Global food and nutrition issues (SACE Stage 2 Nutrition)
“Examine global nutrition issues, including undernutrition, the double burden of malnutrition and the social and economic factors behind them”
Around the world, undernutrition and over-nutrition exist at the same time. Hundreds of millions of people do not get enough food or nutrients, causing hunger, stunting and deficiency diseases, while in many countries diets high in energy, sugar and fat drive obesity and diet-related disease. Poverty, conflict, climate, and unequal distribution of food, not a global shortage, are the main causes of hunger. The coexistence of both problems is called the double burden of malnutrition. You should be able to examine these issues and the factors behind them.
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What this dot point is asking
You need to examine global nutrition issues, both undernutrition and over-nutrition, and explain the social and economic factors that drive them.
Undernutrition and hunger
Undernutrition occurs when people do not get enough energy or nutrients. It includes chronic hunger, stunting (impaired growth in children) and micronutrient deficiencies such as iron, vitamin A and iodine deficiency, sometimes called hidden hunger because it is not always visible.
Undernutrition harms growth, immunity, learning and productivity, and in children it can cause lifelong effects. It is most severe among the poorest people and in regions affected by crisis.
Why hunger exists
A key idea is that hunger is mostly a problem of access and distribution, not total food supply. The world produces enough food in aggregate, yet people go hungry because they cannot afford, reach or grow it. Major causes include:
- Poverty: people lack the money to buy enough nutritious food.
- Conflict and instability: war disrupts farming, markets and aid.
- Climate and environment: droughts, floods and crop failures cut local supply.
- Unequal distribution: food and wealth are spread unevenly between and within countries, and food is wasted at large scale.
Over-nutrition and the double burden
At the same time, over-nutrition is rising worldwide. The nutrition transition describes how, as incomes rise and processed foods spread, diets shift towards more energy, sugar, fat and salt and less activity, increasing obesity and diet-related disease.
The result is the double burden of malnutrition: undernutrition and over-nutrition existing together, sometimes in the same country, community or even household, where one person may be undernourished and another overweight.
Responses to global nutrition issues
Responses include food aid and emergency relief for crises, longer-term development that improves incomes, farming and infrastructure, fortification of staple foods with micronutrients, and education. The most durable solutions tackle the underlying causes such as poverty and inequality, rather than only treating symptoms, which links to food security and sustainability in Topic 4.
The world produces enough food overall, yet people still go hungry because of poverty, conflict, climate and unequal distribution. This is why solutions focus on access, income and fairness, not only on growing more food.
Why this matters
Global nutrition issues show that food choice and health are shaped by forces far beyond the individual. Examining both ends of malnutrition, and the social and economic causes, prepares you to evaluate complex issues in the examination rather than offering simple answers.
The nutrition transition in more detail
The nutrition transition is worth understanding closely because it explains how a country can move from undernutrition towards over-nutrition within a generation. As incomes rise and people move from rural areas to cities, traditional diets based on staple grains, legumes and home-grown vegetables are replaced by cheaper, mass-produced processed foods high in refined carbohydrate, fat, sugar and salt. At the same time, work and travel become less physically demanding, so energy expenditure falls. The combination of more energy in and less energy out shifts the population towards overweight and the diet-related diseases of Topic 2, even while pockets of undernutrition remain.
This is why the double burden can appear in the same household: a grandparent who grew up with food scarcity may show stunting, while a grandchild raised on processed foods becomes overweight. Recognising the transition helps you explain why obesity and hunger are not opposites but two faces of the same broken food system, and why responses must improve both the affordability of nutritious food and the marketing environment, not just deliver food aid.
Step 1: Set the scene
Take a city in a middle-income country undergoing rapid development. Describe the starting point: a recent history of food scarcity and undernutrition.
Step 2: Apply the nutrition transition
As incomes rise, cheap processed foods and sugary drinks become widely available and physical activity falls. Diets shift towards energy-dense, nutrient-poor foods.
