ArticleEnvironmental health and preventive medicine2023
Sociodemographic and behavioral factors related to obesity among adults in the Republic of Palau based on the WHO STEPwise approach to NCD risk factor surveillance 2011-2013: A cross-sectional study.
Article in Environmental health and preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 4 citations in OpenAlex.
- The Impact of Telemonitoring and Telehealth Coaching on General Nutrition Knowledge in Overweight and Obese Individuals: A Pilot Randomized Controlled Trial.Medical sciences (Basel, Switzerland) · 2024Trial
- Hidden cardiometabolic risk: normal weight central obesity in a nationally representative study from Türkiye.BMC public health · 2026Article
- Perceived stress and betel quid dependence associated with reasons for betel quid chewing among male chewers: a mixed methods study.BMC oral health · 2024Article
- Copper-induced diurnal hepatic toxicity is associated with Cry2 and Per1 in mice.Environmental health and preventive medicine · 2023Article
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10 authors at 7 institutions in 3 countries.
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Abstract
backgroundPacific islanders face drastic increase of obesity-related noncommunicable disease (NCD) due to lifestyle shifts of unhealthy diets and physical inactivity. To date, however, obesity related factors have not been well elucidated in Republic of Palau. This study aimed to investigate sociodemographic and behavioral factors related to obesity using the national level data in Palau.
methodsThis is a cross-sectional, population-based study analyzing random sampling data of 2133 adults aged 25-64 years (of 20 thousand national population) from the WHO STEPwise approach to NCD risk factor surveillance (STEPS) implemented between 2011 and 2013. Sociodemographic and behavioral factors were obtained by the STEPS standardized questionnaire for NCD risk factors plus the question on betel nut chewing because of its common behavior in Micronesian countries. Logistic regression analysis was performed to estimate multivariable odds ratio (OR) of general obesity (body mass index ≥30.0 kg/m
resultsMeans of body mass index, prevalence of general obesity and central obesity were higher in women (29.9 kg/m
conclusionsNative Palauan, people with betel nut chewing behavior, government employment and higher income appeared to be associated with obesity, while frequent vegetable consumption were inversely associated with obesity. Further interventions for prevention and control of obesity are necessary through the enhancing public relation activities to understand harmful health effects on betel nuts chewing and recommending domestic production of vegetables.
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