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Global Changes in Food Supply and the Obesity Epidemic

  • Economy and Environment (GJ Egger, Section Editor)
  • Published:
Current Obesity Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

We explore how a global shift in the food system caused by global economic growth, increase in available food per capita and in food processing is a driver of the obesity epidemic.

Recent Findings

Economic development in most areas of the world has resulted in increased purchasing power and available per capita food. Supermarkets and a growing fast-food industry have transformed our dietary pattern. Ultra-processed food rich on sugars and saturated fat is now the major source of energy in most countries. The shift in food supply is considered a major driver of the obesity epidemic and the increasing prevalence of accompanying complications, such as type 2 diabetes, cardiovascular disease and cancer. However, the global shift might also have direct effects on the increase in type 2 diabetes, cardiovascular disease and cancer, independently of overweight and obesity.

Summary

The shift in the food supply is a major driver of the obesity epidemic.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804–14.

    Article  PubMed  Google Scholar 

  2. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81. This paper estimates global, regional and national prevalence of overweight and obesity in children and adults from 1980–2013.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Alexandratos N, Bruinsma J. World agriculture towards 2030/2050: the 2012 revision. Rome: FAO; 2012.

    Google Scholar 

  4. Pi-Sunyer X. The medical risks of obesity. Postgrad Med. 2009;121(6):21–33.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Withrow D, Alter DA. The economic burden of obesity worldwide: a systematic review of the direct costs of obesity. Obes Rev. 2011;12(2):131–41.

    Article  CAS  PubMed  Google Scholar 

  6. Daousi C, Casson IF, Gill GV, MacFarlane IA, Wilding JP, Pinkney JH. Prevalence of obesity in type 2 diabetes in secondary care: association with cardiovascular risk factors. Postgrad Med J. 2006;82(966):280–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3–21.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Ludwig DS. Technology, diet, and the burden of chronic disease. JAMA. 2011;305(13):1352–3.

    Article  CAS  PubMed  Google Scholar 

  9. Popkin BM. Nutrition transition and the global diabetes epidemic. Curr Diabetes Rep. 2015;15(9):64.

    Article  Google Scholar 

  10. Stuckler D, McKee M, Ebrahim S, Basu S. Manufacturing epidemics: the role of global producers in increased consumption of unhealthy commodities including processed foods, alcohol, and tobacco. PLoS Med. 2012;9(6):e1001235.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kearney J. Food consumption trends and drivers. Philos Trans R Soc Lond B Biol Sci. 2010;365(1554):2793–807.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Barrett-Connor E. Nutrition epidemiology: how do we know what they ate? Am J Clin Nutr. 1991;54(1 Suppl):182S–7.

    CAS  PubMed  Google Scholar 

  13. Hawkesworth S, Dangour AD, Johnston D, Lock K, Poole N, Rushton J, et al. Feeding the world healthily: the challenge of measuring the effects of agriculture on health. Philos Trans R Soc Lond B Biol Sci. 2010;365(1554):3083–97.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Eyles H, Jiang Y, Ni Mhurchu C. Use of household supermarket sales data to estimate nutrient intakes: a comparison with repeat 24-hour dietary recalls. J Am Diet Assoc. 2010;110(1):106–10.

    Article  PubMed  Google Scholar 

  15. Tin ST, Mhurchu CN, Bullen C. Supermarket sales data: feasibility and applicability in population food and nutrition monitoring. Nutr Rev. 2007;65(1):20–30.

    Article  PubMed  Google Scholar 

  16. Serra-Majem L, MacLean D, Ribas L, Brule D, Sekula W, Prattala R, et al. Comparative analysis of nutrition data from national, household, and individual levels: results from a WHO-CINDI collaborative project in Canada, Finland, Poland, and Spain. J Epidemiol Community Health. 2003;57(1):74–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Gerbens-Leenes PW, Nonhebel S, Krol MS. Food consumption patterns and economic growth. Increasing affluence and the use of natural resources. Appetite. 2010;55(3):597–608.

    Article  CAS  PubMed  Google Scholar 

  18. van der Mensbrugghe D, Osorio-Rodarte I, Burns A, Baffes J. Macroeconomic environment and commodity markets: a longer term outlook, paper for expert meeting on how to feed the world in 2050. In: Conforti P, editor. Rome: FAO, 24–26 June 2009, chapter 5; 2011.

  19. Fontagne L. The world economy in 2050: a tentative picture. CEPII Working paper 2010-27 (http://www.cepii.fr/anglaisgraph/bdd/baseline.htm). 2010.

