T E X T

      If all of the children who currently are sedentary started exercising every day, societies could save enormous amounts of money in the coming decades and have healthier citizens as a whole, according to a remarkable new study. In the United States alone, we could expect to save more than $120 billion every year in health care and associated expenses. The study is the first to use sophisticated computer simulations to arrive at a literal and sobering societal price tag for allowing our children to be sedentary.

      Inactivity is, of course, widespread among young people today. Recent research shows that in the United States and Europe, physical activity tends to peak at about age 7 for both boys and girls and tail off continually throughout adolescence. More than two-thirds of children in the United States rarely exercise at all.

      The immediate health consequences for inactive children and their families are worrisome. Childhood obesity, which is linked to lack of exercise, is common, as is the incidence of Type 2 diabetes and other health problems related to being overweight among children as young as 6.

      But the long-term financial costs of inactivity in the young, both for them and society as a whole, have never been quantified. So for the new study, which was published this week in Health Affairs, researchers with the Global Obesity Prevention Center at Johns Hopkins University in Baltimore and other institutions decided to create a bogglingly complex computer model of what the future could look like if we do or do not get more of our children moving.

      The researchers began by gathering as much public data as is currently available about the health, weight and physical activity patterns of all 31.7 million American children now aged 8 to 11, using large-scale databases from the Census Bureau, the Centers for Disease Control and Prevention, and other groups.

      The researchers fed this information into a computerized modeling program that created an electronic avatar for every American child today. In line with reality, two-thirds of these children were programmed to rarely exercise and many were overweight or obese.

      The scientists then had the simulated children grow up. Using estimations about how calorie intake and activity patterns affect body weight, the program changed each virtual child’s body day-by-day and year-by-year into adulthood. Most became increasingly overweight.

      As the simulated children became adults, the scientists then modeled each one’s health, based on obesity-associated risks for heart disease, diabetes, stroke and cancer, and also the probable financial price of dealing with those diseases (adjusted for future inflation), both in terms of direct expenses for hospitalizations, drugs and so on, and lost productivity because of someone’s being ill.

      The results were staggering. According to the computer model, the costs of today’s 8- to 11- year-olds being inactive and consequently overweight would be almost $3 trillion in medical expenses and lost productivity every year once the children reached adulthood and for decades until their deaths.

      But when the researchers tweaked children’s activity levels within their model, the numbers began to look quite different. If they presumed that, in an imaginary America, half of all children exercised vigorously for about 25 minutes three times a week, such as during active recess or sports or, more ambitiously, ran around and moved for at least an hour every day, which is the amount of youth exercise recommended by the C.D.C., their virtual lives were transformed.

      Most obviously, the incidence of childhood obesity fell by more than 4 percent, a change that resonated throughout the simulated children’s lives and society. There were about half a million fewer cases of adult-onset heart disease, diabetes, cancer and strokes in this simulation, and the society-wide costs associated with these illnesses dropped by about $32 billion every year if the children romped about for 25 minutes three times per week and by almost $37 billion if they moved for an hour every day.

      The impacts were even more substantial when the researchers assumed that 100 percent of the children who are now sedentary got regular exercise. In this scenario, the annual total costs during adulthood from obesity-associated medical expenses and lost productivity plummeted by about $62 billion when children were active three times a week and by more than $120 billion every year when all of the virtual children played and moved for at least an hour each day.

                                                     From: https://www.nytimes.com May 3, 2017

                                              T E X T

      If all of the children who currently are sedentary started exercising every day, societies could save enormous amounts of money in the coming decades and have healthier citizens as a whole, according to a remarkable new study. In the United States alone, we could expect to save more than $120 billion every year in health care and associated expenses. The study is the first to use sophisticated computer simulations to arrive at a literal and sobering societal price tag for allowing our children to be sedentary.

      Inactivity is, of course, widespread among young people today. Recent research shows that in the United States and Europe, physical activity tends to peak at about age 7 for both boys and girls and tail off continually throughout adolescence. More than two-thirds of children in the United States rarely exercise at all.

      The immediate health consequences for inactive children and their families are worrisome. Childhood obesity, which is linked to lack of exercise, is common, as is the incidence of Type 2 diabetes and other health problems related to being overweight among children as young as 6.

      But the long-term financial costs of inactivity in the young, both for them and society as a whole, have never been quantified. So for the new study, which was published this week in Health Affairs, researchers with the Global Obesity Prevention Center at Johns Hopkins University in Baltimore and other institutions decided to create a bogglingly complex computer model of what the future could look like if we do or do not get more of our children moving.

