Africans carried their foods and dietary customs into diaspora throughout the Americas as a result of the European slave trade. Their descendants represent populations at diﬀerent stages of a nutrition transition. West Africans are more often in the early stage, where there are many challenges and conditions like undernutrition and nutrient deﬁciencies. Many Caribbean populations represent the middle stages, with undernutrition and obesity co-existing. African Americans and black populations in the United Kingdom suﬀer the worst, from the consequences of caloric excess and diets high in fat and animal products. Obesity, diabetes, high blood pressure, coronary heart disease, and certain cancers are prevalent in the African-American and Afro-British populations, and they are beginning to emerge in populations that never before faced these diseases, as diets become more Western.
Annual Review of Nutrition, 2001;21:47-71. (Luke et al.)