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Published in: Current Diabetes Reports 5/2015

01-05-2015 | Obesity (J McCaffery, Section Editor)

Obesity and Diabetes in Pacific Islanders: the Current Burden and the Need for Urgent Action

Authors: Nicola L. Hawley, Stephen T. McGarvey

Published in: Current Diabetes Reports | Issue 5/2015

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Abstract

Non-communicable diseases (NCDs) now account for more than 36 million deaths each year; many of which are premature. Pacific Islanders are some of the worst afflicted by obesity and diabetes with prevalence of both diseases rising disproportionately faster in the Pacific region over the past three decades than in the rest of the world. A high burden of disease is also found among enclaves of Pacifican migrants in the USA, Australia, and New Zealand. Urgent action is needed to alleviate the high economic and personal costs now associated with NCDs in Pacific Islanders. In this article, we describe contributors to the temporal trends in obesity and diabetes, discuss the current burden of disease in the Pacific Islands and among migrant communities, and suggest priorities for future research in this area. Finally, we discuss challenges unique to intervention among Pacific Islanders and highlight promising opportunities to reduce the NCD burden.
Literature
3.•
go back to reference Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377:557–67. Finucane et al. describe global trends in non-communicable disease and provide a comparison of trends in the Pacific versus other world regions. CrossRefPubMed Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377:557–67. Finucane et al. describe global trends in non-communicable disease and provide a comparison of trends in the Pacific versus other world regions. CrossRefPubMed
4.
go back to reference Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81.CrossRefPubMed Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81.CrossRefPubMed
5.
go back to reference Danaei G, Finucane MM, Lu Y, et al. National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet. 2011;378:31–40.CrossRefPubMed Danaei G, Finucane MM, Lu Y, et al. National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet. 2011;378:31–40.CrossRefPubMed
10.
go back to reference Statistics New Zealand and Ministry of Pacific Affairs. Demographics of New Zealand’s Pacific population. Wellington: Statistics New Zealand; 2010. Statistics New Zealand and Ministry of Pacific Affairs. Demographics of New Zealand’s Pacific population. Wellington: Statistics New Zealand; 2010.
11.
go back to reference McGarvey ST, Seiden A. Health, well-being, and social context of Samoan migrant populations. NAPA Bull. 2010;34:213–28.CrossRef McGarvey ST, Seiden A. Health, well-being, and social context of Samoan migrant populations. NAPA Bull. 2010;34:213–28.CrossRef
12.
go back to reference Browne C, Mineshima A. Remittances in the Pacific Region. IMF Working Paper, WP/07/35. Washington, DC: IMF. 2007. Browne C, Mineshima A. Remittances in the Pacific Region. IMF Working Paper, WP/07/35. Washington, DC: IMF. 2007.
13.
go back to reference Connell J, Brown RPC. Asian Development Bank. Remittances in the pacific: an overview. Manilla: Asian Development Bank; 2005. Connell J, Brown RPC. Asian Development Bank. Remittances in the pacific: an overview. Manilla: Asian Development Bank; 2005.
15.
go back to reference Rolfe J, editor. The Asia-Pacific: a region in transition. Honolulu: Asia-Pacific Center for Security Studies; 2004. Rolfe J, editor. The Asia-Pacific: a region in transition. Honolulu: Asia-Pacific Center for Security Studies; 2004.
17.
go back to reference Prasad B, Roy KC, editors. Development problems and prospects in Pacific Island states. Hauppauge: Nova; 2007. Prasad B, Roy KC, editors. Development problems and prospects in Pacific Island states. Hauppauge: Nova; 2007.
18.
go back to reference Ulijaszek S. Modernisation, migration and nutritional health of Pacific Island populations. Environ Sci. 2005;12:167–76.PubMed Ulijaszek S. Modernisation, migration and nutritional health of Pacific Island populations. Environ Sci. 2005;12:167–76.PubMed
19.
go back to reference Coyne T. The effect of urbanization and western diet on the health of Pacific Island populations. Noumea: South Pacific Commision; 1984. Coyne T. The effect of urbanization and western diet on the health of Pacific Island populations. Noumea: South Pacific Commision; 1984.
