Behavioral risk factors for obesity during health transition in Vanuatu, South Pacific.
Behavioral risk factors for obesity during health transition in Vanuatu, South Pacific.
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DOI：
10.1002/oby.20082
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发表时间：
2013-01
期刊：
影响因子：
6.9
通讯作者：
Garruto, Ralph M.
中科院分区：
文献类型：
--
作者：
Dancause, Kelsey Needham;Vilar, Miguel;Wilson, Michelle;Soloway, Laura E.;DeHuff, Christa;Chan, Chim;Tarivonda, Len;Regenvanu, Ralph;Kaneko, Akira;Lum, J. Koji;Garruto, Ralph M.
南太平洋的瓦努阿图群岛与许多发展中国家一样，随着经济的发展，目前正经历着疾病负担从传染病向慢性病的转变。肥胖率的快速增长代表了这一“健康转变”的一个组成部分。我们试图找出与瓦努阿图肥胖衡量标准相关的行为。我们调查了来自三个岛屿的534名成年人，他们的经济发展水平不同。我们通过生物电阻抗测量了身高、体重、腰围和臀围、三头肌、肩胛下和髂上皮褶，以及体脂百分比(%BF)。我们通过一项调查的24小时饮食回忆和体力活动模式来评估饮食。我们根据多项指标(身体质量指数、体脂百分比、腰围和腰高比)计算肥胖和中心性肥胖的患病率，并分析岛屿之间的差异以及与行为模式的关联。肥胖率在农村最低，在郊区参与者中最高。中心性肥胖在女性中的患病率尤其高(高达73.9%)，甚至在农村地区(根据所用的衡量标准，从14.7%到41.2%不等)。更多地依赖动物蛋白和在饮食中加入西方食物--特别是罐头鱼和方便面--与肥胖风险显著相关。即使在饮食和生活方式基本上仍然是传统的农村地区，在饮食中适度地加入西餐也会增加肥胖的风险。因此，在卫生过渡期间，早期预防工作尤为重要。在公共卫生资源有限的地方，关于改变饮食的教育可能是预防的最佳目标。
The South Pacific archipelago of Vanuatu, like many developing countries, is currently experiencing a shift in disease burdens from infectious to chronic diseases with economic development. A rapid increase in obesity prevalence represents one component of this “health transition.” We sought to identify behaviors associated with measures of obesity in Vanuatu. We surveyed 534 adults from three islands varying in level of economic development. We measured height; weight; waist and hip circumferences; triceps, subscapular and suprailiac skinfolds; and percent body fat (%BF) by bioelectrical impedance. We assessed diet through 24-hour dietary recall and physical activity patterns using a survey. We calculated prevalence of obesity and central obesity based on multiple indicators (body mass index, %BF, waist circumference, and waist-to-height ratio), and analyzed differences among islands and associations with behavioral patterns. Obesity prevalence was lowest among rural and highest among suburban participants. Prevalence of central obesity was particularly high among women (up to 73.9%), even in rural areas (ranging from 14.7% to 41.2% depending on the measure used). Heavier reliance on animal protein and incorporation of Western foods in the diet – specifically, tinned fish and instant noodles – was significantly associated with increased obesity risk. Even in rural areas where diets and lifestyles remain largely traditional, modest incorporation of Western foods in the diet can contribute to increased risk of obesity. Early prevention efforts are thus particularly important during health transition. Where public health resources are limited, education about dietary change could be the best target for prevention.
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影响因子：
7.7
作者：
Katzmarzyk PT
通讯作者：
Katzmarzyk PT
影响因子：
168.9
作者：
Kaneko, A;Taleo, G;Björkman, A
通讯作者：
Björkman, A
影响因子：
6.1
作者：
Popkin, BM
通讯作者：
Popkin, BM
影响因子：
4.5
作者：
Dickerson, Justin B.;Smith, Matthew Lee;Ory, Marcia G.
通讯作者：
Ory, Marcia G.
DOI：
10.1111/j.1365-3156.2008.02116.x
发表时间：
2008-10
期刊：
Tropical medicine & international health : TM & IH
影响因子：
--
作者：
Miranda JJ;Kinra S;Casas JP;Davey Smith G;Ebrahim S
通讯作者：
Ebrahim S