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Changes in world food economy are reflected in shifting dietarypatterns. These patterns are combined with a decline in energy expenditure thatis associated with a sedentary life-style. Nutrition is coming to the fore as amajor modifiable determinant of chronic disease, with scientific evidenceincreasingly showing that alterations in diet affect health throughout life. This book calls for ashift in the conceptual framework for developing strategies for action, placingnutrition at the forefront as public health policies and programmes.