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Second Edition of the Nutrition Transition and Physical Inactivity and Health Outcomes thereof in Low- and Middle-Income Countries: From Preconception to Adulthood

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (30 March 2023) | Viewed by 9599

Special Issue Editors

Special Issue Information

Dear Colleagues,

Globally, non-communicable diseases (NCDs) are major causes of mortality, with cardiovascular diseases, cancer, chronic lung diseases, and diabetes being the most prolific. Almost 40 million people die annually from NCDs, with an estimated 80% of these occurring in low- and middle-income countries. However, most of these diseases can be prevented through limiting exposure to the known shared risk factors such as unhealthy diets, physical inactivity, tobacco use, and harmful use of alcohol.

The underlying drivers of the shift in dietary patterns (nutrition transition) and physical inactivity have been well described by Popkin. The first of these is technology which includes both labor-saving equipment, transport options, increased leisure activities, and food technology in the broadest sense. Urbanization has greatly accelerated in the past century and has resulted in greater access to a greater variety of foods, including processed foods, frequently at the expense of a traditional healthier diet. A shift in income per capita has also resulted in the price of food decreasing exponentially and there has been an enormous expansion of global trade, which makes access to modern technology available on a very large scale.

Another feature of the nutrition transition is the double burden of disease, both over- and undernutrition co-exist. Many countries in Sub-Saharan Africa (SSA), for example, have both a high prevalence of stunting in children and of overweight and obesity in mothers. Obesity in children has also increased globally in the past decade. Obese children are more likely to become obese adults, who in turn appear to be more at risk of developing chronic NCDs in later life.

In recognition of the magnitude of the increasing challenges of the nutrition transition coupled with increased physical inactivity levels in developing countries the International Journal of Environmental Research and Public Health devotes this Special Issue to recent findings in “The Nutrition Transition and Physical Inactivity and the Health Outcomes thereof in Low- and Middle-Income countries: From Preconception to Adulthood”.

You are invited to submit manuscripts to be considered for publication in this Special Issue. We will particularly welcome submissions from Sub-Saharan Africa.

Prof. Dr. Nelia Steyn
Prof. Dr. Marjanne Senekal
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • NCDs
  • diet
  • physical activity
  • overweight
  • obesity
  • nutrition transition

Related Special Issue

Published Papers (4 papers)

