Solutions to the double burden of malnutrition also generate health and environmental benefits.

Present food consumption patterns will intensify pressure on natural resources, while poor nutrition is expected to prevail at both low and high levels of calorie consumption. To better understand the interplay between food security, environment and health, we use an integrated framework that allows for the analysis of the dynamics of the double burden of malnutrition and its health and environmental impacts by 2050. We find that excessive caloric intake will be key in rising body mass index levels, particularly in emerging economies. Because higher levels of body mass index will be reached at younger ages, future cohorts will increase their exposure to health risks, including coronary heart disease, stroke, site-specific cancers and type 2 diabetes. This framework also offers insights into the health, food and environmental security impacts of changing food demand behaviour. We find that reductions in food purchasing-associated with the mitigation of food waste and excessive food intake-are more important than changes in dietary composition in increasing food affordability and reducing pressure on cropland expansion, whereas dietary composition is critical in driving greenhouse gas emissions.