      The researchers began by gathering as much public data as is currently available about the health, weight and physical activity patterns of all 31.7 million American children now aged 8 to 11, using large-scale databases from the Census Bureau, the Centers for Disease Control and Prevention, and other groups.

      The researchers fed this information into a computerized modeling program that created an electronic avatar for every American child today. In line with reality, two-thirds of these children were programmed to rarely exercise and many were overweight or obese.

      The scientists then had the simulated children grow up. Using estimations about how calorie intake and activity patterns affect body weight, the program changed each virtual child’s body day-by-day and year-by-year into adulthood. Most became increasingly overweight.

      As the simulated children became adults, the scientists then modeled each one’s health, based on obesity-associated risks for heart disease, diabetes, stroke and cancer, and also the probable financial price of dealing with those diseases (adjusted for future inflation), both in terms of direct expenses for hospitalizations, drugs and so on, and lost productivity because of someone’s being ill.

      The results were staggering. According to the computer model, the costs of today’s 8- to 11- year-olds being inactive and consequently overweight would be almost $3 trillion in medical expenses and lost productivity every year once the children reached adulthood and for decades until their deaths.

      But when the researchers tweaked children’s activity levels within their model, the numbers began to look quite different. If they presumed that, in an imaginary America, half of all children exercised vigorously for about 25 minutes three times a week, such as during active recess or sports or, more ambitiously, ran around and moved for at least an hour every day, which is the amount of youth exercise recommended by the C.D.C., their virtual lives were transformed.

      Most obviously, the incidence of childhood obesity fell by more than 4 percent, a change that resonated throughout the simulated children’s lives and society. There were about half a million fewer cases of adult-onset heart disease, diabetes, cancer and strokes in this simulation, and the society-wide costs associated with these illnesses dropped by about $32 billion every year if the children romped about for 25 minutes three times per week and by almost $37 billion if they moved for an hour every day.

      The impacts were even more substantial when the researchers assumed that 100 percent of the children who are now sedentary got regular exercise. In this scenario, the annual total costs during adulthood from obesity-associated medical expenses and lost productivity plummeted by about $62 billion when children were active three times a week and by more than $120 billion every year when all of the virtual children played and moved for at least an hour each day.

                                                     From: https://www.nytimes.com May 3, 2017

                                              T E X T

      If all of the children who currently are sedentary started exercising every day, societies could save enormous amounts of money in the coming decades and have healthier citizens as a whole, according to a remarkable new study. In the United States alone, we could expect to save more than $120 billion every year in health care and associated expenses. The study is the first to use sophisticated computer simulations to arrive at a literal and sobering societal price tag for allowing our children to be sedentary.

      Inactivity is, of course, widespread among young people today. Recent research shows that in the United States and Europe, physical activity tends to peak at about age 7 for both boys and girls and tail off continually throughout adolescence. More than two-thirds of children in the United States rarely exercise at all.

      The immediate health consequences for inactive children and their families are worrisome. Childhood obesity, which is linked to lack of exercise, is common, as is the incidence of Type 2 diabetes and other health problems related to being overweight among children as young as 6.

      But the long-term financial costs of inactivity in the young, both for them and society as a whole, have never been quantified. So for the new study, which was published this week in Health Affairs, researchers with the Global Obesity Prevention Center at Johns Hopkins University in Baltimore and other institutions decided to create a bogglingly complex computer model of what the future could look like if we do or do not get more of our children moving.

      The researchers began by gathering as much public data as is currently available about the health, weight and physical activity patterns of all 31.7 million American children now aged 8 to 11, using large-scale databases from the Census Bureau, the Centers for Disease Control and Prevention, and other groups.

      The researchers fed this information into a computerized modeling program that created an electronic avatar for every American child today. In line with reality, two-thirds of these children were programmed to rarely exercise and many were overweight or obese.

      The scientists then had the simulated children grow up. Using estimations about how calorie intake and activity patterns affect body weight, the program changed each virtual child’s body day-by-day and year-by-year into adulthood. Most became increasingly overweight.

      As the simulated children became adults, the scientists then modeled each one’s health, based on obesity-associated risks for heart disease, diabetes, stroke and cancer, and also the probable financial price of dealing with those diseases (adjusted for future inflation), both in terms of direct expenses for hospitalizations, drugs and so on, and lost productivity because of someone’s being ill.

