Abstract: Objective: To describe changes over time in dietary risk factor prevalence and non-communicable disease in Pacific Island countries.Methods: Secondary analysis of data from 21,433 adults aged 25-69, who participated in nationally representative World Health Organization STEPs surveys in 8 Pacific Island Countries and Territories between 2002 and 2019. Outcomes of interest were changes in consumption of fruit and vegetables, hypertension, overweight and obesity, and hypercholesterolaemia over time. Also, salt intake and sugar sweetened beverage consumption for those countries that measured these risk factors in the most recent survey.Results: Pooled analysis revealed a reduction from 94% to 88% in the proportion of adults who consumed
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