Nutrition Transition and the Global Diabetes Epidemic.
Nutrition Transition and the Global Diabetes Epidemic.
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DOI：
10.1007/s11892-015-0631-4
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发表时间：
2015-09
影响因子：
4.2
通讯作者：
Popkin BM
中科院分区：
文献类型：
--
作者：
Popkin BM
低收入和中等收入国家(低收入和中等收入国家)面临着营养向非传染性疾病增加过渡的快速变化。这一转变的根本原因是农业系统的转变以及随后所有区域和国家的现代零售和食品服务部门的增长、影响体力活动和不活动的技术变化、大众媒体的使用、城市化以及现代食品系统对所有社会的渗透。由此导致的饮食主要转变是增加精制碳水化合物，添加甜味剂、食用油和动物性食品，减少豆类、其他蔬菜和水果。大多数国家的身体质量指数(BMI)、超重和腰围(WC)都在增加，许多地区的WC-BMI比率似乎正在上升。这些快速变化的饮食和身体成分的含义包括LMICs中糖尿病的患病率和严重程度。
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.