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IJE Advance Access originally published online on October 27, 2005
International Journal of Epidemiology 2006 35(1):24-30; doi:10.1093/ije/dyi204
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2005; all rights reserved.

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Obesity amidst poverty

Felicia Webb, Andrew Prentice and Felicia Webb*

* Corresponding author. felicia.webb@virgin.net

The first 10% of the full text of this article appears below.

The Gambia is in the early phases of demographic transition. Globalization is changing diets and lifestyles. Rural livelihoods have become virtually unsustainable following the collapse of groundnuts as a cash crop owing to external competition. This encourages urban drift and transnational migration. Sedentary occupations and plentiful high-fat diets are causing burgeoning obesity in urban areas. Even in remote rural areas remittance payments from those in the city or abroad have increased purchasing power, and cheap imported vegetable oils are a major commodity in local shops. Obesity—at one time confined to the area chief and his wives—is now rapidly spreading throughout the countryside. And this pattern . . . [Full Text of this Article]


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