PMID- 22626474 OWN - NLM STAT- MEDLINE DCOM- 20130529 LR - 20151119 IS - 1878-1780 (Electronic) IS - 1262-3636 (Linking) VI - 38 IP - 5 DP - 2012 Nov TI - The prevalence of overweight and obesity, and distribution of waist circumference, in adults and children in the French Overseas Territories: the PODIUM survey. PG - 404-11 LID - S1262-3636(12)00075-4 [pii] LID - 10.1016/j.diabet.2012.03.008 [doi] AB - AIM: This study aimed to describe the prevalence of overweight (excluding obesity) and obesity, and distribution of waist circumference, in children and adults in four French Overseas Territories (Guadeloupe, Martinique, French Guiana in the Caribbean and French Polynesia in the Pacific Ocean). METHODS: The survey was designed to provide a sample representative of the population in each of the four territories. The protocol aimed to evaluate 600 adults (aged >/= 15 years) and 300 children (aged: 5-14 years) in each territory. RESULTS: In children, the differences were small among the territories in the prevalence of overweight (excluding obesity), as defined by the International Obesity Task Force (IOTF): Guadeloupe, 15.4%; Martinique, 17.0%; French Guiana, 13.2%; and French Polynesia, 17.2% (P = 0.49). Larger, significant, differences were observed for obesity, with prevalences of 7.2%, 7.7%, 5.4% and 15.9%, respectively (P < 0.002). In adults, the prevalence of obesity also differed significantly among the territories: 22.9%, 22.0%, 17.9% and 33.1% in Guadeloupe, Martinique, French Guiana and French Polynesia, respectively (P < 0.001, adjusted for age and gender). However, overweight (excluding obesity) was again more homogeneously distributed, with prevalences of 31.7%, 33.6%, 30.3% and 34.4%, respectively (P = 0.43, adjusted for age and gender). Waist circumference was larger in French Polynesia than in the other territories in both genders, and in both children and adults. CONCLUSION: While the distribution of overweight was relatively homogeneous, the prevalence of obesity differed considerably across the four territories. It was especially high in French Polynesia, and in children and women. Appropriate programmes are urgently needed in these populations, especially in children, to avoid the morbidity associated with obesity. CI - Copyright (c) 2012. Published by Elsevier Masson SAS. FAU - Daigre, J-L AU - Daigre JL AD - Service de medecine interne-diabetologie, centre hospitalier de l'Ouest Guyanais, 97393 Saint-Laurent-du-Maroni, French Guiana. FAU - Atallah, A AU - Atallah A FAU - Boissin, J-L AU - Boissin JL FAU - Jean-Baptiste, G AU - Jean-Baptiste G FAU - Kangambega, P AU - Kangambega P FAU - Chevalier, H AU - Chevalier H FAU - Balkau, B AU - Balkau B FAU - Smadja, D AU - Smadja D FAU - Inamo, J AU - Inamo J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120522 PL - France TA - Diabetes Metab JT - Diabetes & metabolism JID - 9607599 SB - IM MH - Adolescent MH - Adult MH - Age Distribution MH - Body Mass Index MH - Child MH - Child, Preschool MH - Coronary Disease/*epidemiology/prevention & control MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*epidemiology/prevention & control MH - Female MH - French Guiana/epidemiology MH - Guadeloupe/epidemiology MH - Humans MH - Male MH - Martinique/epidemiology MH - Obesity/epidemiology MH - Overweight/*epidemiology/prevention & control MH - Polynesia/epidemiology MH - Prevalence MH - Public Health MH - Sex Distribution MH - Stroke/*epidemiology/prevention & control MH - Surveys and Questionnaires MH - *Waist Circumference EDAT- 2012/05/26 06:00 MHDA- 2013/05/31 06:00 CRDT- 2012/05/26 06:00 PHST- 2011/01/08 00:00 [received] PHST- 2012/03/27 00:00 [revised] PHST- 2012/03/28 00:00 [accepted] PHST- 2012/05/26 06:00 [entrez] PHST- 2012/05/26 06:00 [pubmed] PHST- 2013/05/31 06:00 [medline] AID - S1262-3636(12)00075-4 [pii] AID - 10.1016/j.diabet.2012.03.008 [doi] PST - ppublish SO - Diabetes Metab. 2012 Nov;38(5):404-11. doi: 10.1016/j.diabet.2012.03.008. Epub 2012 May 22.