Exploring the link between home garden use and severe obesity: insights from a nationwide survey in Tuvalu

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dc.contributor.authorLin, PoJen
dc.contributor.authorLee, Irene (Tai-Lin)
dc.contributor.authorHershey, María Soledad
dc.contributor.authorShih, Wei-Chih
dc.contributor.authorTausi, Selotia
dc.contributor.authorSosene, Vine
dc.contributor.authorMaani, Pauke P.
dc.contributor.authorTupulaga, Malo
dc.contributor.authorWu, Stephanie M.
dc.contributor.authorLópez Gil, José Francisco
dc.contributor.authorLo, Yuan-Hung
dc.contributor.authorShiau, Shi-Chian
dc.contributor.authorHsu, Yu-Tien
dc.contributor.authorChang, Chia-Rui
dc.contributor.authorWei, Chihfu
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.contributor.funderUniversidad Pública de Navarra / Nafarroako Unibertsitate Publikoa, 1225/2022es
dc.date.accessioned2023-11-03T07:26:21Z
dc.date.available2023-11-03T07:26:21Z
dc.date.issued2023
dc.date.updated2023-11-03T07:16:18Z
dc.description.abstractBackground Obesity is prevalent and increasing but understudied across Pacific Islanders. Tuvalu is a South Pacific country with a high obesity rate and faces multiple threats of food insecurity. Home garden serves as a sustainable food source and can be a possible intervention for the obesity pandemic in Tuvalu. This study investigated Tuvaluans’ home garden use and obesity, and explored factors associated with increased use of home gardens. Methods We conducted a nationwide, cross-sectional study in Tuvalu during 2022. Structured questionnaires were administered during the in-person interviews, and trained interviewers measured the height and weight of each participant. The association between home garden use, obesity and severe obesity were tested with univariate and multivariable logistic regression. We also applied overlapping weights to balance the distribution of baseline demographic factors. Results The average body mass index was 34.87 kilogrammes (kg)/square metre (m2 ) among the study population of 1024 adults (630 from Funafuti and 394 from other islands in Tuvalu). Overall, people having home gardens was associated lower odds for severe obesity compared to those without a home garden in overlap weighting models (odds ratio (OR)=0.946, 95% CI=0.897-0.997, P=0.039) and the association was stronger in Funafuti (OR=0.927, 95% CI = 0.866-0.991, P= 0.027) than in the outlying islands (OR= 0.967, 95% CI = 0.889-1.052, P = 0.435). Furthermore, increased age was positively associated with having a home garden in Funafuti, and smoking showed an inverse association. Conclusions Having a home garden is associated with lower odds of severe obesity in Tuvalu, and the association is stronger in Funafuti. Smokers are less likely to have home gardens, and increased age is positively associated with having home gardens. These findings promote more home garden utilisation and provide evidence for targeted interventions in Tuvalu.en
dc.description.sponsorshipFruit and Vegetable Production and Nutrition Enhancement Project from Taiwan International Cooperation and Development Fund and Tuvalu government. Dr José F López-Gil is a Margarita Salas Fellow (Universidad Pública de Navarra—1225/2022).en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationLin, P.-J., Lee, T.-L. I., Hershey, M. S., Shih, C.-W., Tausi, S., Sosene, V., Maani, P. P., Tupulaga, M., Wu, S. M., López-Gil, J. F., Lo, Y.-H., Shiau, S.-C., Hsu, Y.-T., Chang, C.-R., & Wei, C.-F. (2023). Exploring the link between home garden use and severe obesity: Insights from a nationwide survey in Tuvalu. Journal of Global Health, 13, 04097. https://doi.org/10.7189/jogh.13.04097en
dc.identifier.doi10.7189/jogh.13.04097
dc.identifier.issn2047-2978
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/46697
dc.language.isoengen
dc.publisherInternational Society of Global Healthen
dc.relation.ispartofJournal of Global Health, 3(2023), 1-9en
dc.relation.publisherversionhttps://doi.org/10.7189/jogh.13.04097
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectObesityen
dc.subjectHome garden useen
dc.subjectTuvaluen
dc.subjectPacific islandersen
dc.titleExploring the link between home garden use and severe obesity: insights from a nationwide survey in Tuvaluen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublicationa8a724dc-bd51-4ab2-8e46-97e362d3ba8f
relation.isAuthorOfPublication.latestForDiscoverya8a724dc-bd51-4ab2-8e46-97e362d3ba8f

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