Globalization, Urbanization and Nutritional Change in the Developing World

Urbanization and globalization may enhance access to non traditional foods as a result of changing prices and production practices, as well as trade and marketing practices. These forces have influenced dietary patterns throughout the developing world. Longitudinal case study data from China indicate that consumption patterns closely reflect changes in availability, and that potentially obesogenic dietary patterns are emerging, with especially large changes in rural areas with high levels of urban infrastructure and resources. Recent data on women from 36 developing countries illustrate that these dietary shifts may have implications for overweight/obesity in urban and rural settings. These data emphasize the importance of developing country policies that include preventive measures to minimize further adverse shifts in diet and activity, and risk of continued rises in overweight.dietary patterns, developing countries, overweight, food policy, Agricultural and Food Policy, Community/Rural/Urban Development, Food Security and Poverty,

The Nutrition Transition in High and Low-Income Countries: What are the Policy Lessons?

The world has seen a remarkable shift from a period when diets, activity patterns and body composition were characterized by the period termed the receding famine pattern to one dominated by nutrition-related non-communicable diseases (NR-NCDs). This presentation first examines the speed of these changes, summarizes dietary changes, and provides some sense of the way the burden of obesity is shifting from the rich to the poor not only in urban but also rural areas throughout the world. The focus is on the lower- and middle- income countries of Asia, Africa, the Middle East, and Latin America but some examples will come from the United States, Australia, and the UK. After showing that changes are occurring at great speed and at earlier stages of countries' economic and social development, the presentation shifts to some of the critical policy opportunities and some example of options. Few policy lessons exist at a macro level outside of selected countries such as South Korea and Finland. Examples of ways price policy and other options might work, using Chinese longitudinal case studies, are presented. The challenge is for the agricultural economics profession to focus on this major global issue-one which challenges some of the earlier paradigms of food policy an agricultural development.diet composition, price policy, economic growth, health effects, Food Consumption/Nutrition/Food Safety,

The Challenge in Improving the Diets of Supplemental Nutrition Assistance Program Recipients: A Historical Commentary

This paper provides an historical background for the current nutrition issues faced by the Supplemental Nutrition Assistance Program (SNAP). The Food Stamp Program evolved into SNAP during a period when U.S. diets, particularly those of the poor, became less healthful. During the 1960s, the U.S. (Kennedy–Johnson era) addressed malnutrition first with a pilot project focused on retail sales and cash food stamps, which showed that low-income consumers purchased relatively healthy foods for a fairly high-quality diet. Southern politicians in the House of Representatives wanted a program similar to an earlier subsidized commodity distribution program. The pilot provided the evidence northern urban politicians sought, and they held the farm bill hostage until southern rural interests agreed to an unfettered Food Stamp Program that allowed purchases directly from retailers. A final Food Stamp Program law was incorporated into the farm bill and passed. This program shifted in 1977 to a full cash benefit system later, first using food stamps to act as cash and later an Electronic Benefit Transfer program. The program was designed at a time of a very healthful diet of lower-SES Americans. As diets of lower-income Americans changed and the entire food system shifted, the program has not been adjusted in any manner. Today, 50%–66% of the calories in the American diet, particularly that of low-SES Americans, come from highly processed foods containing excessive refined carbohydrates, sodium, unhealthy saturated fats, and added sugar. The SNAP design has not responded to these shifts in diet and the powerful interests controlling our food system. This twist in the U.S. diet and food system presents a major dilemma to those attempting to form a healthy food program based on the results of an effective pilot project

The nutritional transition and diet-related chronic diseases in Asia

The nutritional transition currently occurring in Asia is one facet of a more general demographic/nutritional/epidemiological transition that accompanies development and urbanization, marked by a shift away from relatively monotonous diets of varying nutritional quality toward an industrialized diet that is usually more varied, includes more preprocessed food, more food of animal origin, more added sugar and fat, and often more alcohol. This is accompanied by shift in the structure of occupations and leisure toward reduced physical activity, and leads to a rapid increase in the numbers of overweight and obese. The accompanying epidemiological transition is marked by a shift away from endemic deficiency and infectious diseases toward chronic diseases such as obesity, adult-onset diabetes, hypertension, stroke, hyperlipidaemia, coronary heart disease, and cancer. Obesity is now a major public health problem in Asia. Obesity is a problem of the urban poor as well as the rich, and the urban poor have the added predisposing factors associated with low birthweight. Costs of chronic disease are estimated for China and Sri Lanka. Diet-related chronic disease is projected to increase and dietary factors (principally overweight) will account for an increased share of chronic disease, and childhood factors will decline in significance. Few program and policy options to address these issues have been undertaken in Asia. Agricultural policy is important, and the relatively cheap availability of vegetable oil may have had dramatic (adverse) dietary effects in Asia. Price policy has considerable potential, in particular the pricing of oils. Promoting a traditional diet has been quite helpful in holding down fat intake and obesity in Korea. Health promotion efforts in Mauritius succeeded in reversing several adverse trends contributing to coronary heart disease. Thailand has successfully used mass media for other health promotion efforts and is moving to pilot schemes in the area of chronic disease. And Singapore has been the leader in the region in exercise promotion and weight control in schools.Urbanization Asia ,Nutritionally induced diseases Asia. ,Diet Developing countries. ,Public health Developing countries ,

