ArticleObesity (Silver Spring, Md.)2013
Behavioral risk factors for obesity during health transition in Vanuatu, South Pacific.
Article in Obesity (Silver Spring, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Fish, food security and health in Pacific Island countries and territories: a systematic literature review.BMC public health · 2016Pooled it
- Prenatal Maternal Stress from a Natural Disaster Alters Urinary Metabolomic Profiles in Project Ice Storm Participants.Scientific reports · 2018Trial
- Adoption, Fostering, and Parental Absence in Vanuatu.Human nature (Hawthorne, N.Y.) · 2023Article
- Disparity in Obesity and Hypertension Risks Observed Between Pacific Islander and Asian American Health Fair Attendees in Los Angeles, 2011-2019.Journal of racial and ethnic health disparities · 2023Article
- Challenges and opportunities in rapid disaster research: lessons from the field in New Mexico and Vanuatu.Frontiers in sociology · 2023Article
- Trans- and Multigenerational Maternal Social Isolation Stress Programs the Blood Plasma Metabolome in the F3 Generation.Metabolites · 2022Article
- Physical Activity in Adolescents Living in Rural and Urban New Caledonia: The Role of Socioenvironmental Factors and the Association With Weight Status.Frontiers in public health · 2021Article
- Aquatic Foods and Nutrition in the Pacific.Nutrients · 2020Article
- Health and Diet among People Living in an Isolated Area: Case Study of Pingelap Island in Pohnpei State, the Federated States of Micronesia.International journal of environmental research and public health · 2020Article
- Overweight in the pluri-ethnic adolescent population of New Caledonia: Dietary patterns, sleep duration and screen time.The Lancet regional health. Western Pacific · 2020Article
- Prevalence and associated factors of childhood overweight/obesity among primary school children in urban Nepal.BMC public health · 2019Article
- Using multiple correspondence analysis to identify behaviour patterns associated with overweight and obesity in Vanuatu adults.Public health nutrition · 2019Article
- The individual, the government and the global community: sharing responsibility for health post-2015 in Vanuatu, a small island developing state.International journal for equity in health · 2015Article
- Does proximity to physical activity infrastructures predict maintenance of organized and unorganized physical activities in youth?Preventive medicine reports · 2015Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 5 countries.
Funding
Abstract
unlabelledThe 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."
objectiveTo identify behaviors associated with measures of obesity in Vanuatu. DESIGN AND
methodsFive hundred and thirty four adults from three islands varying in level of economic development were surveyed. Height, weight, waist, and hip circumferences; triceps, subscapular and suprailiac skinfolds; and percent body fat (%BF) by bioelectrical impedance were measured. Diet through 24-h dietary recall and physical activity patterns using a survey were assessed. We analyzed 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.
resultsObesity 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.
conclusionsEven 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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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.