Travelling to the Pacific always intensifies my relationship with food.

King Taufa’ahau Tupou IV in the early 1970s

Every visit is accompanied by unsurpassed hospitality which yields an avalanche of food. The only way of avoiding the fate of a French force-fed goose is to develop the capacity to say “no”. And, sadly, my record of saying “no” to food is less than impressive.

Bravely I struggle with mountains of yam cake and roasted pork. I wade through rivers of boiled taro and raw fish in coconut sauce. And in the great contest between denying myself culinary gratification and yielding to the joy of eating, the result is always the same: a greatly expanded girth.

There have been times when this would have been seen as an asset in the Pacific. Traditions of power used to bestow the lion’s share of it on the very large. King Taufa’ahau Tupou IV, the longest serving King of Tonga, at his peak weighed 209kg, setting a record for the world’s heaviest monarch. He was very big, very powerful and very loved.

But times change and well they should. As the deleterious health effects of obesity became apparent King Taufa’ahau went on a diet. In the process he led a campaign of better eating and exercise which saw him shrink to a mere 130kg. He went on to live a long life of 88 years.

Yet tragically, King Taufa’ahau’s example has not been replicated throughout the Pacific, for the Pacific has become more and more obese. Non-communicable diseases are the new scourge of the region.

Nauru has within its tiny population the highest rate of diabetes in the world. The average life expectancy for men is just 49 years of age.

The problem is traditional unprocessed foods are being replaced by processed foods where the nutritional value has been destroyed through the process of sterilisation and preservation.

Taro, yam and fresh fish are not the issue. Poor quality processed food is.

This food is cheap and the result is that it has left the Pacific literally eating itself to death.

Of course the problem of diets based increasingly on processed food is not unique to the Pacific or the developing world. The prevalence of NCD’s is a major problem in Australia as we grapple with an alarming increase in childhood obesity.

But relative affluence and choice provide options for those of us living in urban Australia. When there is only one shop and price means everything, the choices – which do exist in the Pacific – are harder to make.

The solutions to this problem are neither easy nor quick. Yet there are elements of culture which can help.

The Pacific is a sports loving part of the world. In Australia’s development assistance we engage in sports outreach. Be it netball, rugby or cricket, the emphasis of our work is on encouraging people to get active and encouraging governments to make the link between sports policy and health policy.

Some of the best fruit in the world is grown in the Pacific and there are efforts afoot to try have people eat more of it. In Pohnpei, Australia is supporting the fresh fruit and vegetable initiative which is a campaign that aims to reincorporate the amazing bounty of local fruit and vegetables back into the local diet. 

Part of the solution lies also in better food regulation. For example, in Australia, folic acid is added to our bread. Folic acid supplements have been shown to signficantly reduce infant mortality and disability.

Likewise mandating mineral and vitamin additives such as iodine into food bound for the Pacific could help. So too could better standards around the content of fat in imported meat and tinned food.

If the Millennium Development Goals around health are to be met in the Pacific then NCD’s have to be licked. In the midst of public campaigns and public policy, personal responsibility also has a role to play. Limping along with my own diet, I am certainly familiar with all the challenges associated with that.

While this may be the biggest barrier standing between me and my fitness, let’s hope the Pacific fares better.

Most commented

22 comments

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    • craig2 says:

      06:29am | 07/06/12

      Mmmmmm,....obesity or global warming, what will knock them off first I wonder?

    • Austin 3:16 says:

      12:09pm | 07/06/12

      Huh the seas aren’t rising its just the islands are starting to sink under the weight ....

    • Pedro says:

      06:57am | 07/06/12

      Sounds like the right place for Chrissie Swan and her fat kids to have a holiday.

    • Luthien Nienna says:

      01:53pm | 07/06/12

      Owch…. (giggle snort).

    • Elizabeth says:

      10:57am | 08/06/12

      Pedro, that is highly uncalled for.

    • Emma says:

      07:17am | 07/06/12

      When my former flatmate came from Britain to Wellington to work as doctor at Wellington hospital she received an info booklet on NZ and medical stuff that is special to NZ. There was a whole section on Pacific Islanders in NZ and their life expectancy and obesity. It is really noticible here just by looking around you.

    • stephen says:

      07:43am | 07/06/12

      When they eat, they don’t talk.

    • Charlie says:

      08:57am | 07/06/12

      Richard, You have identified a major problem that needs to be addressed.  The villagers diet in many of these countries is bland and they have little choice about what they eat.  I have visited many trade stores in remote areas and the only option they have is cheap imported fish and spam laden with salt.  Over the years I have seen physically fit young men who relocate from villages to urban areas transform into very fat young men. You are spot on with the link to sport and their passion for it as well as the need to encourage some form of food regulation.  Another good starting point would be the introduction of a nutritional education program in schools.

    • Charlie says:

      08:57am | 07/06/12

      Richard, You have identified a major problem that needs to be addressed.  The villagers diet in many of these countries is bland and they have little choice about what they eat.  I have visited many trade stores in remote areas and the only option they have is cheap imported fish and spam laden with salt.  Over the years I have seen physically fit young men who relocate from villages to urban areas transform into very fat young men. You are spot on with the link to sport and their passion for it as well as the need to encourage some form of food regulation.  Another good starting point would be the introduction of a nutritional education program in schools.

