Pingelap Island in Pohnpei state is geographically isolated as the nearest island is 70 km away, and such geographical isolation is a challenge for public health due to the limited access to health services. This study aims to reveal the health situation on the island and investigate the influence of geographical isolation on health and diet. For that purpose, the result was compared with those who are living in a community on the main island of Pohnpei state (Mand) with the same ethnic background. Face-to-face interviews were conducted to collect data on demographics, diet, and behavior. Anthropometry and blood pressure measurements were also taken. A total of 98 (Pingelap = 50; Mand = 48) subjects participated in the study. The result showed that females, in particular, had a high prevalence of obesity (80.0% in Pingelap; 75.9% in Mand). However, no significant regional difference was found in both BMI and blood pressure, regardless of gender. Regarding diet, although the geographical location impacted food availability, the consumption of major imported foods did not show a significant regional difference. In conclusion, the geographical isolation did not significantly influence health and diet, but the majority of the study population displayed a high-risk burden of non-communicable diseases.

中文翻译：

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生活在偏远地区的人们的健康和饮食：以密克罗尼西亚联邦波纳皮州的品格拉普岛为例

Pohnpei州的Pingelap岛在地理上是孤立的，因为最近的岛屿在70公里外，由于获得医疗服务的机会有限，这种地理上的孤立对公共卫生构成了挑战。这项研究旨在揭示岛上的健康状况，并调查地理隔离对健康和饮食的影响。为此，将结果与居住在具有相同族裔背景的波恩佩州（曼德）主岛上一个社区的居民进行了比较。进行了面对面的采访，以收集有关人口统计，饮食和行为的数据。还进行了人体测量和血压测量。共有98位受试者（Pingelap = 50； Mand = 48）参加了研究。结果显示，尤其是女性，肥胖症的患病率很高（Pingelap为80.0％； Mand为75.9％）。然而，不论性别，在BMI和血压方面均未发现明显的区域差异。关于饮食，尽管地理位置影响了粮食供应，但主要进口粮食的消费量并未显示出明显的区域差异。总之，地理隔离并没有显着影响健康和饮食，但是大多数研究人群显示出非传染性疾病的高风险负担。