Uneven dietary development: linking the policies and processes of globalization with the nutrition transition, obesity, and diet-related chronic diseases
Open accessAbstract
In a "nutrition transition", the consumption of foods high in fats and sweeteners is increasing throughout the developing world. The transition, implicated in the rapid rise of obesity and diet-related chronic diseases worldwide, is rooted in the processes of globalization. Globalization affects the nature of agri-food systems, thereby altering the quantity, type, cost and desirability of foods available for consumption. Understanding the links between globalization and the nutrition transition is therefore necessary to help policy makers develop policies, including food policies, for addressing the global burden of chronic disease. While the subject has been much discussed, tracing the specific pathways between globalization and dietary change remains a challenge. To help address this challenge, this paper explores how one of the central mechanisms of globalization, the integration of the global marketplace, is affecting the specific diet patterns. Focusing on middle-income countries, it highlights the importance of three major processes of market integration: (I) production and trade of agricultural goods; (II) foreign direct investment in food processing and retailing; and (III) global food advertising and promotion. The paper reveals how specific policies implemented to advance the globalization agenda account in part for some recent trends in the global diet. Agricultural production and trade policies have enabled more vegetable oil consumption; policies on foreign direct investment have facilitated higher consumption of highly-processed foods, as has global food marketing. These dietary outcomes also reflect the socioeconomic and cultural context in which these policies are operating. An important finding is that the dynamic, competitive forces unleashed as a result of global market integration facilitates not only convergence in consumption habits (as is commonly assumed in the "Coca-Colonization" hypothesis), but adaptation to products targeted at different niche markets. This convergence-divergence duality raises the policy concern that globalization will exacerbate uneven dietary development between rich and poor. As high-income groups in developing countries accrue the benefits of a more dynamic marketplace, lower-income groups may well experience convergence towards poor quality obseogenic diets, as observed in western countries. Global economic policies concerning agriculture, trade, investment and marketing affect what the world eats. They are therefore also global food and health policies. Health policy makers should pay greater attention to these policies in order to address some of the structural causes of obesity and diet-related chronic diseases worldwide, especially among the groups of low socioeconomic status.
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Food systems have changed due to the shift from local to regional to global foods in quantity, type, cost, variety, and desirability.
“Food systems have changed due to the shift from local to regional to global foods in terms of quantity, type, cost, variety, and desirability (Hawkes 2006).”
From Drivers of food waste and their implications for sustainable policy development (2016) · cites this paper as Hawkes 2006
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Self-citationBaker, P., Smith, J., Salmon, L., Friel, S., Kent, G., Iellamo, A., Dadhich, J., & Renfrew, M. J. (2016) · Public Health Nutrition · doi:10.1017/s1368980016001117 · Cited by 175 · see citing works
Moodie, R., Bennett, E., Kwong, E. J. L., Santos, T. M., Pratiwi, L., Williams, J., & Baker, P. (2021) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.2021.45 · Cited by 130 · see citing works
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Self-citationWood, B., Williams, O., Baker, P., & Sacks, G. (2023) · Journal of Agrarian Change · doi:10.1111/joac.12545 · Cited by 47 · see citing works
Oral health related behaviors among adult Tanzanians: a national pathfinder survey
Masalu, J. R., Kikwilu, E. N., Kahabuka, F. K., Senkoro, A. R., & Kida, I. A. (2009) · BMC Oral Health · doi:10.1186/1472-6831-9-22 · Cited by 32 · see citing works
Huse, O., Reeve, E., Bell, C., Sacks, G., Baker, P., Wood, B., & Backholer, K. (2022) · BMJ Global Health · doi:10.1136/bmjgh-2022-010386 · Cited by 36 · see citing works
Societal correlates of diabetes prevalence: an analysis across 94 countries
Siegel, K. R., Echouffo-Tcheugui, J. B., Ali, M. K., Mehta, N. K., Narayan, K. M., & Chetty, V. (2012) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2011.11.014 · Cited by 21 · see citing works
Caribbean nutrition transition: what can we learn from dietary patterns in the French West Indies?
Colombet, Z., Allès, B., Perignon, M., Landais, E., Martin-Prevel, Y., Amiot, M.-J., Darmon, N., & Méjean, C. (2021) · European Journal of Nutrition · doi:10.1007/s00394-020-02317-x · Cited by 18 · see citing works
Apparent consumption of caloric sweeteners increased after the implementation of NAFTA in Mexico
Unar-Munguía, M., Monterubio Flores, E., & Colchero, M. A. (2019) · Food Policy · doi:10.1016/j.foodpol.2019.03.004 · Cited by 15 · see citing works
- Authors
- Hawkes, C.
- Affiliations
- International Food Policy Research Institute (US)
- Corresponding author
- Hawkes, Corinna
- ORCID
- Hawkes, Corinna
- Venue
- Globalization and Health
- Published
- 2006-03-28
- Volume
- 2
- Issue
- 1
- Pages
- 4-4
- ISSN
- 1744-8603 (ISSN-L)
- PMC
- PMC1440852
- OpenAlex
- W1561863145
- Cited by
- 895
- References
- 103
- Citations by year
- 2026: 27 · 2025: 41 · 2024: 47 · 2023: 44 · 2022: 45 · 2021: 108 · 2020: 60 · 2019: 65 · 2018: 43 · 2017: 55 · 2016: 53 · 2015: 50 · 2014: 43 · 2013: 33 · 2012: 39
- FWCI
- 45.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Globalization and Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IFPRI E-brary (International Food Policy Research Institute) (submittedVersion)
- CGSPace A Repository of Agricultural Research Outputs (Consultative Group for International Agricultural Research) (submittedVersion)
- CGSPace A Repository of Agricultural Research Outputs (Consultative Group for International Agricultural Research) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- International Food Policy Research Institute (International Food Policy Research Institute) (submittedVersion)
- Topics
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economics of Agriculture and Food Markets
- Life Sciences › Agricultural and Biological Sciences › Food Science › Nutrition, Health, and Society Studies
- Keywords
- nutrition transition, globalization, obesity, diet-related chronic diseases, agri-food systems, agricultural trade policy, vegetable oil consumption, ultra-processed foods, market integration, middle-income countries, low socioeconomic status, food policy
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