Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Overweight in the Pacific: links between foreign dependence, global food trade, and obesity in the Federated States of Micronesia | Globalization and Health BioMed Central Research Overweight in the Pacific links between foreign dependence global food trade and obesity in the Federated States of Micronesia Susan Cassels Open Access Address Center for Studies in Demography and Ecology University of Washington Box 353412 Seattle WA 98195 USA Email Susan Cassels - scassels@ Corresponding author Published II July 2006 Globalization and Health 2006 2 I0 doi 1744-8603-2-10 Received 28 February 2006 Accepted II July 2006 This article is available from http content 2 I I0 2006 Cassels licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by 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 I00 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 Obesity and overnutrition are becoming major global health issues. In 2000
