The nutrition transition to 2030. Why developing countries are likely to bear the major burden

Abstract Considerable increases in food consumption, shifts in consumption patterns and changes in the entire food system have occurred globally. These changes, initially limited to the industrialized world, are now being experienced at an even faster pace in many of the advanced economies of the developing world. The past evolution of this transition in nutrition and lifestyles is by now well documented. Based on FAO's outlook for global food and agriculture, this paper outlines the likely future changes in food consumption patterns and the global trajectory of the nutrition transition over the next 30 years. It presents the main drivers of the nutrition transition and examines their influence on the prospective changes in consumption patterns. The paper illustrates how the current burden of undernourishment and malnutrition in developing countries is likely to compound the adverse effects of the nutrition transition, notably the increasing prevalence of obesity and non-communicable diseases (NCDs); it shows how and where the current problem of undernutrition could create a growing future burden of overweight, obesity and NCDs and that both undernourishment and overnutrition are likely to co-exist for a long time in the vast majority of developing countries, creating a widespread double burden of malnutrition.