      The results were staggering. According to the computer model, the costs of today’s 8- to 11- year-olds being inactive and consequently overweight would be almost $3 trillion in medical expenses and lost productivity every year once the children reached adulthood and for decades until their deaths.

      But when the researchers tweaked children’s activity levels within their model, the numbers began to look quite different. If they presumed that, in an imaginary America, half of all children exercised vigorously for about 25 minutes three times a week, such as during active recess or sports or, more ambitiously, ran around and moved for at least an hour every day, which is the amount of youth exercise recommended by the C.D.C., their virtual lives were transformed.

      Most obviously, the incidence of childhood obesity fell by more than 4 percent, a change that resonated throughout the simulated children’s lives and society. There were about half a million fewer cases of adult-onset heart disease, diabetes, cancer and strokes in this simulation, and the society-wide costs associated with these illnesses dropped by about $32 billion every year if the children romped about for 25 minutes three times per week and by almost $37 billion if they moved for an hour every day.

      The impacts were even more substantial when the researchers assumed that 100 percent of the children who are now sedentary got regular exercise. In this scenario, the annual total costs during adulthood from obesity-associated medical expenses and lost productivity plummeted by about $62 billion when children were active three times a week and by more than $120 billion every year when all of the virtual children played and moved for at least an hour each day.

                                                     From: https://www.nytimes.com May 3, 2017

                                           T E X T

      As growth slows in wealthy countries, Western food companies are aggressively expanding in developing nations, contributing to obesity and health problems.

      FORTALEZA, Brazil — Children’s squeals rang through the muggy morning air as a woman pushed a gleaming white cart along pitted, trash-strewn streets. She was making deliveries to some of the poorest households in this seaside city, bringing pudding, cookies and other packaged foods to the customers on her sales route.

      Celene da Silva, 29, is one of thousands of door-to-door vendors for Nestlé, helping the world’s largest packaged food conglomerate expand its reach into a quarter-million households in Brazil’s farthestflung corners.

      As she dropped off variety packs of Chandelle pudding, Kit-Kats and Mucilon infant cereal, there was something striking about her customers: Many were visibly overweight, even small children.

      She gestured to a home along her route and shook her head, recalling how its patriarch, a morbidly obese man, died the previous week. “He ate a piece of cake and died in his sleep,” she said.

      Mrs. da Silva, who herself weighs more than 200 pounds, recently discovered that she had high blood pressure, a condition she acknowledges is probably tied to her weakness for fried chicken and the Coca-Cola she drinks with every meal, breakfast included.

      Nestlé’s direct-sales army in Brazil is part of a broader transformation of the food system that is delivering Western-style processed food and sugary drinks to the most isolated pockets of Latin America, Africa and Asia. As their growth slows in the wealthiest countries, multinational food companies like Nestlé, PepsiCo and General Mills have been aggressively expanding their presence in developing nations, unleashing a marketing juggernaut that is upending traditional diets from Brazil to Ghana to India.

      A New York Times examination of corporate records, epidemiological studies and government reports — as well as interviews with scores of nutritionists and health experts around the world — reveals a sea change in the way food is produced, distributed and advertised across much of the globe. The shift, many public health experts say, is contributing to a new epidemic of diabetes and heart disease, chronic illnesses that are fed by soaring rates of obesity in places that struggled with hunger and malnutrition just a generation ago.

      The new reality is captured by a single, stark fact: Across the world, more people are now obese than underweight. At the same time, scientists say, the growing availability of high-calorie, nutrient-poor foods is generating a new type of malnutrition, one in which a growing number of people are both overweight and undernourished.

      “The prevailing story is that this is the best of all possible worlds — cheap food, widely available. If you don’t think about it too hard, it makes sense,” said Anthony Winson, who studies the political economics of nutrition at the University of Guelph in Ontario. A closer look, however, reveals a much different story, he said. “To put it in stark terms: The diet is killing us.”

      Even critics of processed food acknowledge that there are multiple factors in the rise of obesity, including genetics, urbanization, growing incomes and more sedentary lives. Nestlé executives say their products have helped alleviate hunger, provided crucial nutrients, and that the company has squeezed salt, fat and sugar from thousands of items to make them healthier. But Sean Westcott, head of food research and development at Nestlé, conceded obesity has been an unexpected side effect of making inexpensive processed food more widely available.

      “We didn’t expect what the impact would be,” he said.

