Abstract

Lack of variability in dietary intake within a population makes identification of relationships between diet and disease difficult. Studies in populations with greater interindividual variation can provide important insights. The Puerto Rican diet is in transition from a traditional to a more Western-type diet, resulting in greater interindividual variability. We identified foods contributing to absolute intake and variability in the intake of macronutrients among Puerto Rican women. One hundred women, aged 30–79, residents of San Juan, Puerto Rico, completed three, interviewer-administered, 24-h dietary recalls from which foods contributing to absolute intake and intake variability in intake of energy, fat, protein, carbohydrate and dietary fiber were determined. The overall prevalence of intake of foods was also calculated. Traditional Puerto Rican foods such as legumes, rice, and plantains were important contributors to the intake of calories and macronutrients as were foods more typical of Western diets including white bread and sweetened carbonated beverages. Identification of food sources of nutrients for this population with a diet in transition can contribute to the development of instruments to measure dietary intake and to understand the contribution of diet to the etiology of chronic disease among Puerto Rican women.

Highlights

  • In the examination of diet in relation to chronic disease, lack of variability in intake within a population can be a possible explanation for null results

  • This study of dietary intake of women living in Puerto Rico provides insight into a diet in transition that differs from the United States (USA) diet overall and from USA Hispanics

  • The foods that were important contributors to macronutrient intake in the Puerto Rican diet were a combination of traditional Puerto

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Summary

Introduction

In the examination of diet in relation to chronic disease, lack of variability in intake within a population can be a possible explanation for null results. Fewer individuals at the extremes of intake of a particular nutrient or food component, it can be difficult to identify diet-disease relations with that nutrient or food component. Rates in Puerto Rico are lower than in the USA but increasing more rapidly [1,2,3,4,5,6]. The reasons for these differences are not known; diet may be a contributing factor

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