Zealand Study Research Articles

Maternal depressive symptoms in and beyond the perinatal period: Associations with infant and preschooler sleep.

(1) To describe sleep in infancy and early childhood among children born to mothers with and without clinically significant depressive symptoms, and (2) to explore the relationships between maternal depressive symptoms and sleep patterns and problems during infancy and early childhood. Secondary analysis of longitudinal data from the Moe Kura: Mother and Child, Sleep and Wellbeing in Aotearoa/New Zealand study. Data was collected in pregnancy (T1), 12 weeks postpartum (T2), and 3 years post-birth (T3). Participants were 262 Māori and 594 non-Māori mother-child dyads. Chi-square and Independent T-tests measured bivariate associations between maternal mood (T1, T2, T3) and child sleep characteristics (T2, T3). Binary logistic regression models examined longitudinal and concurrent associations between maternal depressive symptoms and infant and preschooler sleep. Adjusted models accounted for key socio-demographic variables, as well as infant sleep variables in preschooler models. Bivariate associations were found between prior and concurrent depressive symptomology and many of the infant and preschooler sleep outcomes. In adjusted models, prenatal depressive symptoms remained independently associated with shorter-than-recommended sleep durations in preschoolers. In these models, concurrent depression was also associated with night waking, night LSRSP, and perceived sleep problems at 12 weeks postpartum, and CSHQ-determined and perceived sleep problems at 3 years post birth. Longitudinal and cross-sectional associations were found between maternal depressive symptoms and child sleep. Sleep appears to be one pathway by which maternal depression confers risk for suboptimal child health outcomes. Findings support the need for earlier and better maternal mental health services.

Validity of the Multigroup Ethnic Identity Measure for Māori, Pacific, Asian & European adolescents

Abstract Background Ethnic identity is important for positive health and wellbeing outcomes, especially for Indigenous youth and adolescents from minoritised ethnic groups. The Multigroup Ethnic Identity Measure (MEIM) is widely used to examine ethnic identity as a general phenomenon across ethnic groups. However, evidence regarding its validity for adolescents from different ethnic backgrounds is mainly limited to the US context. This study investigated psychometric properties of the MEIM, for the first time, within a large ethnically diverse population-based sample in New Zealand. Methods We used data from the Growing Up in New Zealand study. Participants were 4500 12-year-olds and included 22.4% Māori (the Indigenous people of New Zealand), 16.7% Pacific, 14.8% Asian and 51.9% European young people. 45.7% were cisgender boy, 37.4% were cisgender girl, and 16.4% were non-binary, trans or unsure. We conducted factor analysis for the 12-item MEIM. Results Confirmatory factor analysis model fit tended to be best for a solution with two factors representing two ethnic identity subcomponents of Exploration and Affirmation/Belonging. A single ‘ethnic identity’ factor showed a slightly weaker model fit. Exploratory factor analysis revealed a 2-factor structure with a slightly different item composition as compared to the original MEIM subscales. The findings were largely comparable across ethnic groups. Conclusions The MEIM appears to be a valid measure for Māori, Pacific, Asian and European young people. However, nuances may exist due to unique contexts including structural factors, societal norms and challenges, opportunities and access to cultural engagement. Ethnic identity is strongly linked to health and wellbeing including quality of life, self-esteem and life satisfaction. Therefore, we recommend acknowledging nuances of ethnic identity during an important time of development within diverse cultural contexts, by applying subscales and subgroup analyses where possible. Key messages • The Multigroup Ethnic Identity Measure is valid and appropriate to use at age 12-years among diverse ethnic groups including Māori, Pacific, Asian and European. • Nuances of ethnic identity should be acknowledged as an important factor for health and wellbeing, especially during critical times of transition for adolescents within diverse cultural contexts.

The association between trajectories of structural disadvantage and mental wellbeing for Māori youth

