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Urban Food Systems
for Better Diets, Nutrition, and Health
in Low and Middle-Income Countries
Jef Leroy
Washington, DC
May 16, 2019
Urban diets are changing
• Poor-quality diets drive all forms of malnutrition
• “Nutrition transition” faster in urban than rural areas
• Traditional diets consisting of coarse grains, staple cereals, and pulses
→ diets high in sugar, salt, saturated fat
• Increasing consumption of ultra-processed foods
NUTRITIONAL
STATUS
0
5
10
15
20
25
30
China Malaysia Philippines Thailand India
Grams/person/day
Sales of ultraprocessed foods
(2005 to 2017)
2005 2017
Source: Barry Popkin, Euromonitor
Urban diets are changing
• Poor-quality diets drive all forms of malnutrition
• “Nutrition transition” faster in urban than rural areas
• Traditional diets consisting of coarse grains, staple cereals, and pulses
→ diets high in sugar, salt, saturated fat
• Increased consumption of ultra-processed foods
NUTRITIONAL
STATUS
Cell Metabolism, 2019
What shapes urban diets?
IFPRI’s urban research program will focus on the
drivers of urban diets:
• Consumer and household
• Food environment
• Food system
What shapes urban diets?
Individual and household factors shape
diets of the urban poor
Individual and household factors shape
diets of the urban poor
• Urban dwellers purchase most of their
food:
• Livelihoods often depend on unstable employment
• Less access to social safety nets (compared to rural
counterparts), leaving the poor vulnerable to shocks.
• Women engaged in the workforce with limited
childcare options
• Time constraints and limited access to cooking
facilities:
• Convenience of processed and ultra-processed ready-to-eat snacks
and foods, street foods, and quick meals
• Risk of overconsumption of energy, added sugar, and salt
Urban diets are inextricably linked to the
food environment
Urban diets depend on the food environment
• Urban dwellers generally have
access to a more diverse food
supply than individuals in rural
areas, but…
• …are exposed to
• energy-dense and nutrient-poor ultra-processed
foods
• aggressive marketing of ultra-processed foods
• modernizing food retail sector, accelerated
spread of supermarkets
The urban food environment is part of the food system
The urban food environment is part of the food system
• Food environment is “interface” between
the consumer and the food system
• Increases in trade and globalization have
changed the urban food system
Addressing the urban poor’s nutrition problems requires
better evidence
IFPRI’s urban research program seeks to generate
better evidence on…
• Diets
• What do poor urban dwellers eat?
• What are the drivers of healthy and unhealthy food choices?
• Food environments
• How healthy is the food environment?
• How does it affect food choice?
?
… to inform policies and programs
aimed at improving the diets, nutrition
and health of the urban poor.

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Urban Food Systems for Better Diets, Nutrition, and Health in Low and Middle-Income Countries

  • 1. Urban Food Systems for Better Diets, Nutrition, and Health in Low and Middle-Income Countries Jef Leroy Washington, DC May 16, 2019
  • 2. Urban diets are changing • Poor-quality diets drive all forms of malnutrition • “Nutrition transition” faster in urban than rural areas • Traditional diets consisting of coarse grains, staple cereals, and pulses → diets high in sugar, salt, saturated fat • Increasing consumption of ultra-processed foods NUTRITIONAL STATUS 0 5 10 15 20 25 30 China Malaysia Philippines Thailand India Grams/person/day Sales of ultraprocessed foods (2005 to 2017) 2005 2017 Source: Barry Popkin, Euromonitor
  • 3. Urban diets are changing • Poor-quality diets drive all forms of malnutrition • “Nutrition transition” faster in urban than rural areas • Traditional diets consisting of coarse grains, staple cereals, and pulses → diets high in sugar, salt, saturated fat • Increased consumption of ultra-processed foods NUTRITIONAL STATUS Cell Metabolism, 2019
  • 5. IFPRI’s urban research program will focus on the drivers of urban diets: • Consumer and household • Food environment • Food system What shapes urban diets?
  • 6. Individual and household factors shape diets of the urban poor
  • 7. Individual and household factors shape diets of the urban poor • Urban dwellers purchase most of their food: • Livelihoods often depend on unstable employment • Less access to social safety nets (compared to rural counterparts), leaving the poor vulnerable to shocks. • Women engaged in the workforce with limited childcare options • Time constraints and limited access to cooking facilities: • Convenience of processed and ultra-processed ready-to-eat snacks and foods, street foods, and quick meals • Risk of overconsumption of energy, added sugar, and salt
  • 8. Urban diets are inextricably linked to the food environment
  • 9. Urban diets depend on the food environment • Urban dwellers generally have access to a more diverse food supply than individuals in rural areas, but… • …are exposed to • energy-dense and nutrient-poor ultra-processed foods • aggressive marketing of ultra-processed foods • modernizing food retail sector, accelerated spread of supermarkets
  • 10. The urban food environment is part of the food system
  • 11. The urban food environment is part of the food system • Food environment is “interface” between the consumer and the food system • Increases in trade and globalization have changed the urban food system
  • 12. Addressing the urban poor’s nutrition problems requires better evidence IFPRI’s urban research program seeks to generate better evidence on… • Diets • What do poor urban dwellers eat? • What are the drivers of healthy and unhealthy food choices? • Food environments • How healthy is the food environment? • How does it affect food choice? ? … to inform policies and programs aimed at improving the diets, nutrition and health of the urban poor.