Overweight in the Pacific links between foreign dependence, global food trade, and obesity in the Federated States of Micronesia 英文参考文献.docVIP

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Overweight in the Pacific links between foreign dependence, global food trade, and obesity in the Federated States of Micronesia 英文参考文献.doc

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Overweight in the Pacific links between foreign dependence, global food trade, and obesity in the Federated States of Micronesia 英文参考文献

Globalization and Health BioMedCentral Research Open Access Overweight in the Pacific: links between foreign dependence, global food trade, and obesity in the Federated States of Micronesia Susan Cassels* Address: Center for Studies in Demography and Ecology, University of Washington, Box 353412, Seattle WA 98195, USA Email: Susan Cassels* - scassels@ * Corresponding author Published: 11 July 2006 Received: 28 February 2006 Accepted: 11 July 2006 Globalization and Health 2006, 2:10 doi:10.1186/1744-8603-2-10 This article is available from: /content/2/1/10 ? 2006 Cassels; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The Federated States of Micronesia (FSM) has received considerable attention for their alarming rates of overweight and obesity. On Kosrae, one of the four districts in the FSM, 88% of adults aged 20 or older are overweight (BMI 25), 59% are obese (BMI 30), and 24% are extremely obese (BMI 35). Recent genetic studies in Kosrae have shown that obesity is a highly heritable trait, and more work is underway to identify obesity genes in humans. However, less attention has been given to potential social and developmental causes of obesity in the FSM. This paper outlines the long history of foreign rule and social change over the last 100 years, and suggests that a combination of dietary change influenced by foreigners, dependence on foreign aid, and the ease of global food trade contributed to poor diet and increased rates of obesity in Micronesia. The last section of the paper highlights the Pacific tuna trade as an example of how foreign dependence and global food trade exacerbates their obesity epidemic. 1. Background overweight (BMI 25), 59% are obese (BMI 30), and 24%