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Dietary intakes and anthropometric measures of Indigenous Australian women and their infants in the Gomeroi gaaynggal cohort

  • A. M. Ashman (a1) (a2) (a3), C. E. Collins (a1) (a3), L. J. Weatherall (a2) (a4), L. Keogh (a2), L. J. Brown (a5), M. E. Rollo (a1) (a3), R. Smith (a4) (a6) and K. M. Rae (a2) (a4) (a5) (a6)...


Indigenous Australians continue to experience disparities in chronic diseases, many of which have nutrition-related trajectories. Optimal nutrition throughout the lifespan is protective for a number of adverse health outcomes, however little is known about current dietary intakes and related anthropometric outcomes of Indigenous women and their infants. Research is required to identify nutrition issues to target for health promotion activities. The Gomeroi gaaynggal programme is an ongoing, prospective cohort of pregnant Indigenous Australian women and their children. A cross-sectional examination of postnatal dietary intakes and anthropometric outcomes of mothers and children are reported. To date, 73 mother–child dyads have participated postpartum. Breastfeeding initiation was 85.9% and median (interquartile range) duration of any breastfeeding was 1.4 (0.5–4.0) months. Infants were introduced to solid foods at 5.0 months (4.0–6.0) and cow’s milk at 12.0 (10.0–13.0) months. At 12 months postpartum, 66.7% of women were overweight or obese, 63.7% at 2 years. Compared with recommendations, reported median maternal nutrient intakes from 24-h recall were low in fibre, folate, iodine, calcium, potassium and vitamin D and high in proportions of energy from total and saturated fat. Limitations of this study include a small sample size and incomplete data for the cohort at each time point. Preliminary data from this ongoing cohort of Indigenous Australian women and children suggest that women may need support to optimize nutrient intakes and to attain a healthy body weight for themselves and their children.


Corresponding author

*Address for correspondence: K. M. Rae, Gomeroi gaaynggal Centre, Faculty of Health and Medicine, University of Newcastle, 2/1 Hinkler Road, Tamworth, NSW, Australia. (Email


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1. Barker, D. Fetal origins of coronary heart disease. BMJ. 1995; 311, 171174.
2. Barker, DJ. Maternal nutrition, fetal nutrition, and disease in later life. Nutrition. 1997; 13, 807813.
3. Barker, DJ, Gluckman, PD, Godfrey, KM, et al. Fetal nutrition and cardiovascular disease in adult life. Lancet. 1993; 341, 938941.
4. Ruchat, S-M, Bouchard, L, Hivert, M-F. Early infant nutrition and metabolic programming: what are the potential molecular mechanisms? Curr Nutr Rep. 2014; 3, 281288.
5. Obermann-Borst, S, Eilers, P, Tobi, E, et al. Duration of breastfeeding and gender are associated with methylation of the LEPTIN gene in very young children. Pediatr Res. 2013; 74, 344349.
6. Dominguez-Salas, P, Moore, SE, Baker, MS, et al. Maternal nutrition at conception modulates DNA methylation of human metastable epialleles. Nat Commun. 2014; 5, 3746.
7. Mikkilä, V, Räsänen, L, Raitakari, O, Pietinen, P, Viikari, J. Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study. Br J Nutr. 2005; 93, 923931.
8. Northstone, K, Emmett, P. Are dietary patterns stable throughout early and mid-childhood? A birth cohort study. Br J Nutr. 2008; 100, 10691076.
9. National Health and Medical Research Council. Eat for health: infant feeding guidelines information for health workers, 2012. Department of Health and Ageing, Australian Government: Canberra.
10. Baird, J, Fisher, D, Lucas, P, et al. Being big or growing fast: systematic review of size and growth in infancy and later obesity. BMJ. 2005; 331, 929.
11. Weng, S, Redsell, S, Swift, J, Yang, M, Glazebrook, C. Systematic review and meta-analyses of risk factors for childhood overweight identifiable during infancy. Arch Dis Child. 2012; 97, 10191026.
