The Obesity Epidemic in the Pacific Islands
The Obesity Epidemic in the Pacific Islands
复制标题
太平洋岛屿的肥胖流行病
DOI：
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
A. Ricco
中科院分区：
文献类型：
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作者：
A. Ricco
世界上一些肥胖率最高的地区是大洋洲的岛屿人口。据报道，瑙鲁、萨摩亚、美属萨摩亚、库克群岛、汤加和法属波利尼西亚的肥胖率高达 75%。这种肥胖流行的因素是体力活动的急剧减少和对西方饮食的依赖。岛上的传统食品如新鲜的鱼、肉和当地的水果和蔬菜已被大米、糖、面粉、肉罐头、水果和蔬菜罐头、软饮料和啤酒所取代。大洋洲地区21个岛国、领土和联邦的总人口不到200万。在一个拥有 63 亿人口的世界中，像瑙鲁（人口只有 10,000 人）这样的小国家很难争夺医疗保健援助。这种不可见性只是这些小国在新千年努力生存时所面临的重大障碍之一。卫生保健部门的进展受到资金普遍不足、集中于城市地区和终末期疾病以及缺乏经过充分培训的人员（特别是在卫生服务规划、管理和行政方面）的阻碍。有必要制定政策来鼓励人们从西方食物转向低脂肪和低热量的传统饮食。
Some of the highest levels of obesity in the world are found in the island populations of Oceania. Rates of obesity as high as 75% have been reported in Nauru, Samoa, American Samoa, the Cook Islands, Tonga and French Polynesia. The factors for this epidemic of obesity are a dramatic decrease in physical activity and a dependence on a Western diet. The traditional foods of the islands such as fresh fish, meat and local fruits and vegetables have been replaced by rice, sugar, flour, canned meats, canned fruits and vegetables, soft drinks and beer. The total population of the 21 island nations, territories and commonwealths in the Oceania area is just under 2 million. In a world of 6.3 billion, it is difficult for countries as small as Nauru (pop. 10,000) to compete for health care aid. Such invisibility is just one of the significant barriers that these tiny nations face as they struggle to survive in the new millennium. Progress in the health care sector is hindered by general under funding, concentration in urban areas and on end-stage diseases, and by a dearth of adequately trained personnel, especially in health services planning, management and administration. Policies are necessary to encourage a movement away from Western foods to a traditional diet low in fat and calories.