Alysa Pomer
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View article: Psychosocial correlates of HbA1c among adult Samoans without diabetes
Psychosocial correlates of HbA1c among adult Samoans without diabetes Open
Understanding psychosocial determinants of health is critical in understudied, high-risk populations, where such knowledge could have a major impact on health outcomes. In Samoa, where diabetes prevalence has rapidly increased over 30 year…
View article: Supporting the nation in crisis: the military health system’s role in enhancing public health capacity through public–private partnerships
Supporting the nation in crisis: the military health system’s role in enhancing public health capacity through public–private partnerships Open
The MHS rapidly established and fostered key partnerships with the public and private sectors during the COVID-19 pandemic. The pandemic experience showed that while the MHS is a useful resource for the nation, it also benefits from partne…
View article: Associations between fasting glucose rate-of-change and the missense variant, rs373863828, in an adult Samoan cohort
Associations between fasting glucose rate-of-change and the missense variant, rs373863828, in an adult Samoan cohort Open
Background The A allele of rs373863828 in CREB3 regulatory factor is associated with high Body Mass Index, but lower odds of type 2 diabetes. These associations have been replicated elsewhere, but to date all studies have been cross-sectio…
View article: Accelerometer-Based Estimates of Physical Activity and Sedentary Time Among Samoan Adults
Accelerometer-Based Estimates of Physical Activity and Sedentary Time Among Samoan Adults Open
Background : The prevalence of obesity-related cardiometabolic disease in Samoa is among the highest globally. While physical activity is a modifiable risk factor for obesity-related disease, little is known about physical activity levels …
View article: The response of the Military Health System (MHS) to the COVID-19 pandemic: a summary of findings from MHS reviews
The response of the Military Health System (MHS) to the COVID-19 pandemic: a summary of findings from MHS reviews Open
Introduction The coronavirus disease 2019 (COVID-19) pandemic caused major disruptions to the US Military Health System (MHS). In this study, we evaluated the MHS response to the pandemic to understand the impact of the pandemic response i…
View article: Characterization of sleep apnea among a sample of adults from Samoa
Characterization of sleep apnea among a sample of adults from Samoa Open
Sleep apnea is a public health concern around the world, but little research has been dedicated to examining this issue in low- and middle-income countries, including Samoa. Using data collected through the Soifua Manuia (“Good Health”) st…
View article: How Hospitals Are Addressing The Effects Of Racism: A Mixed-Methods Study Of Hospital Equity Officers
How Hospitals Are Addressing The Effects Of Racism: A Mixed-Methods Study Of Hospital Equity Officers Open
Hospital equity officers have become critical leaders in the effort to address the determinants of health care disparities, including structural racism. In this mixed-methods study, we surveyed a national sample of equity officers and inte…
View article: Association between age at menarche and cardiometabolic risk among Samoan adults
Association between age at menarche and cardiometabolic risk among Samoan adults Open
Objectives Recent studies suggest that early menarche may increase cardiometabolic morbidity and mortality. Yet few studies have examined this association in the Pacific Islands, where obesity prevalence is among the highest globally. We s…
View article: Associations between diabetes-related symptoms, glycemic control, and health-related quality of life in adult Samoans
Associations between diabetes-related symptoms, glycemic control, and health-related quality of life in adult Samoans Open
Aim
The prevalence of Type 2 diabetes in Samoa has increased substantially over the last 30 years. Identifying common symptoms in those living with diabetes may be instrumental in directing those at risk to seek early evaluation, diagnosi…
View article: Validity of anthropometric equation‐based estimators of fat mass in <scp>S</scp>amoan adults
Validity of anthropometric equation‐based estimators of fat mass in <span>S</span>amoan adults Open
Introduction In 1999, a set of highly accurate Polynesian‐specific equations to estimate adult body fat from non‐invasive field measures of age, sex, height, and weight (Equation 1), age, sex, height, weight, and bioelectrical impedance an…
View article: The protective effect of rs373863828 on type 2 diabetes does not operate through a body composition pathway in adult Samoans
The protective effect of rs373863828 on type 2 diabetes does not operate through a body composition pathway in adult Samoans Open
Objective The aim of this study was to understand whether the paradoxical association of missense variant rs373863828 in CREB3 regulatory factor ( CREBRF ) with higher BMI but lower odds of diabetes is explained by either metabolically fav…
View article: Correlates of Daytime Sleepiness and Insomnia among Adults in Samoa
Correlates of Daytime Sleepiness and Insomnia among Adults in Samoa Open
Objective To describe daytime sleepiness and insomnia among adults in Samoa and identify modifiable factors associated with these measures. Design/setting Cross-sectional analysis of data from the Soifua Manuia (“Good Health”) study (n=519…
View article: Greater central adiposity resulting from increased market integration is associated with elevated C-reactive protein levels in older women from the Republic of Vanuatu
Greater central adiposity resulting from increased market integration is associated with elevated C-reactive protein levels in older women from the Republic of Vanuatu Open
Objective: We characterized the relationship between circulating C-reactive protein (CRP) levels and nine anthropometric measures of body fat to identify the best anthropometric predictors of CRP in Ni-Vanuatu women.