Abstract Background Youth mental health is a major global concern with substantial inequities for Indigenous and other young people from minoritised ethnic groups. In New Zealand, Māori, the Indigenous people, experience poorer mental health than other young people, especially those living in high deprivation. Cultural connectedness is related to positive mental wellbeing, however, its potential to buffer against the harms of structural disadvantage for young Māori mental health has not been investigated. Methods We used data from 1224 Māori young people in the longitudinal Growing Up in New Zealand study. Structural disadvantage measures included material hardship, deprivation, employment, residential mobility. We conducted Latent Class Analysis and Social Sequence Analysis to identify clusters and longitudinal patterns of structural disadvantage. Cultural connectedness and mental wellbeing (depression & anxiety symptoms, quality of life) were measured at age 12. Linear regression analysis was used to determine associations between structural disadvantage, cultural connectedness and mental health. Results We identified 3 trajectories of structural disadvantage for Māori youth: 21% experienced persistent high structural disadvantage, 35% intermittent high structural disadvantage and 44% persistent relatively low structural disadvantage. Few differences in mental health were found between groups. Cultural connectedness was independently associated with positive mental wellbeing, yet there was mixed evidence it might buffer the impacts of structural disadvantage on mental health. Conclusions Our results highlight the importance of policies that uphold Indigenous rights to health and address structural disadvantage as a persistent threat to Indigenous wellbeing. Our findings call for holistic, early-life, family-centred strategies and to reduce barriers to accessing support. We highlight the need for policies that enable young people to flourish in their identity and culture. Key messages • Many Māori young people experience pervasive structural disadvantage starting before they are born, persisting throughout childhood and adolescence which is an omnipresent threat to their wellbeing. • Supporting cultural connectedness for Indigenous youth is important but cannot substitute for policies addressing structural disadvantages that contribute to health inequities.

My Body, My Choice? Examining the Distinct Profiles Underlying Attitudes Toward Abortion and COVID-19 Mandates

AbstractProtestors recently repurposed the abortion rights’ mantra, “my body, my choice,” to oppose COVID-19 mandates. But do those who oppose public health mandates fully support the right to choose? We answer this question by using exploratory analyses to identify the unique response patterns underlying support for abortion and COVID-19 mandates in random samples from the United States (Study 1; N = 2,331) and New Zealand (Study 2; N = 33,310). Latent profile analyses revealed a small subgroup in both countries (12.6% and 3.4% of the respective samples) who opposed mandates. Yet contrary to the “my body, my choice” rhetoric seen at anti-mandate protests, they also opposed abortion. Across both studies, those in the Anti-Mandate profile tended to be more religious, conservative, and distrustful of institutions. In Study 2, they were also low on cognitive consistency and high on conspiracy belief. Finally, the Anti-Mandate profile was opposed to free speech critical of both the United States and religion (Study 1), high on sexual prejudice (both studies), unsupportive of progressive protests (but supportive of reactionary protests; Study 2), and likely to vote for conservative parties (both studies). These results reveal the mobilization potential of the anti-mandate movement, uncover important contradictions within its members, and illustrate the nuanced ways in which opposition to gender policies (i.e., reproductive rights) coalesce with reactionary protests.

Parent-reported offering of allergen foods to infants during complementary feeding: An observational study of New Zealand infants

The prevalence of food allergies in New Zealand infants is uncertain but is believed to be similar to Australia, exceeding 10%. Current recommendations for reducing food allergy risk are to offer all major food allergens to infants from as early as six months of age (start of complementary feeding), and before 12 months of age. However, little is known regarding parental practices around introducing major food allergens. This study aimed to explore parental offering of major food allergens to infants during complementary feeding, and parent-reported food allergies. The cross-sectional study is a secondary analysis of the multi-centre (Auckland and Dunedin) First Foods New Zealand study of 625 parent-infant dyads. Participants were recruited in 2020–2022 when infants were 7–10 months of age. Questionnaires assessed sociodemographic characteristics, complementary feeding approach, infant pouch use and parental responses to five food allergy questions. All major food allergens had been offered to only 17% of infants by 9–10 months of age. Having offered egg, peanut, tree nuts, sesame, soy and seafood was more commonly associated with using a baby-led complementary feeding approach than a parent-led approach (p < 0.001). Frequent baby food pouch use was associated with a lower likelihood of offering egg and peanut (both p < 0.001). Overall, 12.6% of infants had a reported food allergy, with symptomatic response after exposure being the most common diagnostic tool. Most infants are not offered all major food allergens during early complementary feeding, with some parents actively avoiding major food allergens in the first year of life. These results provide up-to-date knowledge of parental practices, highlighting the need for more targeted advice and strategies to improve parental engagement with allergy prevention and diagnosis.