20.
go back to reference Pollock NJ. These roots remain: food habits in the islands of the central and eastern Pacific since Western contact. Laie: The Institute for Polynesian Studies; 1992. Pollock NJ. These roots remain: food habits in the islands of the central and eastern Pacific since Western contact. Laie: The Institute for Polynesian Studies; 1992.
21.
go back to reference Thaman RR. Food for urbanizing Polynesian peoples. Proceedings of the Nutritional Society of New Zealand. 1983;8:25–37. Thaman RR. Food for urbanizing Polynesian peoples. Proceedings of the Nutritional Society of New Zealand. 1983;8:25–37.
22.
go back to reference Thaman RR. Health and nutrition in the Pacific Islands: development or underdevelopment. GeoJournal. 1988;16:211–27.CrossRef Thaman RR. Health and nutrition in the Pacific Islands: development or underdevelopment. GeoJournal. 1988;16:211–27.CrossRef
23.
go back to reference Campbell LV. Evolution of the diabetic diet: facts and fallacies. Asia Pacific J Clin Nutr. 2000;9:S83–5.CrossRef Campbell LV. Evolution of the diabetic diet: facts and fallacies. Asia Pacific J Clin Nutr. 2000;9:S83–5.CrossRef
24.
go back to reference Haden R. Food culture in the Pacific Islands. Denver: Greenwood Press; 2009. Haden R. Food culture in the Pacific Islands. Denver: Greenwood Press; 2009.
25.
go back to reference Gewertz D, Errington F. Cheap meat: food flap nations in the Pacific islands. Berkeley: University of California Press; 2010. Gewertz D, Errington F. Cheap meat: food flap nations in the Pacific islands. Berkeley: University of California Press; 2010.
26.
go back to reference Evans M, Sinclair RC, Fusimalohi C, et al. Globalization, diet, and health: an example from Tonga. Bull World Health Organ. 2001;79:856–62.PubMedCentralPubMed Evans M, Sinclair RC, Fusimalohi C, et al. Globalization, diet, and health: an example from Tonga. Bull World Health Organ. 2001;79:856–62.PubMedCentralPubMed
27.
go back to reference Sheperd AW. Agricultural marketing in the south Pacific. Apia: Food and Agriculture Organization, Subregional Office for the Pacific; 1999. Sheperd AW. Agricultural marketing in the south Pacific. Apia: Food and Agriculture Organization, Subregional Office for the Pacific; 1999.
28.
go back to reference Galanis DJ, McGarvey ST, Quested C, et al. Dietary intake of modernizing Samoans: implications for risk of cardiovascular disease. J Am Diet Assoc. 1999;99:184–90.CrossRefPubMed Galanis DJ, McGarvey ST, Quested C, et al. Dietary intake of modernizing Samoans: implications for risk of cardiovascular disease. J Am Diet Assoc. 1999;99:184–90.CrossRefPubMed
29.
go back to reference Ulijaszek SJ. Trends in body size, diet, and food availability in the Cook Islands in the second half of the 20th century. Econ Hum Biol. 2003;1:123–37.CrossRefPubMed Ulijaszek SJ. Trends in body size, diet, and food availability in the Cook Islands in the second half of the 20th century. Econ Hum Biol. 2003;1:123–37.CrossRefPubMed
30.
31.
32.
go back to reference Taylor R, Badcock J, King H, et al. Dietary intake, exercise, obesity and noncommunicable disease in rural and urban populations of three Pacific Island countries. J Am Coll Nutr. 1992;11:283–93.CrossRefPubMed Taylor R, Badcock J, King H, et al. Dietary intake, exercise, obesity and noncommunicable disease in rural and urban populations of three Pacific Island countries. J Am Coll Nutr. 1992;11:283–93.CrossRefPubMed
33.
go back to reference Mavoa HM, McCabe M. Sociocultural factors relating to Tongans’ and indigenous Fijians’ patterns of eating, physical activity and body size. Asia Pac Clin Nutr. 2008;17:375–84. Mavoa HM, McCabe M. Sociocultural factors relating to Tongans’ and indigenous Fijians’ patterns of eating, physical activity and body size. Asia Pac Clin Nutr. 2008;17:375–84.
49.
go back to reference International Diabetes Federation. IDF diabetes atlas. 6th ed. Brussels: International Diabetes Federation; 2013. International Diabetes Federation. IDF diabetes atlas. 6th ed. Brussels: International Diabetes Federation; 2013.
