Nutrition transition and chronic diseases in China (1990-2019): industrially processed and animal calories rather than nutrients and total calories as potential determinants of the health impact

2021 ◽  
pp. 1-33
Author(s):  
Anthony Fardet ◽  
Kenny Aubrun ◽  
Edmond Rock
Keyword(s):  
Chronic Diseases ◽  
Nutrition Transition ◽  
Developed Countries ◽  
Health Impact ◽  
Food Group ◽  
Calorie Intake ◽  
Dietary Reference Intake ◽  
Total Calorie ◽  
Ratio Rule ◽  
Highly Correlated

Abstract Objective: To extend analyses of nutrition transition in developed countries to China within the framework of the 3Vs rule considering degree of processing starting with industrially processed foods (IPFs, Rule 1), plant/animal calorie ratio (Rule 2), and food diversity through nutrient intakes (Rule 3). Design: Total and main food group (n = 13) calorie intakes, percentages of animal and IPF calories, adequacy of the Dietary Reference Intake (DRI) and prevalence of chronic diseases were retrieved from scientific literature and international databases. Setting: China, 1990-2019 Participants: Overall population Results: The total calorie intake decreased by 9% over thirty years while the prevalence of chronic diseases substantially increased. Percentages of IPFs (Rule 1) and animal (Rule 2) calorie intake shifted from 9 to 30% and 2 to 30%, respectively. Meanwhile, the overall DRI adequacy (Rule 3) did not improve, with calcium and retinol deficiencies in 2019, and, although remaining above DRI, iron, copper, magnesium, and vitamins E, C and B1-B9 intakes regularly decreased. Notably, the prevalence of obesity increased five-fold, paralleling the exponential increase in IPF calorie intake. Both sources of calories were highly correlated with prevalence of main chronic diseases. Conclusions: Despite a slight decreased of total calorie consumption and rather good compliance with DRI, the farther the Chinese population moved away from the 3Vs rule during the 1990-2019 period, the more the prevalence of chronic diseases increased. Further analyses on foods’ transitions will be better assessed when advocating sources/quality of calories (Rules 1/2), rather than only nutrient composition (Rule 3).

scholarly journals Nonnutritive, Low Caloric Substitutes for Food Sugars: Clinical Implications for Addressing the Incidence of Dental Caries and Overweight/Obesity

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Michael W. Roberts ◽  
J. Timothy Wright
Keyword(s):  
Dental Health ◽  
Food Additives ◽  
Developed Countries ◽  
Health Impact ◽  
The United States ◽  
Fermentable Sugars ◽  
Calorie Intake ◽  
Health Issues ◽  
Patients At Risk ◽  
Diet Counseling

Caries and obesity are two common conditions affecting children in the United States and other developed countries. Caries in the teeth of susceptible children have often been associated with frequent ingestion of fermentable sugars such as sucrose, fructose, glucose, and maltose. Increased calorie intake associated with sugars and carbohydrates, especially when associated with physical inactivity, has been implicated in childhood obesity. Fortunately, nonnutritive artificial alternatives and non-/low-caloric natural sugars have been developed as alternatives to fermentable sugars and have shown promise in partially addressing these health issues. Diet counseling is an important adjunct to oral health instruction. Although there are only five artificial sweeteners that have been approved as food additives by the Food and Drug Administration (FDA), there are additional five non-/low caloric sweeteners that have FDA GRAS (Generally Recognized as Safe) designation. Given the health impact of sugars and other carbohydrates, dental professionals should be aware of the nonnutritive non-/low caloric sweeteners available on the market and both their benefits and potential risks. Dental health professionals should also be proactive in helping identify patients at risk for obesity and provide counseling and referral when appropriate.

Nutritional Intervention May Improve Body Mass Index of Malnourished Hospitalized Psychiatric Patients – A Preliminary Observation

2019 ◽  
Vol 18 (3) ◽  
pp. 256-259
Author(s):  
Hou Y.C. ◽  
Hsieh Y.L. ◽  
Tzeng I.S. ◽  
Kuo C.Y.
Keyword(s):  
Body Weight ◽  
Psychiatric Patients ◽  
Psychiatric Hospitals ◽  
Nutritional Intervention ◽  
Nutrition Intervention ◽  
Calorie Intake ◽  
Psychiatric Ward ◽  
Increased Risk ◽  
Total Calorie ◽  
Total Calorie Intake

