Nutrition Transition and the Global Diabetes Epidemic
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Low- and middle-income countries (LMICs) face a rapid change in the nutrition transition toward increases in noncommunicable diseases. Underlying this transition are shifts in the agricultural system and the subsequent growth of the modern retail and food service sectors across all regions and countries, a change in technology affecting physical activity and inactivity, mass media access, urbanization, and penetration of modern food systems into all societies. The resulting major shifts in diet are toward increased refined carbohydrates, added sweeteners, edible oils, and animal-source foods and reduced legumes, other vegetables, and fruits. Most countries are seeing increases in body mass index (BMI), overweight, and waist circumference (WC), and an increased WC-BMI ratio appears to be emerging in many regions. The implications of these rapidly changing diets and body compositions include the prevalence and severity of diabetes in LMICs.
KeywordsNutrition transition Low- and middle-income countries Obesity Dietary change Food system
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Conflict of Interest
Barry M. Popkin declares that he has 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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- 1.International Diabetes Federation. IDF Diabetes Atlas, 6th edn. Brussels, Belgium: International Diabetes Federation, 2013. http://www.idf.org/diabetesatlas.
- 2.Caballero B, Popkin BM. The nutrition transition: diet and disease in the developing world. London: Academic Press; 2002.Google Scholar
- 4.•Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3–21. doi: 10.1111/j.1753-4887.2011.00456.x. This is the author’s most recent detailed assessment of the overall shifts in diet, PA, and body composition and the developmental origins of health and disease.PubMedCentralCrossRefPubMedGoogle Scholar
- 6.Babu SC, Blom S. Building resilience for food and nutrition security. 2020 Conference Brief 6 2014.Google Scholar
- 7.••Anand SS, Hawkes C, de Souza RJ, Mente A, Dehghan M, Nugent R, et al. Global food consumption and its impact on cardiovascular disease requires global solutions with a focus on the globalized food system. J Am Coll Cardiol. 2015. This article, the product of a World Heart Association consensus conference, reviews changes in diets and the global agricultural and food systems. It discusses the systemic alterations all nations must make to address the resultant health problems and to prevent future increases in heart disease. Google Scholar
- 8.Popkin B. Technology, transport, globalization and the nutrition transition. Food Policy. 2006;31(554):569.Google Scholar
- 9.Mendez MA, Popkin BM. Globalization, urbanization, and nutritional change in the developing world. Electron J Agric Dev Econ. 2005;1:220–41.Google Scholar
- 10.Popkin B, Bisgrove EZ. Urbanization and nutrition in low-income countries. Food Nutr Bull. 1988;10:3–23.Google Scholar
- 33.Popkin BM. The world is fat—the fads, trends, policies, and products that are fattening the human race. New York: Avery-Penguin Group; 2008.Google Scholar
- 38.U.S. Department of Health and Human Services and the US Department of Agriculture. Scientific report of the 2015 Dietary Guidelines Advisory Committee. Washington DC: Office of Disease Prevention and Health Promotion USDHHS; 2015. p. 2015.Google Scholar
- 46.Albrecht SS, Gordon-Larsen P, Stern D, Popkin BM. Is waist circumference per body mass index rising differentially across the US, England, China, and Mexico? Eur J Clin Nutr. 2015. doi: 10.1038/ejcn.2015.71.