Global nutrition transition and the pandemic of obesity in developing countries.

Global nutrition transition and the pandemic of obesity in developing countries.
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DOI:
10.1111/j.1753-4887.2011.00456.x
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发表时间:
2012-01
期刊:
影响因子:
6.1
通讯作者:
Ng SW
Ng SW
中科院分区:
医学2区
文献类型:
--
作者:
Popkin BM;Adair LS;Ng SW

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几十年前,关于肥胖即将在全球流行的讨论被认为是异端邪说。20世纪70年代,S的饮食开始转向更多地依赖加工食品,增加了家庭以外的摄入量,更多地使用食用油和含糖饮料。体力活动减少,久坐时间增加。这些变化始于20世纪90年代初--S在中低收入人群中的地位,但直到糖尿病、高血压和肥胖症开始在全球流行时,人们才清楚地认识到这一点。从撒哈拉以南非洲和南亚最贫穷的国家到收入较高的国家,城市和农村地区的超重和肥胖状况迅速增加。同时记录了饮食和活动的快速变化。一些国家正在探索一系列大规模的方案和政策转变;然而,尽管面临重大的健康挑战,但很少有国家认真解决预防所面临的饮食挑战。
Decades ago discussion of an impending global pandemic of obesity was thought of as heresy. Diets in the 1970’s began to shift toward increased reliance upon processed foods, increased away from home intake and greater use of edible oils and sugar-sweetened beverages. Reduced physical activity and increased sedentary time was seen also. These changes began in the early 1990-‘s in the low and middle income world but did not become clearly recognized until diabetes, hypertension and obesity began to dominate the globe. Urban and rural areas from sub-Saharan Africa and South Asia’s poorest countries to the higher income ones are shown to have experienced rapid increases in overweight and obesity status. Concurrent rapid shifts in diet and activity are documented. An array of large-scale programmatic and policy shifts are being explored in a few countries; however despite the major health challenges faced, few countries are serious in addressing prevention of the dietary challenges faced.
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