London School of Hygiene and Tropical Medicine, and Leverhulme Centre for Integrative Research on Agriculture and Health, London, UK.
Lancet. 2010 Nov 13;376(9753):1699-709. doi: 10.1016/S0140-6736(10)61352-9.
Transition to diets that are high in saturated fat and sugar has caused a global public health concern, as the pattern of food consumption is a major modifiable risk factor for chronic non-communicable diseases. Although agri-food systems are intimately associated with this transition, agriculture and health sectors are largely disconnected in their priorities, policy, and analysis, with neither side considering the complex inter-relation between agri-trade, patterns of food consumption, health, and development. We show the importance of connection of these perspectives through estimation of the eff ect of adopting a healthy diet on population health, agricultural production, trade, the economy, and livelihoods,with a computable general equilibrium approach. On the basis of case-studies from the UK and Brazil, we suggest that benefits of a healthy diet policy will vary substantially between different populations, not only because of population dietary intake but also because of agricultural production, trade, and other economic factors.
向富含饱和脂肪和糖的饮食转变引起了全球公共卫生关注,因为这种饮食模式是导致慢性非传染性疾病的一个主要可改变的危险因素。尽管农业食品系统与这种转变密切相关,但农业和卫生部门在优先事项、政策和分析方面存在很大脱节,双方都没有考虑到农业贸易、食物消费模式、健康和发展之间的复杂相互关系。我们通过采用计算一般均衡方法来估计采用健康饮食对人口健康、农业生产、贸易、经济和生计的影响,从而展示了这些观点联系的重要性。基于来自英国和巴西的案例研究,我们认为,健康饮食政策的好处在不同人群之间会有很大差异,这不仅是因为人群的饮食摄入,还因为农业生产、贸易和其他经济因素。