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Current Diabetes Reports
Erschienen in: Current Diabetes Reports 5/2015

01.05.2015 | Obesity (J McCaffery, Section Editor)

Obesity and Diabetes in Pacific Islanders: the Current Burden and the Need for Urgent Action

verfasst von: Nicola L. Hawley, Stephen T. McGarvey

Erschienen in: Current Diabetes Reports | Ausgabe 5/2015

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Abstract

Non-communicable diseases (NCDs) now account for more than 36 million deaths each year; many of which are premature. Pacific Islanders are some of the worst afflicted by obesity and diabetes with prevalence of both diseases rising disproportionately faster in the Pacific region over the past three decades than in the rest of the world. A high burden of disease is also found among enclaves of Pacifican migrants in the USA, Australia, and New Zealand. Urgent action is needed to alleviate the high economic and personal costs now associated with NCDs in Pacific Islanders. In this article, we describe contributors to the temporal trends in obesity and diabetes, discuss the current burden of disease in the Pacific Islands and among migrant communities, and suggest priorities for future research in this area. Finally, we discuss challenges unique to intervention among Pacific Islanders and highlight promising opportunities to reduce the NCD burden.
Literatur
1.
2.
3.•
Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377:557–67. Finucane et al. describe global trends in non-communicable disease and provide a comparison of trends in the Pacific versus other world regions. CrossRefPubMed
4.
Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81.CrossRefPubMed
5.
Danaei G, Finucane MM, Lu Y, et al. National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet. 2011;378:31–40.CrossRefPubMed
6.
7.
8.
9.
10.
Statistics New Zealand and Ministry of Pacific Affairs. Demographics of New Zealand’s Pacific population. Wellington: Statistics New Zealand; 2010.
11.
McGarvey ST, Seiden A. Health, well-being, and social context of Samoan migrant populations. NAPA Bull. 2010;34:213–28.CrossRef
12.
Browne C, Mineshima A. Remittances in the Pacific Region. IMF Working Paper, WP/07/35. Washington, DC: IMF. 2007.
13.
Connell J, Brown RPC. Asian Development Bank. Remittances in the pacific: an overview. Manilla: Asian Development Bank; 2005.
14.
15.
Rolfe J, editor. The Asia-Pacific: a region in transition. Honolulu: Asia-Pacific Center for Security Studies; 2004.
16.
17.
Prasad B, Roy KC, editors. Development problems and prospects in Pacific Island states. Hauppauge: Nova; 2007.
18.
Ulijaszek S. Modernisation, migration and nutritional health of Pacific Island populations. Environ Sci. 2005;12:167–76.PubMed
19.
Coyne T. The effect of urbanization and western diet on the health of Pacific Island populations. Noumea: South Pacific Commision; 1984.
20.
Pollock NJ. These roots remain: food habits in the islands of the central and eastern Pacific since Western contact. Laie: The Institute for Polynesian Studies; 1992.
21.
Thaman RR. Food for urbanizing Polynesian peoples. Proceedings of the Nutritional Society of New Zealand. 1983;8:25–37.
22.
Thaman RR. Health and nutrition in the Pacific Islands: development or underdevelopment. GeoJournal. 1988;16:211–27.CrossRef
23.
Campbell LV. Evolution of the diabetic diet: facts and fallacies. Asia Pacific J Clin Nutr. 2000;9:S83–5.CrossRef
24.
Haden R. Food culture in the Pacific Islands. Denver: Greenwood Press; 2009.
25.
Gewertz D, Errington F. Cheap meat: food flap nations in the Pacific islands. Berkeley: University of California Press; 2010.
26.
Evans M, Sinclair RC, Fusimalohi C, et al. Globalization, diet, and health: an example from Tonga. Bull World Health Organ. 2001;79:856–62.PubMedCentralPubMed
27.
Sheperd AW. Agricultural marketing in the south Pacific. Apia: Food and Agriculture Organization, Subregional Office for the Pacific; 1999.
28.
Galanis DJ, McGarvey ST, Quested C, et al. Dietary intake of modernizing Samoans: implications for risk of cardiovascular disease. J Am Diet Assoc. 1999;99:184–90.CrossRefPubMed
29.
Ulijaszek SJ. Trends in body size, diet, and food availability in the Cook Islands in the second half of the 20th century. Econ Hum Biol. 2003;1:123–37.CrossRefPubMed
30.