Shoulder &amp; Elbow

The October 2024 Shoulder &amp; Elbow Roundup360 looks at: Proximal humeral fractures with vascular compromise; Outcomes and challenges of revision arthroscopic rotator cuff repair: a systematic review; Evaluating treatment effectiveness for lateral elbow tendinopathy: a systematic review and network meta-analysis; Tendon transfer techniques for irreparable subscapularis tears: a comparative review; Impact of subscapularis repair in reverse shoulder arthroplasty; Isolated subscapularis tears strongly linked to shoulder pseudoparesis; Nexel and Coonrad-Morrey total elbow arthroplasties show comparable revision rates in New Zealand study; 3D MRI matches 3D CT in assessing bone loss and shoulder morphology in dislocation cases.

Teacher collaboration and innovative learning spaces in New Zealand

ABSTRACT The changing architectural design of the spaces where schooling occurs can impact on the types of pedagogical practices that were once solely viewed within the traditional single teacher classroom. Innovative learning environments are being built where there can be multiple teachers with larger cohorts of students. This may provide more opportunities for collaboration amongst teachers which may enhance learning opportunities. This New Zealand study looks at the views of ten primary school teachers in innovative learning environments and the results from a national survey in regard to primary teachers’ and principals’ perceptions on teacher collaboration and innovative learning environments. Specifically, we highlight the views of principals and teachers situated within the New Zealand education system and the range of views they bring to this change to the types of differing structural spaces of learning and teaching. The findings suggest that a continuing challenge for teachers is the level of noise and the wide range of distractions within innovative learning environment. The attitudes and adaptability of teachers to adjust to change, and their opportunities for professional development to prepare for this change are key influential factors.

Introduction

In 2013 I edited the final issue (as I was dismayed to discover afterwards) of the Journal of New Zealand Art History (JONZAH). It is a pleasure, then, to write this introduction for a special issue of the Journal of New Zealand Studies (JNZS) devoted to New Zealand art history. The quantity and quality of the articles in this issue go a considerable way to filling the void left by JONZAH in the intervening decade, even if the loss of a dedicated double-blind peer-reviewed journal remains keenly felt.

Household food insecurity and novel complementary feeding methods in New Zealand families.

Optimal nutrition during infancy is critical given its influence on lifelong health and wellbeing. Two novel methods of infant complementary feeding, commercial baby food pouch use and baby-led weaning (BLW), are becoming increasingly popular worldwide. Household food insecurity may influence complementary feeding practices adopted by families, but no studies have investigated the use of BLW and baby food pouches in families experiencing food insecurity. The First Foods New Zealand study was a multicentre, observational study in infants 7.0-9.9 months of age. Households (n = 604) were classified into one of three categories of food insecurity (severely food insecure, moderately food insecure, and food secure). The use of complementary feeding practices was assessed via a self-administered questionnaire, both at the current age (mean 8.4 months) and retrospectively at 6 months. Mothers experiencing severe food insecurity had 5.70 times the odds of currently using commercial baby food pouches frequently (≥5 times/week) compared to food secure mothers (95% CI [1.54, 21.01]), reporting that pouches were 'easy to use' (89%) and made it 'easy to get fruits and vegetables in' (64%). In contrast, no evidence of a difference in the prevalence of current BLW was observed among mothers experiencing moderate food insecurity (adjusted OR; 1.28, 95% CI [0.73, 2.24]) or severe food insecurity (adjusted OR; 1.03, 95% CI [0.44, 2.43]) compared to food secure mothers. The high prevalence of frequent commercial baby food pouch use in food insecure households underscores the need for research to determine whether frequent pouch use impacts infant health.

Groundwater monitoring infrastructure: Evaluation of the shallow urban and coastal network in Ōtautahi Christchurch

Study regionŌtautahi Christchurch, New Zealand Study focusUrban shallow groundwater monitoring networks are becoming widespread in New Zealand and globally. A reliable groundwater monitoring infrastructure is important to develop knowledge on water table aquifers in coastal cities like Ōtautahi Christchurch. Previous investigations have shown shallow groundwater vulnerability to salinisation and contamination in urban settings, and shallow groundwater exacerbates flooding from climate change and the impact of rising sea levels. New hydrological insights for the regionFollowing the 2010–2011 Canterbury earthquake sequence, shallow groundwater data acquisition and the establishment of a geotechnical database in Ōtautahi Christchurch provided unprecedented information on subsurface conditions. The installation of the groundwater monitoring infrastructure opened the field of New Zealand-based urban hydrogeological studies, including continuous measurements of groundwater levels. This study presents the hydrogeological context of Ōtautahi Christchurch, provides an overview of seismic impacts on groundwater, and documents the monitoring network’s development. Methods for assessing the monitoring network included field surveys and digital information review. The overall good condition and robustness of the network mean the dataset held by the city and regional councils should be more widely used to benefit the community. Implications for researchers and network asset managers mean that the maintenance and availability of the data should be prioritised. Records from urban shallow groundwater monitoring networks are becoming an essential source of information to manage urban water resources under climate change and sea-level rise conditions.

