [1]. In the 2006 Canadian Census, the number of people who identified themselves as Aboriginal surpassed the one-million mark. The Aboriginal population is growing nearly six times faster than the non-Aboriginal population. This great rate of population growth will continue given high birth rates, a low median population age, and a large proportion of the population that is comprised of children [2].

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Notes

  1. 1.

    A reserve is a tract of land, the legal title to which is held by the Crown, set apart for the use and benefit of an Indian band.

  2. 2.

    A term used to describe people, services, or objects that are not part of a reserve.

References

  1. Indian and Northern Affairs Canada. Words first: an evolving terminology relating to aboriginal peoples in Canada. Ottawa, ON: Indian and Northern Affairs Canada, 2002. http://dsp-psd.pwgsc.gc.ca/Collection/R2-236-2002E.pdf. Accessed July 2011.

  2. Aboriginal Peoples in Canada in 2006: Inuit, Metis and First Nations, 2006 Census. Ottawa, ON: Statistics Canada (Online). 2008. http://www.statcan.gc.ca/daily-quotidien/080115/dq080115a-eng.htm.

  3. Lix LM, Bruce S, Sarkar J, Young TK. Risk factors and chronic conditions among aboriginal and non-aboriginal populations. Health Rep. 2009;20(4):1–10.

    Google Scholar 

  4. Waldram JB, Herring DA, Young TK, editors. Aboriginal health in Canada: historical, cultural, and epidemiological perspectives. 2nd ed. Toronto: University of Toronto Press; 2006.

    Google Scholar 

  5. Pigford AE, Willows ND. Promoting optimal weights in aboriginal children in Canada through ecological research. In: O’Dea JA, Eriksen M, editors. Childhood obesity prevention—international research, controversies and interventions. Oxford: Oxford University Press; 2010. p. 309–21.

    Google Scholar 

  6. Egeland GM, Johnson-Down L, Cao ZR, Shelkh N, Weiler H. Food insecurity and nutrition transition combine to affect nutrient intakes in Canadian arctic communities. J Nutr. (Online). 2011. www.jn.nutrition.org. Accessed 10 July 2011.

  7. Kuhnlein HV, Receveur O, Soueida R, Egeland GM. Arctic indigenous peoples experience the nutrition transition with changing dietary patterns and obesity. J Nutr. 2004;134(6):1447–53.

    PubMed  CAS  Google Scholar 

  8. King M, Smith A, Gracey M. Indigenous health part 2: the underlying causes of the health gap. Lancet. 2009;374(9683):76–85.

    Article  PubMed  Google Scholar 

  9. Haman F, Fontaine-Bisson B, Batal M, Imbeault P, Blais J, Robidoux M. Obesity and type 2 diabetes in northern Canada’s remote 5 First Nations communities: the dietary dilemma. Int J Obes. 2010;2010(34):S24–31.

    Article  Google Scholar 

  10. Jenkins AL, Gyorkos TW, Culman KN, Ward BJ, Pekeles GS, Mills EL. An overview of factors influencing the health of Canadian Inuit infants. Int J Circumpolar Health. 2003;62(1):17–39.

    PubMed  Google Scholar 

  11. Smylie J, Fell D, Ohlsson A. Joint Working Group on First Nations, Indian, Inuit, and Métis Infant Mortality of the Canadian Perinatal Surveillance System. “A review of aboriginal infant mortality rates in Canada: striking and persistent aboriginal/non-aboriginal inequalities”. Can J Public Health. 2010;101(2):143–8.

    PubMed  Google Scholar 

  12. Bjerregaard P, Young TK. Indigenous health in the arctic: an overview of the circumpolar Inuit population. Scand J Public Health. 2004;32:390–5.

    Article  PubMed  Google Scholar 

  13. Canadian Supplement to the State of the World’s Children 2009: Aboriginal Children’s Health: Leaving no Child Behind. Toronto, ON: UNICEF Canada (Online). 2009. http://www.unicef.ca/portal/Secure/Community/502/WCM/HELP/take_action/Advocacy/Leaving%20no%20child%20behind%2009.pdf. Accessed Dec 2010.