DiBello JR, McGarvey ST, Kraft P, et al. Dietary patterns are associated with the metabolic syndrome in adult Samoans. J Nutr. 2009;139:1933–43.CrossRefPubMedCentralPubMed
31.
Seiden A, Hawley NL, Schultz D, et al. Long-term trends in food availability, food prices, and obesity in Samoa. Am J Hum Biol. 2012;24:286–95.CrossRefPubMedCentralPubMed
32.
Taylor R, Badcock J, King H, et al. Dietary intake, exercise, obesity and noncommunicable disease in rural and urban populations of three Pacific Island countries. J Am Coll Nutr. 1992;11:283–93.CrossRefPubMed
33.
Mavoa HM, McCabe M. Sociocultural factors relating to Tongans’ and indigenous Fijians’ patterns of eating, physical activity and body size. Asia Pac Clin Nutr. 2008;17:375–84.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
International Diabetes Federation. IDF diabetes atlas. 6th ed. Brussels: International Diabetes Federation; 2013.
50.
Swinburn BA, Ley SJ, Carmichael HE, et al. Body size and composition in Polynesians. Int J Obes Relat Metab Disord. 1999;23:1178–83.CrossRefPubMed
51.
52.
53.
54.
Queensland Government. Queensland health response to Pacific Islander and Māori health needs assessment. Brisbane: Division of the Chief Health Officer; 2011.
55.
Schiller JS, Lucas JW, Peregoy JA, et al. Summary health statistics for U.S. adults: National Health Interview Survey, 2011. Vital Health Stat. 2012;10(256).
56.
57.
58.
59.
Conroy SM, Lee AK, Pendleton L, et al. Burden of diabetes in California. Sacramento: Chronic Disease Control Branch, California Department of Public Health; 2014.
60.
Karter AJ, Schillinger D, Adams AS, et al. Elevated rates of diabetes in Pacific Islanders and Asian subgroups. The diabetes study of Northern California (DISTANCE). Diabetes Care. 2013;36:574–9.CrossRefPubMedCentralPubMed
61.
Zimmet P. Epidemiology of diabetes and its macrovascular manifestations in Pacific populations: the medical effects of social progress. Diabetes Care. 1979;2:144–53.CrossRefPubMed
62.
McCarty DJ, Zimmet P. Pacific island populations. In: Ekoé JM, Zimmet P, Williams R, editors. The epidemiology of diabetes mellitus: an international perspective. Chichester: Wiley; 2001. p. 239–45.CrossRef
63.
Foliaki S, Pearce N. Prevalence and causes of diabetes in Pacific people. Pacific Health Dialog. 2003;10:90–8.PubMed
64.
Keighley ED, McGarvey ST, Quested C, et al. Nutrition and health in modernizing Samoans: temporal trends and adaptive perspectives. In: Ohtsuka R, Ulijaszek SJ, editors. Health change in the Asia-Pacific region: biocultural and epidemiological approaches. Cambridge: Cambridge University Press; 2007. p. 147–91.CrossRef
65.
Baker PT. Migration, genetics and the degenerative diseases of South Pacific islanders. In: Boyce A, editor. Migration and mobility. London: Taylor & Francis; 1984. p. 209–39.
66.
McGarvey ST. Obesity in Samoans and a perspective on its etiology in Polynesians. Am J Clin Nutr. 1991;53:S1586–94.
67.
Han Z, Heath SC, Shmulewitz D, et al. Candidate genes involved in cardiovascular risk factors by a family-based association study on the island of Kosrae, Federated States of Micronesia. Am J Med Genet. 2002;110:234–42.CrossRefPubMed
68.
Hawley NL, Minster RL, Weeks DE, et al. Prevalence of adiposity and associated cardiometabolic risk factors in the Samoan genome-wide association study. Am J Hum Biol. 2014;26:491–501.CrossRefPubMedCentralPubMed
69.
Hollis-Moffatt JE, Xu X, Dalbeth N, et al. A role for the urate transporter SLC2A9 gene in susceptibility to gout in New Zealand Maori, Pacific Island and Caucasian case-control sample sets. Arthritis Rheum. 2009;60:3485–92.CrossRefPubMed
70.
Chan KH, Huang YT, Meng Q, et al. Shared molecular pathways and gene networks for cardiovascular disease and type 2 diabetes in women across diverse ethnicities. Circ Cardiovasc Genet. 2014; epub ahead of print.
71.
McGarvey ST. The thrifty gene concept and adiposity studies in biological anthropology. J Polynesian Soc. 1994;103:29–42.
72.
McMillen IC, MacLaughlin SM, Muhlhausler BS, et al. Developmental origins of adult health and disease: the role of periconceptional and foetal nutrition. Basic Clin Pharmacol Toxicol. 2008;102:82–9.CrossRefPubMed
73.
Gluckman PD, Hanson MA, Cooper C, et al. Effect of in utero and early-life conditions on adult health and disease. N Engl J Med. 2008;359:61–73.CrossRefPubMedCentralPubMed
74.
