Health effects of adopting low greenhouse gas emission diets in the UK

Objective Dietary changes which improve health are also likely to be beneficial for the environment by reducing emissions of greenhouse gases (GHG). However, previous analyses have not accounted for the potential acceptability of low GHG diets to the general public. This study attempted to quantify the health effects associated with adopting low GHG emission diets in the UK. Design Epidemiological modelling study. Setting UK. Participants UK population. Intervention Adoption of diets optimised to achieve the WHO nutritional recommendations and reduce GHG emissions while remaining as close as possible to existing dietary patterns. Main outcome Changes in years of life lost due to coronary heart disease, stroke, several cancers and type II diabetes, quantified using life tables. Results If the average UK dietary intake were optimised to comply with the WHO recommendations, we estimate an incidental reduction of 17% in GHG emissions. Such a dietary pattern would be broadly similar to the current UK average. Our model suggests that it would save almost 7 million years of life lost prematurely in the UK over the next 30 years and increase average life expectancy by over 8 months. Diets that result in additional GHG emission reductions could achieve further net health benefits. For emission reductions greater than 40%, improvements in some health outcomes may decrease and acceptability will diminish. Conclusions There are large potential benefits to health from adopting diets with lower associated GHG emissions in the UK. Most of these benefits can be achieved without drastic changes to existing dietary patterns. However, to reduce emissions by more than 40%, major dietary changes that limit both acceptability and the benefits to health are required.

[1]  Peter Scarborough,et al.  Trends in age-specific coronary heart disease mortality in the European Union over three decades: 1980–2009 , 2013, European heart journal.

[2]  R. Hill,et al.  The validity of self-reported energy intake as determined using the doubly labelled water technique , 2001, British Journal of Nutrition.

[3]  Florent Vieux,et al.  Greenhouse gas emissions of self-selected individual diets in France: Changing the diet structure or consuming less? , 2012 .

[4]  S. Allender,et al.  Modelling the health impact of environmentally sustainable dietary scenarios in the UK , 2012, European Journal of Clinical Nutrition.

[5]  D. P. Stone The Intergovernmental Panel on Climate Change (IPCC) , 2015 .

[6]  J. Powles,et al.  Impact of a reduced red and processed meat dietary pattern on disease risks and greenhouse gas emissions in the UK: a modelling study , 2012, BMJ Open.

[7]  J. Sabaté,et al.  Nuts and coronary heart disease: an epidemiological perspective , 2006, British Journal of Nutrition.

[8]  Alan D. Lopez,et al.  A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010 , 2012, The Lancet.

[9]  J F Hurley,et al.  Life table methods for quantitative impact assessments in chronic mortality , 2003, Journal of epidemiology and community health.

[10]  C. N. Hewitt,et al.  The relative greenhouse gas impacts of realistic dietary choices , 2012 .

[11]  R. Goldbohm,et al.  Environmental impacts of changes to healthier diets in Europe , 2011 .

[12]  T. Garnett Where are the best opportunities for reducing greenhouse gas emissions in the food system (including the food chain) , 2011 .

[13]  P. Amouyel,et al.  Fruit and vegetable consumption and risk of stroke , 2005, Neurology.

[14]  Dariush Mozaffarian,et al.  Red and Processed Meat Consumption and Risk of Incident Coronary Heart Disease, Stroke, and Diabetes Mellitus: A Systematic Review and Meta-Analysis , 2010, Circulation.

[15]  Adrian Leip,et al.  Greenhouse gas emissions from the EU livestock sector: A life cycle assessment carried out with the CAPRI model , 2012 .

[16]  S. Capewell,et al.  Can dietary changes rapidly decrease cardiovascular mortality rates? , 2011, European heart journal.

[17]  Chris Foster,et al.  Environmental impacts of food production and consumption: final report to the Department for Environment Food and Rural Affairs , 2007 .