12. Brands, B, Demmelmair, H, Koletzko, B. Early Nutrition project. How growth due to infant nutrition influences obesity and later disease risk. Acta Paediatr. 2014; 103, 578585.
13. Forsén, T, Eriksson, J, Tuomilehto, J, Osmond, C, Barker, D. Growth in utero and during childhood among women who develop coronary heart disease: longitudinal study. BMJ. 1999; 319, 14031407.
14. Australian Indigenous HealthInfoNet. The context of Aboriginal and Torres Strait Islander health, 2015. Retrieved 20 June 2016 from
15. Australian Institute of Health and Welfare. Mortality and life expectancy of Indigenous Australians 2008 to 2012, 2014. Australian Institute of Health and Welfare, Australian Government: Canberra.
16. Australian Bureau of Statistics. The health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples, October 2010, 2012. Australian Bureau of Statistics. Retrieved 9 October 2015 from
17. Australian Bureau of Statistics. 4727.0.55.001-Australian Aboriginal and Torres Strait Islander Health Survey: first results, Australia, 2012–13, 2013. Australian Bureau of Statistics. Retrieved 1 June 2016 from
18. Australian Bureau of Statistics. Australian Aboriginal and Torres Strait Islander Health Survey: nutrition results – food and nutrients, 2012–13, 2015. Australian Bureau of Statistics. Retrieved 12 October 2015 from
19. Craig, M, Femia, G, Broyda, V, Lloyd, M, Howard, N. Type 2 diabetes in Indigenous and non-Indigenous children and adolescents in New South Wales. Med J Aust. 2007; 186, 497499.
20. Cromie, EAS, Shepherd, CCJ, Zubrick, SR, Oddy, WH. Breastfeeding duration and residential isolation amid Aboriginal children in Western Australia. Nutrients. 2012; 4, 20202034.
21. Eades, S, Read, A, McAullay, D, et al. Modern and traditional diets for Noongar infants. J Paediatr Child Health. 2010; 46, 398403.
22. Robinson, SM. Infant nutrition and lifelong health: current perspectives and future challenges. J Dev Orig Health Dis. 2015; 6, 384389.
23. Australian Bureau of Statistics. Estimates of Aboriginal and Torres Strait Islander Australians, June 2011, 2013. Australian Bureau of Statistics. Retrieved 7 August 2014 from
24. Australian Bureau of Statistics. Socio-Economic Indexes for Areas (SEIFA), data cube only, 2011, 2013. Australia Bureau of Statistics. Retrieved 23 March 2016 from
25. Rae, K, Weatherall, L, Smith, R, Mackay, P. The birth of Gomeroi gaaynggal. Aboriginal Isl Health Work J. 2009; 33, 35.
26. Rae, K, Weatherall, L, Naden, M, Slater, P, Smith, R. Gomeroi gaaynggal – moving forward. Aboriginal Isl Health Work J. 2011; 35, 2829.
27. McLennan, V, Khavarpour, F. Culturally appropriate health promotion: its meaning and application in Aboriginal communities. Health Promot J Aust. 2004; 15, 237239.
28. Nelson, M, Erens, B, Bates, B, Church, S, Boshier, T. Protocol for the completion of a food consumption record: individual 24-hour recall. Dietetic Department, Kings College London. Retrieved from
29. Human Nutrition Research Centre. Nutrition in the Newcastle 85+study. Overview of the 24hr multiple pass recall. Newcastle University. Retrieved from
30. Food Standards Australia New Zealand. Australian Food, Supplement & Nutrient Database 2007 for estimation of population nutrient intakes, 2008. Food Standards Australia New Zealand: Canberra.
31. Eyeson-Annan, M. Monitoring child health in NSW: the New South Wales Child Health Survey 2001 and beyond. N S W Public Health Bull. 2002; 13, 239240.
32. National nutrition survey: nutrient intakes and physical measurements, 1998. Australian Bureau of Statistics. Retrieved 7 August 2014 from
33. Hector, D, Webb, K, Lymer, S. Report on Breastfeeding in NSW 2004, 2004. Centre for Public Health Nutrition NSW Health Department, CPHN/NSW Health Department: Sydney.
