Medical and nutritional surveys in The Kingdom of Tonga; Comparison of physiological and nutritional status of adult Tongans in urbanized (Kolofo-ou) and rural (Uiha) areas.

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  • KOIKE Goro
    Department of Nutrition, Kagawa Nutrition College, Toshima-ku
  • YOKONO Osamu
    Health Administration Center, Tokyo University of Foreign Studies
  • IINO Shiro
    Department of 1st Internal Medicine, School of Medicine, University of Tokyo
  • ADACHI Miyuki
    Department of Nutrition, Kagawa Nutrition College, Toshima-ku
  • YAMAMOTO Taeko
    Department of Nutrition, Kanagawa Prefectural Junior College of Nutrition
  • PULOKA Tilitili
    Public Health Division, Ministry of Health, Tongatapu, The Kingdom of Tonga
  • SUZUKI Masashige
    lnstitute of Health and Sports Sciences, University of Tsukuba

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Abstract

The physiological and nutritional status of adult Tongans in rural (Uiha, 50 males and 58 females) and urbanized (Kolofo-ou, 77 males and 71 females) areas were surveyed in 1977 and 1979, respectively. Adult Tongans of both sexes in the two districts had considerably large physiques. Being different from the obesity found in peoples of industrialized countries, the obese state of adult Tongans was associated with large muscularity, low incidence of glucosuria, ECG abnormalities and hypertension, and normal plasma cholesterol levels. However; modernization has started to have an influence upon the health of adult Tongans; relatively high levels in parameters relating to obesity as well as higher incidence of hypertension were observed in adult Tongans in Kolofo-ou as compared to adult Uiha islanders.

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