National Aboriginal and Torres Strait Islander Nutrition and Physical Activity Survey

Latest release

Information on the food and nutrition, diets, and physical activity of Aboriginal and Torres Strait Islander peoples

Reference period
2023
Release date and time
03/10/2025 11:30am AEST

Key statistics

For Aboriginal and Torres Strait Islander peoples:

  • Six in ten (63.8%) people aged 18 years and over were always able to access healthy and nutritious foods in the 4 weeks before their interview
  • Two in ten (20.1%) people experienced barriers to drinking tap water in the previous 12 months
  • Almost half (46.6%) of people consumed sweetened drinks on the day before their interview

Any reference to persons/people/peoples in this release refers to Aboriginal and Torres Strait Islander persons/people/peoples.

This release was developed in consultation with the ABS’ Aboriginal and Torres Strait Islander Health Surveys Advisory Group. These external stakeholders provided valuable guidance on the survey content and data.

About the National Aboriginal and Torres Strait Islander Nutrition and Physical Activity Survey

The National Aboriginal and Torres Strait Islander Nutrition and Physical Activity Survey (NATSINPAS) 2023 ran from January 2023 to March 2024. This survey collected information about nutritional intakes (including food, nutrients and supplements consumed) from people aged 2 years and over using dietary recall and other self-reported questions.

The ABS will release more information on Physical activity in 2026.

Factors affecting dietary behaviours

A healthy and nutritious diet can improve an individual’s quality of life and lower the risk of developing health conditions like heart disease, stroke, high blood pressure and Type 2 diabetes[1]. Food and drink choices are shaped by a variety of factors including income, food prices, food availability, access to safe and reliable drinking water, cultural traditions, and individual preferences and needs[2][3][4].

Definitions

Access to healthy and nutritious food and drinks

Reasons for choosing food and drinks usually consumed

Consumption of tap water at home

Food and drink consumption

Food and drinks provide the energy and nutrients people need to stay healthy. Eating a variety of food is recommended for good nutrition and improves quality of life, reduces the risk of infection and chronic conditions, and is essential for normal growth[6][7].

People were asked to report the food and drinks they consumed on the day before their interview using a 24-hour dietary recall tool called Intake24. This analysis excludes any dietary supplement consumption, which is the focus of Dietary supplements.

Measuring food and drink intake

List of abbreviated AUSNUT food groups

Care should be taken when interpreting changes in food consumption between 2012–13 and 2023, due to changes in reporting behaviours as well as subsequent data processing (i.e. changes to the AUSNUT classification). Time series comparability is not possible at the sub-major food group level or lower. Consumption patterns may have been influenced by actual changes in dietary behaviours and food availability. For more information see IHMHS: Concepts, Sources and Methods.

Food and drinks consumed

Non-alcoholic beverages

Cereals and grains

Cereal based products and dishes

Fruit products and dishes

Meat and poultry products and dishes

Milk products and dishes

Vegetable products and dishes

Alcoholic beverages

Sweetened drinks

Some non-alcoholic drinks that are high in sugar and low in essential nutrients are known as ‘sweetened drinks’. These have sugar or artificial sweetener added and include soft drinks, cordials, fruit drinks, and energy drinks. 

Sweetened drinks may take the place of more nutritious food and drink in the diet and at the same time contribute to developing chronic conditions, such as cardiovascular disease and type 2 diabetes. The 2013 Australian Dietary Guidelines recommend limiting consumption of sugar-sweetened drinks, and swapping them for other drinks, such as water or unsweetened iced tea[8].

For this analysis, sweetened drink consumption was derived only from drinks reported by people on the day before their interview.

Interpreting sweetened drink consumption

People may consume fruit and vegetable drinks that contain added sugar and report them as 100% fruit and vegetable juices which are not considered sweetened drinks. For this analysis, fruit and vegetable drinks have not been reported on separately and care is recommended when interpreting sweetened drink consumption over time.

Sweetened drink consumption

Types of sweetened drinks

Sugars and caffeine intake from sweetened drinks

Energy and macronutrient intake

Dietary energy is needed for metabolic processes, physiological functions, muscular activity, heat production and growth and development. Energy comes from the macronutrients in food, primarily carbohydrates, proteins and fats. Dietary fibre and alcohol also contribute small amounts of energy. The average daily energy requirement for an adult is around 8,700 kilojoules (kJ) but varies considerably depending on a person’s age, sex, body size, metabolism and level of physical activity[9].

