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ANNEXES


I. References

GOVERNMENT REPORTS

Ministry of Health reports (various)
Ministry of Education reports (various)
Barbados Statistical Service reports (various)
Barbados Economic and Social Reports (1999, 2000)
National Population Census Reports (1990, 2000)
National Plan of Action on Nutrition

OTHER MATERIAL

Alert, C.V., Griffith, B. and Holland, A. 1998. A multifaceted lifestyle intervention in relatives of diabetics; preliminary results from the Barbados Diabetes Intervention Study. West Indian Medical Journal, 47(Suppl. 2): 43.

Broome, D. 1984. Aspects of obesity in suburban Kingston women. University of the West Indies, Jamaica. (M.Sc. thesis)

CDC. 1988-1994. National Health and Nutrition Examination Survey III. USA, Centres for Disease Control (CDC).

CFNI. 1994. Recommended Dietary Allowances for the Caribbean. Caribbean Food and Nutrition Institute, Kingston, Jamaica.

CFNI. 1998. Food Consumption Tables for use in the English-speaking Caribbean, CFNI/PAHO, Kingston, Jamaica.

Chronic Disease Research Centre. 1992. Barbados Risk Factor Survey Report. Barbados, CDRC.

Chronic Disease Research Centre. 2002. Barbados Risk Factor and Health Promotion Survey Report. Barbados, CDRC.

Foster, C., Rotimi, C., Fraser, H., Sundarum, C., Liao, Y., Gibson, E., Holder, Y., Hoyos, M. and Mellanson-King, R. 1993. Hypertension, diabetes and obesity in Barbados: findings from a recent population-based survey. Ethnicity and Disease, 3: 404-412.

Fraser, H.S., Forrester, T. and Wilks, R. 1996. The obesity epidemic of the Caribbean. West Indian Medical Journal, 45: 1.

Freeman, V., Fraser, H., Forrester, T., Wilks, R., Cruickshank, J., Rotimi, J. and Cooper, R. 1996. A comparative study of hypertension prevalence, awareness, treatment and control rates in St Lucia, Jamaica and Barbados. Journal of Hypertension, 14(4): 495-501.

HMSO. 1990. Dietary and Nutritional Survey of British Adults. UK, Her Majesty's Stationery Office (HMSO).

HMSO. 1998. National Diet and Nutrition Survey of British People aged ³ 65 years. UK, HMSO.

Ismail, S. 1997. The cost of malnutrition. In Longevity and health: a challenge and investment in the future. AARP/PAHO/HelpAge International Symposium.

Jackson, M., Walker, S., Forrester, T., Cruickshank, J.K. and Wilks, R. 2003. Social and dietary determinants of body mass index of adult Jamaicans of African origin. European Journal of Clinical Nutrition, 57, 621-627.

LeBlanc, R.A.E., Gerstenbluth, C.B. and Koopmans, P.O.C. 1995. Prevalence of anaemia in the Curacao health study: its relationship with socio-economic status and self-reported health status. West Indian Medical Journal, 44 (Suppl. 2): 43.

NNC/CFNI. 1986. The National Health and Nutrition Survey of Barbados, 1981. Barbados, NNC/CFNI.

PAHO/WHO. 1997. Ageing in the Caribbean: demographic indicators. Pan-American Health Organization and WHO. Barbados, PAHO/WHO.

PAHO/WHO. 2000. Report of the Supportive Environment Subcommittee of the National Committee for Older Persons.

WHO. 2000. Obesity: preventing and managing the global epidemic. Technical Report Series No. 894. Geneva, WHO.