      Part of the problem, he added, is a natural tendency for people to overeat as they can afford more food. Nestlé, he said, strives to educate consumers about proper portion size and to make and market foods that balance “pleasure and nutrition.”

      There are now more than 700 million obese people worldwide, 108 million of them children, according to research published recently in The New England Journal of Medicine. The prevalence of obesity has doubled in 73 countries since 1980, contributing to four million premature deaths, the study found. 

                                                                               By ANDREW JACOBS and MATT RICHTEL

                                                  The New York Times SEPT. 16, 2017 https://www.nytimes.com

                                           T E X T

      As growth slows in wealthy countries, Western food companies are aggressively expanding in developing nations, contributing to obesity and health problems.

      FORTALEZA, Brazil — Children’s squeals rang through the muggy morning air as a woman pushed a gleaming white cart along pitted, trash-strewn streets. She was making deliveries to some of the poorest households in this seaside city, bringing pudding, cookies and other packaged foods to the customers on her sales route.

      Celene da Silva, 29, is one of thousands of door-to-door vendors for Nestlé, helping the world’s largest packaged food conglomerate expand its reach into a quarter-million households in Brazil’s farthestflung corners.

      As she dropped off variety packs of Chandelle pudding, Kit-Kats and Mucilon infant cereal, there was something striking about her customers: Many were visibly overweight, even small children.

      She gestured to a home along her route and shook her head, recalling how its patriarch, a morbidly obese man, died the previous week. “He ate a piece of cake and died in his sleep,” she said.

      Mrs. da Silva, who herself weighs more than 200 pounds, recently discovered that she had high blood pressure, a condition she acknowledges is probably tied to her weakness for fried chicken and the Coca-Cola she drinks with every meal, breakfast included.

      Nestlé’s direct-sales army in Brazil is part of a broader transformation of the food system that is delivering Western-style processed food and sugary drinks to the most isolated pockets of Latin America, Africa and Asia. As their growth slows in the wealthiest countries, multinational food companies like Nestlé, PepsiCo and General Mills have been aggressively expanding their presence in developing nations, unleashing a marketing juggernaut that is upending traditional diets from Brazil to Ghana to India.

      A New York Times examination of corporate records, epidemiological studies and government reports — as well as interviews with scores of nutritionists and health experts around the world — reveals a sea change in the way food is produced, distributed and advertised across much of the globe. The shift, many public health experts say, is contributing to a new epidemic of diabetes and heart disease, chronic illnesses that are fed by soaring rates of obesity in places that struggled with hunger and malnutrition just a generation ago.

      The new reality is captured by a single, stark fact: Across the world, more people are now obese than underweight. At the same time, scientists say, the growing availability of high-calorie, nutrient-poor foods is generating a new type of malnutrition, one in which a growing number of people are both overweight and undernourished.

      “The prevailing story is that this is the best of all possible worlds — cheap food, widely available. If you don’t think about it too hard, it makes sense,” said Anthony Winson, who studies the political economics of nutrition at the University of Guelph in Ontario. A closer look, however, reveals a much different story, he said. “To put it in stark terms: The diet is killing us.”

      Even critics of processed food acknowledge that there are multiple factors in the rise of obesity, including genetics, urbanization, growing incomes and more sedentary lives. Nestlé executives say their products have helped alleviate hunger, provided crucial nutrients, and that the company has squeezed salt, fat and sugar from thousands of items to make them healthier. But Sean Westcott, head of food research and development at Nestlé, conceded obesity has been an unexpected side effect of making inexpensive processed food more widely available.

      “We didn’t expect what the impact would be,” he said.

      Part of the problem, he added, is a natural tendency for people to overeat as they can afford more food. Nestlé, he said, strives to educate consumers about proper portion size and to make and market foods that balance “pleasure and nutrition.”

      There are now more than 700 million obese people worldwide, 108 million of them children, according to research published recently in The New England Journal of Medicine. The prevalence of obesity has doubled in 73 countries since 1980, contributing to four million premature deaths, the study found. 

                                                                               By ANDREW JACOBS and MATT RICHTEL

                                                  The New York Times SEPT. 16, 2017 https://www.nytimes.com

                                           T E X T

      As growth slows in wealthy countries, Western food companies are aggressively expanding in developing nations, contributing to obesity and health problems.

