title: Insights on food and nutrition in the Federated States of Micronesia: a review of the literature.
abstract: BACKGROUND
  Nutrition-related disorders, including vitamin A deficiency (VAD) and chronic diseases, are serious problems in the Federated States of Micronesia (FSM). Many suggest that these disorders are new problems related to dietary and lifestyle changes. In the past four decades, imported foods, such as white rice, flour, sugar, refined foods and fatty meats, have increasingly replaced local foods in the diet.
  
  
  OBJECTIVE
  A literature review was conducted to understand underlying issues related to dietary change and obtain insights for nutrition research and interventions.
  
  
  METHODS
  Published and unpublished papers from different disciplines were reviewed and collated for information on food and nutrition in FSM. Topics covered were historical background, local foods, infant and child feeding, dietary assessment, and nutritional status. Particular focus was on information and data relating to VAD, the primary topic that led to the review of the literature.
  
  
  CONCLUSIONS
  FSM, a tropical country of abundant agricultural resources, has suffered a great loss in production and consumption of local foods. Inconsistent external and internal government policies and food aid programmes have contributed to the problem. Further research on the nutrient content of local foods and factors affecting production, acquisition and consumption is needed, as well as a broad, well-planned, intersectoral intervention aimed at dietary improvement for all age groups in the population.
authors.affiliation: Nutrition Program, Division of International Health, School of Population Health, University of Queensland, Brisbane, Australia. L.Englberger@sph.uq.edu.au
authors.forename: Lois
authors.initials: L
authors.lastname: Englberger
authors.forename: Geoffrey C
authors.initials: GC
authors.lastname: Marks
authors.forename: Maureen H
authors.initials: MH
authors.lastname: Fitzgerald
mesh_terms: D000328:Adult; D002675:Child, Preschool; D004032:Diet / Q000639:trends*; D006801:Humans; D007223:Infant; D008019:Life Style; D008849:Micronesia / Q000453:epidemiology; D009748:Nutrition Disorders / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D009752:Nutritional Status; D015995:Prevalence; D012307:Risk Factors; D014801:Vitamin A / Q000097:blood
chemical_list: D014801:Vitamin A