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Nutrition transition and obesity prevention through the life-course

Abstract

The aim of this paper is to discuss concepts regarding the nutrition transition (NT), the several stages it has encompassed over human history, dietary shifts it is associated with and its implications to the life-course approach for obesity prevention. NT is a phenomenon characterized by an inversion of the nutrition profile, that is, an increase in obesity and a reduction in undernutrition. Obesity and associated chronic diseases are the most important expressions of NT today. Some important dietary changes happened in the last decades as a result of the complex determinants of NT, such as urbanization, the economic growth dynamic, cultural and behavioral shifts. The NT has involved an increased consumption of caloric beverages, ultra-processed products, animal foods, edible oils and soft drinks, accompanied by a significant reduction in the consumption of fruits, vegetables, pulses and milk. Global obesity prevalence increased from 4.8% in 1980 to 9.8% in 2008 for men, and from 7.9% in 1980 to 13.8% in 2008 for women, representing 205 million men and 297 million women with obesity and 1.46 billion with overweight in 2008. The context of the NT needs to be taken into account when developing effective obesity prevention strategies across the life-course.

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Acknowledgements

RP-E has received grant support from the National Institutes of Health and the Centers for Disease Control and Prevention. GK is a research fellow from the Brazilian National Council for Scientific and Technological Development (CNPq). The publication was supported in part by the Government of Aruba, the Obetech Obesity Research Center, the Pan American Health Organization and the Pan American Health and Education Foundation. This paper is derived from the workshop ‘Education for childhood obesity prevention: A life-course approach’, co-organized by the Panamerican Health Organization (PAHO) and the Panamerican Health and Education Foundation (PAHEF), and held on 14 June 2012 in Aruba, as part of the II Pan-American Conference on Childhood Obesity (http://www.paco.aw/).

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Correspondence to G Kac.

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Kac, G., Pérez-Escamilla, R. Nutrition transition and obesity prevention through the life-course. Int J Obes Supp 3 (Suppl 1), S6–S8 (2013). https://doi.org/10.1038/ijosup.2013.3

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