Eye care following pre-school vision screening: Data from the Growing Up in New Zealand study.

This study aimed to determine adherence with follow-up from the New Zealand pre-school vision screening programme. The study also examined associations between pre-school vision screening outcomes and cognitive measures assessed at the 54-month follow-up in the Growing Up in New Zealand study cohort. A cross-sectional retrospective record review of pre-school vision screening outcomes and hospital ophthalmology records with linkage to Growing Up in New Zealand cohort study data. Of 176 children referred from vision screening, 21.6% did not attend a referral appointment. Of 138 children who attended a referral appointment, 21.0% did not attend one or more follow-up appointments. Ethnic differences were observed in attendance at referral appointments (attended Māori 13%, Pacific 22.5%, European/Other 64.5%; not attended Māori 26.3%, Pacific 28.9%, European/Other 44.7%; P = 0.04) and follow-up appointments (attended Māori 11.9%, Pacific 15.6%, European/Other 72.5%; not attended Māori 17.2%, Pacific 48.3%, European/Other 34.5%; P = 0.001). Vision screening outcome was significantly associated with letter naming fluency scores (P = 0.01) but not name and numbers scores (P = 0.05). Non-attendance at referral and follow-up appointments limits the efficacy of vision screening, particularly for children of Māori and Pacific ethnicity. Children referred from vision screening achieve lower scores on letter naming fluency, a key predictor of reading ability in later childhood. Equity-based improvements are required to ensure that all children referred from vision screening receive appropriate follow-up eye care.

What Makes Effective Acute Geriatric Care? - A mixed Methods Study From Aotearoa New Zealand

Structured Objectives Current policies for older patients do not adequately address the barriers to effective implementation of optimal care models in New Zealand, partly due to differences in patient definitions and the in-patient pathway they should follow through hospital. This research aims to: (a) synthesise a definition of a complex older patient; (b) identify and explore primary and secondary health measures; and (c) identify the primary components of a care model suitable for a tertiary hospital in the midland region of the North Island of New Zealand.MethodThis mixed-methods study utilised a convergence model, in which qualitative and quantitative data were investigated separately and then combined for interpretation. Semi-structured interviews (n=11) were analysed using a general inductive method of enquiry to develop key codes, categories and themes. Univariate data analysis was employed using six years of routinely collected data of patients admitted to the emergency department and inpatient units (n=261,773) of the tertiary hospital.ResultsA definition of a complex older patient was determined that incorporates chronic conditions, comorbidities and iatrogenic complications, functional decline, activities of daily living, case fatality, mortality, hospital length of stay, hospital costs, discharge destination, hospital readmission and emergency department revisit and age – not necessarily over 65 years old. Well-performing geriatric care models were found to include patient-centred care, frequent medical review, early rehabilitation, early discharge planning, a prepared environment and multidisciplinary teams.ConclusionsThe findings of this New Zealand study increase understanding of acute geriatric care for complex older patients by filling a gap in policies and strategies, identifying potential components of an optimal care model and defining a complex geriatric patient.Implications for Public HealthThe findings of this study present actionable opportunities for clinicians, managers, academics and policymakers to better understand a complex older patient in New Zealand, with significant relevance also for international geriatric care and to establish an effective acute geriatric care model that leads to beneficial health outcomes and provides safeguard mechanisms.

Targeted Enrolment to Improve Equity in the Multi Ethnic New Zealand Study of Acute Coronary Syndromes

Targeted Enrolment to Improve Equity in the Multi Ethnic New Zealand Study of Acute Coronary Syndromes

Pharmacogenomic Variation in Antiplatelet and Anticoagulant Medication Response: Data from the Multi-Ethnic New Zealand Study of Acute Coronary Syndromes

Pharmacogenomic Variation in Antiplatelet and Anticoagulant Medication Response: Data from the Multi-Ethnic New Zealand Study of Acute Coronary Syndromes

Lipoprotein(a) Concentrations Predict Clinical Outcomes Following First-time Acute Coronary Syndromes: The Multi-Ethnic New Zealand Study of Acute Coronary Syndromes

Lipoprotein(a) Concentrations Predict Clinical Outcomes Following First-time Acute Coronary Syndromes: The Multi-Ethnic New Zealand Study of Acute Coronary Syndromes

