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Patterns of childhood and adolescent overweight and obesity during health transition in Vanuatu

机译：瓦努阿图健康过渡期间儿童和青少年超重和肥胖的模式

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ObjectiveRapid economic development and subsequent changes in lifestyle and disease burdens (a€?health transitiona€?) is associated with increasing prevalence of obesity among both adults and children. However, because of continued infectious diseases and undernutrition during the early stages of transition, monitoring childhood obesity has not been prioritized in many countries and the scope of the problem is unknown. Therefore we sought to characterize patterns of childhood overweight and obesity in an early transitional area, the South Pacific archipelago of Vanuatu.DesignWe completed an anthropometric survey among children from three islands with varying levels of economic development, from rural areas (where adult obesity prevalence is low) to urban areas (where adult obesity prevalence is high).SettingThe islands of Ambae (rural), Aneityum (rural with tourism) and Efate (urban).SubjectsBoys and girls (n 513) aged 6a€“17 years.ResultsHeight-, weight- and BMI-for-age did not vary among islands, and prevalence of overweight/obesity based on BMI was low. However, girls from Aneityum a€“ a rural island where the tourism industry increased rapidly after malaria eradication a€“ had increased central adiposity compared with girls from the other islands. This is contrary to adult patterns, which indicate higher obesity prevalence in urban areas. Multiple factors might contribute, including stunting, biological responses after malaria control, sleeping patterns, diet and physical activity levels.ConclusionsMeasures of central adiposity highlight an emerging obesity risk among girls in Vanuatu. The data highlight the synergistic relationship among infectious diseases, undernutrition and obesity during the early stages of health transition.
机译：目的快速的经济发展以及随后生活方式和疾病负担的变化（“健康过渡”）与成年人和儿童中肥胖症的患病率上升有关。但是，由于在过渡的早期阶段继续存在传染病和营养不良，在许多国家，监测儿童肥胖症没有被优先考虑，问题的范围是未知的。因此，我们试图确定早期过渡地区瓦努阿图的南太平洋群岛儿童期超重和肥胖的特征。低））到城市地区（成人肥胖发生率很高）。设置Ambae（农村），Aneityum（带旅游的农村）和Efate（城市）的岛屿。对象男孩和女孩（n 513）的年龄在6岁至17岁之间。结果，体重和BMI年龄在各岛之间没有差异，并且基于BMI的超重/肥胖患病率较低。然而，与其他岛屿的女孩相比，Aneityum的女孩是“在消除疟疾之后旅游业迅速增长的乡村岛屿”，其中央肥胖率增加了。这与成人模式相反，后者表明城市地区的肥胖症患病率较高。多种因素可能会导致发育迟缓，控制疟疾后的生物学反应，睡眠方式，饮食和身体活动水平。结论中枢性肥胖的测量结果突出了瓦努阿图女孩肥胖的风险。数据强调了健康过渡初期感染性疾病，营养不良和肥胖之间的协同关系。

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