50.
go back to reference Swinburn BA, Ley SJ, Carmichael HE, et al. Body size and composition in Polynesians. Int J Obes Relat Metab Disord. 1999;23:1178–83.CrossRefPubMed Swinburn BA, Ley SJ, Carmichael HE, et al. Body size and composition in Polynesians. Int J Obes Relat Metab Disord. 1999;23:1178–83.CrossRefPubMed
54.
go back to reference Queensland Government. Queensland health response to Pacific Islander and Māori health needs assessment. Brisbane: Division of the Chief Health Officer; 2011. Queensland Government. Queensland health response to Pacific Islander and Māori health needs assessment. Brisbane: Division of the Chief Health Officer; 2011.
55.
go back to reference Schiller JS, Lucas JW, Peregoy JA, et al. Summary health statistics for U.S. adults: National Health Interview Survey, 2011. Vital Health Stat. 2012;10(256). Schiller JS, Lucas JW, Peregoy JA, et al. Summary health statistics for U.S. adults: National Health Interview Survey, 2011. Vital Health Stat. 2012;10(256).
59.
go back to reference Conroy SM, Lee AK, Pendleton L, et al. Burden of diabetes in California. Sacramento: Chronic Disease Control Branch, California Department of Public Health; 2014. Conroy SM, Lee AK, Pendleton L, et al. Burden of diabetes in California. Sacramento: Chronic Disease Control Branch, California Department of Public Health; 2014.
60.
go back to reference Karter AJ, Schillinger D, Adams AS, et al. Elevated rates of diabetes in Pacific Islanders and Asian subgroups. The diabetes study of Northern California (DISTANCE). Diabetes Care. 2013;36:574–9.CrossRefPubMedCentralPubMed Karter AJ, Schillinger D, Adams AS, et al. Elevated rates of diabetes in Pacific Islanders and Asian subgroups. The diabetes study of Northern California (DISTANCE). Diabetes Care. 2013;36:574–9.CrossRefPubMedCentralPubMed
61.
go back to reference Zimmet P. Epidemiology of diabetes and its macrovascular manifestations in Pacific populations: the medical effects of social progress. Diabetes Care. 1979;2:144–53.CrossRefPubMed Zimmet P. Epidemiology of diabetes and its macrovascular manifestations in Pacific populations: the medical effects of social progress. Diabetes Care. 1979;2:144–53.CrossRefPubMed
62.
go back to reference McCarty DJ, Zimmet P. Pacific island populations. In: Ekoé JM, Zimmet P, Williams R, editors. The epidemiology of diabetes mellitus: an international perspective. Chichester: Wiley; 2001. p. 239–45.CrossRef McCarty DJ, Zimmet P. Pacific island populations. In: Ekoé JM, Zimmet P, Williams R, editors. The epidemiology of diabetes mellitus: an international perspective. Chichester: Wiley; 2001. p. 239–45.CrossRef
63.
go back to reference Foliaki S, Pearce N. Prevalence and causes of diabetes in Pacific people. Pacific Health Dialog. 2003;10:90–8.PubMed Foliaki S, Pearce N. Prevalence and causes of diabetes in Pacific people. Pacific Health Dialog. 2003;10:90–8.PubMed
64.
go back to reference Keighley ED, McGarvey ST, Quested C, et al. Nutrition and health in modernizing Samoans: temporal trends and adaptive perspectives. In: Ohtsuka R, Ulijaszek SJ, editors. Health change in the Asia-Pacific region: biocultural and epidemiological approaches. Cambridge: Cambridge University Press; 2007. p. 147–91.CrossRef Keighley ED, McGarvey ST, Quested C, et al. Nutrition and health in modernizing Samoans: temporal trends and adaptive perspectives. In: Ohtsuka R, Ulijaszek SJ, editors. Health change in the Asia-Pacific region: biocultural and epidemiological approaches. Cambridge: Cambridge University Press; 2007. p. 147–91.CrossRef
65.
go back to reference Baker PT. Migration, genetics and the degenerative diseases of South Pacific islanders. In: Boyce A, editor. Migration and mobility. London: Taylor & Francis; 1984. p. 209–39. Baker PT. Migration, genetics and the degenerative diseases of South Pacific islanders. In: Boyce A, editor. Migration and mobility. London: Taylor & Francis; 1984. p. 209–39.
