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This chapter deals with a caveat of sorts regarding the quality, availability, and consistency of basic data on the international cooperative movement. Although cooperatives are active in all economic sectors throughout Europe, national cooperative development has varied by country. In England consumer cooperatives are strong; in Germany credit cooperatives dominate. The chapter focuses on the cooperative experience in the United States, Canada, and Japan, and highlights the remarkable story of cooperative business that not only survived, but actually thrived within these economic behemoths. A discussion of the world's cooperative movement would not be complete without mention of cooperatives in China, India, and Brazil. Cooperatives have played a unique role in transitional economies, that is, those that are evolving from central planning to a free market. African cooperatives have been tremendously influenced by cooperative development aid from several northern European and North American cooperative movements.
The prevalence of obesity is increasing in transitional countries, but extensive data on some countries, such as Bulgaria, are still lacking. Therefore, the objective of the present study was to estimate the prevalence of overweight and obesity, relative to gender and income, among adults in Sofia, Bulgaria.
Design
Cross-sectional survey to collect data on diet, health, BMI and income using a brief questionnaire on diet and income. Data were analysed using analysis of covariance to determine differences within and between income and gender groups.
Setting
Sofia, Bulgaria.
Subjects
Adults living in the city of Sofia, Bulgaria.
Results
For adults 30–60 years of age, 35·1 % were overweight and 6·2 % were obese. The proportion of overweight and obesity was higher among men than women (44·8 % v. 32·4 % and 6·0 % v. 4·7 %, respectively). With respect to income, BMI decreased as income increased. For men, BMI was highest for the lowest and highest income groups, whereas for women lower income was associated with a higher BMI.
Conclusion
The prevalence of overweight and obesity appears to be an emerging problem in some sectors of Bulgarian society, based on our data from the largest urban area of the country. These data provide new information on the divergence in health and disease risk in a country that is still economically challenged and may be facing the nutrition transition.
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