Evidence map›Paper›PMID 34632692›Full record

ArticleObesity reviews : an official journal of the International Association for the Study of Obesity2022

The nutrition transition to a stage of high obesity and noncommunicable disease prevalence dominated by ultra-processed foods is not inevitable.

Barry M Popkin, Shu Wen Ng

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 328 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
328citing papers in PubMed, 5 pooled it
54.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06416215 nacompletednot on this mapstarted 2024, after this paper: background citation

Promoting Positive Mental Health for Sustainable Eating Behaviors: the PROMISE Study in Patients With Obesity

TypeinterventionalSponsorUniversity of BolognaRan2024 to 2024Enrolled50ConditionsObesityArmsPsychological intervention based on WBT and cognitive restructuring, Basic Nutritional Intervention
NCT07194681 completednot on this mapstarted 2025, after this paper: background citation

Regional Nutritional Inequalities and Eating Behaviors Among Turkish Adolescents: A Cross-Regional Analysis

Typeobservational_patient_registrySponsorDursun Alper YILMAZRan2025 to 2025Enrolled100ConditionsAdolescent Nutrition, Eating Behaviors, Nutritional Inequalities, Eating Attitudes
3 · Its place in the literature

Who cites it

328 citing papers in PubMed, 5 syntheses or guidelines pooled it, 526 citations in OpenAlex.

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  4. Shifts in food consumption patterns in the Levant: a systematic review of the last six decades.The international journal of behavioral nutrition and physical activity · 2025
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268 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Barry M PopkinDepartment of Nutrition, Gillings School of Global Public Health and the Carolina Population Center, University of North Carolina Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0001-9495-9324
Shu Wen NgDepartment of Nutrition, Gillings School of Global Public Health and the Carolina Population Center, University of North Carolina Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-0582-110X
University of North Carolina at Chapel Hill · US

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
MONITORING SOCIAL CHANGE: HEALTH, REPRODUCTION, AGINGR01HD030880 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ADAIR, LINDA S, POPKIN, BARRY M · 1994 to 2024
$27.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Monitoring Social Change: Dynamics Of Aging And Cognitive FunctionR01AG065357 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ADAIR, LINDA S, POPKIN, BARRY M · 2020 to 2024
$3.6M
Evaluating the impact of SSB and nonessential food taxes in MexicoR01DK108148 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI POPKIN, BARRY M · 2016 to 2019
$2.5M
NIA NIH HHS R01 AG065357NICHD NIH HHS P2C HD050924NICHD NIH HHS R01 HD030880NIDDK NIH HHS P30 DK056350NIDDK NIH HHS R01 DK108148
6 · The paper itself

Abstract

The Nutrition Transition model is presented with the nature and pace of change in key stages varying by location and subpopulations. At present, all high-income and many low- and middle-income countries are in a stage of the transition where nutrition-related noncommunicable diseases including obesity, type 2 diabetes, and hypertension are dominating adult morbidity and mortality and are very high or growing rapidly in prevalence. Some countries still have key subpopulations facing hunger and undernutrition defined by stunting or extreme thinness among adults. We call these double burden of malnutrition countries. All low- and middle-income countries face rapid growth in consumption of ultra-processed food and beverages, but it is not inevitable that these countries will reach the same high levels of consumption seen in high-income countries, with all the negative impacts of this diet on health. With great political and civil society commitment to adoption of policies shown in other countries to have improved dietary choices and social norms around foods, we can arrest and even reverse the rapid shift to diets dominated by a stage of high ultra-processed food intake and increasing prevalence of nutrition-related noncommunicable diseases.

Indexed as

Diabetes Mellitus, Type 2Noncommunicable DiseasesAdultDietFast FoodsHumansObesityPrevalencedouble burden of malnutritionfront-of-package labelingNutrition Transitionobesitytaxationultra-processed food

Identifiers

PMID34632692
PMCPMC8639733
OpenAlexW3205779276

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.