“…Whereas the Mexican dietary patterns include 17 : ‘Westernized’ (high intake of refined cereals, snacks, desserts, sweets and sugar, pastries, soda), high animal fat and protein (eggs, poultry, red meats, sausages, and alcohol), and ‘prudent’ (high consumption of vegetables, legumes, nuts and seeds, fruits and whole grains). A study of Brazilian adults also identified the following patterns 41 :‘Western’ (pizza/pasta, stroganoff, hamburgers, sweets, chocolate, soft drinks, processed meat), ‘snacks and processed foods’ (cheese, cream cheese, snacks toasted, natural spices, alcohol, olive oils/oils), ‘healthy’ (breakfast cereals, semi and skim milk, yogurt and fermented milk, vegetable, fruits, natural fruit juices), ‘traditional Brazilian’ (meat red and pork, beans, rice and roots, caffeinated beverage). Although there are some common characteristics in the type of foods categorized in the westernized dietary patterns and the traditional dietary patterns with the previous studies, the variations across these studies show the difficulty of establishing a common dietary pattern applicable to other settings, such as sub–Saharan Africans, as they are in the early stage of nutritional transition 36 , 42 .…”