Table of Contents
ISRN Public Health
Volume 2012, Article ID 504168, 5 pages
Research Article

Inadequate Nutrient Intakes in Youth of a Remote First Nation Community: Challenges and the Need for Sustainable Changes in Program and Policy

1School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, ON, Canada N2L 3G1
2Environment and Resource Studies, Faculty of Environment, University of Waterloo, 200 University Avenue West, Waterloo, ON, Canada N2L 3G1

Received 16 November 2011; Accepted 26 December 2011

Academic Editors: K. McLeroy and A. Slep

Copyright Β© 2012 Allison Gates et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. The current study established baseline nutrient intakes of youth and examined the potential for sustainability of a pilot school snack program in the remote First Nation of Kashechewan, Ontario, Canada. Methods. Twenty-four-hour dietary recalls established baseline intakes in grade 6–8 students ( 𝑛 = 4 3 ). Subsequently, a pilot healthy school snack program was initiated. Dietary recalls were completed one week ( 𝑛 = 4 3 ) and one year after the program ( 𝑛 = 6 7 ). Paired Wilcoxon signed-ranks tests were used to detect changes in intakes. Impressions of the teachers ( 𝑛 = 1 6 ), principal, and students were collected qualitatively. Results. Most youth had dietary intakes below current standards. Although vitamin C ( 𝑃 = 0 . 0 2 4 ) and fibre ( 𝑃 = 0 . 0 1 5 ) intakes improved significantly after one week, these improvements were not sustained over the following year. Program impressions were positive. Conclusion. The need for a nutrition program is clear. While benefits were realized in the short term, improvements could not be maintained. Policy changes are needed to address barriers to sustainability.