  14. Egeland GM, Pacey A, Zirong C, Sobol I. Food insecurity among Inuit preschoolers: Nunavut Inuit child health survey, 2007–2008. CMAJ. 2010;182:243–8.

    Article  PubMed  Google Scholar 

  15. Egeland GM, Cao ZR, Young TK. Hypertriglyceridemic-waist phenotype and glucose intolerance among Canadian Inuit: the international polar year Inuit health survey for adults 2007–2008. CMAJ. 2011;183(9):E553–8.

    Article  PubMed  Google Scholar 

  16. Guevremont A, Kohen D. Inuit children’s health: a report using the 2001 aboriginal peoples survey (children and youth component). Ottawa, ON: Statistics Canada (Online). 2007. http://www.statcan.gc.ca/pub/89-627-x/89-627-x2007003-eng.htm. Accessed July 2011.

  17. Egeland GM, Faraj N, Osborne G. Cultural, socioeconomic, and health indicators among Inuit preschoolers: Nunavut Inuit Child Health Survey, 2007–2008. Rural Remote Health (Online). 2010;10(1365). www.rrh.org.au. Accessed Dec 2010.

  18. Chateau-Degat ML, Dewailly E, Noel M, Valera B, Ferland A, Counil E, et al. Hypertension among the Inuit from Nunavik: should we expect an increase because of obesity? Int J Circumpolar Health. 2010;69(4):361–72.

    PubMed  Google Scholar 

  19. Monsivais P, Drewnowski A. The rising cost of low-energy-density foods. J Am Diet Assoc. 2007;107(12):2071–6.

    Article  PubMed  Google Scholar 

  20. Luo ZC, Senecal S, Simonet F, Guimond E, Penney C, Wilkins R. Birth outcomes in the Inuit-inhabited areas of Canada. CMAJ. 2010;182(3):235–42.

    Article  PubMed  Google Scholar 

  21. Willows ND, Iserhoff R, Napash L, Leclerc L, Verrali T. Anxiety about food supply in Cree women with Infants in Quebec. Int J Circumpolar Health. 2005;64(1):55–64.

    PubMed  Google Scholar 

  22. Health Canada. Exclusive breastfeeding duration—2004 health Canada recommendation (Online). 2008. http://www.hc-sc.gc.ca/fn-an/nutrition/infant-nourisson/excl_bf_dur-dur_am_excl-eng.php. Accessed Dec 2010.

  23. Northwest Territories Health and Social Services. Canada prenatal nutrition program—first nations and Inuit component (Online). 2006. http://www.hlthss.gov.nt.ca/english/services/community_wellness/pdf/canada_prenatal_nutrition_program/canada_prenatal_nutrition_program.pdf. Accessed Dec 2010.

  24. Batal M, Boulghourjian C. Breastfeeding initiation and duration in Lebanon: are the hospitals “Mother Friendly”? J Pediatr Nurs. 2005;20(1):53–9.

    Article  PubMed  Google Scholar 

  25. Batal M, Boulghourjian C, Abdallah A, Afifi-Soweid R. Breastfeeding and feeding practices of infants in a developing country: a national survey in Lebanon. J Public Health Nutr. 2006;9(3):313–9.

    Article  Google Scholar 

  26. Batal M, Boulghourjian C, Akik C. Complementary feeding patterns in a developing country: a cross-sectional study across Lebanon. East Mediterr Health J. 2010;16(2):181–6.

    Google Scholar 

  27. First Nations Regional Health Survey Phase 2 (2008/10) Preliminary Results. 2nd ed. Ottawa, ON: The First Nations Information Governance Centre (Online). 2011. http://www.fnigc.ca/sites/default/files/FINALRHSPreliminaryReportJune2011.pdf. Accessed July 2011.

  28. Health Canada. Breastfeeding initiation in Canada: key statistics and graphics (2007–2008) (Online). 2010. http://www.hc-sc.gc.ca/fn-an/surveill/nutrition/commun/prenatal/initiation-eng.php. Accessed July 2011.

  29. Wilson CE. Sudden infant death syndrome and Canadian Aboriginals: bacteria and infections. FEMS Immunol Med Microbiol. 1999;25(1–2):221–6.