  20. Vandevijvere S, Chow CC, Hall KD, Umali E, Swinburn BA. Increased food energy supply as a major driver of the obesity epidemic: a global analysis. Bull World Health Organ. 2015;93(7):446–56. This paper investigates the association between changes in national food energy supply and in average population body weight.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Swinburn B, Sacks G, Ravussin E. Increased food energy supply is more than sufficient to explain the US epidemic of obesity. Am J Clin Nutr. 2009;90(6):1453–6.

    Article  CAS  PubMed  Google Scholar 

  22. Scarborough P, Burg MR, Foster C, Swinburn B, Sacks G, Rayner M, et al. Increased energy intake entirely accounts for increase in body weight in women but not in men in the UK between 1986 and 2000. Br J Nutr. 2011;105(9):1399–404.

    Article  CAS  PubMed  Google Scholar 

  23. Monteiro CA, Moubarac JC, Cannon G, Ng SW, Popkin B. Ultra-processed products are becoming dominant in the global food system. Obes Rev. 2013;14 Suppl 2:21–8.

    Article  PubMed  Google Scholar 

  24. Monteiro CA, Levy RB, Claro RM, Castro IR, Cannon G. A new classification of foods based on the extent and purpose of their processing. Cad Saude Publica. 2010;26(11):2039–49.

    Article  PubMed  Google Scholar 

  25. Monteiro CA. Nutrition and health. The issue is not food, nor nutrients, so much as processing. Public Health Nutr. 2009;12(5):729–31.

    Article  PubMed  Google Scholar 

  26. Solberg SL, Terragni L, Granheim SI. Ultra-processed food purchases in Norway: a quantitative study on a representative sample of food retailers. Public Health Nutr. 2016;19(11):1990–2001.

    Article  PubMed  Google Scholar 

  27. Moubarac JC, Martins AP, Claro RM, Levy RB, Cannon G, Monteiro CA. Consumption of ultra-processed foods and likely impact on human health. Evidence from Canada. Public Health Nutr. 2013;16(12):2240–8. This paper investigates the consumption of ultra-processed food in Canada and the dietary quality.

    Article  PubMed  Google Scholar 

  28. Juul F, Hemmingsson E. Trends in consumption of ultra-processed foods and obesity in Sweden between 1960 and 2010. Public Health Nutr. 2015;18(17):3096–107.

    Article  PubMed  Google Scholar 

  29. Crovetto MM, Uauy R, Martins AP, Moubarac JC, Monteiro C. Household availability of ready-to-consume food and drink products in Chile: impact on nutritional quality of the diet. Rev Med Chil. 2014;142(7):850–8.

    Article  Google Scholar 

  30. Monteiro CA, Levy RB, Claro RM, de Castro IR, Cannon G. Increasing consumption of ultra-processed foods and likely impact on human health: evidence from Brazil. Public Health Nutr. 2011;14(1):5–13.

    Article  PubMed  Google Scholar 

  31. Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med. 2011;364(25):2392–404.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Global BMIMC. Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents. Lancet. 2016;338:776. This paper investigates the association between overweight, obesity and all-cause mortality.

    Google Scholar 

  33. Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath Jr CW. Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999;341(15):1097–105.

    Article  CAS  PubMed  Google Scholar 

  34. NIDDK Weight-control Information Center: U.S. Department of Health and Human Services NIoHSRtOaONPN.

  35. Prospective Studies Collaboration, Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, et al. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373(9669):1083–96.

    Article  PubMed Central  Google Scholar 

  36. Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration, Lu Y, Hajifathalian K, Ezzati M, Woodward M, Rimm EB, et al. Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1.8 million participants. Lancet. 2014;383(9921):970–83.

    Article  Google Scholar 

  37. Broome ME, Knafl K. Back to the future: building on the past. J Pediatr Nurs. 1994;9(3):208–10.

    CAS  PubMed  Google Scholar 

  38. Basu S, Yoffe P, Hills N, Lustig RH. The relationship of sugar to population-level diabetes prevalence: an econometric analysis of repeated cross-sectional data. PLoS ONE. 2013;8(2):e57873.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Imamura F, O’Connor L, Ye Z, Mursu J, Hayashino Y, Bhupathiraju SN, et al. Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction. BMJ. 2015;351:h3576.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Ma Y, He FJ, Yin Y, Hashem KM, MacGregor GA. Gradual reduction of sugar in soft drinks without substitution as a strategy to reduce overweight, obesity, and type 2 diabetes: a modelling study. Lancet Diabetes Endocrinol. 2016;4(2):105–14.

    Article  CAS  PubMed  Google Scholar 

  41. Hu FB, van Dam RM, Liu S. Diet and risk of type II diabetes: the role of types of fat and carbohydrate. Diabetologia. 2001;44(7):805–17.

