The former targets individual risk with precision behavioural measures in large numbers, whereas the latter targets overall population risk with structural/environmental measures, as shown below.In the 1985 seminal article ‘Sick individuals and sick populations’,Returning to the issue of obesity, Rose would argue that the causes of some individuals becoming obese differ from the causes of some populations becoming obese.

Both preventive strategies can be used for primary and secondary prevention.

Corresponding author. Building on Geoffrey Rose’s theory regarding the differences in individual and population causes of disease, we show that large-scale PN can only address some individual causes of obesity (causes of cases). Search for other works by this author on: 20% off with code THE5KRUNNER This customizable two-phase plan is widely accessible, easy to follow, and will appeal to the full spectrum of diet ideologies, from plant-based to carnivore to keto and beyond. This individual-centred approach is likely to have a small impact on the distribution of obesity at a population level because it ignores the population causes of obesity (causes of incidence). This could have the undesirable effect of widening social inequalities in obesity. Many doctors dismiss nutritional therapies as quack medicine.

Solid line: distribution of risk/dietary intake before the intervention. Some deep-sea fishes feed on the bottom, but most animals there are invertebrate (have no bones), live attached to nodules or crawl on, or in, the bottom. ).

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Precision nutrition (PN), also called personalized nutrition, has been developed to deliver more preventive and practical dietary advice than ‘one-size-fits-all’ guidelines. United States Department of Agriculture. They used, for example, mass campaigns to disseminate dietary guidelines (e.g. This 2020 Biostrap Review looks in detail at one of the best wrist-based tools that assess your activity physiological. together. Multiple public health interventions to improve population dietary intake have been implemented to date. Institut universitaire de médecine sociale et préventive (IUMSP), Biopôle 2, Route de la Corniche 10, CH-1010 Lausanne, Switzerland. Angeline Chatelan, Murielle Bochud, Katherine L Frohlich, Precision nutrition: hype or hope for public health interventions to reduce obesity?, High-income countries are experiencing an obesity epidemic that follows a socioeconomic gradient, affecting groups of lower socioeconomic status disproportionately. Search for other works by this author on: Published by Oxford University Press on behalf of the International Epidemiological Association.This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( A. We showed, however, that individual-centred interventions directed to behaviour change, such as large-scale PN, are likely to have a limited and unequal impact on diet and obesity incidence at a population level (Figure We nevertheless believe that knowledge and technologies from large-scale PN (Table The costs related to AC’s fellowship with KLF at the Ecole de Santé Publique, Université de Montréal, was supported by the Foundation of Lausanne University.



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