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Pacific Islander Americans, Diet of

The Pacific Islands contain 789 habitable islands and are divided into the three geographic areas: Polynesia, Melanesia, and Micronesia. According to the 2000 U.S. Census, there are over a million Pacific Islanders in the United States, most of whom live in California, Hawaii, Washington, Utah, and Texas. Pacific Islander ethnicities in the United States include Carolinian, Fijian, Guamanian, Hawaiian, Kosraean, Melanesian, Micronesian, Northern Mariana Islander, Palauan, Papua New Guinean, Ponapean, Polynesian, Samoan, Solomon Islander, Tahitian, Tarawa Islander, Tongan, Trukese (Chuukese), and Yapese. Prior to 1980, Pacific Islander Americans (except Hawaiians) were classified with Asian Americans under the classification of "Asian and Pacific Islander American." Today, the U.S. Census Bureau includes Pacific Islander Americans under the classification of "Native Hawaiian and Other Pacific Islander." Pacific Islanders are a racially and culturally diverse population group, and they follow a wide variety of religions and have an array of languages.

Nutrition and Health Status

Accurate mortality and morbidity statistics for this population are limited, mainly because data on Pacific Islander Americans were classified with Asian Americans until a few years ago. Pacific Islander Americans have a high rate of obesity, and Native Hawaiians and Samoans are among the most obese people in the world. Dietary and lifestyle changes, as well as a likely genetic predisposition to store fat, are possible causes for this high rate. Lifestyles have changed from an active farming- and fishing-based subsistence economy to a more sedentary lifestyle. Pacific Islanders may be genetically predisposed to store fat for times of scarcity (the "thrifty gene" phenotype), and there is evidence that prenatal undernutrition modifies fetal development, predisposing individuals to adult obesity and chronic diseases.

Besides obesity, Pacific Islander Americans have high rate of diabetes, hypertension, cardiovascular disease, and stroke. Data collected from 1996 to 2000 suggest that Native Hawaiians are 2.5 times more likely to have diagnosed diabetes than white residents of Hawaii of similar age. Guam's death rate from diabetes is five times higher than that of the U.S. mainland, and diabetes is one of the leading causes of death in American Samoa. Overall, Pacific Islander Americans have much lower rates of heart disease than other minority groups in the United States, but it is still the leading cause of death within this population. Risk factors for and mortality from heart disease are high partly because of higher rates of obesity, diabetes, and high

NATIVE HAWAIIAN AND OTHER U.S. PACIFIC ISLANDER POPULATION, 2000 The numbers by national origin do not add up to the total population figure because respondents may have put down more than one country. Respondents reporting several countries are counted several times. The total includes Native Hawaiian and other Pacific Islanders alone or in combination with other races or groups. Native Hawaiian and Pacific Islander population alone in 2000 was 398,835. NATIVE HAWAIIAN AND OTHER U.S. PACIFIC ISLANDER POPULATION, 2000
The numbers by national origin do not add up to the total population figure because respondents may have put down more than one country. Respondents reporting several countries are counted several times. The total includes Native Hawaiian and other Pacific Islanders alone or in combination with other races or groups. Native Hawaiian and Pacific Islander population alone in 2000 was 398,835.

National Origin Population Percent
*Less than 0.1%.
SOURCE: U.S. Census Bureau, Census 2000.
Total 874,414 100.0%
Polynesian
Native Hawaiian 401,162 45.9
Samoan 133,281 15.2
Tongan 36,840 4.2
Tahitian 3,313 0.4
Tokelauan 574 0.1
Polynesian, not specified 8,796 1.0
Micronesian
Guamanian or Chamorro 92,611 10.6
Mariana Islander 141 *
Saipanese 475 0.1
Palauan 3,469 0.4
Carolinian 173 *
Kosraean 226 *
Pohnpeian 700 0.1%
Chuukese 654 0.1
Yapese 368 *
Marshallese 6,650 0.8
I-Kiribati 175 *
Micronesian, not specified 9,940 1.1
Melanesian
Fijian 13,581 1.6
Papua New Guinean 224 *
Solomon Islander 25 *
Ni-Vanuatu 18 *
Melanesian, not specified 315 *
Other Pacific Islander 174,912 20.0

blood pressure. The poor health status of Pacific Islander Americans is also linked to socioeconomic indicators—Native Hawaiians have the worst socioeconomic indicators, the lowest health status, and the most diet-related maladies of all American minorities.