Malnutrition is an important issue in hospitalized patients. Poor nutrition may lead to increased risk of morbidity and death, impaired mental and physical conditions, apathy, depression, self-neglect, increased risk of medical complications, increased risk of pressure ulcers, reduced immune response, delayed wound healing, longer hospital stays, and reduced quality of life. However, few studies have investigated malnutrition in psychiatric patients. Psychiatric patients are known to have an increased risk of malnutrition, but psychiatric hospitals rarely conduct physical examinations and nutritional assessments. In this preliminary study, patients from a psychiatric ward of the Taipei Tzu Chi Hospital were chosen using the Malnutrition Universal Screening Tool. We used the before-and-after analysis to test the effect of a nutrition intervention on the selected parameters. We found that patients who had an impaired nutritional status showed significant increases in body weight (mean: 43.6 ± 7.5 vs. 46.5 ± 8.2 kg; P < 0.001), BMI (mean: 16.8 ± 2.0 vs. 17.9 ± 2.1 kg/m2; P < 0.001), and total calorie intake (mean: 1128 ± 230 vs. 1378 ± 320 Kcal; P < 0.001). Nutritional intervention significantly improved body weight, BMI, and total calorie intake. Nutritional intervention may help prevent malnutrition and improve the management of psychiatric patients.

scholarly journals A short food-group-based dietary questionnaire is reliable and valid for assessing toddlers' dietary risk in relatively advantaged samples

2014 ◽  
Vol 112 (4) ◽  
pp. 627-637 ◽  
Author(s):  
Lucinda K. Bell ◽  
Rebecca K. Golley ◽  
Anthea M. Magarey
Keyword(s):  
Risk Score ◽  
Dietary Patterns ◽  
Reliability And Validity ◽  
Food Group ◽  
Dietary Guidelines ◽  
Risk Category ◽  
Food Groups ◽  
Sweetened Beverages ◽  
Dietary Risk ◽  
Highly Correlated

Identifying toddlers at dietary risk is crucial for determining who requires intervention to improve dietary patterns and reduce health consequences. The objectives of the present study were to develop a simple tool that assesses toddlers' dietary risk and investigate its reliability and validity. The nineteen-item Toddler Dietary Questionnaire (TDQ) is informed by dietary patterns observed in Australian children aged 14 (n552) and 24 (n493) months and the Australian dietary guidelines. It assesses the intake of ‘core’ food groups (e.g. fruit, vegetables and dairy products) and ‘non-core’ food groups (e.g. high-fat, high-sugar and/or high-salt foods and sweetened beverages) over the previous 7 d, which is then scored against a dietary risk criterion (0–100; higher score = higher risk). Parents of toddlers aged 12–36 months (Socio-Economic Index for Areas decile range 5–9) were asked to complete the TDQ for their child (n111) on two occasions, 3·2 (sd1·8) weeks apart, to assess test–retest reliability. They were also asked to complete a validated FFQ from which the risk score was calculated and compared with the TDQ-derived risk score (relative validity). Mean scores were highly correlated and not significantly different for reliability (intra-class correlation = 0·90, TDQ1 30·2 (sd8·6)v. TDQ2 30·9 (sd8·9);P= 0·14) and validity (r0·83, average TDQ ((TDQ1+TDQ2)/2) 30·5 (sd8·4)v. FFQ 31·4 (sd8·1);P= 0·05). All the participants were classified into the same (reliability 75 %; validity 79 %) or adjacent (reliability 25 %; validity 21 %) risk category (low (0–24), moderate (25–49), high (50–74) and very high (75–100)). Overall, the TDQ is a valid and reliable screening tool for identifying at-risk toddlers in relatively advantaged samples.

scholarly journals Global utilisation of cereals: sustainability and environmental issues

Agro-Science ◽  
2021 ◽  
Vol 20 (1) ◽  
pp. 9-14
Author(s):  
O.O. Olugbire ◽  
S. Olorunfemi ◽  
D.O. Oke
Keyword(s):  
Developing Countries ◽  
Environmental Issues ◽  
Developed Countries ◽  
Calorie Intake ◽  
Steady Increase ◽  
Agricultural Crop ◽  
Technological Advancement ◽  
Total Percentage ◽  
Income Status ◽  
Future Demands

