Learning Objective 1: ..describe unique social, environmental and health issues facing women and children in the Galapagos Islands.
Learning Objective 2: ... discuss health needs related to body image and nutrition of women and their children in the Galapagos Islands.
Methods: The study design is a mixed methods descriptive study. Twenty women with at least one child under 5 years of age were interviewed. In addition, anthropometric data was collected on the women and their children. Body image silhouettes were used to evaluate perceived body image (Hager, McGill & Black, 2010). Interviews were analyzed with Atlas.ti and through the creation of visual matrixes.
Results: Nine (45%) women were overweight or obese. Seven (35%) of children were overweight or obese. Average body dysphoria scores were +0.8 implying that mothers wanted to be smaller than they perceived themselves. Body dysphoria scores for mothers’ perception of their childrens’ body size were -0.8 demonstrating that mothers desired children to be larger than they perceived them. Qualitative analysis revealed varying understanding of healthy body weight for self and children creating a dual burden (Doak, et al., 2005) in many households with over and under nutrition present.
Conclusion: Traditional international nutrition and health interventions tend to focus on malnourishment and increasing caloric consumption. This may need to be modified in areas of rapid economic and nutritional transition such as the Galapagos Islands.
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