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Table 3 Overweight and obesitya prevalence in the Pacific Region, GSHS and YRBSS, 2007-2013

From: Overweight, obesity, physical activity and sugar-sweetened beverage consumption in adolescents of Pacific islands: results from the Global School-Based Student Health Survey and the Youth Risk Behavior Surveillance System

Global School-Based Student Health Surveys (GSHS) (13-15 years)
  Overweight (including obese) Obese
Country Males Females Males Females
  % (95 % CI) % (95 % CI) % (95 % CI) % (95 % CI)
Cook Islands 2011 58.2 58.9 29.0 19.0
Fiji 2010 17.9 (13.0–24.2) 20.4 (16.1–25.4) 5.9 (4.0–8.8) 4.5 (3.0–6.7)
Kiribati 2011 31.9 (27.1–37.1) 46.4 (41.9–51.0) 7.8 (5.0–12.0) 8.5 (6.8–10.5)
Nauru 2011 40.0 48.9 17.8 15.7
Niue 2010 60.3 --- 39.9 ---
Samoa 2011 43.4 (39.0–47.9) 59.1 (55.5–62.6) 15.7 (12.4–19.6) 22.3 (19.1–25.8)
Solomon Islands 2011 17.6 (13.1–23.2) 22.4 (16.7–29.5) 1.5 (0.7–3.1) 2.9 (1.2–6.7)
Tonga 2010 61.2 (57.7–64.6) 58.0 (53.8–62.0) 24.7 (21.9–27.7) 19.1 (15.8–22.8)
Tuvalu 2013 44.3 52.2 22.1 20.9
Vanuatu 2011 8.9 (4.3–17.5) 13.6 (8.0–22.0) 0.3 (0.0–2.2) 0.0
Youth Risk Behavior Surveillance System (YRBSS) (Grades 9–12)
  Overweight (including obese) Obese
Country Males Females Males Females
  % (95 % CI) % (95 % CI) % (95 % CI) % (95 % CI)
American Samoa 2011 60.7 59.8 40.4 37.3
Guam 2013 37.2 36.8 22.8 (18.9–27.2) 17.1 (14.1–20.6)
Palau 2011 24.4 24.8 12.5 11.5
Commonwealth of the Northern Mariana Islands 2007 32.3 30.4 16.0 12.9
Republic of the Marshall Islands 2007 38.7 40.4 26.3 23.4
  1. Confidence intervals were not reported for Cook Islands, Nauru, Niue, American Samoa, Republic of the Marshall Islands, Commonwealth of the Northern Mariana Islands and Palau, as surveys were designed to include all members of the target population. Confidence intervals were not reported for Tuvalu
  2. Prevalence for females in Niue was not reported due to small sample size (less than 20 students)
  3. Results for CNMI for 2007 were obtained from: Lippe J, Brener N, Kann L. et al. Youth risk behavior surveillance - Pacific Island United States Territories, 2007 MMWR Surveillance Summaries. 2008;57(12):28–56
  4. CI Confidence Interval
  5. aOverweight was defined in GSHS as Body Mass Index (BMI) > +1 standard deviation from the median for BMI for age and sex based on World Health Organization reference. Obesity was defined in GSHS as BMI > +2 standard deviations from the median. For the United States affiliated Pacific Islands, we estimated overweight from the addition of YRBSS results for overweight (BMI ≥85th and <95th for BMI for age and sex based on the 2000 Centers for Disease Control and Prevention reference) and obesity (defined as ≥95th percentile for BMI for age and sex). Height and weight were self-reported in YRBSS