66.
go back to reference McGarvey ST. Obesity in Samoans and a perspective on its etiology in Polynesians. Am J Clin Nutr. 1991;53:S1586–94. McGarvey ST. Obesity in Samoans and a perspective on its etiology in Polynesians. Am J Clin Nutr. 1991;53:S1586–94.
67.
go back to reference Han Z, Heath SC, Shmulewitz D, et al. Candidate genes involved in cardiovascular risk factors by a family-based association study on the island of Kosrae, Federated States of Micronesia. Am J Med Genet. 2002;110:234–42.CrossRefPubMed Han Z, Heath SC, Shmulewitz D, et al. Candidate genes involved in cardiovascular risk factors by a family-based association study on the island of Kosrae, Federated States of Micronesia. Am J Med Genet. 2002;110:234–42.CrossRefPubMed
68.
go back to reference Hawley NL, Minster RL, Weeks DE, et al. Prevalence of adiposity and associated cardiometabolic risk factors in the Samoan genome-wide association study. Am J Hum Biol. 2014;26:491–501.CrossRefPubMedCentralPubMed Hawley NL, Minster RL, Weeks DE, et al. Prevalence of adiposity and associated cardiometabolic risk factors in the Samoan genome-wide association study. Am J Hum Biol. 2014;26:491–501.CrossRefPubMedCentralPubMed
69.
go back to reference Hollis-Moffatt JE, Xu X, Dalbeth N, et al. A role for the urate transporter SLC2A9 gene in susceptibility to gout in New Zealand Maori, Pacific Island and Caucasian case-control sample sets. Arthritis Rheum. 2009;60:3485–92.CrossRefPubMed Hollis-Moffatt JE, Xu X, Dalbeth N, et al. A role for the urate transporter SLC2A9 gene in susceptibility to gout in New Zealand Maori, Pacific Island and Caucasian case-control sample sets. Arthritis Rheum. 2009;60:3485–92.CrossRefPubMed
70.
go back to reference Chan KH, Huang YT, Meng Q, et al. Shared molecular pathways and gene networks for cardiovascular disease and type 2 diabetes in women across diverse ethnicities. Circ Cardiovasc Genet. 2014; epub ahead of print. Chan KH, Huang YT, Meng Q, et al. Shared molecular pathways and gene networks for cardiovascular disease and type 2 diabetes in women across diverse ethnicities. Circ Cardiovasc Genet. 2014; epub ahead of print.
71.
go back to reference McGarvey ST. The thrifty gene concept and adiposity studies in biological anthropology. J Polynesian Soc. 1994;103:29–42. McGarvey ST. The thrifty gene concept and adiposity studies in biological anthropology. J Polynesian Soc. 1994;103:29–42.
72.
go back to reference McMillen IC, MacLaughlin SM, Muhlhausler BS, et al. Developmental origins of adult health and disease: the role of periconceptional and foetal nutrition. Basic Clin Pharmacol Toxicol. 2008;102:82–9.CrossRefPubMed McMillen IC, MacLaughlin SM, Muhlhausler BS, et al. Developmental origins of adult health and disease: the role of periconceptional and foetal nutrition. Basic Clin Pharmacol Toxicol. 2008;102:82–9.CrossRefPubMed
73.
74.
go back to reference Rozek LS, Dolinoy DC, Sartor MA. Epigenetics: relevance and implications for public health. Ann Rev Public Health. 2014;35:105–22.CrossRef Rozek LS, Dolinoy DC, Sartor MA. Epigenetics: relevance and implications for public health. Ann Rev Public Health. 2014;35:105–22.CrossRef
75.
go back to reference Ringrose H, Zimmet P. Nutrient intakes in an urbanized Micronesian population with high diabetes prevalence. Am J Clin Nutr. 1979;32:1334–41.PubMed Ringrose H, Zimmet P. Nutrient intakes in an urbanized Micronesian population with high diabetes prevalence. Am J Clin Nutr. 1979;32:1334–41.PubMed
76.
go back to reference Brewis AA, McGarvey ST. Body image, body size, and Samoan ecological and individual modernization. Ecol Food Nutr. 2000;39:105–20.CrossRef Brewis AA, McGarvey ST. Body image, body size, and Samoan ecological and individual modernization. Ecol Food Nutr. 2000;39:105–20.CrossRef
77.
go back to reference Pollock NJ. Cultural elaborations of obesity—fattening practices in Pacific societies. Asia Pacific J Clin Nutr. 1995;4:357–60. Pollock NJ. Cultural elaborations of obesity—fattening practices in Pacific societies. Asia Pacific J Clin Nutr. 1995;4:357–60.
