On the whole, community nutrition programmes, as such, are developed in both urban and rural settings and, over the last decades, have developed towards programmes with quite an extensive ecological and participative approach at different levels: individual, family, community, society, cultural, economic and political.
I have learned that globalization is one of the greatest challenges to which people and public and nutrition health professionals are currently confronted (McMichael & Beaglehole, 2000). Although, there is an increasing number of publications related to the influence of globalization on health (Woodward et al. 2002), there is no clear agreement on the ways or the mechanisms by which the occurrence of globalization
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In China, a rapidly ageing population together with increases in high-risk behaviors such as reduced physical activity, smoking (particularly in men) and increased intake of dietary fats has driven the emergence of chronic, non-communicable diseases as the main causes of morbidity and mortality (Yang et al 2008). Rapid economic development and urbanization have also precipitated shifts in dietary patterns towards foods higher in sugar, saturated fats and sodium, as well as changes in occupation associated with reduced physical activity. Over the past 30 years, prevalence rates of type 2 diabetes has increased three-fold to five-fold in Korea, Indonesia and Thailand, while risk factors for type 2 diabetes have also kept pace throughout Asia. In Taiwan, the prevalence of obesity and overweight in children and young adolescents rose from 4% to 12% between 1980 and 1996 and in China, increased by 28-fold from 1985 to 2000 (Kun-Ho et al 2006). Tobacco usage, another major risk factor for chronic disease, is growing fastest in low-income countries with nearly two-thirds of all smokers living in just 10 countries, including China, India, Indonesia and Japan (WHO 2008). With an estimated annual value of US$22 billion, international tobacco trade is big business (Tobacco Atlas, 2008).
In the course of World