1991
DOI: 10.1093/ajcn/53.6.1586s
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Obesity in Samoans and a perspective on its etiology in Polynesians

Abstract: For Samoans, modernization produces obesity and adiposity and concomitant increases in cardiovascular disease risk factors and outcomes. Massive adiposity and high prevalence of obesity characterizes modernizing adult Samoans. Mean body mass index (in kg/m2) at ages 25-54 y is 30-32 for males and 32-36 for females. Prevalence of overweight in female adults is 46% in traditional Western Samoans and 80% in migrants in Hawaii. Five-year longitudinal data show striking weight and fat gain, especially in younger ad… Show more

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Cited by 138 publications
(103 citation statements)
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“…This study finding is however similar to findings from rural communities in South Eastern Nigeria (Ahaneku et al, 2011;Ulasi et al, 2010). The rising prevalence of obesity in rural areas is due to nutritional transition, coupled with transition away from agricultural (both for production and subsistence) to wage labour that has decreased the physical activity of people (McGarvey, 1991;Snodgrass et al, 2006). Among both men and women, the change in occupation leading to a subsequent decrease in daily physical activity is greater in rural areas.…”
Section: Prevalence Of Obesitysupporting
confidence: 82%
“…This study finding is however similar to findings from rural communities in South Eastern Nigeria (Ahaneku et al, 2011;Ulasi et al, 2010). The rising prevalence of obesity in rural areas is due to nutritional transition, coupled with transition away from agricultural (both for production and subsistence) to wage labour that has decreased the physical activity of people (McGarvey, 1991;Snodgrass et al, 2006). Among both men and women, the change in occupation leading to a subsequent decrease in daily physical activity is greater in rural areas.…”
Section: Prevalence Of Obesitysupporting
confidence: 82%
“…Compared to the US and most other populations, levels of overweight and obesity are remarkably high in Samoan adults and children residing in American Samoa and the independent nation of Samoa, and are strongly associated with measures of modernization. [5][6][7][8] ) Obesity is a complex phenotype resulting from interaction of genetic, environmental, cultural, nutritional and lifestyle factors. Therefore, identification of genetic variants associated with obesity has been difficult.…”
Section: Introductionmentioning
confidence: 99%
“…The weight gain of 1.3 kg over 1 y in the control church supports the observation of McGarvey that weight gain continues in Samoans despite pre-existing adiposity. 11 Other studies of Paci®c Islands populations have shown similar weight gains. Simmons et al, in South Auckland, observed a 3.1 kg (s.d.…”
Section: A Large and Weight Gaining Populationmentioning
confidence: 80%
“…9 ± 12 Key features of the modernisation process are diets that contain more fat, particularly animal fat, and lifestyles that are increasingly sedentary. 11,13 Interventions that reverse these trends are likely to reduce the prevalence of obesity as well as having a bene®cial effect on other CHD and diabetes risk factors. 14 ± 16 However, there are few studies that have attempted weight loss in communities with a high prevalence of obesity.…”
Section: Introductionmentioning
confidence: 99%