Energy and macronutrient intakes in this analysis are derived only from food and drinks that people reported consuming on the day before their interview, and excludes any nutrients sourced from dietary supplements. This is likely to be an under-estimate of true intake due to inherent under-reporting bias associated with dietary surveys. For people aged 10 years and over, the proportion of under-reporting appears to be 27.4%, similar to 2012–13 (25.3%). See the methodology for more information about estimating energy and macronutrient intake and analysis on under-reporting.

Energy

Daily energy intake

Macronutrients

Interpreting macronutrient results

Macronutrient balance

Carbohydrate

Protein

Fat

Alcohol

Energy from discretionary foods

Food and drinks that are not necessary to provide the nutrients the body needs, but that add variety and that people enjoy eating, are considered discretionary foods. The 2013 Australian Dietary Guidelines encourage people to limit their consumption of discretionary foods where possible, as they are high in energy, saturated fat, added sugar or salt, and typically low in essential nutrients. Examples of discretionary foods include biscuits, confectionery, sweet and savoury pastries, processed meats, salty snack food, sugar-sweetened drinks and alcoholic drinks[8][10].

Energy intake from discretionary foods is derived only from food and drinks that people reported consuming on the day before their interview. A full list of criteria for assigning foods as discretionary is available in the IHMHS: Concepts, Sources and Methods.

People may not always report all the food they eat, especially if the food is considered unhealthy. This can lead to additional under-reporting of discretionary foods in nutrition surveys.

Time series analysis of discretionary food consumption is not possible within all AUSNUT major food groups due to changes in criteria for assigning discretionary food status within these groups and changes in reporting behaviours. For more information see the IHMHS: Concepts, Sources and Methods.

Discretionary foods contribution to energy

Selected micronutrients and caffeine

Vitamins and minerals are types of nutrients (called micronutrients) that are needed by the body in small amounts. They do not contribute to dietary energy but are involved in bodily functions such as enabling the body to produce enzymes, hormones and other substances needed for normal growth and development. Micronutrient deficiencies can sometimes lead to life-threatening health conditions[13]. Caffeine is not a micronutrient but has been included in this analysis given interest in caffeine consumption from a public health perspective.

Micronutrient estimates are based only on food and drinks that people reported consuming on the day before their interview and exclude micronutrients sourced from supplements. 17.5% of people took a dietary supplement on the day before their interview, which contributes to their overall nutrient intake.

Interpreting micronutrient results

In general, average micronutrient intakes have remained relatively stable between 2012–13 and 2023. However, vitamin B12 intake decreased, while calcium and iodine intake increased over this period. More information on each micronutrient is detailed below.

Thiamin (vitamin B1)

Vitamin B6

Folate (vitamin B9)

Vitamin B12

Vitamin C

Vitamin D

Calcium

Iodine

Iron

Sodium

Caffeine

Dieting

People can choose to go on diets for a variety of reasons, including to lose weight, to reduce the risk of chronic health problems and for general health and wellbeing[19].

People aged 15 years and over were asked if they were currently on a diet to lose weight or for other health reasons. If so, they were then asked the types of diets they were currently on.

Dieting

Dietary supplements

Dietary supplements are products intended to provide a nutrient that may be missing from the diet. While supplements cannot replace a balanced diet, a dietary supplement may be recommended for individuals who are lacking specific nutrients[10].

Interpreting dietary supplement consumption

Dietary supplements

Type of dietary supplement

Acknowledgements

The ABS would like to acknowledge the assistance and advice provided by Food Standards Australia New Zealand (FSANZ) and Monash University in the conduct of this survey.

The ABS would also like to thank all Aboriginal and Torres Strait Islander peoples and communities who took part in the NATSINPAS 2023.