II. Table A.1: Frequency of consumption of 84 foods

Food group

Food

None

Monthly

Weekly

Daily

Cereals

White bread

36.0%

10.2%

41.1%

12.7%

Whole wheat bread

28.8%

6.9%

42.4%

22.0%

Crackers

12.6%

8.7%

59.6%

19.1%

Cornmeal

41.2%

23.1%

35.2%

0.5%

Porridge

42.4%

20.1%

34.4%

3.0%

Dried cereal

49.0%

14.0%

31.2%

5.8%

Parboiled rice

49.3%

8.0%

41.3%

1.4%

Rice and peas

5.3%

4.7%

86.7%

3.2%

Pasta

18.0%

19.9%

61.4%

0.8%

Cakes

36.2%

32.1%

30.2%

1.4%

Popcorn

82.1%

10.5%

6.9%

0.5%

Snacks

83.3%

6.9%

8.9%

0.9%

Starchy fruits, roots and tubers

Irish potato

8.7%

14.6%

74.4%

2.3%

Sweet potato

23.6%

23.1%

51.9%

1.4%

Yam

48.3%

23.8%

27.6%

0.4%

Breadfruit

30.7%

27.9%

40.5%

0.8%

Green banana

50.5%

23.5%

25.4%

0.6%

Plantain

36.8%

21.0%

40.0%

2.1%

Other

61.1%

22.1%

16.5%

0.3%

Legumes, nuts and seeds

Beans, fresh

40.0%

12.1%

44.1%

3.8%

Peas, dried

16.2%

8.3%

72.4%

3.0%

Nuts

38.3%

22.9%

34.6%

4.2%

Meat, poultry, fish and shellfish

Fresh meat

29.9%

16.8%

51.3%

2.0%

Offal

80.4%

10.0%

9.3%

0.3%

Poultry

9.2%

2.8%

81.8%

6.2%

Fresh fish

9.2%

16.9%

68.7%

5.2%

Shellfish

93.6%

4.9%

1.4%

0.1%

Dried fish

25.7%

30.1%

43.6%

0.6%

Canned meat

38.3%

25.2%

35.7%

0.8%

Canned fish

17.8%

22.9%

56.8%

2.5%

Processed meat

63.0%

17.8%

18.2%

1.0%

Salted meat

65.5%

6.2%

25.4%

2.9%

Dairy products, eggs

Eggs

24.8%

21.7%

50.2%

3.4%

Whole milk

73.3%

4.7%

16.9%

5.1%

2%-fat milk

78.3%

2.9%

11.7%

7.1%

Evaporated milk

34.1%

2.5%

19.5%

43.9%

Milk powder

92.2%

1.4%

3.8%

2.6%

Condensed milk

81.1%

2.7%

7.8%

8.4%

Natural yoghurt

91.0%

3.8%

4.6%

0.6%

Fruit yoghurt

84.1%

7.5%

7.7%

0.7%

Ice cream

38.0%

37.4%

22.9%

1.7%

Cheddar

32.1%

11.9%

52.1%

3.8%

Processed cheese

69.8%

6.7%

22.4%

1.1%

Cream cheese.

96.0%

2.3%

1.5%

0.2%

Cottage cheese.

98.0%

0.8%

1.0%

0.2%

Milo/ovaltine.

59.6%

5.4%

21.7%

13.2%

Cocoa/chocolate

75.5%

4.4%

14.8%

5.2%

Vegetables

Green, leafy vegetables

9.8%

10.3%

67.7%

12.2%

Yellow vegetables

15.9%

13.7%

63.1%

7.3%

Other vegetables

9.9%

9.8%

71.3%

9.0%

Onions

5.6%

0.4%

22.6%

71.5%

Avocado

51.0%

23.6%

22.3%

3.0%

Seasoning

7.1%

1.4%

32.3%

59.2%

Garlic

13.0%

1.0%

28.6%

57.4%

Tomato

15.3%

5.8%

47.1%

31.8%

Fruit

Citrus fruit

14.4%

9.8%

59.0%

16.8%

Yellow fruit

51.2%

20.1%

24.1%

4.7%

Imported fruit

18.7%

14.4%

54.5%

12.4%

Other fruit

40.8%

17.5%

35.8%

5.9%

Dried fruit

60.2%

19.0%

17.3%

3.6%

Canned fruit

66.6%

20.0%

12.4%

1.0%

Citrus juice

26.3%

8.5%

49.7%

15.4%

Fruit drink

43.6%

10.5%

36.5%

9.4%

Fats and oils

Margarine

23.5%

3.0%

40.0%

33.6%

Butter

57.6%

1.6%

25.5%

15.3%

Peanut butter

67.6%

11.5%

19.2%

1.7%

Shortening

91.4%

5.0%

3.1%

0.5%

Lard

95.6%

2.9%

1.1%

0.4%

Oils

14.7%

7.8%

52.7%

24.8%

Salad dressing

63.6%

5.9%

28.6%

1.9%

Lo-cal dressing

86.5%

2.3%

9.7%

1.6%

Sodas, alcohol, sugars

Sodas

23.9%

9.5%

43.1%

23.5%

Spirits

71.8%

10.1%

14.7%

3.4%

Sugar in milk

86.6%

1.7%

6.3%

5.4%

Sugar in cocoa, etc.

