Taylor R, Bennett P, Uili R, Joffres M, Germain R, Levy S, Zimmet P
South Pacific Commission, Noumea, New Caledonia.
Eur J Epidemiol. 1987 Sep;3(3):247-56. doi: 10.1007/BF00149732.
A comparative study of hypertension, and indicators of and risk factors for coronary heart disease was undertaken in samples of rural Wallisians of Wallis Island, and first generation Wallisian migrants in the urban centre of Noumea, New Caledonia. Approximately 20% of the adult population of the two communities was included in the study. Higher mean blood pressure and hypertension prevalence in Wallisians in Noumea compared to those in Wallis was documented. There was no significant rise in blood pressure with age in rural Wallisian males. Wallisians in Noumea tended to be more obese than those in Wallis (particularly females). Although differences in the extent of obesity appeared to explain some of the differences in blood pressure between populations of Wallis and Noumea, other environmental factors (such as salt intake) are probably important. There was a trend for a higher prevalence of Q wave changes on the ECG in urbanized Wallisians compared to their rural counterparts. There was no significant or consistent differences in plasma lipid concentrations between the two groups. The prevalence of diabetes was 7 and 4 times higher in Noumea compared to Wallis for males and females respectively. Differences in diabetes and hypertension prevalence are more likely to account for the variation in ischaemic heart disease than plasma lipid levels.
对瓦利斯群岛的农村瓦利斯人样本以及新喀里多尼亚努美阿市中心的第一代瓦利斯移民进行了高血压、冠心病指标和危险因素的比较研究。两个社区约20%的成年人口被纳入研究。记录显示，与瓦利斯的瓦利斯人相比，努美阿的瓦利斯人平均血压更高，高血压患病率也更高。农村瓦利斯男性的血压并未随年龄显著升高。努美阿的瓦利斯人比瓦利斯的瓦利斯人更倾向于肥胖（尤其是女性）。尽管肥胖程度的差异似乎可以解释瓦利斯和努美阿人群之间血压差异的一部分，但其他环境因素（如盐摄入量）可能也很重要。与农村瓦利斯人相比，城市化的瓦利斯人心电图上Q波变化的患病率有升高趋势。两组之间的血浆脂质浓度没有显著或一致的差异。男性和女性的糖尿病患病率在努美阿分别比瓦利斯高7倍和4倍。糖尿病和高血压患病率的差异比血浆脂质水平更有可能解释缺血性心脏病的差异。