      FORTALEZA, Brazil — Children’s squeals rang through the muggy morning air as a woman pushed a gleaming white cart along pitted, trash-strewn streets. She was making deliveries to some of the poorest households in this seaside city, bringing pudding, cookies and other packaged foods to the customers on her sales route.

      Celene da Silva, 29, is one of thousands of door-to-door vendors for Nestlé, helping the world’s largest packaged food conglomerate expand its reach into a quarter-million households in Brazil’s farthestflung corners.

      As she dropped off variety packs of Chandelle pudding, Kit-Kats and Mucilon infant cereal, there was something striking about her customers: Many were visibly overweight, even small children.

      She gestured to a home along her route and shook her head, recalling how its patriarch, a morbidly obese man, died the previous week. “He ate a piece of cake and died in his sleep,” she said.

      Mrs. da Silva, who herself weighs more than 200 pounds, recently discovered that she had high blood pressure, a condition she acknowledges is probably tied to her weakness for fried chicken and the Coca-Cola she drinks with every meal, breakfast included.

      Nestlé’s direct-sales army in Brazil is part of a broader transformation of the food system that is delivering Western-style processed food and sugary drinks to the most isolated pockets of Latin America, Africa and Asia. As their growth slows in the wealthiest countries, multinational food companies like Nestlé, PepsiCo and General Mills have been aggressively expanding their presence in developing nations, unleashing a marketing juggernaut that is upending traditional diets from Brazil to Ghana to India.

      A New York Times examination of corporate records, epidemiological studies and government reports — as well as interviews with scores of nutritionists and health experts around the world — reveals a sea change in the way food is produced, distributed and advertised across much of the globe. The shift, many public health experts say, is contributing to a new epidemic of diabetes and heart disease, chronic illnesses that are fed by soaring rates of obesity in places that struggled with hunger and malnutrition just a generation ago.

      The new reality is captured by a single, stark fact: Across the world, more people are now obese than underweight. At the same time, scientists say, the growing availability of high-calorie, nutrient-poor foods is generating a new type of malnutrition, one in which a growing number of people are both overweight and undernourished.

      “The prevailing story is that this is the best of all possible worlds — cheap food, widely available. If you don’t think about it too hard, it makes sense,” said Anthony Winson, who studies the political economics of nutrition at the University of Guelph in Ontario. A closer look, however, reveals a much different story, he said. “To put it in stark terms: The diet is killing us.”

      Even critics of processed food acknowledge that there are multiple factors in the rise of obesity, including genetics, urbanization, growing incomes and more sedentary lives. Nestlé executives say their products have helped alleviate hunger, provided crucial nutrients, and that the company has squeezed salt, fat and sugar from thousands of items to make them healthier. But Sean Westcott, head of food research and development at Nestlé, conceded obesity has been an unexpected side effect of making inexpensive processed food more widely available.

      “We didn’t expect what the impact would be,” he said.

      Part of the problem, he added, is a natural tendency for people to overeat as they can afford more food. Nestlé, he said, strives to educate consumers about proper portion size and to make and market foods that balance “pleasure and nutrition.”

      There are now more than 700 million obese people worldwide, 108 million of them children, according to research published recently in The New England Journal of Medicine. The prevalence of obesity has doubled in 73 countries since 1980, contributing to four million premature deaths, the study found. 

                                                                               By ANDREW JACOBS and MATT RICHTEL

                                                  The New York Times SEPT. 16, 2017 https://www.nytimes.com

                                           T E X T

      As growth slows in wealthy countries, Western food companies are aggressively expanding in developing nations, contributing to obesity and health problems.

      FORTALEZA, Brazil — Children’s squeals rang through the muggy morning air as a woman pushed a gleaming white cart along pitted, trash-strewn streets. She was making deliveries to some of the poorest households in this seaside city, bringing pudding, cookies and other packaged foods to the customers on her sales route.

      Celene da Silva, 29, is one of thousands of door-to-door vendors for Nestlé, helping the world’s largest packaged food conglomerate expand its reach into a quarter-million households in Brazil’s farthestflung corners.

      As she dropped off variety packs of Chandelle pudding, Kit-Kats and Mucilon infant cereal, there was something striking about her customers: Many were visibly overweight, even small children.

      She gestured to a home along her route and shook her head, recalling how its patriarch, a morbidly obese man, died the previous week. “He ate a piece of cake and died in his sleep,” she said.

      Mrs. da Silva, who herself weighs more than 200 pounds, recently discovered that she had high blood pressure, a condition she acknowledges is probably tied to her weakness for fried chicken and the Coca-Cola she drinks with every meal, breakfast included.

