PMID- 26346757 OWN - NLM STAT- MEDLINE DCOM- 20171226 LR - 20211204 IS - 2047-4881 (Electronic) IS - 2047-4873 (Linking) VI - 23 IP - 8 DP - 2016 May TI - Changes in cardiovascular disease risk factors over 30 years in Polynesians in the French Pacific Territory of Wallis Island. PG - 856-64 LID - 10.1177/2047487315604833 [doi] AB - BACKGROUND: Wallis Island is part of a French Territory in the South Pacific. In 1980 the prevalence of hypertension and type 2 diabetes mellitus (T2DM) was low, consistent with a subsistence economy. Considerable social and economic changes have occurred over the last 30 years. METHODS: Survey data from 1980 and 2009 were analysed by sex in 10-year age groups, and 25-64 years age-standardised to the 2008 Census. Means and prevalences were calculated for blood pressure, fasting plasma glucose, body mass index (BMI), blood cholesterol and triglycerides as risk factors contributing to cardiovascular disease. RESULTS: During 1980-2009 there were significant increases (p < 0.05) in age-standardised means and prevalences of blood pressure and hypertension, fasting plasma glucose and T2DM, BMI and obesity, blood cholesterol (men) and triglycerides; and non-significant increases in mean diastolic blood pressure and fasting plasma glucose in women. Mean cholesterol and the prevalence of elevated cholesterol declined in women. Hypertension prevalence increased from 12% to 43% in men and from 15% to 30% in women, with 42% of the increase in men and 33% of the increase in women statistically explained by increases in BMI. T2DM increased from 2.3% to 12.2% in men and from 4.0% to 15.8% in women, with 35% of the increase in men and 26% of the increase in women statistically explained by increases in BMI. CONCLUSIONS: Risk factors for cardiovascular disease have increased considerably in Wallis Island over the past 30 years, consistent with modernisation in way of life. CI - (c) The European Society of Cardiology 2015. FAU - Linhart, Christine AU - Linhart C AD - School of Public Health and Community Medicine, University of NSW, Sydney, Australia. FAU - Tivollier, Jean-Michel AU - Tivollier JM AD - Centre Hospitalier Territorial, Noumea, New Caledonia Reseau de l'Insuffisance Renale, Noumea, New Caledonia. FAU - Taylor, Richard AU - Taylor R AD - School of Public Health and Community Medicine, University of NSW, Sydney, Australia r.taylor@unsw.edu.au. FAU - Barguil, Yann AU - Barguil Y AD - Centre Hospitalier Territorial, Noumea, New Caledonia. FAU - Magliano, Dianna J AU - Magliano DJ AD - Baker Heart and Diabetes Institute, Melbourne, Australia. FAU - Bourguignon, Chloe AU - Bourguignon C AD - Centre Hospitalier Territorial, Noumea, New Caledonia. FAU - Zimmet, Paul AU - Zimmet P AD - Baker Heart and Diabetes Institute, Melbourne, Australia. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20150907 PL - England TA - Eur J Prev Cardiol JT - European journal of preventive cardiology JID - 101564430 SB - IM MH - Adult MH - Cardiovascular Diseases/*ethnology/etiology MH - Diabetes Mellitus/*ethnology MH - Female MH - Follow-Up Studies MH - *Forecasting MH - Humans MH - Male MH - Middle Aged MH - Morbidity/trends MH - *Native Hawaiian or Other Pacific Islander MH - Obesity/*complications/ethnology MH - Polynesia/epidemiology MH - Prognosis MH - Retrospective Studies MH - *Risk Assessment MH - Risk Factors MH - Socioeconomic Factors MH - Survival Rate/trends OTO - NOTNLM OT - Cardiovascular diseases OT - Polynesia OT - cholesterol OT - diabetes mellitus OT - hypertension OT - obesity OT - risk factors OT - triglycerides EDAT- 2015/09/09 06:00 MHDA- 2017/12/27 06:00 CRDT- 2015/09/09 06:00 PHST- 2015/06/23 00:00 [received] PHST- 2015/08/18 00:00 [accepted] PHST- 2015/09/09 06:00 [entrez] PHST- 2015/09/09 06:00 [pubmed] PHST- 2017/12/27 06:00 [medline] AID - 2047487315604833 [pii] AID - 10.1177/2047487315604833 [doi] PST - ppublish SO - Eur J Prev Cardiol. 2016 May;23(8):856-64. doi: 10.1177/2047487315604833. Epub 2015 Sep 7.