Part II. What is unique about the experience in lower- and middle-income less-industrialised countries compared with the very-high-income industrialised countries? The shift in stages of the nutrition transition in the developing world differs from past experiences!
Part II. What is unique about the experience in lower- and middle-income less-industrialised countries compared with the very-high-income industrialised countries? The shift in stages of the nutrition transition in the developing world differs from past experiences!
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DOI：
10.1079/phn2001295
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发表时间：
2002-02-01
影响因子：
3.2
通讯作者：
Popkin, BM
中科院分区：
文献类型：
--
作者：
Popkin, BM
目的：本文探讨饮食和活动模式的独特营养转变，即从饥荒消退模式到营养相关非传染性疾病（nr - ncd）主导的模式。本文考察了这些变化的速度和时机；独特的组成部分，例如在同一家庭中发现营养不足和营养过剩的问题；可能加剧变化速率差异的生物关系；还有政治问题。环境：重点是亚洲、非洲、中东和拉丁美洲的中低收入国家。结果：这些变化发生的速度非常快，而且处于这些国家经济和社会发展的早期阶段。有一些独特的问题与身体组成和潜在的遗传因素有关。大量的人在怀孕和婴儿期（胎儿起源假说）暴露于严重的侮辱和随后的能量不平衡的快速转变的意义仍有待了解。仍在解决主要营养不足问题的国家尚未做好应对这些非传染性疾病的准备。结论：发展中国家需要更加重视预防这种向退行性疾病的营养过渡阶段转变所造成的不良健康后果。
Objective: This paper explores the unique nutrition transition shifts in diet and activity patterns from the period termed the receding famine pattern to the one dominated by nutrition-related non-communicable diseases (NR-NCDs). The paper examines the speed and timing of these changes; unique components, such as the issue of finding both under- and overnutrition in the same household; potential exacerbating biological relationships that contribute to differences in the rates of change; and political issues.Setting: The focus is on lower- and middle-income countries of Asia, Africa, the Middle East and Latin America.Results: These changes are occurring at great speed and at earlier stages of these countries' economic and social development. There are some unique issues that relate to body composition and potential genetic factors. The significance of the high number of persons exposed to heavy insults during pregnancy and infancy (foetal origins hypothesis) and the subsequent rapid shifts in energy imbalance remains to be understood. Countries that are still addressing major concerns of undernutrition are not ready to address these NR-NCDs.Conclusions: The developing world needs to give far greater emphasis to addressing the prevention of the adverse health consequences of this shift to the nutrition transition stage of degenerative diseases.