Abstract
Advances in agriculture and food systems, consequent increases in food availability, and a shift in dietary consumption patterns with economic development and urbanization of developing societies leads to adverse health outcomes. The structure of the habitual diet is altered and is characterized by increasing consumption of fats, saturated fats largely from animal sources and sugars. Lifestyle changes in an increasingly urbanized environment which occurs concurrently contributes to a reduction in physical activity levels which promotes overweight and obesity. The essence of these changes is captured by the term ‘nutrition transition’ which accompanies the demographic and epidemiologic transition in these countries with economic development. The existing burden of undernutrition in developing countries is thus compounded by the adverse effects of the nutrition transition, notably the increasing prevalence of obesity and non-communicable diseases. This double burden of malnutrition adds to the health and economic burden of developing societies.
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References
Anon. Two days in New York: reflections on the UN NCD summit. Lancet Oncol. 2011;12:981.
Bloom DE, Cafiero ET, Jané-Llopis E, et al. The Global Economic Burden of Non-communicable Diseases. Geneva: World Economic Forum; 2011. pp. 48.
Kennedy G, Nantel G, Shetty P. Assessment of the double burden of malnutrition in six case study countries. The Double Burden of Malnutrition: Case Studies from Six Developing Countries. Food Nutrition paper. Rome: Food and Agriculture Organization of the United Nations; 2006;84:1–20.
Shetty PS. Diet and life-style and chronic non-communicable diseases: what determines the epidemic in developing societies? In: Krishnaswami K, ed. Nutrition Research: Current Scenario and Future Trends. New Delhi: Oxford & IBH Publishing Co; 2000. pp. 153–67.
Shetty N, Shetty P. Epidemiology of diseases in the Tropics. In: Cook GC, Zumla AI, eds. Manson’s Tropical Diseases. 22nd ed. Philadelphhia, USA: Elsevier Saunders; 2009. pp. 9–17.
Omran AR. The epidemiological transition. A theory of the epidemiology of population change. Milbank Mem Fund Q. 1971;49:509–38.
Chesnais, Jean-Claude. The Demographic Transition: Stages, Patterns, and Economic Implications: A Longitudinal Study of Sixty-seven Countries Covering the Period 1720–1984. Oxford, UK: Oxford University Press; 1993. pp. 633.
Marmot M. Socioeconomic determinants of CHD mortality. Int J Epidemiol. 1989;18:S196–202.
Marmot M. Social determinants of health inequalities. Lancet. 2005;365:1099–104.
Popkin BM. The nutrition transition in low-income countries: An emerging crisis. Nutr Rev. 1994;52:285–97.
Popkin BM. The nutrition transition in the developing world. Dev Policy Rev. 2003;21:581–97.
Prentice A, Jebb S. Obesity in Britain: Gluttony or Sloth? BMJ. 1995;311:437–9.
Popkin BM, Horton S, Kim S, Mahal A, Shuigao J. Trends in diet, nutritional status, and diet-related non-communicable diseases in China and India: The economic costs of the nutrition transition. Nutr Rev. 2001;59:379–90.
Perisse J, Sizaret F, Francois P. The effect of income and the structure of the diet. FAO Nutr Newsl. 1969;7:1–9.
Drewnowski A, Popkin BM. The nutrition transition: New trends in the global diet. Nutr Rev. 1997;55:31–43.
Schmidhuber J, Shetty P. The nutrition transition to 2030. Why developing countries are likely to bear the major burden. Acta Agric Scand. 2005;2:150–66. Section C.
Bruinsma J. World agriculture: Towards 2015/2030, An FAO Perspective. Rome: FAO and London: Earthscan; 2003.
Ng SW, Popkin BM. Time use and physical activity: a shift away from movement across the globe. Obes Rev. 2012;13:659–80.
WHO/FAO. Diet, nutrition and the prevention of chronic diseases. Report of Joint WHO/FAO Expert Consultation. Geneva: World Health Organization; 2013.
Shetty P, Schmidhuber J. The epidemiology and determinants of obesity in developed and developing countries. Int J Vitam Nutr Res. 2006;76:157–62.
WHO. Global Health Risks: Mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2009.
Ezzati M, Vander Hoorn S, Lawes CM, et al. Rethinking the “diseases of affluence” paradigm: global patterns of nutritional risks in relation to economic development. PLoS Med. 2005;2:e133.
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Shetty, P. Nutrition Transition and Its Health Outcomes. Indian J Pediatr 80 (Suppl 1), 21–27 (2013). https://doi.org/10.1007/s12098-013-0971-5
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DOI: https://doi.org/10.1007/s12098-013-0971-5