Footnotes

  1. Australian Institute of Health and Welfare, Food and nutrition: Overview, https://www.aihw.gov.au/reports-data/behaviours-risk-factors/food-nutrition/overview; accessed 25/08/2025.
  2. National Indigenous Australians Agency (NIAA), ‘National Strategy for Food Security in Remote Aboriginal and Torres Strait Islander Communities’, https://www.niaa.gov.au/resource-centre/national-strategy-food-security-remote-first-nations-communities; accessed 25/08/2025.
  3. World Health Organization, ‘Healthy diet’, https://www.who.int/news-room/fact-sheets/detail/healthy-diet; accessed 25/08/2025.
  4. World Health Organization, ‘Drinking-water’, https://www.who.int/news-room/fact-sheets/detail/drinking-water; accessed 25/08/2025.
  5. Commonwealth Scientific and Industrial Research Organisation (CSIRO), ‘Water quality review and treatment technology framework for remote community water supply’, https://publications.csiro.au/publications/publication/PIcsiro:EP2023-3342; accessed 25/08/2025.
  6. Eat for Health, ‘About the Australian Dietary Guidelines’, https://www.eatforhealth.gov.au/guidelines/about-australian-dietary-guidelines; accessed 25/08/2025.
  7. Department of Health, Disability and Ageing, ‘About food and nutrition’, https://www.health.gov.au/topics/food-and-nutrition/about; accessed 25/08/2025.
  8. National Health and Medical Research Council, ‘Discretionary food and drink choices’, https://www.eatforhealth.gov.au/food-essentials/discretionary-food-and-drink-choices; accessed 25/08/2025.
  9. National Health and Medical Research Council, ‘Nutrient Reference Values for Australia and New Zealand’, https://www.eatforhealth.gov.au/nutrient-reference-values/nutrients; accessed 25/08/2025.
  10. National Health and Medical Research Council, ‘Australian Dietary Guidelines’, https://www.nhmrc.gov.au/adg; accessed 25/08/2025.
  11. World Health Organization, ‘Guideline: Sugars intake for adults and children’, https://www.who.int/publications/i/item/9789241549028; accessed 25/08/2025.
  12. World Health Organization, ‘Saturated fatty acid and trans-fatty acid intake for adults and children: WHO guideline’, https://www.who.int/publications/i/item/9789240073630; accessed 25/08/2025.
  13. World Health Organization, ‘Micronutrients’, https://www.who.int/health-topics/micronutrients#tab=tab_1; accessed 25/08/2025.
  14. National Institutes of Health, ‘Vitamin B6: Fact Sheet for Health Professionals’, https://ods.od.nih.gov/factsheets/VitaminB6-HealthProfessional/; accessed 25/08/2025.
  15. Therapeutic Goods Administration, ‘Vitamin B6 (pyridoxine)’, https://www.tga.gov.au/news/safety-alerts/vitamin-b6-pyridoxine; accessed 25/08/2025.
  16. National Health and Medical Research Council, ‘Nutrient Reference Values for Australia and New Zealand: Folate’, https://www.eatforhealth.gov.au/nutrient-reference-values/nutrients/folate; accessed 25/08/2025.
  17. Food Standards Australia New Zealand, ‘Monitoring of folic acid fortification’, https://www.foodstandards.gov.au/consumer/food-fortification/folic-acid/monitoring-folic; accessed 25/08/2025.
  18. National Institutes of Health, ‘Iodine: Fact Sheet for Health Professionals’, https://ods.od.nih.gov/factsheets/Iodine-HealthProfessional/; accessed 25/08/2025.
  19. National Health and Medical Research Council, ‘Eating well’, https://www.eatforhealth.gov.au/eating-well; accessed 25/08/2025.
  20. Therapeutic Goods Administration, ‘Complementary medicines’, https://www.tga.gov.au/products/medicines/non-prescription-medicines/complementary-medicines; accessed 25/08/2025.

Data downloads

National Aboriginal and Torres Strait Islander Nutrition and Physical Activity Survey 2023

Data files

Methodology

Scope

Includes

  • Aboriginal and Torres Strait Islander people aged 2 years and over living in private dwellings
  • Non-remote and remote areas of Australia, including discrete Indigenous communities.

Geography

The data available includes estimates for:

  • Australia
  • Remoteness areas.

Source

The National Aboriginal and Torres Strait Islander Nutrition and Physical Activity Survey conducted by the Australian Bureau of Statistics. 

Collection method

Face-to-face interview with an Australian Bureau of Statistics Interviewer, including 24-hour dietary recall.

Some physical activity and sleep data was collected on a voluntary basis via an accelerometer

Concepts, sources and methods

History of changes

See Comparability with previous surveys under General considerations for history of changes.

View full methodology
Back to top of the page