78.
go back to reference Brewis A, McGarvey S, Jones J, et al. Perceptions of body size in Pacific Islanders. Int J Obes. 1998;22:185–9.CrossRef Brewis A, McGarvey S, Jones J, et al. Perceptions of body size in Pacific Islanders. Int J Obes. 1998;22:185–9.CrossRef
79.
go back to reference Brewis AA, Wutich A, Falletta-Cowden A, et al. Body norms and fat stigma in global perspective. Curr Anthropol. 2011;52:269–76.CrossRef Brewis AA, Wutich A, Falletta-Cowden A, et al. Body norms and fat stigma in global perspective. Curr Anthropol. 2011;52:269–76.CrossRef
80.
go back to reference Ricciardelli LA, McCabe MP, Mavoa H, et al. The pursuit of muscularity among adolescent boys in Fiji and Tonga. Body Image. 2007;4:361–71.CrossRefPubMed Ricciardelli LA, McCabe MP, Mavoa H, et al. The pursuit of muscularity among adolescent boys in Fiji and Tonga. Body Image. 2007;4:361–71.CrossRefPubMed
81.
go back to reference Swami V, Knight D, Tovee MJ, et al. Preferences for female body size in Britain and the South Pacific. Body Image. 2007;4:210–23. Swami V, Knight D, Tovee MJ, et al. Preferences for female body size in Britain and the South Pacific. Body Image. 2007;4:210–23.
82.
go back to reference Williams LK, Ricciardelli LA, McCabe MP, et al. Body image attitudes and concerns among indigenous Fijian and European Australian adolescent girls. Body Image. 2006;3:275–87.CrossRefPubMed Williams LK, Ricciardelli LA, McCabe MP, et al. Body image attitudes and concerns among indigenous Fijian and European Australian adolescent girls. Body Image. 2006;3:275–87.CrossRefPubMed
83.
go back to reference Yates A, Edman J, Arguguete M. Ethnic differences in BMI and body/self-dissatisfaction among Whites, Asian subgroups, Pacific Islanders, and African-Americans. J Adolesc Health. 2004;34:300–7.CrossRefPubMed Yates A, Edman J, Arguguete M. Ethnic differences in BMI and body/self-dissatisfaction among Whites, Asian subgroups, Pacific Islanders, and African-Americans. J Adolesc Health. 2004;34:300–7.CrossRefPubMed
84.
go back to reference Teevale T. Body image and its relation to obesity for Pacific minority ethnic groups in New Zealand: a critical analysis. Pacific Health Dialog. 2011;17:33–52.PubMed Teevale T. Body image and its relation to obesity for Pacific minority ethnic groups in New Zealand: a critical analysis. Pacific Health Dialog. 2011;17:33–52.PubMed
85.
go back to reference Hardin J. Everyday translation: health practitioners’ perspectives on obesity and metabolic disorders in Samoa. Critical Pub Health. 2014; epub ahead of print. Hardin J. Everyday translation: health practitioners’ perspectives on obesity and metabolic disorders in Samoa. Critical Pub Health. 2014; epub ahead of print.
86.
go back to reference Wong V, Taoka S, Kuartei S, et al. Cancer in the republic of Palau (Belau). Pacific Health Dialog. 2004;11:64–9.PubMed Wong V, Taoka S, Kuartei S, et al. Cancer in the republic of Palau (Belau). Pacific Health Dialog. 2004;11:64–9.PubMed
87.
go back to reference Capstick S, Norris P, Sopoaga F, et al. Relationships between health and culture in Polynesia—a review. Soc Sci Med. 2009;68:1341–8.CrossRefPubMed Capstick S, Norris P, Sopoaga F, et al. Relationships between health and culture in Polynesia—a review. Soc Sci Med. 2009;68:1341–8.CrossRefPubMed
88.
