Ringrose H, Zimmet P
Am J Clin Nutr. 1979 Jun;32(6):1334-41. doi: 10.1093/ajcn/32.6.1334.
Dietary data was obtained from 77 adult Micronesian (Nauruan) subjects during a diabetes epidemiological survey. The life-style of this isolated Pacific population is almost completely Westernized and they have been shown to have a very high diabetes prevalence rate. Nearly all food consumed by the islanders is imported from Australia. The main caloric intake of both males and females was at least twice those recommended for Western or developing Pacific populations. The diet meets or exceeds the Australian National Health and Medical Research Council recommended allowance for calories, protein, fat, and ascorbic acid, but thiamin intake was inadequate. The percentage of fat in the diet was lower than that consumer by Western populations. Obesity is a pronounced feature of this population and the high caloric intake coupled with reduced physical activity would appear to be a major factor in relation to this. This Micronesian group has a genetic susceptibility to diabetes which may have been unmasked by the change from traditional to Western life-style. This problem may not be unique to Nauru and, with progressive Westernization, many other Polynesian and Micronesian populations may be at risk.
在一项糖尿病流行病学调查中，从77名密克罗尼西亚（瑙鲁）成年受试者那里获取了饮食数据。这个与世隔绝的太平洋人群的生活方式几乎完全西化，而且他们已被证明糖尿病患病率非常高。岛民消费的几乎所有食物都从澳大利亚进口。男性和女性的主要热量摄入量至少是为西方或发展中的太平洋人群推荐摄入量的两倍。该饮食达到或超过了澳大利亚国家卫生与医学研究委员会对卡路里、蛋白质、脂肪和抗坏血酸的推荐摄入量，但硫胺素摄入量不足。饮食中脂肪的百分比低于西方人群的摄入量。肥胖是该人群的一个显著特征，高热量摄入加上身体活动减少似乎是与此相关的一个主要因素。这个密克罗尼西亚群体对糖尿病具有遗传易感性，这可能是由从传统生活方式向西方生活方式的转变所揭示出来的。这个问题可能并非瑙鲁所独有，随着西方化进程的推进，许多其他波利尼西亚和密克罗尼西亚人群可能也面临风险。