Step 3: Show both problems coexisting
Older people and the poorest still show stunting and micronutrient deficiencies, while many adults and children become overweight and develop type 2 diabetes. Both forms of malnutrition appear at once.
Step 4: Name the concept and a response
This is the double burden of malnutrition. Conclude that effective responses must make nutritious food affordable and control unhealthy marketing, not only provide emergency food aid. Naming the transition and the double burden is the marks-earning structure.
- Saying hunger is caused by too little food in the world
- The world produces enough overall; access, poverty and distribution are the real drivers.
- Treating malnutrition as only undernutrition
- Malnutrition includes both undernutrition and over-nutrition; the double burden is a key idea.
- Ignoring hidden hunger
- Micronutrient deficiencies can affect people who get enough energy, so deficiency is not always visible.
- Offering only short-term fixes
- Food aid helps in crises, but lasting solutions address poverty, conflict and inequality.
In short, global nutrition issues span undernutrition and over-nutrition occurring together as a double burden, driven mainly by poverty, conflict, climate and unequal distribution rather than a simple global food shortage.
Exam-style questions
Questions in the style of SACE Board exam questions on this dot point, each with a worked answer. They are written by ExamExplained unless tagged "Past paper"; the year shows the paper a question is modelled on.
2019 SACE Stage 2-style20 marksOption topic 2 (Global hunger): 'By 2050, the world must feed 9 billion people. The demand for food will be 60% greater than it is today.' Discuss two reasons why an unstable government may threaten its country's food security, and two health implications for individuals who rely on a staple food (such as rice or corn) that their community has difficulty cultivating.Show worked answer →
This is an extended response. Plan it as four developed paragraphs and use real examples.
Unstable government, reason 1: Conflict and political instability disrupt farming and transport. Fields are abandoned, supply chains break down and markets close, so food cannot be produced or distributed reliably (about 3 marks).
Unstable government, reason 2: Weak or corrupt governance means little investment in agriculture, irrigation, storage or food-relief systems, and aid may be diverted, so people cannot reliably access affordable food (about 3 marks).
Health implication 1: Relying on a single staple that is hard to grow leads to undernutrition when harvests fail - inadequate energy intake causes wasting, stunting in children and weakened immunity (about 3 marks).
Health implication 2: A monotonous staple-only diet lacks variety, causing micronutrient deficiencies such as iron-deficiency anaemia, vitamin A deficiency (blindness) or protein-energy malnutrition (about 3 marks).
The remaining marks reward structure, balanced discussion and clear use of nutrition terminology.
2018 SACE Stage 2-style20 marksOption topic 2 (Global hunger): Water scarcity is an 'insufficient supply of clean water to meet the water needs of a community'. Discuss two ways in which a drought contributes to food shortages and famine, and two water-borne diseases and how they affect individuals and the community.Show worked answer →
Treat this as a structured extended response with four developed sections.
Drought, way 1: Lack of rainfall and irrigation water means crops fail and yields fall sharply. Less food is produced, supplies dwindle and prices rise, contributing to food shortages (about 3 marks).
Drought, way 2: Drought also kills livestock through lack of pasture and drinking water, removing a key food and income source. Combined crop and livestock losses over successive seasons can tip a region into famine (about 3 marks).
Water-borne disease 1: Cholera spreads through water contaminated with faeces. It causes severe diarrhoea and dehydration in individuals and can overwhelm communities during outbreaks, increasing deaths and reducing the workforce (about 3 marks).
Water-borne disease 2: Typhoid fever, also spread through contaminated water, causes prolonged fever and gut illness, keeping people too sick to work or farm and straining limited health services (about 3 marks).
Remaining marks reward coherent structure and links back to food security and nutrition.
Practise this
Sources & how we know this
- Stage 2 Nutrition subject outline (2025 onwards) — SACE Board
- Stage 2 Nutrition: external assessment — SACE Board