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      Changing diets and the transformation of the global food system

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          Abstract

          An aspirational global food system is one that delivers across a suite of the Sustainable Development Goals (SDGs), including universal access to healthy diets, which can also codeliver on climate and environment SDGs. The literature has downplayed the relative contribution of dietary change to sustainable food systems. In this perspective article, we argue that the potential for positive transformational change in diets should not be underestimated, for two sets of reasons. First, the dynamism of diets over long‐term and, especially, recent history shows the potential for rapid and widespread change, including toward more diverse and healthier diets. Second, contemporary behavioral research demonstrates promising tactics to influence consumers’ dietary choices. Since the entire food system creates the circumstances of those choices, the most effective strategies to shift diets will involve multiple approaches that deliberately aim not just to influence consumers themselves but also to incentivize all actors in the food systems, taking into account multiple agendas and values. The effectiveness of actions will depend on the political economy at local, national, and global levels. Overall, there are reasons to be hopeful about the potential for accelerated global dietary change, given both historic trends and the growing suite of tools and approaches available.

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          Most cited references158

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          Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems

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            Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

            Summary Background Suboptimal diet is an important preventable risk factor for non-communicable diseases (NCDs); however, its impact on the burden of NCDs has not been systematically evaluated. This study aimed to evaluate the consumption of major foods and nutrients across 195 countries and to quantify the impact of their suboptimal intake on NCD mortality and morbidity. Methods By use of a comparative risk assessment approach, we estimated the proportion of disease-specific burden attributable to each dietary risk factor (also referred to as population attributable fraction) among adults aged 25 years or older. The main inputs to this analysis included the intake of each dietary factor, the effect size of the dietary factor on disease endpoint, and the level of intake associated with the lowest risk of mortality. Then, by use of disease-specific population attributable fractions, mortality, and disability-adjusted life-years (DALYs), we calculated the number of deaths and DALYs attributable to diet for each disease outcome. Findings In 2017, 11 million (95% uncertainty interval [UI] 10–12) deaths and 255 million (234–274) DALYs were attributable to dietary risk factors. High intake of sodium (3 million [1–5] deaths and 70 million [34–118] DALYs), low intake of whole grains (3 million [2–4] deaths and 82 million [59–109] DALYs), and low intake of fruits (2 million [1–4] deaths and 65 million [41–92] DALYs) were the leading dietary risk factors for deaths and DALYs globally and in many countries. Dietary data were from mixed sources and were not available for all countries, increasing the statistical uncertainty of our estimates. Interpretation This study provides a comprehensive picture of the potential impact of suboptimal diet on NCD mortality and morbidity, highlighting the need for improving diet across nations. Our findings will inform implementation of evidence-based dietary interventions and provide a platform for evaluation of their impact on human health annually. Funding Bill & Melinda Gates Foundation.
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              Options for keeping the food system within environmental limits

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                Author and article information

                Contributors
                s.vermeulen@cgiar.org
                Journal
                Ann N Y Acad Sci
                Ann N Y Acad Sci
                10.1111/(ISSN)1749-6632
                NYAS
                Annals of the New York Academy of Sciences
                John Wiley and Sons Inc. (Hoboken )
                0077-8923
                1749-6632
                26 July 2020
                October 2020
                : 1478
                : 1 , Annals Reports ( doiID: 10.1111/nyas.v1478.1 )
                : 3-17
                Affiliations
                [ 1 ] CGIAR System Organization Montpellier France
                [ 2 ] Hoffmann Centre for Sustainable Resource Economy London UK
                [ 3 ] Behavioural Insights Team London UK
                [ 4 ] International Center for Tropical Agriculture (CIAT) Palmira Valle del Cauca Colombia
                Author notes
                [*] [* ]Address for correspondence: Dr. Sonja J. Vermeulen, CGIAR System Organization, 1000 Avenue Agropolis, Montpellier 34394, France. s.vermeulen@ 123456cgiar.org

                Article
                NYAS14446
                10.1111/nyas.14446
                7689688
                32713024
                df8d02d3-8f92-4340-88c3-1a24db019514
                © 2020 The Authors. Annals of the New York Academy of Sciences published by Wiley Periodicals LLC on behalf of New York Academy of Sciences

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License,which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 August 2019
                : 29 June 2020
                : 30 June 2020
                Page count
                Figures: 0, Tables: 1, Pages: 15, Words: 10258
                Funding
                Funded by: CGIAR Research Program on Climate Change, Agriculture and Food Security
                Categories
                Nyasbiol3577
                Nyasnutr1013
                Nyasphys1560
                Perspective
                Perspective
                Custom metadata
                2.0
                October 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.4 mode:remove_FC converted:26.11.2020

                Uncategorized
                diets,behavioral change,sustainability,health,policy
                Uncategorized
                diets, behavioral change, sustainability, health, policy

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