A national New Zealand study of childhood non-offending contact with police and later offending in adolescence

This study examined the prevalence and nature of children’s contact with police, and how data collected by police during these events may predict children’s later offending behaviour as an adolescent. We employed national data (1999 – 2015) from Aotearoa New Zealand to examine the range of events in which children encounter police during their investigation of an incident or alleged offense, children’s roles during these events, and their sociodemographic characteristics as predictors of later offending in adolescence. Almost twice as many children were exposed to offences in comparison to non-offence incidents, and children exposed to an offence at their first contact with police were also significantly more likely to offend themselves in adolescence. Only a few of the offence or incident categories significantly predicted later offending, along with male gender, Māori ethnicity, later age at first contact with police, frequency of police contact, and any event indicated as family harm. The findings point to the utility of specific aspects of police data in predicting offending behaviour in adolescence, and the potential for this data to be used in collaboration with social service agencies and preventative police practices.

Socio-environmental factors associated with shifts in children's travel mode between 6 and 8 years

IntroductionActive school travel (AST) is an important contributor to child health, yet levels are low and declining in Aotearoa New Zealand. There is a paucity of research exploring change in AST over the earliest school years, a key life stage for setting AST habits for lifelong health gain. We aimed to measure transport mode shifts between 6 and 8 years of age, and identify factors associated with mode shifts. MethodsWe used data from the 6 and 8 year waves of the Growing Up in New Zealand Study, including 642 participants with AST measures at both times. Parents/caregivers were asked about their child's usual transport mode to/from school, perceptions about distance to school, school community cohesion, perceptions of their child at school, and a range of sociodemographic factors. At 8 years, children also self-reported perceptions of peer relationships and school. Factors associated with shifts from active to passive, and passive to active modes from 6 to 8 years were explored using stepwise logistic regression with backwards selection. ResultsAST was low at both time points (37% at 6 years, 34% at 8 years). Overall, 12% moved from active to passive modes and 9% moved from passive to active modes. Higher odds of shifting to active travel modes at 8 years were found for boys, living closer to school, parent-reported importance of living close to school, and child-reported peer relationships/liking school at 8 years. Only one factor was associated with changing to passive modes; for each one unit increase in school community cohesion at 6 years, the odds of changing to passive modes versus remaining with active modes was 15%. ConclusionFindings from this study highlight an urgent need for policy and practice to enable and encourage active travel modes for young children and their families.

Environmental filtering of regeneration patterns in a forest dynamic mosaic in south-central Chile

A trade-off between growth in high light and survival under shade is widely regarded as the main driver of secondary succession in humid forests. Outside the humid tropics, however, the microclimates of large openings may select for traits other than those that maximize growth rates. We tested for differential filtering of sapling functional traits by four different microenvironments in a south-temperate forest in south-central Chile. We measured light, temperatures, humidity, soil nutrients and sapling densities in each of four phases of a forest dynamic mosaic: shaded understoreys, tree-fall gaps, Chusquea bamboo thickets, and clearings. We then measured leaf, wood and reproductive traits, as potential predictors of species’ regeneration patterns. Clearings were exposed to more than twice as many frost days as any other forest phase, and to much larger vapour pressure deficits in summer. Clearings were compositionally distinct from the other three phases, which were indistinguishable from each other. Saplings of 6 out of 20 common arborescent species were significantly associated with one or other of the four phases. These associations were best predicted by a three-trait model combining seed mass, leaf dry matter content, and % winter leaf retention; though this model explained only 10% of observed variation. No species was significantly associated with bamboo thickets. Community-weighted trait means showed that large seeds were the most distinctive trait of understorey plots, whereas bamboo thicket plots had the highest average wood density, and winter leaf retention was significantly lower in clearings than in any other forest phase. Despite the abundant recruitment of large-leaved (semi)deciduous species in clearings, several evergreens with small leaves (< 3.5 cm2) also established primarily or exclusively in clearings. Although this study confirms the strong environmental filtering imposed by the microclimates of clearings in some temperate forests, it reveals more functionally diverse responses to clearing environments than was reported in a parallel study in New Zealand. Smaller sample sizes may partly explain why overall we found less evidence of regeneration niche differentiation and environmental filtering than in the New Zealand study, although attenuation of filtering by vegetative reproduction may also have contributed.

