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Public health nutrition and genetics: implications for nutrition policy and promotion

Citation

Darnton-Hill, I and Margetts, B and Deckelbaum, R, Public health nutrition and genetics: implications for nutrition policy and promotion, Proceedings of the Nutrition Society, 63, (1) pp. 173-185. ISSN 0029-6651 (2004) [Refereed Article]

DOI: doi:10.1079/PNS2003330

Abstract

The unravelling of the human genome has the potential to radically extend many of the strategies used in public health nutrition to improve health and to increase food availability, accessibility and utilization. The present paper divides nutrigenomics into two broad but differing areas in asking about possible public health applications: (1) the increasing mismatch between population growth and global food security, on top of the already approximately 800 million of the world population who are food insecure; (2) possible responses to the rising prevalence of non-communicable diseases as the Western diet becomes increasingly inappropriate to the needs of those consuming it. It is clear that complex interactions of multiple polymorphisms play a role in how individuals and sub-populations respond to dietary interventions. All these applications present public health and ethical challenges, particularly in ensuring that any benefits that do come from nutrigenomics are not restricted to the wealthy minority of only the affluent nations. The present paper concludes that the public health applications of nutrigenomics are probably at least a decade away, especially for developing countries. Clinical applications are likely to be more immediate, probably resulting in 'designer diets' for individuals with particular polymorphisms, but unless governments take on the role of ensuring some extent of equity in access, any benefits are most likely to go to those who can afford the screening, tests and treatment. At the same time, greatly increased international efforts are needed towards the continuing, and in some cases worsening, global malnutrition, as genetic manipulation of crops is unlikely to provide more than part of the solution.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Nutrition and Dietetics
Research Field:Nutrition and Dietetics not elsewhere classified
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Nutrition
Author:Darnton-Hill, I (Mr Ian Darnton-Hill)
ID Code:30998
Year Published:2004
Web of Science® Times Cited:18
Deposited By:Health Sciences A
Deposited On:2004-08-01
Last Modified:2011-08-01
Downloads:0

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