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Habitual diet in four populations of African origin: a descriptive paper on nutrient intakes in rural and urban Cameroon, Jamaica and Caribbean migrants in Britain

Published online by Cambridge University Press:  02 January 2007

Louise I Mennen*
Affiliation:
INSERM, Unit 258, 16 Avenue Paul Vaillant Couturier, :F-94807 Villejuif Cedex, France
Maria Jackson
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona Campus, Kingston 7, Jamaica
Sangita Sharma
Affiliation:
Clinical Epidemiology Unit, Manchester University Medical School, Manchester M13 9PT, UK
Jean-Claude N Mbanya
Affiliation:
Department of Internal Medicine, University of Yaoundé I, Faculty of Medicine and Biomedical Sciences, BP 8046, :Yaoundé, Cameroon
Janet Cade
Affiliation:
Clinical Epidemiology Unit, Manchester University Medical School, Manchester M13 9PT, UK
Susan Walker
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona Campus, Kingston 7, Jamaica
Lisa Riste
Affiliation:
Clinical Epidemiology Unit, Manchester University Medical School, Manchester M13 9PT, UK
Rainford Wilks
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona Campus, Kingston 7, Jamaica
Terrence Forrester
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona Campus, Kingston 7, Jamaica
Beverly Balkau
Affiliation:
INSERM, Unit 258, 16 Avenue Paul Vaillant Couturier, :F-94807 Villejuif Cedex, France
Kennedy Cruickshank
Affiliation:
Clinical Epidemiology Unit, Manchester University Medical School, Manchester M13 9PT, UK
*
*Corresponding author: Email [email protected]
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Abstract

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Background:

The prevalence of chronic diseases is increasing in West Africa, the Caribbean and its migrants to Britain. This trend may be due to the transition in the habitual diet, with increasing (saturated) fat and decreasing fruit and vegetable intakes, both within and between countries.

Objective:

We have tested this hypothesis by comparing habitual diet in four African-origin populations with a similar genetic background at different stages in this transition.

Design:

The study populations included subjects from rural Cameroon (n=743), urban Cameroon (n=1042), Jamaica (n=857) and African–Caribbeans in Manchester, UK (n=243), all aged 25–74 years. Habitual diet was assessed by a food-frequency questionnaire, specifically developed for each country separately.

Results:

Total energy intake was greatest in rural Cameroon and lowest in Manchester for all age/sex groups. A tendency towards the same pattern was seen for carbohydrates, protein and total fat intake. Saturated and polyunsaturated fat intake and alcohol intake were highest in rural Cameroon, and lowest in Jamaica, with the intakes in the UK lower than those in urban Cameroon. The percentage of energy from total fat was higher in rural and urban Cameroon than in Jamaica and the UK for all age/sex groups. The opposite was seen for percentage of energy from carbohydrate intake, the intake being highest in Jamaica and lowest in rural Cameroon. The percentage of energy from protein increased gradually from rural Cameroon to the UK.

Conclusions:

These results do not support our hypothesis that carbohydrate intake increased, while (saturated) fat intake decreased, from rural Cameroon to the UK.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1Stamler, J. Assessing diets to improve world health: nutritional research on disease causation in populations. Am. J. Clin. Nutr. 1994; 59(Suppl.): 146S–56S.CrossRefGoogle ScholarPubMed
2Mbanya, JCN, Ngogang, J, Salah, JN, Minkoulou, E, Balkau, B. Prevalence of NIDDM and impaired glucose tolerance in a rural and an urban population in Cameroon. Diabetologia 1997; 40: 824–9.CrossRefGoogle Scholar
3Alleyne, SA, Cruickshank, JK, Morrison, E. Mortality from diabetes in Jamaica. PAHO Bull. 1989; 23: 306–15.Google Scholar
4Ragoobirsingh, D, Lewis-Fuller, E, Morrison, EYSA. The Jamaican Diabetes Survey. A protocol for the Caribbean. Diab. Care 1995; 18: 1277–9.CrossRefGoogle ScholarPubMed
5Grell, GAC. Hypertension in the West Indies. Postgrad. Med. J. 1983; 59: 616–21.CrossRefGoogle ScholarPubMed
6Raleigh, VS, Kiri, V, Balarajan, R. Variations in mortality from diabetes, hypertension and renal disease in England and Wales by country of birth. Health Trends 1997; 28: 122–7.Google Scholar
7Cruickshank, JK, Cooper, J, Burnett, M, MacDuff, J, Drubra, U. Ethnic differences in fasting plasma C-peptide and insulin in relation to glucose tolerance and blood pressure. Lancet 1991; 338: 842–7.CrossRefGoogle ScholarPubMed
8Fang, J, Madhavan, S, Alderman, MH. The association between birthplace and mortality from cardiovascular causes among black and white residents of New York City. N. Engl. J. Med. 1996; 335: 1545–51.CrossRefGoogle ScholarPubMed
9Kiple, K, Kiple, V. Slave nutrition and disease during the 19th century: the United States and the Caribbean. J. Interdisciplin. History 1980; 11: 197215.CrossRefGoogle Scholar
10Beckles, H, Shepherd, V. Caribbean Slave Society and Economy. LondonIan Randle Ltd Jamaica & James Currey, 1991.Google Scholar
11Blackburn, R. The Making of New World Slavery. London/New York, Verso, 1997; 1492–820.Google Scholar
12Cruickshank, JK, Beevers, DG. Ethnic Factors in Health and Disease. London, Butterworth Heinemann, 1989.Google Scholar
13Sharma, S, Cade, J, Jackson, M, Mbanya, JC, Chungong, S, Forrester, T, Bennett, F, Wilks, R, Balkau, B, Cruickshank, JK. Development of food frequency questionnaires in three population samples of African origin from Cameroon, Jamaica and Caribbean migrants to the UK. Eur. J. Clin. Nutr. 1996; 50: 479–86.Google ScholarPubMed
14Sharma, S, Cade, J, Riste, L, Cruickshank, K. Nutrient intake trends among African–Caribbeans in Britain: a migrant population and its second generation. Public Health Nutr. 1999; 2: 469–76.CrossRefGoogle Scholar
15Holland, B, Welch, AA, Unwin, ID, Buss, DH, Southgate, PAA. McCance and Widdowson's The Composition of Foods. London, The Royal of Chemistry, 1991.Google Scholar
16Ngo Som, J, Abono, A. Les resources alimentaires du Cameroun: Répartition Ecologique, classification et valeur nutritive. Cameroon: SEPER, 1989.Google Scholar
17Tan, SP, Wenlock, RW, Buss, DH. Immigrant Foods: Second Supplement to McCance and Widdowson's The Composition of Foods. London, HMSO, 1985.Google Scholar
18Fletcher, L. Microdiet. Salford: University of Salford, 1994.Google Scholar
19Willett, WF, Sampson, L, Stampfer, MJ, Rosner, B, Bain, C, Witschi, J, Hennekens, CH, Speizer, FE. Reproducibility and validity of a semiquantitative food frequency questionnaire. Am. J. Epidemiol. 1985; 122: 5165.CrossRefGoogle ScholarPubMed
20Pietienen, P, Hartman, AM, Haapa, E, Rasanen, L, Haapakoski, J, Palmgren, H, Albanes, D, Virtamo, J, Huttunen, JK. Reproducibility and validity of dietary assessment instruments II. A qualitative food frequency questionnaire. Am. J. Epidemiol. 1988; 128: 667–76.Google Scholar
21Margetts, BM, Cade, J, Osmond, C. Comparison of a food frequency questionnaire with a diet record. Int. J. Epidemiol. 1989; 18: 868–73.CrossRefGoogle ScholarPubMed
22Katan, MB, Grundy, SM, Willett, WF. Beyond low-fat diets. N. Engl. J. Med. 1997; 337: 563–7.Google ScholarPubMed
23Berlin, JA, Colditz, GA. A meta-analysis of physical activity in the prevention of coronary heart disease. Am. J. Epidemiol. 1990; 132: 612–28.CrossRefGoogle ScholarPubMed
24Blair, SN, Kampert, JB, Kohl, HW, Barlow, CE, Macera, CA, Paffenbarger, RS, Gibbons, LW. Influences of cardiovascular fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. JAMA 1996; 276: 204–10.CrossRefGoogle ScholarPubMed