      Nestlé’s direct-sales army in Brazil is part of a broader transformation of the food system that is delivering Western-style processed food and sugary drinks to the most isolated pockets of Latin America, Africa and Asia. As their growth slows in the wealthiest countries, multinational food companies like Nestlé, PepsiCo and General Mills have been aggressively expanding their presence in developing nations, unleashing a marketing juggernaut that is upending traditional diets from Brazil to Ghana to India.

      A New York Times examination of corporate records, epidemiological studies and government reports — as well as interviews with scores of nutritionists and health experts around the world — reveals a sea change in the way food is produced, distributed and advertised across much of the globe. The shift, many public health experts say, is contributing to a new epidemic of diabetes and heart disease, chronic illnesses that are fed by soaring rates of obesity in places that struggled with hunger and malnutrition just a generation ago.

      The new reality is captured by a single, stark fact: Across the world, more people are now obese than underweight. At the same time, scientists say, the growing availability of high-calorie, nutrient-poor foods is generating a new type of malnutrition, one in which a growing number of people are both overweight and undernourished.

      “The prevailing story is that this is the best of all possible worlds — cheap food, widely available. If you don’t think about it too hard, it makes sense,” said Anthony Winson, who studies the political economics of nutrition at the University of Guelph in Ontario. A closer look, however, reveals a much different story, he said. “To put it in stark terms: The diet is killing us.”

      Even critics of processed food acknowledge that there are multiple factors in the rise of obesity, including genetics, urbanization, growing incomes and more sedentary lives. Nestlé executives say their products have helped alleviate hunger, provided crucial nutrients, and that the company has squeezed salt, fat and sugar from thousands of items to make them healthier. But Sean Westcott, head of food research and development at Nestlé, conceded obesity has been an unexpected side effect of making inexpensive processed food more widely available.

      “We didn’t expect what the impact would be,” he said.

      Part of the problem, he added, is a natural tendency for people to overeat as they can afford more food. Nestlé, he said, strives to educate consumers about proper portion size and to make and market foods that balance “pleasure and nutrition.”

      There are now more than 700 million obese people worldwide, 108 million of them children, according to research published recently in The New England Journal of Medicine. The prevalence of obesity has doubled in 73 countries since 1980, contributing to four million premature deaths, the study found. 

                                                                               By ANDREW JACOBS and MATT RICHTEL

                                                  The New York Times SEPT. 16, 2017 https://www.nytimes.com

                                           T E X T

      As growth slows in wealthy countries, Western food companies are aggressively expanding in developing nations, contributing to obesity and health problems.

      FORTALEZA, Brazil — Children’s squeals rang through the muggy morning air as a woman pushed a gleaming white cart along pitted, trash-strewn streets. She was making deliveries to some of the poorest households in this seaside city, bringing pudding, cookies and other packaged foods to the customers on her sales route.

      Celene da Silva, 29, is one of thousands of door-to-door vendors for Nestlé, helping the world’s largest packaged food conglomerate expand its reach into a quarter-million households in Brazil’s farthestflung corners.

      As she dropped off variety packs of Chandelle pudding, Kit-Kats and Mucilon infant cereal, there was something striking about her customers: Many were visibly overweight, even small children.

      She gestured to a home along her route and shook her head, recalling how its patriarch, a morbidly obese man, died the previous week. “He ate a piece of cake and died in his sleep,” she said.

      Mrs. da Silva, who herself weighs more than 200 pounds, recently discovered that she had high blood pressure, a condition she acknowledges is probably tied to her weakness for fried chicken and the Coca-Cola she drinks with every meal, breakfast included.

      Nestlé’s direct-sales army in Brazil is part of a broader transformation of the food system that is delivering Western-style processed food and sugary drinks to the most isolated pockets of Latin America, Africa and Asia. As their growth slows in the wealthiest countries, multinational food companies like Nestlé, PepsiCo and General Mills have been aggressively expanding their presence in developing nations, unleashing a marketing juggernaut that is upending traditional diets from Brazil to Ghana to India.

      A New York Times examination of corporate records, epidemiological studies and government reports — as well as interviews with scores of nutritionists and health experts around the world — reveals a sea change in the way food is produced, distributed and advertised across much of the globe. The shift, many public health experts say, is contributing to a new epidemic of diabetes and heart disease, chronic illnesses that are fed by soaring rates of obesity in places that struggled with hunger and malnutrition just a generation ago.

