Amuna, Paul and Zotor, Francis B. (2008) Epidemiological and nutrition transition in developing countries: impact on human health and development. Proceedings of the Nutrition Society, 67 (1). pp. 82-90. ISSN 0029-6651 (Print), 1475-2719 (Online) (doi:10.1017/S0029665108006058)

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Abstract

Whereas common infectious and parasitic diseases such as malaria and the HIV/AIDS pandemic remain major unresolved health problems in many developing countries, emerging non-communicable diseases relating to diet and lifestyle have been increasing over the last two decades, thus creating a double burden of disease and impacting negatively on already over-stretched health services in these countries. Prevalence rates for type 2 diabetes mellitus and CVD in sub-Saharan Africa have seen a 10-fold increase in the last 20 years. In the Arab Gulf current prevalence rates are between 25 and 35% for the adult population, whilst evidence of the metabolic syndrome is emerging in children and adolescents. The present review focuses on the concept of the epidemiological and nutritional transition. It looks at historical trends in socio-economic status and lifestyle and trends in nutrition-related non-communicable diseases over the last two decades, particularly in developing countries with rising income levels, as well as the other extreme of poverty, chronic hunger and coping strategies and metabolic adaptations in fetal life that predispose to non-communicable disease risk in later life. The role of preventable environmental risk factors for obesity and the metabolic syndrome in developing countries is emphasized and also these challenges are related to meeting the millennium development goals. The possible implications of these changing trends for human and economic development in poorly-resourced healthcare settings and the implications for nutrition training are also discussed.

Item Type:	Article
Additional Information:	[1] Copyright © The Authors 2008. Citation: Paul Amuna and Francis B. Zotor (2008). Epidemiological and nutrition transition in developing countries: impact on human health and development. Proceedings of the Nutrition Society, 67 , pp 82-90 doi:10.1017/S0029665108006058. [2] Paper presented at the Second Africa Nutritional Epidemiology Conference. 15-18 Aug 2006. Gimpa, Legon, Ghana.
Uncontrolled Keywords:	epidemiological and nutritional transition, double burden of disease, millennium development goals, HIV/AIDS, Sub-Saharan Africa
Subjects:	R Medicine > RA Public aspects of medicine
Faculty / School / Research Centre / Research Group:	Faculty of Engineering & Science Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Related URLs:	Publisher Organisation
Last Modified:	09 Oct 2021 04:46
URI:	http://gala.gre.ac.uk/id/eprint/2180

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