    Article  PubMed  CAS  Google Scholar 

  30. McVea KLSP, Turner PD, Peppler DK. The role of breastfeeding in sudden infant death syndrome. J Hum Lact. 2000;16:13–20.

    Article  PubMed  CAS  Google Scholar 

  31. Vennemann MM, Bajanowski T, Brinkmann B, Jorch G, Yucesan K, Saverland C, et al. Does breastfeeding reduce the risk of sudden infant death syndrome? Pediatrics. 2009;123(1):e406–10.

    Article  PubMed  CAS  Google Scholar 

  32. Gilbert RE, Wigfield RE, Fleming PJ, Berry PJ, Rudd PT. Bottle feeding and the sudden infant death syndrome. BMJ. 1995;310(6972):88–90.

    Article  PubMed  CAS  Google Scholar 

  33. Alm B, Wennergren G, Norvenius SG. Breast feeding and the sudden infant death syndrome in Scandinavia, 1992–95. Arch Dis Child. 2002;86:400–2.

    Article  PubMed  CAS  Google Scholar 

  34. Mitchell EA, Tuohy PG, Brunt JM, Thompson JMD. Risk factors for sudden infant death syndrome following the prevention campaign in New Zealand: a prospective study. Pediatrics. 1997;100(5):835–40.

    Article  PubMed  CAS  Google Scholar 

  35. Bowd AD. Otitis media: health and social consequences for aboriginal youth in Canada’s North. Int J Circumpolar Health. 2005;64(1):5–15.

    PubMed  Google Scholar 

  36. Timmermans FJW, Gerson S. Chronic granulomatous otitis media in bottle-fed Inuit children. CMAJ. 1980;122:545–7.

    CAS  Google Scholar 

  37. Pacey A, Nancarrow T, Egeland GM. Prevalence and risk factors for parental-reported oral health of Inuit preschoolers: Nunavut Inuit Child Health Survey, 2007–2008. Rural Remote Health (Online). 2010;10(1368). www.rrh.org.au. Accessed June 2010.

  38. Schroth RJ, Moore P, Brothwell DJ. Prevalence of early childhood caries in 4 Manitoba communities. J Can Dent Assoc. 2005;71(8):567.

    PubMed  Google Scholar 

  39. Schroth RJ, Smith PJ, Whalen JC, Lekic C, Moffatt MEK. Prevalence of caries among preschool-aged children in a northern Manitoba community. J Can Dent Assoc. 2005;71(1):27.

    PubMed  Google Scholar 

  40. Peressini S, Leake JL, Mayhall JT, Maar M, Trudeau R. Prevalence of dental caries among 7- and 13-year-old First Nations children, district of Manitoulin, Ontario. J Can Dent Assoc. 2004;70(6):382.

    PubMed  Google Scholar 

  41. Tsuji LJS, Karagatzides JD, Hanning RM, Katapatuk B, Young J, Nieboer E. Dentine-lead levels and dental caries in First Nation children from the western James Bay region of northern Ontario, Canada. Bull Environ Contam Toxicol. 2003;70:409–14.

    Article  PubMed  CAS  Google Scholar 

  42. Peressini S, Leake JL, Mayhall JT, Maar M, Trudeau R. Prevalence of early childhood caries among First Nations children, district of Manitoulin, Ontario. Int J Paediatr Dent. 2004;14:101–10.

    Article  PubMed  CAS  Google Scholar 

  43. Kotlow LA. Breast feeding: a cause of dental caries in children. ASDC J Dent Child. 1977;44(3):192–3.

    PubMed  CAS  Google Scholar 

  44. Ismail AI. The role of early dietary habits in dental caries development. Spec Care Dentist. 1998;18(1):40–5.

    Article  PubMed  CAS  Google Scholar 

  45. Willows ND, Morel J, Gray-Donald K. Prevalence of anemia among James Bay Cree infants of Northern Quebec. CMAJ. 2000;162(3):323–6.

    PubMed  CAS  Google Scholar 

  46. Mai XM, Becker AB, Sellers EA, Liem JJ, Kozyrskyj AL. The relationship of breast-feeding, overweight, and asthma in preadolescents. J Allergy Clin Immunol. 2007;120(3):551–6.