    Article  CAS  PubMed  Google Scholar 

  42. Salmeron J, Hu FB, Manson JE, Stampfer MJ, Colditz GA, Rimm EB, et al. Dietary fat intake and risk of type 2 diabetes in women. Am J Clin Nutr. 2001;73(6):1019–26.

    CAS  PubMed  Google Scholar 

  43. von Scholten BJ, Andresen EN, Sorensen TI, Jess T. Aetiological factors behind adipose tissue inflammation: an unexplored research area. Public Health Nutr. 2013;16(1):27–35.

    Article  Google Scholar 

  44. Anand SS, Hawkes C, de Souza RJ, Mente A, Dehghan M, Nugent R, et al. Food consumption and its impact on cardiovascular disease: importance of solutions focused on the globalized food system: a report from the workshop convened by the World Heart Federation. J Am Coll Cardiol. 2015;66(14):1590–614.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Calle EE, Kaaks R. Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer. 2004;4(8):579–91.

    Article  CAS  PubMed  Google Scholar 

  46. Bouvard V, Loomis D, Guyton KZ, Grosse Y, Ghissassi FE, Benbrahim-Tallaa L, et al. Carcinogenicity of consumption of red and processed meat. Lancet Oncol. 2015;16(16):1599–600.

    Article  PubMed  Google Scholar 

  47. Varughese GI, Patel JV, Tomson J, Lip GY. Effects of blood pressure on the prothrombotic risk in 1235 patients with non-valvular atrial fibrillation. Heart. 2007;93(4):495–9.

    Article  CAS  PubMed  Google Scholar 

  48. Chan YK, Estaki M, Gibson DL. Clinical consequences of diet-induced dysbiosis. Ann Nutr Metab. 2013;63 Suppl 2:28–40.

    Article  CAS  PubMed  Google Scholar 

  49. Cani PD, Osto M, Geurts L, Everard A. Involvement of gut microbiota in the development of low-grade inflammation and type 2 diabetes associated with obesity. Gut Microbes. 2012;3(4):279–88.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Tuohy KM, Fava F, Viola R. ‘The way to a man’s heart is through his gut microbiota’—dietary pro- and prebiotics for the management of cardiovascular risk. Proc Nutr Soc. 2014;73(2):172–85.

    Article  CAS  PubMed  Google Scholar 

  51. Tang WH, Hazen SL. The contributory role of gut microbiota in cardiovascular disease. J Clin Invest. 2014;124(10):4204–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Louis P, Hold GL, Flint HJ. The gut microbiota, bacterial metabolites and colorectal cancer. Nat Rev Microbiol. 2014;12(10):661–72.

    Article  CAS  PubMed  Google Scholar 

  53. Ezzati M, Vander Hoorn S, Lawes CM, Leach R, James WP, Lopez AD, et al. Rethinking the “diseases of affluence” paradigm: global patterns of nutritional risks in relation to economic development. PLoS Med. 2005;2(5):e133.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Hoque ME, Long KZ, Niessen LW, Al Mamun A. Rapid shift toward overweight from double burden of underweight and overweight among Bangladeshi women: a systematic review and pooled analysis. Nutr Rev. 2015;73(7):438–47.

    Article  PubMed  Google Scholar 

  55. McGuire S. Institute of Medicine. 2012. Front-of-package nutrition rating systems and symbols: promoting healthier choices. Washington, DC: The National Academies Press. Adv Nutr. 2012;3(3):332–3.

  56. Stuckler D, Nestle M. Big food, food systems, and global health. PLoS Med. 2012;9(6):e1001242.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Wyness LA, Butriss JL, Stanner SA. Reducing the population’s sodium intake: the UK Food Standards Agency’s salt reduction programme. Public Health Nutr. 2012;15(2):254–61.

    Article  PubMed  Google Scholar 

  58. Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B, Thamarangsi T, et al. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet. 2013;381(9867):670–9.

    Article  PubMed  Google Scholar 

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Acknowledgments

Steno Diabetes Center, where the authors are employed, receives part of its core funding from unrestricted grants from Novo Nordisk Foundation and Novo Nordisk, and is owned by Novo Nordisk. The authors also have private equity interest in Novo Nordisk.

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Correspondence to Bernt Johan von Scholten.

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Emilie H. Zobel, Tine W. Hansen, Peter Rossing and Bernt Johan von Scholten declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Zobel, E.H., Hansen, T.W., Rossing, P. et al. Global Changes in Food Supply and the Obesity Epidemic. Curr Obes Rep 5, 449–455 (2016). https://doi.org/10.1007/s13679-016-0233-8

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  • DOI: https://doi.org/10.1007/s13679-016-0233-8

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