title: [Transitions in context: findings related to rural-to-urban migration and chronic non-communicable diseases in Peru].
abstract: In order to better understand the emergence of chronic non-communicable diseases in low- and middle-income countries this article seeks to present, in context, different transitional processes which societies and populations are currently undergoing. Relevant factors for specific contexts such as Peru are described, including internal migration, urbanization and profiles of adversity in early life, all of them linked to chronic non-communicable diseases, including obesity and overweight. The capacity-load model, which considers chronic disease risk in adulthood as a function of two generic traits, metabolic capacity and metabolic load, is described. The contribution of rural-to-urban migration to this problem is also presented. Finally, these topics are framed within pending challenges for public health in Peru.
authors.affiliation: CRONICAS Centro de Excelencia en Enfermedades Crónicas, universidad peruana cayetano heredia, Lima, Perú. Jaime.Miranda@upch.pe
authors.forename: J Jaime
authors.initials: JJ
authors.lastname: Miranda
authors.forename: Jonathan C K
authors.initials: JC
authors.lastname: Wells
authors.forename: Liam
authors.initials: L
authors.lastname: Smeeth
mesh_terms: D002908:Chronic Disease / Q000453:epidemiology*; D006801:Humans; D010568:Peru / Q000453:epidemiology; D011157:Population Dynamics