77.8%

2.4%

12.2%

7.6%

Sugar in tea, coffee

47.4%

3.0%

15.5%

34.1%

Sugar in cereal

70.4%

4.9%

20.0%

4.7%

Sugar in fruit drink

39.1%

5.9%

41.8%

13.1%

Jams

77.7%

8.9%

12.6%

0.7%

Jellies

85.5%

5.7%

8.3%

0.5%

Marmalade

87.4%

4.6%

7.7%

0.3%

Candy, chocolate

65.9%

16.2%

15.4%

2.5%

Candy, mints

50.3%

11.2%

27.2%

11.3%

Honey

78.1%

10.2%

8.6%

3.2%

III. Table A.2: Best food sources of nutrients, based on consumers only

Energy

N

Protein

N

Carbohydrates

N

Fresh meat

1 139

Poultry

1 478

Carbonated beverages

1 239

Crackers

1 415

Fresh fish

1 475

Whole wheat bread

1 158

Whole wheat bread

1 158

Fresh meat

1 139

White bread

1 040

White bread

1 040

Canned fish

1 335

Crackers

1 415

Cake

1 040

Fresh beans/peas

981

Cake

1 040

Carbonated beverages

1 239

Whole wheat bread

1 158

Citrus juices

1 202

Fats

N

Saturated fats

N

Cholesterol

N

Fresh meat

1 139

Fresh meat

1 139

Eggs

1 221

Cooking oil

1 382

Cheddar cheese

1 109

Fresh meat

1 139

Canned fish

1 335

Ice cream

1 005

Condensed milk

303

Cheddar cheese

1 109

Evaporated milk

1 074

Ice cream

1 005

Margarine

1 242

Butter

696

Poultry

1 478

Ice cream

1 005

Margarine

1 242

Cheddar cheese

1 109

Calcium

N

Zinc

N

Iron

N

Evaporated milk

1 074

Fresh meat

1 139

Fresh beans/peas

981

Cheddar cheese

1 109

Dried (breakfast) cereals

828

Dried (breakfast) cereals

828

Canned fish

1 335

Poultry

1 478

Whole wheat bread

1 158

Whole wheat bread

1 158

Whole wheat bread

1 158

Canned fish

1 335

Whole milk

431

Canned fish

1 335

Dried peas

1 367

Skimmed milk (2%)

353

Evaporated milk

1 074

Fresh meat

1 139

Vitamin A

N

Vitamin C

N

Folate

N

Sweet potatoes

1 241

Citrus juice

1 202

Dried peas

1 367

Yellow vegetables

1 373

Citrus fruit

1 395

Green leafy vegetables

1 468

Offal

322

Sweet potatoes

1 241

Dried (breakfast) cereals

828

Green leafy vegetables

1 468

Irish potatoes

1 488

Avocado

789

Dried (breakfast) cereals

828

Green leafy vegetables

1 129

Whole wheat bread

1 158

Cheddar cheese

1 109

Breadfruit

807

Citrus fruit

1 395

Thiamin

N

Niacin

N

Riboflavin

N

Irish potatoes

1 488

Poultry

1 478

Evaporated milk

1 074

Fresh meat

1 139

Fresh fish

1 475

Offal

322

Citrus juice

1 202

Fresh meat

1 139

Dried (breakfast) cereals

828

Hot beverages (Milo etc.)

653

Dried (breakfast) cereals

828

Fresh meat

1 139

Whole wheat bread

1 158

Whole wheat bread

1 158

Poultry

1 478

Dried (breakfast) cereals

828

Peanuts/other nuts

1 005

Cheddar cheese

1 109

N = number of consumers.

IV. Table A.3: List of generic foods

Code

Food

01

Flour

02

Bread

03

Rice

04

Corn

05

Cereals (other)

06

Meat (fresh)

07

Offal

08

Meat (canned)

09

Fish (fresh)

10

Fish (canned)

11

Seafood

12

Poultry

13

Eggs

14

Legumes

15

Seed oils

16

Citrus fruit

17

Fruit (other)

18

Fruit (dried)

19

Fruit (canned)

20

Leafy vegetables

21

Non-leafy vegetables

22

Yellow vegetables

23

Canned vegetables

24

Ground provisions (starchy roots and tubers)

25

Milk

26

Cheese

27

Oil

28

Lard

29

Margarine

30

Butter

31

Sugar

32

Carbonated drinks

33

Diet drinks

34

Alcoholic drinks

35

Seasoning

36

Shortening

37

Condiments

38

Chocolate

V. List of participants: Barbados food consumption and anthropometric survey (2000)

* Denotes participants who attended the technical sessions.

