dc.description.abstract |
The human being has been able to progressively adapt to changes in the intake of a
wide range of naturally occurring foods, brought about during the agricultural
revolution, because nutrient combinations (carbohydrates, fats and proteins) generally
remained relatively constant. With the industrial revolution, however, radical changes
have occurred, especially in developing countries (WHO, 1990: I 0). These include
changes in life-styles and health patterns, characterized by an increase in the
prevalence of chronic diseases, changes of principal causes of death as well as changes
in dietary intake (Romieu, 1997). These changes are characteristics typical to the
''Nutrition Transition", defined by Voster et aI., (1995) as "the change in dietary
patterns and nutrient intake associated with urbanization, acculturation or
westernization. "
Changes in dietary intake are due to several factors, not only related to consumer
changes, but also to the technology of the industry (Sasson, 1990:96) including food
processing, distribution and production methods. Increases in the number of people movrng from rural to urban communities,
accompanied by radical changes in diet (WHO, 1990:28) and changes in attitude
towards foods typical of industrialized countries (Sasson, 1990:96) have resulted in
abandoning of traditional food habits. The industrial revolution, together with imitation
of food intake patterns Of affluent social classes of industrialized countries (Sasson,
1990:97), have led to major changes in the nutritional composition of the diet in
developing countries. The immediate health benefit of this increased and assured food
supply has been the elimination of starvation and micronutrient deficiency diseases in
many communities (Visek, 1994:555).
On the other hand, rapid industrialization and acculturation, especially of the Black
populations in many parts of Africa (Bourne et aI., 1993), places communities at risk of
developing several degenerative diseases (Bourne et aI., 1993; Sasson, 1990:97; Visek,
1994:555). The affluent diet is characterized by an excessive intake of energy-dense
foods, rich in fat and deficient in unrefined carbohydrate foods, which are the main
source of dietary fiber (V oster et aI., 1995).
Changes in population diets in developing countries have been reflected in the disease
and mortality profiles of migrant populations, moving from countries with a low-risk
for developing degenerative diseases to high-risk countries (WHO, 1990:11). In many
instances, South Africa is considered a multi-cultural developing country with broad
gradients in socio-econornic and cultural factors influencing eating patterns (Voster et
~ 1995). Large segments of our population are presently in the process of urbanization. In South Africa, a projection for the year 2010 estimates that seventy
percent of South Africa's population will be urbanized at that time, affecting mainly
the Black population (Bourne et al .. 1993). |
en_US |