The nutritional transition and diet-related chronic diseases in Asia

The nutritional transition currently occurring in Asia is one facet of a more general demographic/nutritional/epidemiological transition that accompanies development and urbanization, marked by a shift away from relatively monotonous diets of varying nutritional quality toward an industrialized diet that is usually more varied, includes more preprocessed food, more food of animal origin, more added sugar and fat, and often more alcohol. This is accompanied by shift in the structure of occupations and leisure toward reduced physical activity, and leads to a rapid increase in the numbers of overweight and obese. The accompanying epidemiological transition is marked by a shift away from endemic deficiency and infectious diseases toward chronic diseases such as obesity, adult-onset diabetes, hypertension, stroke, hyperlipidaemia, coronary heart disease, and cancer. Obesity is now a major public health problem in Asia. Obesity is a problem of the urban poor as well as the rich, and the urban poor have the added predisposing factors associated with low birthweight. Costs of chronic disease are estimated for China and Sri Lanka. Diet-related chronic disease is projected to increase and dietary factors (principally overweight) will account for an increased share of chronic disease, and childhood factors will decline in significance. Few program and policy options to address these issues have been undertaken in Asia. Agricultural policy is important, and the relatively cheap availability of vegetable oil may have had dramatic (adverse) dietary effects in Asia. Price policy has considerable potential, in particular the pricing of oils. Promoting a traditional diet has been quite helpful in holding down fat intake and obesity in Korea. Health promotion efforts in Mauritius succeeded in reversing several adverse trends contributing to coronary heart disease. Thailand has successfully used mass media for other health promotion efforts and is moving to pilot schemes in the area of chronic disease. And Singapore has been the leader in the region in exercise promotion and weight control in schools.Urbanization Asia ,Nutritionally induced diseases Asia. ,Diet Developing countries. ,Public health Developing countries ,

Preventing type 2 diabetes: Changing the food industry

Improving our global diet by working with the food industry is a fairly complex task. Previously the global food manufacturing companies and governments were the major players. However, matters have shifted rapidly so that food retailers, food manufacturers, the restaurant–food service sector, and agribusinesses are now the major players. The current modern system of packaged processed food has now penetrated the globe—rich and poor, rural and urban are all in reach of this food system. Consequently, working with this complex sector when possible and an array of governmental regulatory large-scale options to improve our diet have increased in importance. Taxation of unhealthy foods and beverages, marketing controls, and front of the package labeling are the primary current options. Evaluations of the impacts of both public and industry initiatives are needed

The Costs of Obesity and Implications for Policymakers

Obesity, Direct Costs, Indirect Costs, Policy, Food Consumption/Nutrition/Food Safety, I10, I18,

What Brazil is doing to promote healthy diets and active lifestyles

OBJECTIVES: To present the way the Brazilian government is addressing the prevention of nutrition-related non-communicable diseases (NR-NCDs). RESULTS: Innovative legislative and regulatory actions, mass communications and capacity building have been combined to create a comprehensive approach for addressing poor dietary and activity patterns in Brazil that are leading to obesity and NR-NCDs. Included are new nutrition-related initiatives in the labelling area, shifts in the types of food purchased for the school food programme, use of mass media to communicate components of the food guidelines, establishment of a smart shopping initiative, and training of teachers and health workers. CONCLUSIONS: The entire effort has taken several years to get underway. This paper describes the process and some of the initial changes seen

The Healthy Weight Commitment Foundation Pledge Calories Purchased by U.S. Households with Children, 2000–2012

ContextAn independent evaluation of the Healthy Weight Commitment Foundation (HWCF) marketplace pledge found that the participating companies met and exceeded their interim 2012 sales reduction pledge.Evidence acquisitionThis follow-up study conducted in 2013 used purchase data from 2000 to 2012 among U.S. households with children and compared trends in calorie purchases of HWCF, non-HWCF name brands, and private label (PL) products in the pre-pledge period (2000–2007) and the post-pledge period (2008–2012); controlled for potential effects of concurrent changes in demographic and economic factors, including the Great Recession and food prices; and assessed whether the HWCF marketplace pledge was associated with reductions in consumer packaged goods (CPG) calorie purchases by households with children.Evidence synthesisThere has been a significant per capita decline in average daily CPG caloric purchases between 2000 and 2012 among households with children from all brand categories. Based on pre-pledge trends, declines in CPG caloric purchases were already occurring. However, post-pledge reductions in calories purchased from HWCF brands were less than expected, and reductions in calories purchased from non-HWCF name brands and PLs were greater than expected after economic, sociodemographic, and secular factors were accounted for.ConclusionsIf the 16 HWCF companies had been able to maintain their pre-pledge trajectory, there should have been an additional 42 kcal/capita/day reduction in calories purchased from HWCF products in 2012 among households with children. A lack of change in total CPG calories purchased between 2011 and 2012 calls into question the sustainability of the decline and a need for continued monitoring