MINISTRY OF HEALTH

1. Senator, The Honourable Jerome Walcott, Minister of Health

2. Mr Lionel Weekes, The Permanent Secretary, Ministry of Health

3. Dr Beverley Miller, The Chief Medical Officer

4. Dr Joy St. John, The Senior Medical Officer of Health (S) (acting [Ag])*

5. Mr Samuel Deane, Chief Planning Officer (Ag)

6. Mr Bernard Medford, Systems Analyst, Ministry of Health

7. Mrs Cynthia Reid, Financial Controller, Ministry of Health

8. The Senior Personnel Officer, Ministry of Health

9. Mrs Denise Carter-Taylor, Health Education Officer*

10. Mr Mitchell Clarke, Chief Nursing Officer (Ag)

11. Mrs Vernese Layne, Chief Public Health Nurse (Ag)*

12. Mr William Richards, Senior Environmental Officer*

13. Mr David Rawlins, Community Nutrition Officer (CNO), National Nutrition Centre (NNC)*

14. Mrs Beverley Stanford, CNO, NNC*

15. Miss Diane Brome, CNO, NNC*

16. Miss Carla Ramsay, CNO, NNC*

17. Miss Donna Barker, CNO, NNC*

18. Mrs Glencill Taylor, CNO, NNC*

19. Dr Mark Alleyne, CNO, NNC*

20. Mrs Diana Payne, Community Health Aide, NNC

21. Miss Sheila Forde, Dietitian, Queen Elizabeth Hospital (QEH)*

22. Mrs Rosemary Moore, Dietetic Technician, QEH

23. Mrs Esther Selman, Therapeutic Dietitian, QEH*

24. Mrs Jacqueline Smith, Therapeutic Dietitian, QEH

25. Dr Robert Gaskin, Geriatrician, Geriatric Hospital

26. Mrs Caroline Mars-Yearwood, Food Service Supervisor, Geriatric Hospital*

27. Mrs Denise Jones, Senior Food Service Supervisor, St. Philip District Hospital*

28. Miss Lucille Holder, Dietitian, Psychiatric Hospital*

29. Miss Elizabeth Haynes, Food Service Supervisor, St. Lucy District Hospital*

30. Mr Everton Alleyne, Manager Geriatric Hospital

31. Miss Juliette Crichlow, Food Service Supervisor, Gordon Cummins District Hospital*

32. Mr Terril Scantlebury, Principal Nursing Officer, St. Lucy District Hospital

33. Miss Barbara Gill, Food Service Supervisor, St. Andrew's Children Centre*

34. Dr John Licorish, Medical Officer of Health (MOH), Sir Winston Scott Polyclinic*

35. Dr Cheryl McCollin, MOH, Maurice Byer Polyclinic*

36. Dr Leslie Rollock, MOH, St. Philip Polyclinic

37. Dr Heather Harewood, MOH, Warrens Polyclinic*

38. Dr Elliott Doughlin, MOH, Glebe Polyclinic*

39. Dr Manahar Singh, MOH, Edgar Cochrane Polyclinic

40. Mr Sean Springer, Forms Printer, Ministry of Health

MINISTRY OF AGRICULTURE AND RURAL DEVELOPMENT

41. Mr Michael Hunte, Deputy Chief Agriculture Officer

42. Mr Greg Rawlins, Chief Economist, Planning Unit, Ministry of Agriculture and Rural Development

43. Mrs Suzette Edey-Babb, Economist, Ministry of Agriculture and Rural Development*

44. Mr Mark Byer, Information Unit, Ministry of Agriculture and Rural Development*

45. Mr Hamilton Blackman, Information Unit, Ministry of Agriculture and Rural Development

46. Mr George Mason, Chief Extension Officer, Ministry of Agriculture and Rural Development*

MINISTRY OF EDUCATION

47. Mrs Wendy Griffith-Watson, Chief Education Officer, Ministry of Education

48. Mrs Rosemary Welch, Education Officer, Food & Nutrition, Ministry of Education

49. Miss Venecia Cadogan, Education Officer, Physical Education, Ministry of Education*

50. Miss Marcilia Nelson, Manager, School Meals Department, Ministry of Education*

51. Miss Shirley Hoyte, Home Economics Teacher, Springer Memorial School*

52. Dr Livy Forde, Lecturer in Medicine, School of Clinical Medicine & Research, University of the West Indies

