Departments of Nutrition.
Epidemiology, Harvard TH Chan School of Public Health, Boston, MA.
Adv Nutr. 2019 Nov 1;10(Suppl_4):S275-S283. doi: 10.1093/advances/nmy117.
Worldwide, the burden of morbidity and mortality from diet-related chronic diseases is increasing, driven by poor diet quality and overconsumption of calories. At the same time, the global food production system is draining our planet's resources, jeopardizing the environment and future food security. Personal, population, and planetary health are closely intertwined and will all continue to be vulnerable to these threats unless action is taken. Fortunately, shifting current global dietary patterns towards high-quality, plant-based diets could alleviate these health and environmental burdens. Compared with typical Western diets with high amounts of animal products, healthy plant-based diets are not only more sustainable, but have also been associated with lower risk of chronic diseases such as obesity, type 2 diabetes, cardiovascular disease, and some cancers. For personalized disease management and prevention, precision nutrition has the potential to offer more effective approaches tailored to individual characteristics such as the genome, metabolome, and microbiome. However, this area of research is in the early stages and is not yet ready for widespread clinical use. Therefore, it must not overshadow public health nutrition strategies, which have the power to improve health and sustainability on a larger scale. If widely implemented, interventions and policy changes that shift the globe towards healthy plant-based dietary patterns could be instrumental in ensuring future personal, population, and planetary health.
在全球范围内,由于饮食质量差和卡路里摄入过多,与饮食相关的慢性疾病的发病率和死亡率不断上升。与此同时,全球粮食生产系统正在耗尽地球的资源,危及环境和未来的粮食安全。个人、人口和地球健康紧密交织在一起,如果不采取行动,它们都将继续容易受到这些威胁的影响。幸运的是,将当前的全球饮食模式转向高质量的植物性饮食,可以减轻这些健康和环境负担。与含有大量动物产品的典型西方饮食相比,健康的植物性饮食不仅更具可持续性,而且还与肥胖、2 型糖尿病、心血管疾病和某些癌症等慢性病的风险降低有关。对于个性化疾病管理和预防,精准营养有可能提供更有效的方法,针对个体特征,如基因组、代谢组和微生物组进行量身定制。然而,该领域的研究仍处于早期阶段,尚未准备好广泛应用于临床。因此,它绝不能忽视公共卫生营养策略,因为这些策略有能力在更大范围内改善健康和可持续性。如果广泛实施,将全球转向健康的植物性饮食模式的干预措施和政策变化,可以在确保未来个人、人口和地球健康方面发挥重要作用。