The health status of four populations depending on traditional subsistence in Papua New Guinea was compared by the dipstick test urinalysis. Conspicuous inter-population difference in the distribution of urinary pH was attributed to the levels of protein intake and the balances of sodium and potassium intake. The percentage of positive findings on protein differed by population along with the percentages of urobilinogen and bilirubin; the higher percentage of protein positives (12-16%) found in less urbanized populations suggests a high risk of hepatic and/or renal disorders in traditional societies. The very low percentage, 0.3 percent, of positive findings on glucose among 1, 132 urine samples tested indicated that diabetes mellitus was not yet the major problem. Simultaneously, however, the fact that glucose positives were found only in the most urbanized villages indicates increasing risk of diabetes even in the traditional populations during future urbanization. Asia Pac J Public Health1994; 7(3): 165-72.
1. Zimmet P, Seluka A, Collins J, Currie P, Wicking J, DeBoer W. Diabetes mellitus in an urbanized, isolated Polynesian population: the Funafuti survey. Diabetes1977; 26: 1101–8.
2.
2. Zimmet P, Faaiuso S, Ainuu J, Whitehouse S, Milne B, DeBoer W. The prevalence of diabetes in the rural and urban Polynesian population of Western Samoa. Diabetes1981; 30: 45–51.
3.
3. Zimmet P, Canteloube D, Genelle B, et al. The prevalence of diabetes mellitus and impaired glucose tolerance in Melanesians and part-Polynesians in rural New Caledonia and Ouvea (Loyalty Islands). Diabetologia1982; 23: 393–8.
4.
4. Zimmet P, Taylor R, Ram P, et al. Prevalence of diabetes and impaired glucose tolerance in the biracial (Melanesian and Indian) population of Fiji: a rural-urban comparison. Am J Epidemiol1983; 118: 673–88.
5.
5. King H, Taylor R, Zimmet P, et al. Non-insulin-dependent diabetes (NIDDM) in a newly independent Pacific nation: the Republic of Kiribati. Diabetes Care1984; 7: 409–15.
6.
6. Hingston RG, Price AVG. Diabetic surveys in Papua. PNG Med J1964; 7: 33–5.
7.
7. Price AVG, Tulloch JA. Diabetes mellitus in Papua and New Guinea. Med J Aust1966; 2: 645–8.
8.
8. Martin FIR, Wyatt GB, Griew AR, Haurahelia M, Higginbotham L. Diabetes mellitus in urban and rural communities in Papua New Guinea. Diabetologia1980; 18: 369–74.
9.
9. King H, Heywood P, Zimmet P, et al. Glucose tolerance in a highland population in Papua New Guinea. Diabetes Res1984; 1: 45–51.
10.
10. Patel M, Jamrozik K, Allen O, Martin FIR, Eng J, Dean B. A high prevalence of diabetes in a rural village in Papua New Guinea. Diabetes Res Clin Pract1986; 2: 97–103.
11.
11. King H, Finch C, Collins A, et al. Glucose tolerance in Papua New Guinea: ethnic differences, association with environmental and behavioural factors and the possible emergence of glucose intolerance in a highland community. Med J Aust1989; 151: 204–10.
12.
12. King H, Zimmet P, Bennett P, Taylor R, Raper LR. Glucose tolerance and ancestral genetic admixture in six semitraditional Pacific populations. Genet Epidemiol1984; 1: 315–28.
13.
13. King H. Glucose tolerance in Papua New Guinea: past and future studies. PNG Med J1985; 28: 283–9.
14.
14. Ohtsuka R, Suzuki T, editors. Population Ecology of Human Survival: Bioecological Studies of the Gidra in Papua New Guinea. Tokyo: University of Tokyo Press, 1990.
15.
15. Inaoka T, Suzuki T, Ohtsuka R, et al. Salt consumption, body fatness and blood pressure of the Gidra in lowland Papua. Ecol Food Nutr1987; 20: 55–66.
16.
16. Ohtsuka R. The comparative ecology of inter-and intra-population migration in three populations in Papua New Guinea. Man Culture Oceania1987; 3(Special Issue): 207–19.
17.
17. Ohtsuka R, Inaoka T, Kawabe T, Suzuki T, Hongo T, Akimichi T. Diversity and change of food consumption and nutrient intake among the Gidra in lowland Papua. Ecol Food Nutr1985; 16: 339–50.
18.
18. Arden MR, Budow L, Bunnell DW, Nussbaum MP, Shenker IR, Jacob-son MS.Alkaline urine is associated with eating disorders. Am J Dis Child1991; 145: 28–30.
19.
19. Lemann J Jr, Relman AS. The relation of sulfur metabolism to acid-base balance and electrolyte excretion: the effects of DL-methionine in normal man. J Clin Invest1959; 38: 2215–23.
20.
20. Stonard MD. Assessment of renal function and damage in animal species: a review of the current approach of the academic, governmental and industrial institutions represented by the animal clinical chemistry association. J Appl Toxicol1990; 10: 267–74.
21.
21. Simmons WK. Urinary urea nitrogen/creatinine ratio as indicator of recent protein intake in field studies. Am J Clin Nutr1972; 25: 539–42.
22.
22. Yamori Y, Kihara M, Fujikawa J, et al. Dietary risk factors of stroke and hypertension in Japan. Part 1: Methodological assessment of urinalysis for dietary salt and protein intakes. Jpn Circ J1982; 46: 933–8.
23.
23. Inaoka T. Urinalysis and protein nutriture.In: Ohtsuka R, Suzuki T, editors. Population Ecology of Human Survival: Bioecological Studies of the Gidra in Papua New Guinea. Tokyo: University of Tokyo Press, 1990:167–74.
24.
24. Kuchikura Y. Subsistence activities, food use, and nutrition among the Mountain Ok in central New Guinea. Man Culture Oceania1990; 6: 113–37.
25.
25. Suda K. Socioeconomic changes of production and consumption in Papua New Guinea societies. Man Culture Oceania1993; 9: 6979.
26.
26. Macfarlane WV, Skinner SL, Scoggins B. Functional acculturation of Meranesians. 1: Salts, hormones and blood pressure change. Abstracts of the 42nd Congress of the Australian and New Zealand Association for the Advancement of Science, 1970.
27.
27. Kyle JH, Mackenzie CJG. Albuminuria at Lake Murray due to high methylmercury intake. PNG Med J1982; 25: 227–9.
28.
28. Hongo T, Suzuki T, Ohtsuka R, Kawabe T, Inaoka T, Akimichi T. Compositional character of Papuan foods. Ecol Food Nutr1989; 23: 39–56.