    • Chrid says:

      09:00am | 07/06/12

      I lived and volunteered in tonga for 14 months under ausaids volunteering program. During my time there I worked for the football (soccer) association and really believe that the sports program’s Richard is talking about here work and work well.. In my opinion you can see more change through sports based volunteer programs than in the traditional governance style projects as you simply don’t need to deal with bureaucracy.. You can simply get round to a few schools a day with a few footballs and get kids involved

    • Tez says:

      06:01pm | 08/06/12

      I dont believe sport is the final answer to any weight problem, simply because it teaches them that it is ok to eat the one pound of spam becasue they will burn it off on the sport field. But what happens when they injure themselves or get to old to participate, but keep up the the spam and taro diet because it is all they know?
      Can I ask what happened to their traditional diet, is Tonga as easy to grow stuff as Fiji or PNG?

    • Kelera says:

      09:15am | 07/06/12

      Richard Marles your party is in Govt, you give aid to these islands. Australia is a member of the Pacific Island Forum. Use and police aid money to solve the problems for our neighbouring islanders instead of just talking about it. Educating the islanders would be a good start. These island people need to go back to subsistence farming where what they don’t eat they sell to others. NZ and Australia also should cease selling them cuts of fatty red meat that no one wants to buy back in NZ and Australia. eg lamb flaps. Correct me if it has been stopped.

      By the way, we have the same problem here, obesity amongst our children is a worry. You are also forgetting those islanders that have migrated here that are having treatment when the problem had already started from where they came from. They arrive here, cost them nothing to have the treatment and die here. Visit the kidney dialysis ward and see for yourself the number of immigrants that are having free treatment.

    • Scotchfinger says:

      11:18am | 07/06/12

      Let’s get our own obesity levels and diabetes down to what they were in the 1970s before we start extolling our wisdom to our little friends in the Pacific. Otherwise we come across sort of like fat, patronising white men. After all, it’s our food they are eating. Mmm, Arnott’s bikkies straight from the palm tree…

    • Semi concerned Citizen says:

      11:30am | 07/06/12

      Richard,

      How about giving some time to all the fat ones in your electorate. Oh i forgot you represent all the little islands.

    • jg says:

      12:30pm | 07/06/12

      Obesity is taking a toll on our island neighbours

      So?

      Tell them to stop eating like piggies.

      Oh, that’s right. it’s white man’s fault again.

      Probably Abbott…

    • Gomez12 says:

      01:05pm | 07/06/12

      What’s that Havingford-smythe? The natives are eating too much?

      Can’t have that now can we? Best send a regiment to sort that out post-haste!

      Damnable uncivilised natives thinking they can run their own lives eh? What next!

      /sarcasm

    • whorephobic says:

      01:42pm | 07/06/12

      In Egypt , to be a Yummy Mummy, you need bandages and prayers !
      Food is only for their kids!!

    • whorephobic says:

      01:43pm | 07/06/12

      Cannibalism is for fat cats nowadays!

    • kitteh says:

      01:47pm | 07/06/12

      Certainly we have our own obesity issues. However, in terms of population genetics, Pacific Islanders (along with Australian Aborigines) are far more vulnerable to the effects of obesity than their Caucasian counterparts - the risks of Type II diabetes, for instance. Globalisation has accelerated the problem to crisis level. That in and of itself makes the issue well worth our attention - which it won’t get. The trolls commenting on yesterday’s obesity article clearly have no interest in policy, reform or research when there’s not a semi-famous white woman to ridicule.

    • ted says:

      03:24pm | 07/06/12

      Richard….the front bench of the Labor Party can hardly say much when it comes to obesity?

    • sam byfield says:

      07:18pm | 07/06/12

      Thanks for raising awareness about this important issue, Richard. The issue of obesity, and more broadly NCDs, is growing rapidly in both Australia and developing countries, yet is often not recognised as a pressing health problem.

      More broadly, articles like this have a big role to play in explaining to the general public why Australia has an aid program, and one which at least in real terms is continuing to grow. There’s a lot of scepticism around, much of which can be easily dispelled when people have a basic understanding of the terrific, tangible impacts Australia’s aid program has.

    • Katie says:

      08:19pm | 07/06/12

      While processed foods may be part of the issue, one also has to take into account the ‘Islander’ culture. My partner’s from the pacific islands and when we go to visit his family, their first comment is always that I’m too thin.

      I’m really not. I could do to lose quite a bit.

      Fat is seen as a good thing, of success, and as islanders are quite laid back, once they move past the teenage years, the fact that they’re getting larger really isn’t a big deal for them. I dont’ know if they don’t know the risks, perhaps education is the key.

      They are, however, quite a happy people, despite being overweight, poor and often addicted to ciggarettes. Strange, that.

      Meanwhile, I’m off for another jog….

 

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