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Research

27 pages, 3482 KiB  
Article
The Nutrition Transition and the Double Burden of Malnutrition in Sub-Saharan African Countries: How Do These Countries Compare with the Recommended LANCET COMMISSION Global Diet?
by Johanna H. Nel and Nelia P. Steyn
Int. J. Environ. Res. Public Health 2022, 19(24), 16791; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph192416791 - 14 Dec 2022
Cited by 5 | Viewed by 2849
Abstract
Background: Over the last two decades, many sub-Saharan African (SSA) countries have undergone dietary and nutrition transitions fuelled by rapid urbanisation, economic development, and globalisation. The aim of the current study was to examine outcomes of the nutrition transition and the epidemiologic transition [...] Read more.
Background: Over the last two decades, many sub-Saharan African (SSA) countries have undergone dietary and nutrition transitions fuelled by rapid urbanisation, economic development, and globalisation. The aim of the current study was to examine outcomes of the nutrition transition and the epidemiologic transition in SSA countries in terms of food intake, health, and socioeconomic and development factors. Methods: Food balance sheet data—specifically, per capita energy intake per day and per capita gram intake per day—from the CountrySTAT framework of the Food and Agricultural Organization (FAO) were analysed for major food commodities. Additionally, selected health and development indicators supplied by UNICEF, the WHO and the World Bank were analysed. Results: Four dietary patterns emerged. The diet of the southern African/island cluster (South Africa, Mauritius, Eswatini, Namibia, Cabo Verde, and the outlier Seychelles) resembles a Westernised diet, with median values high on sugar/sweeteners, alcohol, meat, animal fats, eggs, and dairy. On the other hand, the diet of countries in the other three clusters appears to be more traditional, with countries in the desert/semi-arid cluster consuming more cereals and pulses/tree nuts, countries in the tropical coastal cluster consuming more fish and vegetable oils, and countries in the equatorial cluster consuming more starchy roots and fruit and vegetables. The resulting median values of health indicators also indicate a higher prevalence of non-communicable diseases in the southern African/island cluster, whereas stunting and anaemia are higher in the other three clusters. Conclusions: SSA countries are in different stages of the nutrition transition. By superimposing clusters generated using macronutrient intake values on a map of the climatic regions in Africa, one can clearly see the importance of climate on the availability of food and food intake patterns. Climate change presents a great challenge to healthy eating, as the link between climate regions and diets is illustrated. Full article
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13 pages, 1014 KiB  
Article
The Perception of Lactose-Related Symptoms of Patients with Lactose Malabsorption
by Michele Di Stefano, Natascia Brondino, Vera Bonaso, Emanuela Miceli, Francesco Lapia, Giacomo Grandi, Elisabetta Pagani, Gino Roberto Corazza and Antonio Di Sabatino
Int. J. Environ. Res. Public Health 2022, 19(16), 10234; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191610234 - 17 Aug 2022
Cited by 3 | Viewed by 1898
Abstract
Background: Dairy products are frequently considered responsible for post-prandial symptoms and are withdrawn from the diet, even against medical advice. We analysed the symptoms patients consider as lactose related; we also evaluated if psychological profile may affect the interpretation of the relationship between [...] Read more.
Background: Dairy products are frequently considered responsible for post-prandial symptoms and are withdrawn from the diet, even against medical advice. We analysed the symptoms patients consider as lactose related; we also evaluated if psychological profile may affect the interpretation of the relationship between lactose and symptoms. Methods: In 268 patients undergoing lactose breath test, symptoms considered evoked by lactose intake were recorded and their severity measured. In the second part, symptom onset of 40 randomly selected patients was detected after both lactose and glucose breath test were blindly performed. Questionnaires evaluating anxiety, suggestibility and personality trait were administered. Key Results: Symptoms depending on functional gastrointestinal disorders or reflux disease were frequent in self-reported lactose-intolerant patients. In comparison with lactose malabsorption, these symptoms proved to be more frequent in patients with negative lactose breath test. The blinded administration of lactose and glucose demonstrated that a correct link between lactose intake and symptom onset was possible, only in 47.5% of the subjects, making this test inaccurate. None of the investigated psychological characteristics were different between patients with a nocebo response and patients not experiencing nocebo. Conclusions: Patients with self-reported lactose intolerance are frequently unaware about clinical presentation of this condition, and correct information is needed. The detection of symptom onset after lactose is an inaccurate test for lactose intolerance. Furthermore, the analysis of psychological characteristics of patients undergoing hydrogen breath test is not useful to select the subgroup at risk for a nocebo response. New strategies to diagnose lactose intolerance are mandatory. Full article
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21 pages, 791 KiB  
Article
Has Food Security and Nutritional Status Improved in Children 1–<10 Years in Two Provinces of South Africa between 1999 (National Food Consumption Survey) and 2018 (Provincial Dietary Intake Study (PDIS))
by Nelia P. Steyn, Johanna H. Nel, Linda Drummond, Sonia Malczyk and Marjanne Senekal
Int. J. Environ. Res. Public Health 2022, 19(3), 1038; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19031038 - 18 Jan 2022
Cited by 3 | Viewed by 1946
Abstract
The 1999 National Food Consumption Survey in South Africa showed that food insecurity (hunger) was prevalent in households with children aged one to <10 years. A repeat of the survey in two provinces: Gauteng (GTG) and the Western Cape (WC) was undertaken in [...] Read more.
The 1999 National Food Consumption Survey in South Africa showed that food insecurity (hunger) was prevalent in households with children aged one to <10 years. A repeat of the survey in two provinces: Gauteng (GTG) and the Western Cape (WC) was undertaken in 2018. Results showed that in all domains (living areas) in GTG, food shortage prevalence decreased between 1999 and 2018, from 55.0% to 29.6% in urban informal areas, from 34.1% to 19.4% in urban formal areas and from 42.1% to 15.6% in rural areas. While the prevalence of food shortage in urban formal areas in the WC remained similar in 2018, prevalence decreased from 81.8% to 35.7% in urban informal areas and from 38.3% to 20.6% in rural areas. Energy and macronutrient intakes improved significantly in GTG between 1999 and 2018 but not in the WC; intakes were significantly higher in the WC at both time points. The only significant change in stunting, wasting, overweight and obesity prevalence was that 7–<10-year-olds in GTG were significantly more likely to be wasted (BAZ < 2SD) in 2018 than in 1999 (20.2% versus 6.9% respectively). In the WC, 1–3-year-olds were significantly more likely to be obese in 2018 than in 1999 (8.1% versus 1.7% respectively) and 7–<10-year-olds were less likely to be stunted (14.5% versus 4.9% respectively). There were significant negative correlations between the hunger score and dietary variables in both provinces in 1999. In GTG in 2018, only the correlation with fat intake remained while there were still several significant correlations in WC in 2018. Changes in top 12 energy contributors reflect a shift to high or moderate energy foods low in nutrients from 1999 to 2018. Nutrient dense (high micronutrients, low energy/g) foods (e.g., fruit) fell off the list in 2018. Logistic regression analyses reflect the importance for food security of having a parent as head of the household and/or caregiver, and parents having grade 12 or higher education and being employed. We conclude that food security nutritional status indicators improved amongst 1–<10-year-old children especially in GTG between 1999 and 2018. However, the shift to poorer food choices and increase in wasting in older children and overweight in younger children are of concern. Full article
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10 pages, 934 KiB  
Article
A Structural Equation Modelling Approach to Examine the Relationship between Socioeconomic Status, Diet Quality and Dyslipidaemia in South African Children and Adolescents, 6–18 Years
by Gugulethu Moyo, Esteban Montenegro-Montenegro, Zachary Stickley, Abdulkadir Egal and Wilna Oldewage-Theron
Int. J. Environ. Res. Public Health 2021, 18(23), 12825; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182312825 - 05 Dec 2021
Viewed by 2291
Abstract
This study utilised a structural equation model to examine the relationship between diet quality, socioeconomic status, and cardiovascular disease (CVD) risk in South African learners. Confirmatory factor analysis was used to test the indirect effects model for diet, socioeconomic status, diet quality and [...] Read more.
This study utilised a structural equation model to examine the relationship between diet quality, socioeconomic status, and cardiovascular disease (CVD) risk in South African learners. Confirmatory factor analysis was used to test the indirect effects model for diet, socioeconomic status, diet quality and cardiovascular risk using pre-existing cross-sectional data. The structural equation model was fit using Lavaan version 0.6–5 in R version 3.6.1. Data were analysed from 178 children and adolescents, aged 6–18 years, from five rural schools in Cofimvaba, South Africa. Latent variables were created for dietary quality, dyslipidaemia and the socioeconomic status of participants. A negative association was observed between socioeconomic status and dyslipidaemia in school-aged children (p = 0.029). Full article
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