Over the years, cereals have been the major food consumed by humans and have also been used in animal diet and therefore highly commendable for playing a major role in the preservation of human race. Studies have shown that half of the total percentage of calories consumed in the world is from cereals while it is also the most traded agricultural crop at the international market. This motivates the need to assess its utilisation in the past, present and future. This review shows that much driven by the use of cereals are factors like consumption and dietary pattern of a person or country, technological advancement in adding value to it, income status, market forces of demand and supply, level of affluence and policy. The trend in global cereals utilisation since its domestication has indicated an upward one with bulk of it being consumed as food in developing countries while majority of it goes into feeding livestock in developed countries. Evidence from this study also shows that the per capita utilisation of cereals directly for food is exceedingly great in developing countries than developed countries which is an indicator of malnutrition when not balance with other nutrients as it was observed in Bangladesh where calorie intake of an adult is about 90% from cereals. While there is a steady increase in global cereals utilisation due to its discovered industrial use as fuel, increased population and other factors, it will be expedient to focus on its sustainability and environmental issues that are likely to come up as a limitation to meet future demands.

scholarly journals Too Long to Wait: South Asian Migrants’ Experiences of Accessing Health Services in Australia

2021 ◽  
Author(s):  
Manju Adhikari ◽  
Sabitra Kaphle ◽  
Yamuna Dhakal ◽  
Sabina Duwadi ◽  
Rajan Subedi ◽  
...  
Keyword(s):  
Health Services ◽  
South Asia ◽  
Chronic Diseases ◽  
South Asian ◽  
Developed Countries ◽  
Snowball Sampling ◽  
Public Health Services ◽  
Migrant Populations ◽  
And Migration ◽  
Waiting Periods

Abstract Background: Migrants settling in a new country experience multiple complexity to navigate health systems and ways of living. In South Asia, migrating to developed countries for better life opportunities has been the ongoing trend and migration to Australia has significantly increased in recent years. The lower utilisation services and higher risks of chronic diseases among South Asian migrants has been an ongoing challenge for the health system to tackle and little is known why these groups of population do not access services. This study aimed to explore the factors influencing experiences of accessing health services by South Asian migrants in Australia. Methods: Using mixed method design, 62 online surveys and 14 in-depth interviews were conducted with participants from four countries of South Asia - Nepal, India, Bhutan, and Sri Lanka. Participants were recruited using a purposive snowball sampling approach following the standard ethical process. Survey data were analysed descriptively in SPSS to derive relationships between variables. Interview data were recorded, transcribed, and analysed thematically. Results: South Asian migrants experienced various complexities while accessing health services in Australia. Experiences of accessing health services highlighted a number of factors; long waiting periods to access public health services, expensive nature of private health services and communication problems due to socio-cultural differences. While these migrants have comparatively better experiences about the services in Australia than in their home country, they have expectations for affordable, timely, respectful, and culturally friendly services. South Asian migrants shared the possibility of making services accessible to them by investing more resources in the health sectors, so they can receive the expected quality of care in public settings. Conclusions: Limited evidence is available to understand the factors leading to lower utilisation of services and higher risks of chronic diseases among South Asian migrants. So, this study highlighted numbers of social, cultural, financial, and institutional factors that are critical to design appropriate health service strategies. This study recommended incorporating a collaborative and culturally competent model of care to increase access to services which can further help to reduce existing disparities in health outcomes among migrant populations.

scholarly journals Stratification of BMI categories among older adults within and across countries

2019 ◽  
Vol 23 (2) ◽  
pp. 254-263
Author(s):  
Carmen D Ng
Keyword(s):  
Older Adults ◽  
Nutrition Transition ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Adult Health ◽  
Sectional Study ◽  
Programme Implementation ◽  
Cross Sectional ◽  
Per Capita ◽  
Global Ageing

AbstractObjective:Within- and across-country nutritional disparities were examined among older adults in six different countries at varying levels of development.Design:Cross-sectional study.Participants:Older adults (aged 50 years or over) in China, Ghana, India, Mexico, Russia and South Africa using the Study on global AGEing and adult health (SAGE).Results:While the distribution of BMI categories varied by country, development-related characteristics were generally related to BMI category in a similar way: urban-living, educated and wealthier individuals were typically more likely to be in a higher BMI category. However, there were some exceptions that corroborate findings in more developed countries. Indeed, a pooled partial proportional odds model which included gross domestic product per capita interactions made the case for intertwining processes of development and the nutrition transition.Conclusions:Population segments to be targeted by nutrition policy and programme implementation might need to change over the course of development.

