There is a general lack of data for studying the relationship between nutri
tion and healthy functioning among the elderly in developing countries. Nev
ertheless, knowledge of biological relationships from studies in other coun
tries can be applied to gain an understanding of what can be expected in th
e developing world. In this respect, the concept of the nutrition transitio
n is important. However, nutrition transition as related to elderly populat
ions in developing countries has not yet been adequately studied. The devel
oping world is not homogeneous with respect to patterns of nutritional stat
us among the elderly, and problems of both under- and overnutrition exist a
mong different populations of the elderly and both will be important factor
s for future functional status levels. In addition, there are many extrinsi
c factors (such as socioeconomic, political and cultural factors) in these
countries that are even more important in determining nutritional status an
d its relation to function. Unless research and policy development in devel
oping countries escalate and keep pace with the nutrition and demographic t
ransitions in these countries, high levels of disability and dependency are
likely in the near future.