go back to reference Choi JY. Seeking health care: Marshallese migrants in Hawai’i. Ethnicity Health. 2008;13:73–92.CrossRefPubMed Choi JY. Seeking health care: Marshallese migrants in Hawai’i. Ethnicity Health. 2008;13:73–92.CrossRefPubMed
91.
go back to reference Binns C, Hokama T, Low WY. Island health: hope and challenges for pubic health. Asia Pacific J Public Health. 2010;22:19–24.CrossRef Binns C, Hokama T, Low WY. Island health: hope and challenges for pubic health. Asia Pacific J Public Health. 2010;22:19–24.CrossRef
92.
go back to reference Yamamoto TS, Sunguya BF, Shiao LW, et al. Migration of health workers in the Pacific Islands: a bottleneck to health development. Asia Pacific J Public Health. 2012;24:697–709.CrossRef Yamamoto TS, Sunguya BF, Shiao LW, et al. Migration of health workers in the Pacific Islands: a bottleneck to health development. Asia Pacific J Public Health. 2012;24:697–709.CrossRef
95.
go back to reference DePue J, Rosen R, Batts-Turner M, et al. Cultural translation of diabetes self-management interventions: the American Samoa experience. Am J Public Health. 2010;100:2085–93.CrossRefPubMedCentralPubMed DePue J, Rosen R, Batts-Turner M, et al. Cultural translation of diabetes self-management interventions: the American Samoa experience. Am J Public Health. 2010;100:2085–93.CrossRefPubMedCentralPubMed
96.•
go back to reference DePue J, Dunsinger S, Seiden A, et al. Community health worker and nurse team improve diabetes control in American Samoa. Diabetes Care. 2013;36:1947–53. DePue et al. describe the implementation and efficacy of a community health worker intervention to address diabetes control in American Samoa. This is an important example of an efficacious secondary prevention strategy specifically adapted for this Pacific population. CrossRefPubMedCentralPubMed DePue J, Dunsinger S, Seiden A, et al. Community health worker and nurse team improve diabetes control in American Samoa. Diabetes Care. 2013;36:1947–53. DePue et al. describe the implementation and efficacy of a community health worker intervention to address diabetes control in American Samoa. This is an important example of an efficacious secondary prevention strategy specifically adapted for this Pacific population. CrossRefPubMedCentralPubMed
97.
go back to reference DePue J, Rosen R, Seiden A, et al. Implementation of a culturally tailored diabetes intervention with community health workers in American Samoa. Diabetes Educator. 2013;39:757–67.CrossRef DePue J, Rosen R, Seiden A, et al. Implementation of a culturally tailored diabetes intervention with community health workers in American Samoa. Diabetes Educator. 2013;39:757–67.CrossRef
98.•
go back to reference Snowdon W, Thow AM. Trade policy and obesity prevention: challenges and innovation in the Pacific Islands. Obes Rev. 2013;14:S150–8. Snowden and Thow review the opportunities for population-level NCD prevention using taxation and subsidies on food. CrossRef Snowdon W, Thow AM. Trade policy and obesity prevention: challenges and innovation in the Pacific Islands. Obes Rev. 2013;14:S150–8. Snowden and Thow review the opportunities for population-level NCD prevention using taxation and subsidies on food. CrossRef
99.
go back to reference Thow A, Swinburn B, Colagiuri S, et al. Trade and food policy: case studies from three Pacific Island Countries. Food Policy. 2010;35:556–64.CrossRef Thow A, Swinburn B, Colagiuri S, et al. Trade and food policy: case studies from three Pacific Island Countries. Food Policy. 2010;35:556–64.CrossRef
100.
101.
go back to reference Thow AM, Jan S, Leeder S, et al. The effect of fiscal policy on diet, obesity and chronic disease: a systematic review. Bull World Health Organ. 2010;88:609–14.CrossRefPubMedCentralPubMed Thow AM, Jan S, Leeder S, et al. The effect of fiscal policy on diet, obesity and chronic disease: a systematic review. Bull World Health Organ. 2010;88:609–14.CrossRefPubMedCentralPubMed
Metadata
Title
Obesity and Diabetes in Pacific Islanders: the Current Burden and the Need for Urgent Action
Authors
Nicola L. Hawley
Stephen T. McGarvey
Publication date
01-05-2015
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 5/2015
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-015-0594-5

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