Parent-reported offering of allergen foods to infants during complementary feeding: an observational study

The prevalence of food allergies in New Zealand infants is unknown; however, it is thought to be similar to Australia, where the prevalence is over 10% of 1-year-olds(1). Current New Zealand recommendations for reducing the risk of food allergies are to: offer all infants major food allergens (age appropriate texture) at the start of complementary feeding (around 6 months); ensure major allergens are given to all infants before 1 year; once a major allergen is tolerated, maintain tolerance by regularly (approximately twice a week) offering the allergen food; and continue breastfeeding while introducing complementary foods(2). To our knowledge, there is no research investigating whether parents follow these recommendations. Therefore, this study aimed to explore parental offering of major food allergens to infants during complementary feeding and parental-reported food allergies. The cross-sectional study included 625 parent-infant dyads from the multi-centred (Auckland and Dunedin) First Foods New Zealand study. Infants were 7-10 months of age and participants were recruited in 2020-2022. This secondary analysis included the use of a study questionnaire and 24-hour diet recall data. The questionnaire included determining whether the infant was currently breastfed, whether major food allergens were offered to the infant, whether parents intended to avoid any foods during the first year of life, whether the infant had any known food allergies, and if so, how they were diagnosed. For assessing consumers of major food allergens, 24-hour diet recall data was used (2 days per infant). The questionnaire was used to determine that all major food allergens were offered to 17% of infants aged 9-10 months. On the diet recall days, dairy (94.4%) and wheat (91.2%) were the most common major food allergens consumed. Breastfed infants (n = 414) were more likely to consume sesame than non-breastfed infants (n = 211) (48.8% vs 33.7%, p≤0.001). Overall, 12.6% of infants had a parental-reported food allergy, with egg allergy being the most common (45.6% of the parents who reported a food allergy). A symptomatic response after exposure was the most common diagnostic tool. In conclusion, only 17% of infants were offered all major food allergens by 9-10 months of age. More guidance may be required to ensure current recommendations are followed and that all major food allergens are introduced by 1 year of age. These results provide critical insight into parents’ current practices, which is essential in determining whether more targeted advice regarding allergy prevention and diagnosis is required.

The metabolic health of New Zealand vegans

The popularity of a vegan diet is growing worldwide. Data analysed from the 2018 NZ Attitudes and Values study showed that 1.1% of New Zealanders followed a vegan diet(1). Though there are potential nutrient deficiencies in a vegan diet, it is generally accepted that a vegan diet, with its emphasis on a variety of vegetables, fruit, grains, legumes, and pulses, has greater metabolic benefits than a Western-style diet high in red meat and processed foods and lower in plants(2). This observational cross-sectional study aimed to explore the dietary intake (4-day food diary) and metabolic health status (including anthropometry, blood pressure, lipids, body fat percentage, omega-3 index and glycaemic control) of adults who had been consuming a vegan diet for 2+ years. Participants (N = 212) were predominantly female (N = 155) with a mean (SD) age of 39.5 (12.4) years. Mean cardiometabolic markers of systolic and diastolic blood pressure, BMI, waist circumference, HbA1c, total cholesterol, LDL-cholesterol, HDL-cholesterol, Chol:HDL ratio and triglycerides were all below the thresholds for disease risk. Omega-3 index results &lt;4% placed most participants (86.3%) in the high-risk category for heart disease. Many female participants (71%) had &gt;30% body fat, compared to 5.3% of males. With reference to the AMDR (total fat 20-35%, carbohydrate 45-65% and protein 15-25%), the intake of total fat was at the upper end (males 34.4%, females 35.9%), carbohydrate was at the lower end (males 46.2%, females 44.7%), and protein was below the lower end (males 14.9%, females 14.2%). Saturated fat intakes ranged from 4.0-65.9 g/d, with a mean (SD) of 24.9 (10.5) g/d for males and 20.2 (9.9) g/d for females. The mean (SD) dietary fibre intake was much higher than the AI set by the Ministry of Health of 25g/d for females and 30g/d for males, at 55.0 (17.8) g/d for males and 43.4 (12.8) g/d for females, ranging from 10.9-133.9g/d. This is the first New Zealand study to examine the metabolic health and dietary intake of adult vegans. The results of cardiometabolic health markers indicate that the vegan diet confers cardioprotective benefits. However, the low Omega-3 index of most participants is concerning, which warrants longitudinal research to assess the level of risk conferred by a low Omega-3 index result in a population with no other cardiometabolic risk factors. The findings of the present study may help guide the growing New Zealand vegan community towards a nutritionally optimal vegan diet.