World Food Policy Volume 2, Number 1, Spring 2015 | Page 105

World Food Policy II - What are the underlying “caus- market” (PLoS Medicine Editors 2012). In es” of food and nutrition insecuri- particular, multinational food companies are targeting disadvantaged communities ty? 2.1 - A complex and uneven nutrition transition makes global policy prescriptions elusive T in low-income countries with energy dense, nutrition supplemented food which can encourage calorie rich, micronutrient poor diets (Monteiro and Cannon 2012). In this sense, the co-existence of obesity and underweight “may be linked to the same forces that drive reduction in malnutrition” (Hammond and Dube 2013, 12356). These forces include major food processors and westernstyle food retailers which make access to energy dense foods relatively accessible and affordable, as well as development agencies keen to increase caloric intakes. In addition, several twentieth century “advances” in agricultural development and food processing have turned out to be detrimental to health because highly processed, energy-dense foods, and beverages are consumed in excessive quantities and can displace the consumption of healthier alternatives such as whole grains, cereals, fruits, and vegetables. Such “advances” in agricultural development and food processing include: he nutrition transition” is not a singular unfolding of changes to dietary patterns. Rather, it is a two or even three-phase, and often overlapping, process. The initial phase of the transition—movement from famine and restricted dietary quality and diversity— is generally health promoting. The second phase—from dietary diversity to diets low in fruits and vegetables and high in meat, fat, salt, and sugar is health depleting (Popkin 2002). Phase 2 of the nutrition transition, to more energy-dense nutrient poor diets, is spreading rapidly: “The ’Western diet’ has also moved into the North, South and East. [Nutrition-related noncommunicable diseases, once seen as a burden of affluent classes, now impact every socio-economic group at every level of macro-economic development. Disparities • High levels of red meat consumption— within groups… present their own inherent particularly of ruminant animals— challenges” (Nazmi and Monteiro 2013, has been associated with some non571). Furthermore, Phase 2 is being communicable diseases such as experienced by ever greater numbers, colorectal cancer (Friel et al. 2009). with China witnessing a 400 percent • The intake of concentrated fructose increase in obesity prevalence over the products (the basis of many “soft last 20 years (APCS 2006). drinks”) has become a health risk in Corporate economic imperatives a context of diets that already provide contribute to the spread of Phase 2: a finite excess calories (Simopoulos, Bourne, aggregate demand for food at any one and Faergeman 2013). time exists within a context of saturated • Diets are tending to be low in omega-3 markets leading firms within concentrated fatty acids and high in omega-6 fatty food supply chains to engage in a highly acids (Simopoulos, Bourne, and competitive process of “growing the 104