[18]  A. Black The sensitivity and specificity of the Goldberg cut-off for EI:BMR for identifying diet reports of poor validity , 2000, European Journal of Clinical Nutrition.

[19]  Andrew Flynn,et al.  Environmental impacts of food production and consumption: a report to the Department for Environment, Food and Rural Affairs by Manchester Business School , 2007 .

[20]  K. Venkat The Climate Change and Economic Impacts of Food Waste in the United States , 2011 .

[21]  Philippe Amouyel,et al.  Fruit and vegetable consumption and risk of coronary heart disease: a meta-analysis of cohort studies. , 2006, The Journal of nutrition.

[22]  Simon Capewell,et al.  Modelling the impact of a healthy diet on cardiovascular disease and cancer mortality , 2010, Journal of Epidemiology & Community Health.

[23]  M. Shirataka,et al.  Time-lag effect of dietary fiber and fat intake ratio on Japanese colon cancer mortality. , 1996, Biomedical and environmental sciences : BES.

[24]  An Pan,et al.  Red meat consumption and risk of type 2 diabetes: 3 cohorts of US adults and an updated meta-analysis. , 2011, The American journal of clinical nutrition.

[25]  Bhavani Shankar,et al.  Policies to promote healthy eating in Europe: a structured review of policies and their effectiveness. , 2012, Nutrition reviews.

[26]  Nick Wilson,et al.  Foods and Dietary Patterns That Are Healthy, Low-Cost, and Environmentally Sustainable: A Case Study of Optimization Modeling for New Zealand , 2013, PloS one.

[27]  Masson-Delmotte,et al.  The Physical Science Basis , 2007 .

[28]  E. Ponce,et al.  World Cancer Research Fund, American Institute for Cancer Research. Second Expert Report, Food, Nutrition, Physical Activity and the Prevention of Cancer: A Global Perspective. United Kingdom: WCRF/AICR, 2001 , 2009 .

[29]  Bas Eickhout,et al.  Climate benefits of changing diet , 2009 .

[30]  Zaid Chalabi,et al.  The potential to reduce greenhouse gas emissions in the UK through healthy and realistic dietary change , 2015, Climatic Change.

[31]  Boyd Swinburn,et al.  Diet, nutrition and the prevention of chronic diseases. , 2003, World Health Organization technical report series.

[32]  Corinne Le Quéré,et al.  Climate Change 2013: The Physical Science Basis , 2013 .

[33]  J. Blundell,et al.  Assessing dietary intake: Who, what and why of under-reporting , 1998, Nutrition Research Reviews.

[34]  Y. Matsumura,et al.  Time-lag estimate between dietary intake and breast cancer mortality in Japan. , 2007, Asia Pacific journal of clinical nutrition.

[35]  C. Nowson,et al.  Increased consumption of fruit and vegetables is related to a reduced risk of coronary heart disease: meta-analysis of cohort studies , 2007, Journal of Human Hypertension.

[36]  R. Cooper,et al.  Impact of energy intake, physical activity, and population-wide weight loss on cardiovascular disease and diabetes mortality in Cuba, 1980-2005. , 2007, American journal of epidemiology.

[37]  Graham W Horgan,et al.  Sustainable diets for the future: Can we contribute to reducing greenhouse gas emissions by eating a healthy diet? , 2012, The American journal of clinical nutrition.

[38]  R Core Team,et al.  R: A language and environment for statistical computing. , 2014 .

[39]  廣畑 富雄,et al.  Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective , 2007 .

[40]  P. Scarborough,et al.  The burden of food related ill health in the UK , 2005, Journal of Epidemiology and Community Health.

[41]  Boyd Swinburn,et al.  Diet, nutrition and the prevention of chronic diseases : report of a Joint WHO/FAO Expert Consultation , 2003 .

[42]  J. Waage,et al.  Public health benefits of strategies to reduce greenhouse-gas emissions: food and agriculture , 2009, The Lancet.