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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
- Source :
- Public Health Nutrition, Public Health Nutrition, Cambridge University Press (CUP), 2021, 24 (16), pp.5561-5575. ⟨10.1017/S1368980021003311⟩, Public Health Nutr, Public Health Nutrition, 2021, 24 (16), pp.5561-5575. ⟨10.1017/S1368980021003311⟩
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
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 plant/animal calorie ratio (Rule 1), industrially processed foods (IPFs, 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 30 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 small variations of adequacy 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).
- Subjects :
- China
Calorie
030309 nutrition & dietetics
[SDV]Life Sciences [q-bio]
Population
Medicine (miscellaneous)
Processed foods
Animal products
Food group
03 medical and health sciences
0302 clinical medicine
Nutrient
Environmental health
Nutrition transition
Medicine
Animals
Humans
030212 general & internal medicine
education
Nutrient intakes
2. Zero hunger
0303 health sciences
education.field_of_study
Nutrition and Dietetics
business.industry
Public Health, Environmental and Occupational Health
Nutrients
medicine.disease
Obesity
Dietary Reference Intake
Chronic Disease
Food processing
Fast Foods
business
Energy Intake
Research Paper
Subjects
Details
- Language :
- English
- ISSN :
- 13689800 and 14752727
- Database :
- OpenAIRE
- Journal :
- Public Health Nutrition, Public Health Nutrition, Cambridge University Press (CUP), 2021, 24 (16), pp.5561-5575. ⟨10.1017/S1368980021003311⟩, Public Health Nutr, Public Health Nutrition, 2021, 24 (16), pp.5561-5575. ⟨10.1017/S1368980021003311⟩
- Accession number :
- edsair.doi.dedup.....e923e9af803623710ef5d7c7c7be7f69