Sample and Methods: A…
View article: <scp>C‐reactive</scp> protein in adult Samoans: Population variation and physiological correlates
<span>C‐reactive</span> protein in adult Samoans: Population variation and physiological correlates Open
Objectives C‐reactive protein (CRP) has been associated with adiposity and cardiometabolic disease risk in many populations but remains remarkably understudied in Pacific Islander populations. Here, we provide the first examination of corr…
View article: Relationships between Prenatal Distress and Infant Body Mass Index in the First Year of Life in a Lower-Middle Income Country
Relationships between Prenatal Distress and Infant Body Mass Index in the First Year of Life in a Lower-Middle Income Country Open
Prenatal stress affects body composition in childhood and later in life. However, few studies assess body composition in infancy. Furthermore, most are in high-income countries and do not consider interactive or curvilinear relationships. …
View article: Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010–2019
Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010–2019 Open
The Samoan population has experienced rapid increases in the prevalence of non-communicable diseases (NCDs) and NCD risk factors over the last 30 years. However, understanding how increased awareness and treatment of these conditions in re…
View article: Exploring the Paradoxical Relationship of a Creb 3 Regulatory Factor Missense Variant With Body Mass Index and Diabetes Among Samoans: Protocol for the Soifua Manuia (Good Health) Observational Cohort Study
Exploring the Paradoxical Relationship of a Creb 3 Regulatory Factor Missense Variant With Body Mass Index and Diabetes Among Samoans: Protocol for the Soifua Manuia (Good Health) Observational Cohort Study Open
Background The prevalence of obesity and diabetes in Samoa, like many other Pacific Island nations, has reached epidemic proportions. Although the etiology of these conditions can be largely attributed to the rapidly changing economic and …
View article: Changing body norms in the context of increasing body size: Samoa in 1995 and 2018
Changing body norms in the context of increasing body size: Samoa in 1995 and 2018 Open
Objective To understand how body size preferences changed in Samoa between 1995 and 2017 to 2019. Methods Data were from adults aged from 31 to 59 years, who participated in two separate cross‐sectional studies of obesity and cardiometabol…
View article: Exploring the Paradoxical Relationship of a Creb 3 Regulatory Factor Missense Variant With Body Mass Index and Diabetes Among Samoans: Protocol for the Soifua Manuia (Good Health) Observational Cohort Study (Preprint)
Exploring the Paradoxical Relationship of a Creb 3 Regulatory Factor Missense Variant With Body Mass Index and Diabetes Among Samoans: Protocol for the Soifua Manuia (Good Health) Observational Cohort Study (Preprint) Open
BACKGROUND The prevalence of obesity and diabetes in Samoa, like many other Pacific Island nations, has reached epidemic proportions. Although the etiology of these conditions can be largely attributed to the rapidly changing economic and…
View article: Using multiple correspondence analysis to identify behaviour patterns associated with overweight and obesity in Vanuatu adults
Using multiple correspondence analysis to identify behaviour patterns associated with overweight and obesity in Vanuatu adults Open
Objective The present study evaluates the use of multiple correspondence analysis (MCA), a type of exploratory factor analysis designed to reduce the dimensionality of large categorical data sets, in identifying behaviours associated with …
View article: Surveillance for malaria outbreak on malaria-eliminating islands in Tafea Province, Vanuatu after Tropical Cyclone Pam in 2015
Surveillance for malaria outbreak on malaria-eliminating islands in Tafea Province, Vanuatu after Tropical Cyclone Pam in 2015 Open
SUMMARY The risk of malaria outbreak surfaced in Vanuatu after Tropical Cyclone (TC) Pam in March 2015. In June and July 2015 we conducted malariometric surveys on the islands of Tanna, Aneityum, and Erromango in Tafea Province, where mala…