ArticleThe Journal of nutrition2009
Dietary patterns are associated with metabolic syndrome in adult Samoans.
Article in The Journal of nutrition, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 4 of them syntheses that pooled it.
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Who cites it
73 citing papers in PubMed, 4 syntheses or guidelines pooled it, 132 citations in OpenAlex.
- Dietary Patterns and Metabolic Syndrome in Adult Subjects: A Systematic Review and Meta-Analysis.Nutrients · 2019Pooled it
- A posteriori dietary patterns and metabolic syndrome in adults: a systematic review and meta-analysis of observational studies.Public health nutrition · 2018Pooled it
- Fish, food security and health in Pacific Island countries and territories: a systematic literature review.BMC public health · 2016Pooled it
- Paleolithic nutrition for metabolic syndrome: systematic review and meta-analysis.The American journal of clinical nutrition · 2015Pooled it
- Long-Term Impact of a Community Health Worker Intervention on Diabetes Control in American Samoa.Preventing chronic disease · 2015Trial
- Nurse-community health worker team improves diabetes care in American Samoa: results of a randomized controlled trial.Diabetes care · 2013Trial
- Implementation of a culturally tailored diabetes intervention with community health workers in American Samoa.The Diabetes educatorTrial
- Nutrient Intake Evidence in the Pacific: A Scoping Review of Research Coverage, Challenges, and Opportunities.Food science & nutrition · 2026Article
- Reproductive and metabolic hormone associations in adult Samoan males with and without obesity.Evolution, medicine, and public health · 2026Article
- Validation of the Latin American and Caribbean Food Security Scale (ELCSA) for use in Samoa.The Journal of nutrition · 2025Article
- Shaping childhood obesity: behavioral and environmental risk factors associated with body mass index trajectories between 2 and 9 years in Samoan children.International journal of obesity (2005) · 2025Article
- Psychosocial correlates of HbA1c among adult Samoans without diabetes.PLOS mental health · 2025Article
- Dietary diversity and its associations with body mass index and perceived health among adults in Palau.BMJ nutrition, prevention & health · 2025Article
- Associations of childhood BMI traits with blood pressure and glycated haemoglobin in 6-9-year-old Samoan children.Pediatric obesity · 2024Article
- Indication of mixed glucose and fatty acid use by inferred brown adipose tissue activity in Samoans.American journal of human biology : the official journal of the Human Biology Council · 2024Article
- Combined Influence of Eight Lifestyle Factors on Metabolic Syndrome Incidence: A Prospective Cohort Study from the MECH-HK Study.Nutrients · 2024Article
- When the cold gets under your skin: Evidence for brown adipose tissue activity in Samoan adults.American journal of biological anthropology · 2024Article
- The global burden of colorectal cancer attributable to high body-mass index in 204 countries and territories: findings from 1990 to 2021 and predictions to 2035.Frontiers in nutrition · 2024Article
- Food price and availability in Solomon Islands during COVID-19: A food environment survey.Nutrition and health · 2023Article
- Neo-Traditional and Industrialized Dietary Patterns Coexist and Are Differentially Associated with Cardiometabolic Health among Adults in Puerto Rico.The Journal of nutrition · 2023Observational
13 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 3 countries.
Funding
Abstract
The prevalence of metabolic syndrome has reached epidemic levels in the Samoan Islands. In this cross-sectional study conducted in 2002-2003, dietary patterns were described among American Samoan (n = 723) and Samoan (n = 785) adults (> or =18 y) to identify neo-traditional and modern eating patterns and to relate these patterns to the presence of metabolic syndrome using Adult Treatment Panel III criteria. The neo-traditional dietary pattern, similar across both polities, was characterized by high intake of local foods, including crab/lobster, coconut products, and taro, and low intake of processed foods, including potato chips and soda. The modern pattern, also similar across both polities, was characterized by high intake of processed foods such as rice, potato chips, cake, and pancakes and low intake of local foods. The neo-traditional dietary pattern was associated with significantly higher serum HDL-cholesterol in American Samoa (P-trend = 0.05) and a decrease in abdominal circumference in American Samoa and Samoa (P-trend = 0.004 and 0.01, respectively). An inverse association was found with metabolic syndrome, although it did not reach significance (P = 0.23 in American Samoa; P = 0.13 in Samoa). The modern pattern was significantly positively associated with metabolic syndrome in Samoa (prevalence ratio = 1.21 for the fifth compared with first quintile; 95% CI: 0.93.1.57; P-trend = 0.05) and with increased serum triglyceride levels in both polities (P < 0.05). Reduced intake of processed foods high in refined grains and adherence to a neo-traditional eating pattern characterized by plant-based fiber, seafood, and coconut products may help to prevent growth in the prevalence of metabolic syndrome in the Samoan islands.
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