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Nutrient intake trends among African-Caribbeans in Britain: a migrant population and its second generation

Published online by Cambridge University Press:  02 January 2007

Sangita Sharma ,
Janet Cade ,
Lisa Riste  and
Kennedy Cruickshank
Sangita Sharma
Affiliation:
Clinical Epidemiology Unit, University of Manchester Medical School, Manchester M13 9PT, UK
Janet Cade
Affiliation:
Clinical Epidemiology Unit, University of Manchester Medical School, Manchester M13 9PT, UK
Lisa Riste
Affiliation:
Clinical Epidemiology Unit, University of Manchester Medical School, Manchester M13 9PT, UK
Kennedy Cruickshank*
Affiliation:
Clinical Epidemiology Unit, University of Manchester Medical School, Manchester M13 9PT, UK
*
*Corresponding author: Email clinep@man.ac.uk
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Abstract

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Objective:

To explore British African-Caribbean (AfC) nutrient intake by migration status (place of birth), diet (traditional Caribbean or more European) and age and relate this ecologically to coronary heart disease (CHD) mortality rates.

Design:

Cross-sectional.

Setting:

Inner-city Manchester, UK.

Subjects:

Two hundred and fifty-five adults of AfC origin aged 25–79 years, randomly sampled from population registers.

Results:

Caribbean-born people (mean age 56, and mean time in Britain 30 years) had significantly lower per cent energy from total and saturated fat than younger British-born AfC people (mean age 29 years) (31.3% vs. 35%, difference in total fat 3.7%, 95%CI 2–5%; in saturated fat 10.9% vs. 12.6%, difference 1.7%, 95%CI 1–2.5%). The Caribbean-born group also ate more fruit (+84 g day−1, 95%CI 36–132 g day−1) and green vegetables (+26 g day−1, 95%CI 3–49 g day−1). Men following a traditional diet (>= 5 days week−1) similarly had a lower per cent energy from fat, at 30.4%, than less traditional eaters, at 33.1% (difference 2.7%, 95%CI 0.7–4.8%). African-Caribbean women, at relatively greater CHD risk than AfC men, had higher body mass indices (BMIs) than AfC men. Compared with national data, AfC subjects consumed some 7% and 5% less energy from total fat and saturated fat, respectively, with over 9% more from carbohydrate. However, there was marked convergence towards the national average in the youngest AfC groups aged 25–34 years, whatever their place of birth.

Conclusions:

Caribbean birthplace has an independent effect on total fat intake and percentage of energy from fat. Together with higher fruit and vegetable intake, these results are consistent with the dietary fat/antioxidant/CHD hypothesis.

Keywords

African-CaribbeanNutrient intakeCoronary riskMigrationAgePlace of birthFood frequency questionnaire
Type
Research Article
Information
Public Health Nutrition , Volume 2 , Issue 4 , April 1999 , pp. 469 - 476
Copyright
Copyright © CABI Publishing 1999