    Article  PubMed  Google Scholar 

  47. First Nations and Inuit Health Committee, and Canadian Paediatric Society. Risk reduction for type 2 diabetes in aboriginal children in Canada. Paediatr Child Health. 2005;10(1):49–52.

    Google Scholar 

  48. Young TK, Martens P, Taback SP, Sellers EA, Dean HJ, Cheang M, et al. Type 2 diabetes mellitus in children: prenatal and early risk factors among native Canadians. Arch Pediatr Adolesc Med. 2002;156(7):651–5.

    PubMed  Google Scholar 

  49. Pettitt DJ, Forman MR, Hanson RL, Knowler WC, Bennett PH. Breastfeeding and incidence of non-insulin-dependent diabetes mellitus in Pima Indians. Lancet. 1997;350(9072):166–8.

    Article  PubMed  CAS  Google Scholar 

  50. Jamieson JA, Kuhnlein HV. The paradox of anemia with high meat intake: A review of the multifactorial etiology of anemia in the Inuit of North America. Nutr Rev. 2008;66(5):256–71.

    Article  PubMed  Google Scholar 

  51. Christofides A, Schauer C, Zlotkin SH. Iron deficiency anemia among children: addressing a global public health problem within a Canadian context. Paediatr Child Health. 2005;10(10):597–601.

    PubMed  Google Scholar 

  52. Willows ND, Dewailly E, Gray-Donald K. Anemia and iron status in Inuit infants from northern Quebec. Can J Public Health. 2000;91(6):407–10.

    PubMed  CAS  Google Scholar 

  53. Willows ND, Vadeboncoeur S, Dannenbaum D. Prevalence of anemia among Quebec Cree infants in the years 2002–2007 as compared to 1995–2000. Can Fam Physician. 2012;58(2):e101–6.

    PubMed  Google Scholar 

  54. Hartfield D. Iron deficiency is a public health problem in Canadian infants and children. Paediatr Child Health. 2010;15(6):347–50.

    PubMed  Google Scholar 

  55. Chan HM, Berti PR, Receveur O, Kuhnlein HV. Evaluation of the population distribution of dietary contaminant exposure in an Arctic population using Monte Carlo statistics. Environ Health Perspect. 1997;105:316–21.

    Article  PubMed  CAS  Google Scholar 

  56. Ayotte P, Carrier G, Dewailly E. Health risk assessment for Inuit newborns exposed to dioxin-like compounds through breast feeding. Chemosphere. 1996;32:531–42.

    Article  PubMed  CAS  Google Scholar 

  57. Holick MF. Resurrection of vitamin D deficiency and rickets. J Clin Invest. 2006;116:2062–72.

    Article  PubMed  CAS  Google Scholar 

  58. El Hayek J, Egeland G, Weiler H. Vitamin D status of Inuit preschoolers reflects season and vitamin D intake. J Nutr. 2010;140(10):1839–45.

    Article  PubMed  CAS  Google Scholar 

  59. Ward LM, Gaboury I, Ladhani M, Zlotkin S. Vitamin D-deficiency rickets among children in Canada. CMAJ. 2007;177:161–6.

    Article  PubMed  Google Scholar 

  60. Changes in Arctic Diet Put Inuit at Risk for Rickets. World Institute of Natural Health Sciences (Online). 10 June 2007. http://www.winhs.org/news/news20070610.htm. Accessed July 2011.

  61. Wagner CL, Greer FR. Prevention of rickets and vitamin d deficiency in infants, children, and adolescents. Pediatrics. 2008;122(5):1142–52.

    Article  PubMed  Google Scholar 

  62. Health Canada. Vitamin D and calcium: updated dietary reference intakes (Online). 2010. http://www.hc-sc.gc.ca/fn-an/nutrition/vitamin/vita-d-eng.php. Accessed Dec 2010.

  63. Nakao H. Nutritional significance of human milk vitamin D in the neonatal period. Kobe J Med Sci. 1988;34(3):121–8.

    PubMed  CAS  Google Scholar 

  64. Hollis BW, Wagner CL. Vitamin D requirements during lactation: high-dose maternal supplementation as therapy to prevent hypovitaminosis D for both the mother and the nursing infant. Am J Clin Nutr. 2004;80(6 Suppl):1752S–8.

