The nutrition transition and its health implications in lower-income countries
The nutrition transition and its health implications in lower-income countries
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DOI：
10.1079/phn19980004
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发表时间：
1998-03-01
影响因子：
3.2
通讯作者：
Popkin, Barry M.
中科院分区：
文献类型：
--
作者：
Popkin, Barry M.
目标。这篇文章回顾了低收入和中等收入国家正在经历的饮食、活动和身体成分的快速变化的信息，然后审查了这种转变对健康的一些潜在影响。设计和设置数据来自许多国家，也来自国家粮食平衡(FAOSTAT)和世界银行的来源。使用了具有全国代表性的调查和全国性的调查。对具有全国代表性的1926年俄罗斯纵向监测调查和1993年全国中国健康与营养调查进行了详细的分析。此外，还记录了职业类型的较大变化。这与拉丁美洲和亚洲成年人肥胖症的迅速增加有关。结论中低收入国家数十亿居民正面临着饮食、活动和肥胖的快速变化，这一问题值得高度关注。与这些变化相关的是慢性病的快速增加。迄今为止，在国家一级几乎没有采取什么行动来解决这些问题。
Objective. This article reviews information on the rapid changes in diet, activity and body composition that lower-and middle-income countries are undergoing and then examines some of the potential health implications of this transition.Design and Setting Data came from numerous countries and also from national food balance (FAOSTAT) and World Bank sources. Nationally representative and nationwide surveys are used. The nationally representative Russian Longitudinal Monitoring Surveys from 192-96 and the nationwide China Health and Nutrition Survey from 1989-93 are examined in detail.Results Rapid changes in the structure of diet, in particular associated with urbanization, are documented. In addition, large changes in occupation types are documented. These are linked with rapid increases in adult obesity in Latin America and Asia. Some of the potential implications for adult health are noted.Conclusions The rapid changes in diet, activity and obesity that are facing billions of residents of lower-and middle-income countries are cause for great concern. Linked with these changes will be a rapid increase in chronic diseases. Little to date has been done at the national level to address these problems.