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Abstract The production and consumption of food is one of the main drivers of environmental change globally. Meanwhile, many populations remain malnourished due to insufficient or unhealthy diets. Increasingly, dietary shifts are proposed as a means to address both environmental and health concerns. We have a limited understanding of how dietary shifts could alter where food is produced and consumed and how these changes would affect the distribution of environmental pressures both globally and across different groups of people. Here we combine new food flow data linking producing to consuming country with environmental pressures to estimate how a global shift to each of four diets (Indian, EAT-Lancet, Mediterranean, and mean Food Based Dietary Guidelines (FBDGs)) could affect environmental pressures at the global, country income group, and country level. Globally, cumulative pressures decrease under the Indian, EAT-Lancet, and Mediterranean scenarios and increase under FBDGs. On average, low income countries increase their cumulative consumption and production pressures while high income countries decrease their consumption pressures, and typically decrease their production pressures. Increases in low income countries are likely due to the nutritional inadequacy of current diets and the corresponding increases in consumption quantities with a shift to our diet scenarios. Despite these increases, we believe that three out four of our simulated dietary shifts can be seen as a net benefit by decreasing global pressures while low income countries increase pressures to adequately feed their populations. Additionally, considering principles of fairness applied, some nations are more responsible for causing historical environmental pressures and should shoulder more of the change. To facilitate more equitable shifts in global diets, resources, capacity, and knowledge sharing of sustainable agricultural practices are critical to minimize the increases in pressures that low income countries would incur to adequately feed their populations.
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Large-scale diet tracking data reveal disparate associations between food environment and diet
Abstract An unhealthy diet is a major risk factor for chronic diseases including cardiovascular disease, type 2 diabetes, and cancer 1–4 . Limited access to healthy food options may contribute to unhealthy diets 5,6 . Studying diets is challenging, typically restricted to small sample sizes, single locations, and non-uniform design across studies, and has led to mixed results on the impact of the food environment 7–23 . Here we leverage smartphones to track diet health, operationalized through the self-reported consumption of fresh fruits and vegetables, fast food and soda, as well as body-mass index status in a country-wide observational study of 1,164,926 U.S. participants (MyFitnessPal app users) and 2.3 billion food entries to study the independent contributions of fast food and grocery store access, income and education to diet health outcomes. This study constitutes the largest nationwide study examining the relationship between the food environment and diet to date. We find that higher access to grocery stores, lower access to fast food, higher income and college education are independently associated with higher consumption of fresh fruits and vegetables, lower consumption of fast food and soda, and lower likelihood of being affected by overweight and obesity. However, these associations vary significantly across zip codes with predominantly Black, Hispanic or white populations. For instance, high grocery store access has a significantly larger association with higher fruit and vegetable consumption in zip codes with predominantly Hispanic populations (7.4% difference) and Black populations (10.2% difference) in contrast to zip codes with predominantly white populations (1.7% difference). Policy targeted at improving food access, income and education may increase healthy eating, but intervention allocation may need to be optimized for specific subpopulations and locations.
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- PAR ID:
- 10320176
- Date Published:
- Journal Name:
- Nature Communications
- Volume:
- 13
- Issue:
- 1
- ISSN:
- 2041-1723
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1038/s41467-021-27522-y