34. Webb, K, Marks, G, Lund-Adams, M, Rutishauser, I, Abraham, B. Towards a National System for Monitoring Breastfeeding in Australia: Recommendations for Population Indicators, Definitions and Next Steps. 2001. Australian Food and Nutrition Monitoring Unit, Commonwealth Department of Health and Aged Care: Canberra.
35. Hure, A, Collins, C, Giles, W, Wright, I, Smith, R. Protocol for the Women And Their Children’s Health (WATCH) study: a cohort of pregnancy and beyond. J Epidemiol. 2012; 22, 267275.
36. Gardosi, J, Francis, A. Customised weight centile calculator: GROW version 6.7 (UK), 2013. Gestation Network. Retrieved 1 June 2016 from
37. Stewart, A, Marfell-Jones, M, Olds, T, de Ridder, H. International Standards for Anthropometric Assessment. 2011. New Zealand International Society for the Advancement of Kinanthropometry: Lower Hutt.
38. World Health Organization. Global Database on Body Mass Index: BMI classification, 2006. World Health Organization. Retrieved 16 March 2016 from
39. Sayers, S, Mackerras, D, Singh, G. Update on the Aboriginal Birth Cohort study. Aboriginal Isl Health Work J. 2004; 28, 68.
40. Sayers, S, Mackerras, D, Singh, G, et al. An Australian Aboriginal birth cohort: a unique resource for a life course study of an Indigenous population. A study protocol. BMC Int Health Hum Rights. 2003; 3, 1.
41. Sayers, S, Singh, G, Mott, S, McDonnell, J, Hoy, W. Relationships between birthweight and biomarkers of chronic disease in childhood: Aboriginal Birth Cohort Study 1987-2001. Paediatr Perinat Epidemiol. 2009; 23, 548556.
42. Brown, S, Weetra, D, Glover, K, et al. Improving Aboriginal women’s experiences of antenatal care: findings from the Aboriginal Families Study in South Australia. Birth. 2015; 42, 2737.
43. Buckskin, M, Ah Kit, J, Glover, K, et al. Aboriginal Families Study: a population-based study keeping community and policy goals in mind right from the start. Int J Equity Health. 2013; 12, 41.
44. Australian Institute of Health and Welfare. 2010 Australian National Infant Feeding Survey: Indicator Results. 2011. AIHW: Canberra.
45. World Health Organization. Exclusive Breastfeeding for Six Months Best for Babies Everywhere: Statement. 2011. World Health Organization: Geneva.
46. Australian Bureau of Statistics. Australian Health Survey: health service usage and health related actions, 2011-12, 2013. Australian Bureau of Statistics. Retrieved 9 October 2015 from
47. Pearce, J, Taylor, MA, Langley-Evans, SC. Timing of the introduction of complementary feeding and risk of childhood obesity: a systematic review. Int J Obes (Lond). 2013; 37, 12951306.
48. Huh, SY, Rifas-Shiman, S, Taveras, EM, Oken, E, Gilman, MW. Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics. 2011; 127, e544e551.
49. Moorcraft, K, Marshall, J, McCormick, F. Association between timing of introducing solid foods and obesity in infancy and childhood: a systematic review. Matern Child Nutr. 2010; 7, 326.
50. Australasian Society of Clinical Immunology and Allergy. Infant feeding advice, 2010. Australasian Society of Clinical Immunology and Allergy. Retrieved November 2015 from
51. National Health and Medical Research Council. Australian dietary guidelines, 2013. Department of Health and Ageing, Canberra National Health and Medical Research Council, Canberra, Australia.
52. Faith, MS, Dennison, BA, Edmunds, LS, Stratton, HH. Fruit juice intake predicts increased adiposity gain in children from low-income families: weight status-by-environment interaction. Pediatrics. 2006; 118, 20662075.