Evaluating Elders' Bio-Psycho-Social Health Dimensions Using Their Smartphones

2020 ◽  
pp. 166-177
Author(s):  
Enrique Moguel ◽  
José García-Alonso ◽  
Javier Berrocal ◽  
Juan M. Murillo
Keyword(s):  
Health System ◽  
Functional Status ◽  
Chronic Diseases ◽  
Health Professionals ◽  
The Elderly ◽  
Developed Countries ◽  
Mobile Technologies ◽  
Social Health ◽  
Coordinated Care ◽  
Elder People

The percentage of elder people in developed countries is increasing rapidly. A high percentage of them usually present multiple and chronic diseases. A patient with several diseases requires specific and coordinated care that is difficult to configure. Different frameworks can evaluate their functional status and identify the required care, together with the associated cost to the health system. Nevertheless, these frameworks are usually questionnaires that have to be periodically performed by the patients with the assistance of already overloaded professionals. In this chapter, the authors make use of mobile technologies to build a system capable of monitoring the activities of the elderly and analysing these data to assess their bio-psycho-social status. The experiments carried out show us that it correctly evaluates these patients and reduces the effort required by health professionals.

scholarly journals A life course approach to diet, nutrition and the prevention of chronic diseases

2004 ◽  
Vol 7 (1a) ◽  
pp. 101-121 ◽  
Author(s):  
I Darnton-Hill ◽  
C Nishida ◽  
WPT James
Keyword(s):  
Life Cycle ◽  
Life Course ◽  
Chronic Diseases ◽  
Policy Development ◽  
Developed Countries ◽  
Noncommunicable Disease ◽  
Computer Search ◽  
Fetal Life ◽  
Global Epidemic ◽  
Life Course Approach

AbstractObjective:To briefly review the current understanding of the aetiology and prevention of chronic diseases using a life course approach, demonstrating the life-long influences on the development of disease.Design:A computer search of the relevant literature was done using Medline-‘life cycle’ and ‘nutrition’ and reviewing the articles for relevance in addressing the above objective. Articles from references dated before 1990 were followed up separately. A subsequent search using Clio updated the search and extended it by using ‘life cycle’, ‘nutrition’ and ‘noncommunicable disease’ (NCD), and ‘life course’. Several published and unpublished WHO reports were key in developing the background and arguments.Setting:International and national public health and nutrition policy development in light of the global epidemic in chronic diseases, and the continuing nutrition, demographic and epidemiological transitions happening in an increasingly globalized world.Results of review:There is a global epidemic of increasing obesity, diabetes and other chronic NCDs, especially in developing and transitional economies, and in the less affluent within these, and in the developed countries. At the same time, there has been an increase in communities and households that have coincident under- and over-nutrition.Conclusions:The epidemic will continue to increase and is due to a lifetime of exposures and influences. Genetic predisposition plays an unspecified role, and with programming during fetal life for adult disease contributing to an unknown degree. A global rise in obesity levels is contributing to a particular epidemic of type 2 diabetes as well as other NCDs. Prevention will be the most cost-effective and feasible approach for many countries and should involve three mutually reinforcing strategies throughout life, starting in the antenatal period.

Vitamin D deficiency in childhood: old lessons and current challenges

2018 ◽  
Vol 31 (3) ◽  
pp. 247-260 ◽  
Author(s):  
Roberto Antonucci ◽  
Cristian Locci ◽  
Maria Grazia Clemente ◽  
Elena Chicconi ◽  
Luca Antonucci
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Pediatric Population ◽  
Public Health Problem ◽  
Hypovitaminosis D ◽  
Developed Countries ◽  
Health Impact ◽  
Normal Serum ◽  
Key Points ◽  
New Knowledge

AbstractHypovitaminosis D in childhood is a re-emerging public health problem in developed countries. New life style habits, current “epidemics” of obesity in children and adolescents worldwide, and other preventable risk factors may play a role in favoring the occurrence of vitamin D deficiency. In addition to skeletal consequences, hypovitaminosis D has been found to be involved in the development of serious health extra-skeletal problems in childhood, including atopy and autoimmunity. The increasing concerns about the global health impact of vitamin D deficiency make further research necessary to fill the gaps of knowledge in this field, and particularly to establish universally accepted “normal” serum 25(OH)D levels in the pediatric population, and to improve strategies for the screening, prevention and treatment of hypovitaminosis D. This review discusses the key points of hypovitaminosis D in childhood in the light of new knowledge, and highlights the limitations of current strategies to control this condition.

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