Eating Habits and Meal Patterns

The cuisine of Pacific Islander Americans varies slightly from culture to culture and is a blend of native foods and European, Japanese, American, and Asian influences. As with many cultures, food plays a central role in the culture. Pacific Islander Americans typically eat three meals a day. Breakfast is usually cereal and coffee; traditional meals are eaten for lunch or dinner; and fruits, fruit juices, vegetables, and nuts (e.g., peanuts and macadamia) are eaten in abundance. Milk and other dairy products are uncommon and there is a high prevalence of lactose intolerance among Pacific Islander Americans. Thus, calcium deficiency is prevalent.

Starchy foods are the foundation of the traditional diet. For example, the traditional Hawaiian diet is 75 to 80 percent starch, 7 to 12 percent fat, and 12 to 15 percent protein. Starch in the traditional diet comes primarily from root vegetables (e.g., taro, cassava, yam, green bananas, and breadfruit). In addition, the traditional diet is plentiful in fresh fruits, juices, nuts, and greens. Traditional meals include poi (boiled taro), breadfruit, green bananas, fish, or pork. Many dishes are cooked in coconut milk, and seaweed is often used as a vegetable or a condiment.

Nutritional Transition

Many Pacific Islander Americans now eat an Americanized diet consisting of fast foods and highly processed foodstuffs such as white flour, white sugar, canned meat and fish, butter, margarine, mayonnaise, carbonated beverages, candies, cookies, and sweetened breakfast cereals. Rice is now a staple food, having taken over yam and taro in popularity in the 1980s and 1990s. This nutritional transition has resulted in an increase in cardiovascular disease (i.e., coronary heart disease, stroke, hypertension), obesity, and type 2 diabetes.

Nutrition education is needed to stimulate nutrition-related indigenous knowledge and the consumption of traditional nutrient-rich local foods as a more healthful alternative to fast foods and processed foods. There is also an urgent need for increased awareness of the health perils of obesity, especially among individuals with low socioeconomic status. Many health professionals are now emphasizing eating traditional "native" foods and encouraging residents to get back to a healthy lifestyle and to their cultural roots. Language is a major barrier to health education and medical interventions, however, and more health professionals need to be recruited from this population into health and medical fields in specific geographic areas. Professionals from the dominant (white) culture also need to become more culturally competent.

Ranjita Misra
Delores C. S. James

Bibliography

Galanis D. J.; McGarvey, S. T.; Quested, C.; Sio, B.; and Afele-Fa'amuli, S. A. (1999). "Dietary Intake of Modernizing Samoans: Implications for Risk of Cardiovascular Disease." Journal of the American Dietetic Association 99(2):184–90.

Kittler, P. G., and Sucher, K. P. (2001). Food and Culture, 3rd edition. Stamford, CT: Wadsworth.

Wang, C. Y.; Abbot, L.; Goodbody, A. K.; and Hui, W. T. (2002). "Ideal Body Image and Health Status in Low-Income Pacific Islanders." Journal of Cultural Diversity 9(1):12–22.

Internet Resources

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). "Diabetes in Asian and Pacific Islander Americans." Available from <http://diabetes.niddk.nih.gov/>

U.S. Geological Survey, Biological Resources Division. "The Status and Trends of the Nation's Biological Resources: Hawaii and the Pacific Islands." Available from <http://biology.usgs.gov/>


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