53. Gibson, S. Sugar-sweetened soft drinks and obesity: a systematic review of the evidence from observational studies and interventions. Nutr Res Rev. 2008; 21, 134147.
54. Malik, VS, Schulze, MB, Hu, FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr. 2006; 84, 274288.
55. Lussi, A, Megert, B, Shellis, RP, Wang, X. Analysis of the erosive effect of different dietary substances and medications. Br J Nutr. 2012; 107, 252262.
56. Australian Institute of Health and Welfare. Making Progress: The Health, Development and Wellbeing of Australia’s Children and Young People, 2008. Australian Institute of Health and Welfare: Canberra.
57. Australian Institute of Health and Welfare. A picture of Australia’s children 2012, Cat. no. PHE 167 ed, 2012. Australian Institute of Health and Welfare: Canberra.
58. Laws, P, Sullivan, E. Australia’s mothers and babies 2007, Cat. no. PER 48 ed, 2009. AIHW National Perinatal Statistics Unit: Sydney.
59. Delisle, H. Programming of Chronic Disease by Impaired Fetal Nutrition: Evidence and Implications for Policy and Intervention Strategies. 2002. World Health Organization, Department of Nutrition for Health and Development and Department of Noncommunicable Disease Prevention and Health Promotion: Switzerland.
60. Food Standards Australia New Zealand. Consumers’ Awareness, Attitudes and Behaviours Towards Food Fortification in Australia and New Zealand. 2013. Food Standards Australia: ACT and Wellington.
61. Australian Health Survey: usual nutrient intakes, 2011-12, 2015. Australian Bureau of Statistics. Retrieved 20 November 2015 from
62. National Health and Medical Research Council, New Zealand Ministry of Health. Nutrient Reference Values for Australia and New Zealand Including Recommended Dietary Intakes. 2006. National Health and Medical Research Council, Commonwealth of Australia: Canberra.
63. Browne, J, Laurence, S, Thorpe, S. Acting on food insecurity in urban Aboriginal and Torres Strait Islander communities: Policy and practice interventions to improve local access and supply of nutritious food. Retrieved from
64. Lee, AJ, Leonard, D, Moloney, AA, Minniecon, DL. Improving Aboriginal and Torres Strait Islander nutrition and health. Med J Aust. 2009; 190, 547548.
65. Brimblecombe, JK, O’Dea, K. The role of energy cost in food choices for an Aboriginal population in northern Australia. Med J Aust. 2009; 190, 549551.
66. Brimblecombe, J, van den Boogaard, C, Wood, B, et al. Development of the good food planning tool: a food system approach to food security in Indigenous Australian remote communities. Health Place. 2015; 34, 5462.
67. Rooney, B, Schauberger, C. Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol. 2002; 100, 245252.
68. Gunderson, E. Childbearing and obesity in women: weight before, during, and after pregnancy. Obstet Gynecol Clin North Am. 2009; 36, 317332.
69. Gunderson, E, Abrams, B. Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiol Rev. 2000; 22, 261274.
70. Australian Bureau of Statistics. Australian Health Survey: first results, 2011-12. Table 6. Body mass index by age and sex – Australia, 2012. Australian Bureau of Statistics. Retrieved November 2015 from
71. Fries, E, Green, P, Bowen, D. What did I eat yesterday? Determinants of accuracy in 24-hour food memories. Appl Cogn Psychol. 1995; 9, 143155.
72. Thompson, F, Subar, A. Dietary assessment methodology. In Nutrition in the Prevention and Treatment of Disease (eds. Coulston A, Boushey C, Ferruzzi M), 2013; pp. 546. Elsevier: London, Waltham and San Diego.
73. Australian Bureau of Statistics. Australian Health Survey: users’ guide, 2011-13. Under-reporting in nutrition surveys, 2014. Australian Bureau of Statistics. Retrieved November 2015 from
74. Pasco, J, Holloway, K, Dobbins, A, et al. Body mass index and measures of body fat for defining obesity and underweight: a cross-sectional, population-based study. BMC Obes. 2014; 1, 17.



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