References

1Syme, SL, Marmot, MG, Kagan, H, Rhodes, G. Epidemiologic studies of CHD and stroke in Japanese men living in Japan, Hawai and California: introduction. Am. J. Epidemiol. 1975; 102: 477–80.CrossRefGoogle Scholar
2Ostbye, T, Welby, TJ, Prior, IA, Salmond, CE, Stokes, YM. Type 2 (non-insulin dependent) diabetes mellitus, migration and westernisation: the Tolkelau Island Migrant Study. Diabetologia 1989; 32: 585–90.CrossRefGoogle ScholarPubMed
3Kouris-Blazos, A, Wahlqvist, ML, Trichopoulou, A, Polychronopoulos, E, Trichopoulos, D. Health and nutritional status of elderly Greek migrants to Melbourne, Australia. Age Ageing 1996; 25: 177–89.CrossRefGoogle ScholarPubMed
4Fang, J, Madhaven, S, Alderman, MH. 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
5Cruickshank, JK, Beevers, DG, Osbourne, VL, Haynes, RA, Corlett, RC, Selby, S. Heart attack, stroke, hypertension and diabetes among West Indians, Asians and whites in Birmingham, England; hospital admissions analysis. BMJ 1980; 281: 1108.CrossRefGoogle Scholar
6Marmot, M, Bulusu, L, Adelstein, A. Immigrant Mortality in England and Wales 1970–79. London: HMSO, 1984.Google Scholar
7Balarajan, R.Ethnicity and variations in the nation's health. Health Trends 1995; 27: 114–19.Google ScholarPubMed
8Wild, S, McKeigue, P. Cross sectional analysis of mortality by country of birth in England and Wales, 1970–92. BMJ 1997; 314: 705–10.CrossRefGoogle ScholarPubMed
9Pan American Health Organization. Health Conditions of the Americas. Washington, Pan American Health Organization, 1992.Google Scholar
10Marmot, MG. General approaches to migrant studies: the relation between disease, social class and ethnic origin. In: Cruickshank, JK, Beevers, DG, eds. Ethnic Factors in Health and Disease. Oxford: Butterworth Heinemann, 1989: 12–17.CrossRefGoogle Scholar
11Office of Population Census and Surveys. The 1991 Census: Ethnic Group and Country of Birth. London: HMSO, 1993.Google Scholar
12Gregory, J, Foster, K, Tyler, H, Wiseman, M. The Dietary and Nutritional Survey of British Adults. London: HMSO, 1990.Google Scholar
13Sharma, S, Cade, J, Griffiths, S, Cruickshank, K. Nutrient intakes among UK African-Caribbeans: changing risk of coronary heart disease?. Lancet 1998; 352: 114–15.Google ScholarPubMed
14Sharma, S, Cade, J, Jackson, M, et al. Cross cultural assessment of diet in three population samples of African origin from Cameroon, Jamaica and Caribbean migrants to the UK: method development. Eur. J. Clin. Nutri. 1996; 50: 479–86.Google Scholar
15Mbanya, JC, Cruickshank, JK, Forrester, T, et al. Standardised comparison of glucose tolerance in west African-origin populations: rural and urban Cameroon, Jamaica and Caribbean migrants to Britain. Diabetes Care 1998, in press.Google Scholar
16Cruickshank, JK, Forrester, T, Mbanya, JC, et al. Standardized study of blood pressure in 3 African-origin population samples in Cameroon, Jamaica, and UK: slope with age, hypertension prevalence and awareness. J. Hypertens. 1996; 14 (Suppl. 1): S236.Google Scholar
17Riste, LK. Risk factors associated with glucose tolerance and high blood pressure among African Caribbeans and white populations in Manchester: opportunities for prevention. University of Manchester, PhD thesis, 1997.Google Scholar
18Sharma, S, Cade, JE, Cruickshank, JK. An initial assessment of food and nutrient intake to develop a food frequency questionnaire in an AfroCaribbean population sample. Proc. Nutr. Soc. 1993; 52: 328A.Google Scholar
19Sharma, S. Development of food frequency questionnaires for assessing nutrient intakes in African-origin populations in Cameroon, Jamaica and Manchester. University of Manchester, PhD thesis, 1996.Google Scholar
20Tan, SP, Wenlock, RW, Buss, DH. Immigrant Foods: Second Supplement to McCance and Widdowson's The Composition of Foods. London: HMSO, 1985.Google Scholar
21Holland, B, Welch, AA, Unwin, ID, Buss, DH, Paul, AA, Southgate, DAT. McCance and Widdowson's The Composition of Foods, 5th edn.London: The Royal Society of Chemistry, 1991.Google Scholar
