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Open in a separate window The marked rise in available food energy observed globally has been accompanied by changes in the composition of the diet. The process involved in such dietary change appears to follow a pattern involving two main stages. This development has been ubiquitous, occurring in both developed and developing countries. This shift is primarily from carbohydrate-rich staples cereals, roots, tubers to vegetable oils, animal products meat and dairy foods and sugar. In contrast to the first stage, this one is country-specific and is influenced by culture, beliefs and religious traditions. In particular, such traditions can influence the extent to which animal products substitute vegetable products and the specific types of meat and animal products consumed. Their contribution to energy intake varies markedly between developing and industrial countries.