53. Miss Winifred Banfield, Instructor, Human Ecology Department, Samuel Jackman Polytechnic*

54. Miss Avis Jones, Instructor, Human Ecology Department, Samuel Jackman Polytechnic*

OTHER GOVERNMENT DEPARTMENTS/STATUTORY ORGANIZATIONS

55. Mr Dudley Rhynd, Director, Barbados National Standards Institution (BNSI)

56. Mr Lester Springer, Chief Technical Officer, BNSI*

57. Mr Victor Browne, Senior Statistician, Barbados Statistical Services*

58. Miss Sonia Foster, Senior Administrative Officer, Finance & Planning Unit, Ministry of Finance

59. Ms Sheila Stuart, Director, Bureau of Gender Affairs, Ministry of Social Transformation*

60. Miss Caroline King, Field Investigator, Poverty Alleviation Bureau*

61. Ms Patricia Boyce, Research Officer, Bureau of Gender Affairs, Ministry of Social Transformation*

62. Miss Valentia Obamwonyi, Welfare Officer, National Assistance Board*

FOOD AND AGRICULTURE ORGANIZATION

63. Mr Winston Rudder, Sub-Regional Representative, FAO

64. Dr Robert Weisell, FAO (Rome)*

65. Mrs Carmen Dardano, Nutritionist*

66. Dr Ismail Suyaiya, FIVIMS/FAO Consultant*

67. Mrs Inez Straughan, Programme Assistant

68. Mr Emerson Beckles, National Professional Officer

69. Mrs Melinda Mills, Clerk/Stenographer*

PAN-AMERICAN HEALTH ORGANIZATION/WHO

70. Dr Glenda Maynard, Advisor Chronic Disease & Health Promotion*

71. Miss Claire Forrester, Media Communications Advisor*

CARIBBEAN FOOD AND NUTRITION INSTITUTE

72. Mrs Beverley Lawrence, Food Policy Analyst, Caribbean Food and Nutrition Institute*

FOOD SECTOR

73. Mr Carlton Batson, Plant Manager, Purity Bakeries

74. Mr Anthony Gazette, Marketing Manager, Zephrin Bakeries

75. Miss Emily Rose, Nutritionist, Super Centre Ltd (supermarket)*

76. Mrs Phyllis Worrell, Purchaser, Budg-Buy Corporation (supermarket)*

77. Ms Lois Walcott, Supervisor, Produce Section, Carlton Supermarket*

78. Miss Sandra Newton, Quality Control Manager, ADM Barbados Mills

79. Mr Jeffrey Taitt, Area Manager, Kentucky Fried Chicken*

80. Mr Michael Dottin, Area Manager, Kentucky Fried Chicken*

81. Mr David Lavine, Marketing Manager, Pine Hill Dairy

82. Senator Keith Laurie, Farmer, Sugar Land Farms*

83. Mr Tyrone Power, President, Barbados Agriculture Society*

MEDIA

84. Miss Joy-Ann Knight, Government Information Service*

85. Ms Latoya Burnham, Reporter, Nation Publishing Co. Ltd

86. Mr David Hinkson, Reporter, Barbados Advocate, Advocate Publishers (2000) Inc.

87. Mr Keith Goddard, Reporter, Starcom Network Inc.

88. Television Reporter, Caribbean Broadcasting Corporation

NON-GOVERNMENTAL ORGANIZATIONS

89. Mrs Karen Griffith, Dietitian, private practice

90. Mr Elridge Bellamy, Men's Education and Support Group*

91. Mrs Angela Gaskin, National Consultant of Survey, Chronic Disease Research Centre

92. Ms Cheryl Malone, Representative, Barbados Registered Nurses Association

93. Miss Monica Dottin, Representative, Diabetes Association of Barbados*

94. Mr George Griffith, Instructor, Surfside Gym

95. Mrs Margot Aquan, President, Barbados Association of Home Economics*

96. Mr Wilfred. Beckles, Chairman, National Committee on Aging*

97. Mrs Pauline Beckles, Retired Nurse, Representative, Barbados Association of Retired Persons*

98. Mrs Marion Hart, Director, Seven of Hart's Food Service, Crane Development, St. Philip*

99. Miss Gloria Gooding, 4 H Office*

100. Mrs. Eileen Alleyne, Food Service Supervisor, Codrington College, St. John*


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