      The new reality is captured by a single, stark fact: Across the world, more people are now obese than underweight. At the same time, scientists say, the growing availability of high-calorie, nutrient-poor foods is generating a new type of malnutrition, one in which a growing number of people are both overweight and undernourished.

      “The prevailing story is that this is the best of all possible worlds — cheap food, widely available. If you don’t think about it too hard, it makes sense,” said Anthony Winson, who studies the political economics of nutrition at the University of Guelph in Ontario. A closer look, however, reveals a much different story, he said. “To put it in stark terms: The diet is killing us.”

      Even critics of processed food acknowledge that there are multiple factors in the rise of obesity, including genetics, urbanization, growing incomes and more sedentary lives. Nestlé executives say their products have helped alleviate hunger, provided crucial nutrients, and that the company has squeezed salt, fat and sugar from thousands of items to make them healthier. But Sean Westcott, head of food research and development at Nestlé, conceded obesity has been an unexpected side effect of making inexpensive processed food more widely available.

      “We didn’t expect what the impact would be,” he said.

      Part of the problem, he added, is a natural tendency for people to overeat as they can afford more food. Nestlé, he said, strives to educate consumers about proper portion size and to make and market foods that balance “pleasure and nutrition.”

      There are now more than 700 million obese people worldwide, 108 million of them children, according to research published recently in The New England Journal of Medicine. The prevalence of obesity has doubled in 73 countries since 1980, contributing to four million premature deaths, the study found. 

                                                                               By ANDREW JACOBS and MATT RICHTEL

                                                  The New York Times SEPT. 16, 2017 https://www.nytimes.com

                                           T E X T

      As growth slows in wealthy countries, Western food companies are aggressively expanding in developing nations, contributing to obesity and health problems.

      FORTALEZA, Brazil — Children’s squeals rang through the muggy morning air as a woman pushed a gleaming white cart along pitted, trash-strewn streets. She was making deliveries to some of the poorest households in this seaside city, bringing pudding, cookies and other packaged foods to the customers on her sales route.

      Celene da Silva, 29, is one of thousands of door-to-door vendors for Nestlé, helping the world’s largest packaged food conglomerate expand its reach into a quarter-million households in Brazil’s farthestflung corners.

      As she dropped off variety packs of Chandelle pudding, Kit-Kats and Mucilon infant cereal, there was something striking about her customers: Many were visibly overweight, even small children.

      She gestured to a home along her route and shook her head, recalling how its patriarch, a morbidly obese man, died the previous week. “He ate a piece of cake and died in his sleep,” she said.

      Mrs. da Silva, who herself weighs more than 200 pounds, recently discovered that she had high blood pressure, a condition she acknowledges is probably tied to her weakness for fried chicken and the Coca-Cola she drinks with every meal, breakfast included.

      Nestlé’s direct-sales army in Brazil is part of a broader transformation of the food system that is delivering Western-style processed food and sugary drinks to the most isolated pockets of Latin America, Africa and Asia. As their growth slows in the wealthiest countries, multinational food companies like Nestlé, PepsiCo and General Mills have been aggressively expanding their presence in developing nations, unleashing a marketing juggernaut that is upending traditional diets from Brazil to Ghana to India.

      A New York Times examination of corporate records, epidemiological studies and government reports — as well as interviews with scores of nutritionists and health experts around the world — reveals a sea change in the way food is produced, distributed and advertised across much of the globe. The shift, many public health experts say, is contributing to a new epidemic of diabetes and heart disease, chronic illnesses that are fed by soaring rates of obesity in places that struggled with hunger and malnutrition just a generation ago.

      The new reality is captured by a single, stark fact: Across the world, more people are now obese than underweight. At the same time, scientists say, the growing availability of high-calorie, nutrient-poor foods is generating a new type of malnutrition, one in which a growing number of people are both overweight and undernourished.

      “The prevailing story is that this is the best of all possible worlds — cheap food, widely available. If you don’t think about it too hard, it makes sense,” said Anthony Winson, who studies the political economics of nutrition at the University of Guelph in Ontario. A closer look, however, reveals a much different story, he said. “To put it in stark terms: The diet is killing us.”

