title: Assessing foods offered in the Food Distribution Program on Indian Reservations (FDPIR) using the Healthy Eating Index 2010.
abstract: OBJECTIVE
  To assess the nutritional quality of food packages offered in the Food Distribution Program on Indian Reservations (FDPIR) using the Healthy Eating Index 2010 (HEI-2010).
  
  
  METHODS
  Data were collected from the list of the food products provided by the US Department of Agriculture's Food and Nutrition Handbook 501 for FDPIR. Nutritional quality was measured through a cross-sectional analysis of five randomly selected food packages offered through FDPIR. HEI-2010 component and total scores were calculated for each food package. ANOVA and t tests assessed significant differences between food packages and HEI-2010 maximum scores, respectively.
  
  
  METHODS
  This study took place in the USA.
  
  
  METHODS
  Study units included food products offered through FDPIR.
  
  
  RESULTS
  The mean total HEI-2010 score for the combined FDPIR food packages was significantly lower than the total HEI-2010 maximum score of 100 (66·38 (sd 11·60); P<0·01). Mean scores for total fruit (3·52 (sd 0·73); P<0·05), total vegetables (2·58 (sd 0·15); P<0·001), greens and beans (0·92 (sd 1·00); P<0·001), dairy (5·12 (sd 0·63); P<0·001), total protein foods (4·14 (sd 0·56); P<0·05) and refined grains (3·04 (sd 2·90); P<0·001) were all significantly lower than the maximum values.
  
  
  CONCLUSIONS
  The FDPIR food package HEI-2010 score was notably higher than other federal food assistance and nutrition programmes. Study findings highlight opportunities for the FDPIR to modify its offerings to best support lifestyles towards prevention of diet-related chronic disease.
authors: 1Food and Health Lab,Department of Health and Human Development,Montana State University,PO Box 173540,Bozeman,MT 59717,USA.
authors: Carmen
authors: C
authors: Byker Shanks
authors: 2Department of Health Promotion,Social and Behavioral Health,University of Nebraska Medical Center,Omaha,NE,USA.
authors: Teresa
authors: T
authors: Smith
authors: 1Food and Health Lab,Department of Health and Human Development,Montana State University,PO Box 173540,Bozeman,MT 59717,USA.
authors: Selena
authors: S
authors: Ahmed
authors: 3222 Herrick Hall,Montana State University,Bozeman, MT,USA.
authors: Holly
authors: H
authors: Hunts
mesh_terms: D003430:Cross-Sectional Studies; D003611:Dairy Products; D000072001:Diet, Healthy; D004044:Dietary Proteins / Q000008:administration & dosage; D002149:Energy Intake; D007887:Fabaceae; D005504:Food Analysis; D063105:Food Assistance; D018857:Food Packaging; D005638:Fruit; D006078:Government Programs; D006801:Humans; D007198:Indians, North American; D008019:Life Style; D009753:Nutritive Value; D014675:Vegetables
chemical_list: D004044:Dietary Proteins
keywords: American Indian; Diet; FDPIR; Food access; Food assistance; Nutrition