    PubMed  CAS  Google Scholar 

  65. Specker BL, Valanis B, Hertzberg V, et al. Sunshine exposure and serum 25-hydroxyvitamin D concentrations in exclusively breast-fed infants. J Pediatr. 1985;107:372–6.

    Article  PubMed  CAS  Google Scholar 

  66. Greer FR, Marshall S. Bone mineral content, serum vitamin D metabolite concentrations, and ultraviolet B light exposure in infants fed human milk with and without vitamin D2 supplements. J Pediatr. 1989;114:204–12.

    Article  PubMed  CAS  Google Scholar 

  67. Canadian Paediatric Society. Canadian Paediatric Society position statement—vitamin D supplementation: recommendations for Canadian mothers and infants. Paediatr Child Health. 2007;12(7):583–9.

    Google Scholar 

  68. Willows ND. Anemia in James Bay Cree infants of northern Quebec. Ph.D. dissertation, McGill University, July 2000.

    Google Scholar 

  69. Batal M, Gray-Donald K, Kuhnlein HV, Receveur O. Estimation of traditional food intake in indigenous communities in Denendeh and the Yukon. Int J Circumpolar Health. 2005;64(1):46–54.

    PubMed  Google Scholar 

  70. Kuhnlein HV, Barthet V, Farren A, Falahi E, Leggee D, Receveur O, et al. Vitamins A, D, and E in Canadian Arctic traditional food and adult diets. J Food Compos Anal. 2006;19(6–7):495–506.

    Article  CAS  Google Scholar 

  71. Nakano T, Fediuk K, Kassi N, Egeland GM, Kuhnlein HV. Dietary nutrients and anthropometry of Dene/Métis and Yukon children. Int J Circumpolar Health. 2005;64(2):147–56.

    PubMed  Google Scholar 

  72. Johnson-Down L, Egeland GM. Adequate nutrient intakes are associated with traditional food consumption in Nunavut Inuit children aged 3–5 years. J Nutr. 2010;140(7):1311–6.

    Article  PubMed  CAS  Google Scholar 

  73. Willows ND. Determinants of healthy eating in aboriginal peoples in Canada: the current state of knowledge and research gaps. Can J Public Health. 2005;2005(96):S32–6.

    Google Scholar 

  74. Willows ND. Improving the nutritional status of aboriginal people in Canada. The Diabetes Communicator. Spring 2011. http://www.diabetes.ca/documents/for-professionals/DC--Spring_2011--N.Willows_.pdf. Accessed Sept 2011.

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Authors and Affiliations

  1. Department of Agricultural, Food and Nutritional Science (AFNS), University of Alberta, Edmonton, AB, Canada

    Noreen Willows Ph.D.

  2. Nutrition Program, University of Ottawa, 139 Louis Pasteur Street, Ottawa, ON, Canada, K1N 6N5

    Malek Batal Ph.D.

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  1. Noreen Willows Ph.D.
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  2. Malek Batal Ph.D.
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Correspondence to Malek Batal Ph.D. .

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Editors and Affiliations

  1. Arizona Health Science Center, Mel and Enid Zuckerman, University of Arizona, 1295 N. Martin, Tucson, 85724-5155, Arizona, USA

    Ronald Ross Watson

  2. Centre for Gastroenterology, and Nutrition, University College London, Gower Street, London, WC1E 6BT, United Kingdom

    George Grimble

  3. Dept. Nutrition & Dietetics, King's College, Stamford St. 150, London, SE1 9NH, United Kingdom

    Victor R. Preedy

  4. Division of Health Promotion Sciences, Mel and Enid Zuckerman, University of Arizona, 1295 N. Martin Avenue, Tucson, 85724, Arizona, USA

    Sherma Zibadi

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Willows, N., Batal, M. (2013). Nutritional Concerns of Aboriginal Infants and Children in Remote and Northern Canadian Communities: Problems and Therapies. In: Watson, R., Grimble, G., Preedy, V., Zibadi, S. (eds) Nutrition in Infancy. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-224-7_3

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