22Gardner, M, Altman, D. Statistics with Confidence: Hypothesis Testing Rather than P Values. London: BMJ Publications, 1992.Google Scholar
23Blane, D, Bartley, M, Davey, Smith G. Disease etiology and materialist explanations of socioeconomic mortality differentials. Eur. J. Public Health 1997; 7: 385–91.CrossRefGoogle Scholar
24Office of Population Censuses and Surveys. General Household Survey. London: HMSO, 1995.Google Scholar
25Power, C, Hertzman, C. Social and biological pathways linking early life and adult disease. Br. Med. Bull. 1997; 53: 210–21.CrossRefGoogle ScholarPubMed
26Davey, Smith G, Neaton, JD, Wentworth, D, Stamler, R, Stamler, J, Socioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: 1. White men. Am. J. Public Health 1996; 86: 486–96.Google Scholar
27Davey, Smith G, Wentworth, D, Neaton, JD, Stamler, R, Stamle, J. Socioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: 2. Black men. Am. J. Public Health 1996; 86: 497–504.Google Scholar
28Cooper, RS, Rotimi, CN, Kaufman, JS, et al. Prevalence of NIDDM among populations of the African diaspora. Diabetes Care 1997; 20: 343–7.CrossRefGoogle ScholarPubMed
29Forrester, T, Wilks, R, Bennett, F, et al. Obesity in the Caribbean. Ciba Found. Symp. 1996; 201: 17–31.Google ScholarPubMed
30Carlson, E, Kipps, M, Thomson, J. Influences on the food habits of some ethnic minorities in the United Kingdom. Hum. J. Appl. Nutr. 1984; 38: 85–98.Google ScholarPubMed
31Willett, W. Nutritional Epidemiology. New York: Oxford University Press, 1990.Google Scholar
32Cade, JE, Margetts, BM. Nutrient sources in the English diet: quantitative data from three English towns. Int. J. Epidemiol. 1998; 17: 844–8.CrossRefGoogle Scholar
33Thompson, RL, Cruickshank, JK, Ellis, LJ, Walker, AO, Fox, TE, Miller, GJ. Dietary intake of men in Wembley, London, by weighed inventory: comparison with national recommendations with particular emphasis on fat intake. Eur. J. Clin. Nutr. 1989; 43: 245–51.Google ScholarPubMed
34Miller, G, Kotecha, S, Wilkinson, WH, et al. Dietary and other characteristics relevant for coronary heart disease in men of Indian, West Indian and European descent in London. Atherosclerosis 1988; 70: 63–72.CrossRefGoogle Scholar
35Thompson, RL, Cruickshank, JK. Dietary fatty acid intakes and P:S ratios in a population sample of women with differing risks of coronary heart disease. Clin. Sci. 1990; 78 (Suppl. 22): 25.CrossRefGoogle Scholar
36Dowler, E, Calvert, C. Nutrition and Diet in Lone Parent Families in London. London: Family Policy Studies Centre, 1995.Google Scholar
37Lane, A, Cruickshank, JK, Stewart, A, Henderson, A, Humphries, S, Green, F. Genetic and environmental determinants of factor VII coagulant activity in ethnic groups at differing risk of coronary heart disease. Atherosclerosis 1992; 94: 43–50.CrossRefGoogle ScholarPubMed
38Austin, MA. Triacylglycerol and coronary heart disease. Proc. Nutr. Soc. 1997; 56: 667–70.CrossRefGoogle ScholarPubMed
39MRC General Practice Framework (Chair: Meade TW). Thrombosis Prevention Trial: randomised trial of low intensity oral anti-coagulation with warfarin and low-dose aspirin in the primary prevention of ischaemic heart disease in men at increased risk. Lancet 1998; 351: 233–41.CrossRefGoogle Scholar
40Keem, J, Douglas, J, Sylvester, V. A survey of infant feeding practices by AfroCaribbean mothers in Birmingham. Proc. Nutr. Soc. 1986; 45: 87A.Google Scholar
41Rimm, EB, Willett, WC, Hu, FB, et al. Folate and vitamin B6 from diet and supplements in relation to risk of coronary heart disease among women. J. Am. Med. Assoc. 1998; 279: 359–64.CrossRefGoogle ScholarPubMed
42Van-de-Vijver, LPL, Kardinaal, AFM, Grobbee, DE, et al. Lipoprotein oxidation, antioxidants and cardiovascular risk: epidemiologic evidence. Prostaglandins Leukot. Essent. Fatty Acids 1997; 57: 479–86.CrossRefGoogle ScholarPubMed
43Rimm, EB, Stampfer, MJ. The role of antioxidants in preventive cardiology. Curr. Opin. Cardiol. 1997; 12: 188–94.CrossRefGoogle ScholarPubMed