Weinstein S, Sedlak-Weinstein E, Taylor R, Zimmet P
N Z Med J. 1981 Dec 9;94(697):411-3.
An epidemiologic survey of 133 adult Polynesians of Manihiki Atoll, Cook Island group, revealed a high prevalence of diabetes mellitus (males 8.0 percent, females 10.3 percent) and impaired glucose tolerance (males 8.0 percent, females 31.0 percent). Those with abnormal glucose tolerance were older, more obese, and engaged in less physical activity than normals. The females had a higher prevalence of both diabetes and impaired glucose tolerance than the males. Although Manihiki is geographically isolated, the islanders have a good income from copra and pearl shell. The change from a traditional to a modern way of life in a population with an increase susceptibility to diabetes is the probable cause of the high prevalence of abnormal glucose tolerance. The change in living patterns is a consequence of change from a subsistence existence to involvement in the cash economy.
对库克群岛马尼希基环礁的133名成年波利尼西亚人进行的一项流行病学调查显示，糖尿病患病率很高（男性为8.0%，女性为10.3%），葡萄糖耐量受损情况也很严重（男性为8.0%，女性为31.0%）。葡萄糖耐量异常者比正常人年龄更大、更肥胖，且体力活动较少。女性的糖尿病患病率和葡萄糖耐量受损率均高于男性。尽管马尼希基在地理上与世隔绝，但岛民从椰干和珍珠贝中获得了可观的收入。在对糖尿病易感性增加的人群中，从传统生活方式向现代生活方式的转变可能是葡萄糖耐量异常患病率高的原因。生活模式的变化是从自给自足的生存方式向参与现金经济转变的结果。