      Even critics of processed food acknowledge that there are multiple factors in the rise of obesity, including genetics, urbanization, growing incomes and more sedentary lives. Nestlé executives say their products have helped alleviate hunger, provided crucial nutrients, and that the company has squeezed salt, fat and sugar from thousands of items to make them healthier. But Sean Westcott, head of food research and development at Nestlé, conceded obesity has been an unexpected side effect of making inexpensive processed food more widely available.

      “We didn’t expect what the impact would be,” he said.

      Part of the problem, he added, is a natural tendency for people to overeat as they can afford more food. Nestlé, he said, strives to educate consumers about proper portion size and to make and market foods that balance “pleasure and nutrition.”

      There are now more than 700 million obese people worldwide, 108 million of them children, according to research published recently in The New England Journal of Medicine. The prevalence of obesity has doubled in 73 countries since 1980, contributing to four million premature deaths, the study found. 

                                                                               By ANDREW JACOBS and MATT RICHTEL

                                                  The New York Times SEPT. 16, 2017 https://www.nytimes.com

                                           T E X T

      As growth slows in wealthy countries, Western food companies are aggressively expanding in developing nations, contributing to obesity and health problems.

      FORTALEZA, Brazil — Children’s squeals rang through the muggy morning air as a woman pushed a gleaming white cart along pitted, trash-strewn streets. She was making deliveries to some of the poorest households in this seaside city, bringing pudding, cookies and other packaged foods to the customers on her sales route.

      Celene da Silva, 29, is one of thousands of door-to-door vendors for Nestlé, helping the world’s largest packaged food conglomerate expand its reach into a quarter-million households in Brazil’s farthestflung corners.

      As she dropped off variety packs of Chandelle pudding, Kit-Kats and Mucilon infant cereal, there was something striking about her customers: Many were visibly overweight, even small children.

      She gestured to a home along her route and shook her head, recalling how its patriarch, a morbidly obese man, died the previous week. “He ate a piece of cake and died in his sleep,” she said.

      Mrs. da Silva, who herself weighs more than 200 pounds, recently discovered that she had high blood pressure, a condition she acknowledges is probably tied to her weakness for fried chicken and the Coca-Cola she drinks with every meal, breakfast included.

      Nestlé’s direct-sales army in Brazil is part of a broader transformation of the food system that is delivering Western-style processed food and sugary drinks to the most isolated pockets of Latin America, Africa and Asia. As their growth slows in the wealthiest countries, multinational food companies like Nestlé, PepsiCo and General Mills have been aggressively expanding their presence in developing nations, unleashing a marketing juggernaut that is upending traditional diets from Brazil to Ghana to India.

      A New York Times examination of corporate records, epidemiological studies and government reports — as well as interviews with scores of nutritionists and health experts around the world — reveals a sea change in the way food is produced, distributed and advertised across much of the globe. The shift, many public health experts say, is contributing to a new epidemic of diabetes and heart disease, chronic illnesses that are fed by soaring rates of obesity in places that struggled with hunger and malnutrition just a generation ago.

      The new reality is captured by a single, stark fact: Across the world, more people are now obese than underweight. At the same time, scientists say, the growing availability of high-calorie, nutrient-poor foods is generating a new type of malnutrition, one in which a growing number of people are both overweight and undernourished.

      “The prevailing story is that this is the best of all possible worlds — cheap food, widely available. If you don’t think about it too hard, it makes sense,” said Anthony Winson, who studies the political economics of nutrition at the University of Guelph in Ontario. A closer look, however, reveals a much different story, he said. “To put it in stark terms: The diet is killing us.”

      Even critics of processed food acknowledge that there are multiple factors in the rise of obesity, including genetics, urbanization, growing incomes and more sedentary lives. Nestlé executives say their products have helped alleviate hunger, provided crucial nutrients, and that the company has squeezed salt, fat and sugar from thousands of items to make them healthier. But Sean Westcott, head of food research and development at Nestlé, conceded obesity has been an unexpected side effect of making inexpensive processed food more widely available.

      “We didn’t expect what the impact would be,” he said.

      Part of the problem, he added, is a natural tendency for people to overeat as they can afford more food. Nestlé, he said, strives to educate consumers about proper portion size and to make and market foods that balance “pleasure and nutrition.”

      There are now more than 700 million obese people worldwide, 108 million of them children, according to research published recently in The New England Journal of Medicine. The prevalence of obesity has doubled in 73 countries since 1980, contributing to four million premature deaths, the study found. 

                                                                               By ANDREW JACOBS and MATT RICHTEL

                                                  The New York Times SEPT. 16, 2017 https://www.nytimes.com