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A conceptual framework for managing modifiable risk factors for cardiovascular diseases in Fiji

A conceptual framework for managing modifiable risk factors for cardiovascular diseases in Fiji
A conceptual framework for managing modifiable risk factors for cardiovascular diseases in Fiji
Aims: The current review will look at modifiable lifestyle (physical inactivity, poor nutrition, risky alcohol behavior and cigarette smoking) and cardio-metabolic (obesity, diabetes mellitus, high cholesterol and high blood pressure) cardiovascular disease (CVD) risk factors among Indigenous-Fijian and Indo-Fijian subgroups. A framework for monitoring and managing these risk factors will be presented.

Methods: National health surveys were identified where available. Electronic databases identified sources for filling missing data. The most relevant data were identified, organized and synthesized.

Results: Compared to Indo-Fijians, Indigenous-Fijians have higher rates of obesity (17% vs 11%) and hypertension (21% vs 16%), but lower rates of diabetes mellitus (12% vs 21%) and high cholesterol (33% vs 39%). Indigenous-Fijians report higher rates of prescribed physical activity (25% vs 21%), but poorer recommended vegetable intake (48% vs 56%), greater risky alcohol behavior (17% vs 15%) and a much greater prevalence of cigarette smoking (45% vs 24%). Both Indigenous-Fijians and Indo-Fijians report a low prevalence of recommended fruit intake (17% vs 15%).

Conclusions: Fiji is progressing through demographic and epidemiological transitions, including a decline in infectious diseases and improved life expectancy. However, in concert with other developing nations, ‘modernization’ is accompanied by increased mortality from non-communicable diseases, with CVD being the most prevalent. This transition has been associated with changes to socio-cultural aspects of Fiji, including poor lifestyle choices that may contribute to a cluster of cardio-metabolic conditions which precede CVD.
1757-9147
75-84
Witter, T.
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Poudevigne, M.
48bcb83b-7e16-48d1-950d-9aa78f555849
Lambrick, D.M.
1deafa4b-acf3-4eff-83c9-f8274e47e993
Faulkner, J.
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Lucero, A.A.
d0cffe65-5630-4b5a-ae80-c0fe35aeb1e3
Page, R.
847e693c-72e8-4cda-9171-483f24c43805
Perry, L.G.
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Tarrant, M.A.
bf5f899d-60d1-4e44-a8c6-58954c682cc2
Stoner, L.
3ddab4db-e142-4bf1-bb1c-b6d685933aa2
Witter, T.
20c8a507-cd28-4202-bfc7-1cf101be4cf0
Poudevigne, M.
48bcb83b-7e16-48d1-950d-9aa78f555849
Lambrick, D.M.
1deafa4b-acf3-4eff-83c9-f8274e47e993
Faulkner, J.
16a65aac-bf2d-45ef-80c5-d70fbc3d7bfc
Lucero, A.A.
d0cffe65-5630-4b5a-ae80-c0fe35aeb1e3
Page, R.
847e693c-72e8-4cda-9171-483f24c43805
Perry, L.G.
9ef71bed-0c42-4c97-bb5d-33c8dc6cea1e
Tarrant, M.A.
bf5f899d-60d1-4e44-a8c6-58954c682cc2
Stoner, L.
3ddab4db-e142-4bf1-bb1c-b6d685933aa2

Witter, T., Poudevigne, M., Lambrick, D.M., Faulkner, J., Lucero, A.A., Page, R., Perry, L.G., Tarrant, M.A. and Stoner, L. (2015) A conceptual framework for managing modifiable risk factors for cardiovascular diseases in Fiji. Perspectives in Public Health, 135 (2), 75-84. (doi:10.1177/1757913913500045).

Record type: Article

Abstract

Aims: The current review will look at modifiable lifestyle (physical inactivity, poor nutrition, risky alcohol behavior and cigarette smoking) and cardio-metabolic (obesity, diabetes mellitus, high cholesterol and high blood pressure) cardiovascular disease (CVD) risk factors among Indigenous-Fijian and Indo-Fijian subgroups. A framework for monitoring and managing these risk factors will be presented.

Methods: National health surveys were identified where available. Electronic databases identified sources for filling missing data. The most relevant data were identified, organized and synthesized.

Results: Compared to Indo-Fijians, Indigenous-Fijians have higher rates of obesity (17% vs 11%) and hypertension (21% vs 16%), but lower rates of diabetes mellitus (12% vs 21%) and high cholesterol (33% vs 39%). Indigenous-Fijians report higher rates of prescribed physical activity (25% vs 21%), but poorer recommended vegetable intake (48% vs 56%), greater risky alcohol behavior (17% vs 15%) and a much greater prevalence of cigarette smoking (45% vs 24%). Both Indigenous-Fijians and Indo-Fijians report a low prevalence of recommended fruit intake (17% vs 15%).

Conclusions: Fiji is progressing through demographic and epidemiological transitions, including a decline in infectious diseases and improved life expectancy. However, in concert with other developing nations, ‘modernization’ is accompanied by increased mortality from non-communicable diseases, with CVD being the most prevalent. This transition has been associated with changes to socio-cultural aspects of Fiji, including poor lifestyle choices that may contribute to a cluster of cardio-metabolic conditions which precede CVD.

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e-pub ahead of print date: 14 October 2014
Published date: 2015
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 382268
URI: http://eprints.soton.ac.uk/id/eprint/382268
ISSN: 1757-9147
PURE UUID: 898ac06c-451a-4bd0-baff-ffdbe2d37336
ORCID for D.M. Lambrick: ORCID iD orcid.org/0000-0002-0325-6015

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Date deposited: 01 Oct 2015 11:06
Last modified: 15 Mar 2024 03:51

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Contributors

Author: T. Witter
Author: M. Poudevigne
Author: D.M. Lambrick ORCID iD
Author: J. Faulkner
Author: A.A. Lucero
Author: R. Page
Author: L.G. Perry
Author: M.A. Tarrant
Author: L. Stoner

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