Rozek LS, Dolinoy DC, Sartor MA. Epigenetics: relevance and implications for public health. Ann Rev Public Health. 2014;35:105–22.CrossRef
75.
Ringrose H, Zimmet P. Nutrient intakes in an urbanized Micronesian population with high diabetes prevalence. Am J Clin Nutr. 1979;32:1334–41.PubMed
76.
Brewis AA, McGarvey ST. Body image, body size, and Samoan ecological and individual modernization. Ecol Food Nutr. 2000;39:105–20.CrossRef
77.
Pollock NJ. Cultural elaborations of obesity—fattening practices in Pacific societies. Asia Pacific J Clin Nutr. 1995;4:357–60.
78.
Brewis A, McGarvey S, Jones J, et al. Perceptions of body size in Pacific Islanders. Int J Obes. 1998;22:185–9.CrossRef
79.
Brewis AA, Wutich A, Falletta-Cowden A, et al. Body norms and fat stigma in global perspective. Curr Anthropol. 2011;52:269–76.CrossRef
80.
Ricciardelli LA, McCabe MP, Mavoa H, et al. The pursuit of muscularity among adolescent boys in Fiji and Tonga. Body Image. 2007;4:361–71.CrossRefPubMed
81.
Swami V, Knight D, Tovee MJ, et al. Preferences for female body size in Britain and the South Pacific. Body Image. 2007;4:210–23.
82.
Williams LK, Ricciardelli LA, McCabe MP, et al. Body image attitudes and concerns among indigenous Fijian and European Australian adolescent girls. Body Image. 2006;3:275–87.CrossRefPubMed
83.
Yates A, Edman J, Arguguete M. Ethnic differences in BMI and body/self-dissatisfaction among Whites, Asian subgroups, Pacific Islanders, and African-Americans. J Adolesc Health. 2004;34:300–7.CrossRefPubMed
84.
Teevale T. Body image and its relation to obesity for Pacific minority ethnic groups in New Zealand: a critical analysis. Pacific Health Dialog. 2011;17:33–52.PubMed
85.
Hardin J. Everyday translation: health practitioners’ perspectives on obesity and metabolic disorders in Samoa. Critical Pub Health. 2014; epub ahead of print.
86.
Wong V, Taoka S, Kuartei S, et al. Cancer in the republic of Palau (Belau). Pacific Health Dialog. 2004;11:64–9.PubMed
87.
Capstick S, Norris P, Sopoaga F, et al. Relationships between health and culture in Polynesia—a review. Soc Sci Med. 2009;68:1341–8.CrossRefPubMed
88.
Choi JY. Seeking health care: Marshallese migrants in Hawai’i. Ethnicity Health. 2008;13:73–92.CrossRefPubMed
89.
90.
91.
Binns C, Hokama T, Low WY. Island health: hope and challenges for pubic health. Asia Pacific J Public Health. 2010;22:19–24.CrossRef
92.
Yamamoto TS, Sunguya BF, Shiao LW, et al. Migration of health workers in the Pacific Islands: a bottleneck to health development. Asia Pacific J Public Health. 2012;24:697–709.CrossRef
93.
94.
95.
DePue J, Rosen R, Batts-Turner M, et al. Cultural translation of diabetes self-management interventions: the American Samoa experience. Am J Public Health. 2010;100:2085–93.CrossRefPubMedCentralPubMed
96.•
DePue J, Dunsinger S, Seiden A, et al. Community health worker and nurse team improve diabetes control in American Samoa. Diabetes Care. 2013;36:1947–53. DePue et al. describe the implementation and efficacy of a community health worker intervention to address diabetes control in American Samoa. This is an important example of an efficacious secondary prevention strategy specifically adapted for this Pacific population. CrossRefPubMedCentralPubMed
97.
DePue J, Rosen R, Seiden A, et al. Implementation of a culturally tailored diabetes intervention with community health workers in American Samoa. Diabetes Educator. 2013;39:757–67.CrossRef
98.•
Snowdon W, Thow AM. Trade policy and obesity prevention: challenges and innovation in the Pacific Islands. Obes Rev. 2013;14:S150–8. Snowden and Thow review the opportunities for population-level NCD prevention using taxation and subsidies on food. CrossRef
99.
Thow A, Swinburn B, Colagiuri S, et al. Trade and food policy: case studies from three Pacific Island Countries. Food Policy. 2010;35:556–64.CrossRef
100.
101.
Thow AM, Jan S, Leeder S, et al. The effect of fiscal policy on diet, obesity and chronic disease: a systematic review. Bull World Health Organ. 2010;88:609–14.CrossRefPubMedCentralPubMed
Metadaten
Titel
Obesity and Diabetes in Pacific Islanders: the Current Burden and the Need for Urgent Action
verfasst von
Nicola L. Hawley
Stephen T. McGarvey
Publikationsdatum
01.05.2015
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 5/2015
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-015-0594-5

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