Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 9 Suppl 1, 48-52

Nutrition Transition and Its Relationship to the Development of Obesity and Related Chronic Diseases


Nutrition Transition and Its Relationship to the Development of Obesity and Related Chronic Diseases

Arne Astrup et al. Obes Rev.


The prevalence of overweight and obesity has also increased substantially in the nutritional transition countries, and the health burden of obesity-related complications is growing. The introduction of fast-food chains and Westernized dietary habits providing meals with fast-food characteristics seems to be a marker of the increasing prevalence of obesity. The mechanisms involved are probably that the supply of foods is characterized by large portion sizes with a high energy density, and sugar-rich soft drinks. The high energy density of foods is partly brought about by a high dietary fat content, and it has been shown that even in a Chinese population the increase from about 15% to 20% in the proportion of calories from fat is sufficient to explain some weight gain in the population. In addition, fast food from major chains in most countries still contains unacceptably high levels of industrially produced trans fatty acids that have powerful biological effects, and contribute to type 2 diabetes and coronary artery disease. New evidence also suggests that a high intake of trans fat may produce abdominal obesity, an important factor in the metabolic syndrome, type 2 diabetes and cardiovascular disease. The optimal diet for the prevention of weight gain, obesity, metabolic syndrome and type 2 diabetes is fat-reduced, without any industrially produced trans fatty acids, fibre-rich, high in low energy density carbohydrates (fruit, vegetables and whole grain products) and with a restricted intake of energy-containing drinks.

Similar articles

  • Fast Food: Unfriendly and Unhealthy
    S Stender et al. Int J Obes (Lond) 31 (6), 887-90. PMID 17452996.
    Although nutrition experts might be able to navigate the menus of fast-food restaurant chains, and based on the nutritional information, compose apparently 'healthy' meal …
  • The Role of Dietary Fat in Obesity
    A Astrup. Semin Vasc Med 5 (1), 40-7. PMID 15968579. - Review
    Current scientific evidence indicates that dietary fat plays a role in weight loss and maintenance. Meta-analyses of intervention trials find that fat-reduced diets cause …
  • Metabolic Implications of Dietary Trans-Fatty Acids
    SE Dorfman et al. Obesity (Silver Spring) 17 (6), 1200-7. PMID 19584878.
    Dietary trans-fatty acids are associated with increased risk of cardiovascular disease and have been implicated in the incidence of obesity and type 2 diabetes mellitus ( …
  • The Fundamental Drivers of the Obesity Epidemic
    WP James. Obes Rev 9 Suppl 1, 6-13. PMID 18307693. - Review
    Most policy makers do not yet understand that the obesity epidemic is a normal population response to the dramatic reduction in the demand for physical activity and the m …
  • Dietary Management of Obesity
    A Astrup. JPEN J Parenter Enteral Nutr 32 (5), 575-7. PMID 18753397.
    The reduction of the total fat content of ad libitum diets produces weight loss in both the short term and over periods as long as 7 years. A fat-reduced diet, combined w …
See all similar articles

Cited by 65 PubMed Central articles

See all "Cited by" articles