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. 2015 Sep 16:2:34.
doi: 10.1186/s40608-015-0062-4. eCollection 2015.

Overweight, obesity, physical activity and sugar-sweetened beverage consumption in adolescents of Pacific islands: results from the Global School-Based Student Health Survey and the Youth Risk Behavior Surveillance System

Affiliations

Overweight, obesity, physical activity and sugar-sweetened beverage consumption in adolescents of Pacific islands: results from the Global School-Based Student Health Survey and the Youth Risk Behavior Surveillance System

Tara Kessaram et al. BMC Obes. .

Abstract

Background: Overweight, obesity and their consequences are challenges to sustainable social and economic development in Pacific island countries and territories (PICTs). Complementing previous analyses for adults, the purpose of this paper is to synthesise available data on overweight, obesity and their risk factors in adolescents in the region. The resulting Pacific perspective for the younger generation will inform both the national and regional public health response to the crisis of noncommunicable diseases.

Methods: We examined the prevalence of overweight, obesity, physical activity and carbonated sugar-sweetened beverage (SSB) consumption, by using published results of two cross-sectional surveys: the Global School-Based Student Health Survey (GSHS) and the Youth Risk Behavior Surveillance System (YRBSS). GSHS was conducted in ten PICTs between 2010 and 2013 and provided results for 13-15 year olds. YRBSS surveys, conducted repeatedly in five PICTs between 1999 and 2013, provided results for grade 9-12 students (approximately 14-18 years) and enabled examination of trends.

Results: Obesity prevalence ranged from 0 % in female students in Vanuatu to 40 % in males in Niue (GSHS). Among grade 9-12 students (YRBSS), obesity was highest in American Samoa (40 % of males; 37 % of females). Approximately 60 % of students in the Cook Islands, Niue and Tonga (GSHS) and American Samoa (YRBSS), were overweight. In both surveys, less than half of students reported engaging in sixty minutes of physical activity on at least 5 days of the past week. Daily consumption of carbonated SSBs in the past month was reported by over 42 % of students in six PICTs (GSHS), and in the past week by more than 18 % of students in three PICTs (YRBSS). In PICTs conducting YRBSS, obesity prevalence remained high or increased within the period 1999-2013.

Conclusion: There is a need for urgent action on overweight, obesity and their risk factors in Pacific youth. The multiple social, economic and physical determinants of this public health crisis must be addressed. This requires all sectors within government and society in PICTs to implement and evaluate policies that will protect and promote the health of their populations across the life course.

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Figures

Fig. 1
Fig. 1
Prevalence of overweight (above) and obesity (below) in grade 9 to 12 students, 1999 to 2013. Source: Youth Risk Behavior Surveillance System (YRBSS) in United States affiliated Pacific Islands between 1999 and 2013. CNMI: Commonwealth of the Northern Mariana Islands. RMI: Republic of the Marshall Islands. Overweight was defined as ≥85th and < the 95th percentile for body mass index (BMI) by age and sex. Obesity was defined as ≥95th percentile for BMI for age and sex. Height and weight were self-reported. Confidence intervals were reported for Guam and American Samoa (1999) only as other surveys in American Samoa, CNMI, Palau and RMI were designed to include all members of the target student population

References

    1. Déclaration de Tahiti Nui – Tahiti Nui Declaration (revised November 2011), Noumea, New Caledonia. Secretariat of the Pacific Community. 2012. http://www.spc.int/images/publications/ef/Corporate/ef-tahiti-nui-declar.... Accessed 3 February 2015.
    1. World Health Organization. Yanuca Island Declaration, Yanuca Island, Fiji. World Health Organization. 1995. http://www.pihoa.org/fullsite/newsroom/wp-content/uploads/downloads/2012.... Accessed 3 February 2015.
    1. Pacific Islands Forum Secretariat. Forty-Second Pacific Islands Forum Communique. September 7–8 2011, Auckland, New Zealand. 2011. http://www.forumsec.org/pages.cfm/newsroom/documents-publications/forum-.... Accessed 3 February 2015.
    1. Hoy D, Roth A, Viney K, Souares Y, Lopez A. Findings and implications of the Global Burden of Disease 2010 study for the Pacific Islands. Prev Chronic Dis. 2014;11:130344. doi: 10.5888/pcd11.130344. - DOI - PMC - PubMed
    1. Hawkes C. Uneven dietary development: linking the policies and processes of globalization with the nutrition transition, obesity and diet-related chronic diseases. Global Health. 2006;2(1):4. doi: 10.1186/1744-8603-2-4. - DOI - PMC - PubMed

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