scholarly journals Method for the Development of WISH, a Globally Applicable Index for Healthy Diets from Sustainable Food Systems

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 93
Author(s):  
Laura Trijsburg ◽  
Elise F. Talsma ◽  
Sandra P. Crispim ◽  
James Garrett ◽  
Gina Kennedy ◽  
...  

Promoting both a healthy diet and at the same time considering the environmental sustainability aspects of production and consumption of the diet are urgent global issues. We developed the WISH (World Index for Sustainability and Health) to evaluate diets for healthiness and sustainability. The WISH seeks to measure two complex multidimensional concepts, diet quality and environmental sustainability, in one scoring system. The WISH is based on the EAT-Lancet recommendations for a healthy and sustainable diet in the general population with global applicability across multiple settings. Thirteen food groups are scored between 0 and 10, based on their association with disease and impact on environmental indicators. The scoring system was applied using a dataset of duplicate 24 h dietary recalls from 396 urban Vietnamese men and women. Out of a maximum score of 130, the mean total WISH score was 46 (SD 11), and scores for the healthy and high-environmental impact sub-scores were mean 25 (11) (out of 100) and mean 26 (8) (out of 70) respectively. A higher score was observed for the less-healthy (mean 20 (2) out of 30) sub-score. Our initial analysis shows that the WISH is able to differentiate between the healthiness and the environmental sustainability of a Vietnamese diet.

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3469 ◽  
Author(s):  
Kevin B. Comerford ◽  
Gregory D. Miller ◽  
Wendy Reinhardt Kapsak ◽  
Katie A. Brown

There are approximately 100 countries with food-based dietary guidelines throughout the world, each of which aims to encompass the cultural, geographical, and health considerations unique to their country of origin. Common themes throughout these guides emphasize diverse and balanced intake of food groups from both plant- and animal-sources. With the globally recognized need to shift to more sustainable food systems, several countries and international food and health organizations have begun to incorporate sustainability recommendations into their dietary guidance. These sustainability recommendations are often based on food source (i.e., eat more plant-source and fewer animal-source foods), yet food source may not be the only useful or informative comparator for assessing healthy and sustainable diets. The purpose of this narrative review is to examine the roles of plant-source foods and animal-source foods in the context of sustainable healthy diets—with an emphasis on the contributions of the most commonly recommended food groups from global food-based dietary guidelines (i.e., fruits, vegetables, and dairy foods). Overall, plant and animal agriculture have complementary and symbiotic roles in healthy and sustainable food systems, and these abilities are largely dependent on various contextual factors (e.g., geography, production practices, processing methods, consumption patterns)—not just on whether the food originated from the plant or animal kingdom.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D W Patterson ◽  
K Buse ◽  
R Magnusson ◽  
B C A Toebes

Abstract Issue Malnutrition in all its forms poses daunting challenges to global health and development. The agriculture sector is a significant contributor to global warming. COVID-19 has pushed many people into poverty, including food poverty. A radical rethink of business models, food systems, civil society involvement, and national and international governance is required to address the interlinked crises of COVID-19, obesity, undernutrition, and climate change. International human rights law, institutions and mechanisms provide important opportunities for norm setting, advocacy and accountability. Yet these pathways are under-utilised by both governments and civil society. Description The global AIDS response demonstrated the power of a human rights-based approach. United Nations' HIV/AIDS and Human Rights Guidelines greatly influenced the global consensus for effective, evidence-based approaches. The Guidelines also informed resolutions of the UN General Assembly and its Human Rights Council, contributing to more affordable medicines, an unprecedented increase in people on treatment, less stigmatising health services, the empowerment of marginalised groups, and the institutionalisation of norms, including “no one left behind.” Human rights-based approaches have also been successfully utilised in tobacco control. Results In 2019, 180 experts from 38 countries published an open call on WHO and the UN Office of the High Commissioner for Human Rights (OHCHR) to initiate an inclusive process to develop guidelines on human rights, healthy diets and sustainable food systems. Most signatories were from the health and development sectors, demonstrating the increasingly broad interest in using human rights mechanisms to address global health challenges. Lessons Opportunities exist to transform food systems and create healthier food environments and a healthier planet by clarifying existing international obligations to progressively realise the right to food and the right to health. Key messages Market forces, alone, are failing to deliver healthy diets and sustainable food systems. International legal frameworks and accountability mechanisms provide opportunities for engagement and action. Human rights guidelines can help mobilize multisectoral action, strengthen State and private sector accountability, and deepen community engagement in the urgent task of achieving Agenda 2030.


2019 ◽  
Vol 11 (15) ◽  
pp. 4137 ◽  
Author(s):  
Maria Ehrnström-Fuentes ◽  
Hanna Leipämaa-Leskinen

Self-organization is a term that is increasingly used to describe how engaged citizens come together to create sustainable food systems at the local community level. Yet, there is a lack of understanding of what this self-organizing activity actually means. While previous literature has addressed self-organization as an outcome of building consensus and a collective intentionality shared by the members of a group, we focus on the complex social processes involved when people with a diverse set of interests and motivations interact in the food network. In this study, we analyze what kinds of boundary negotiations emerge when grassroots-led food networks scale up. Our embedded single case study focuses on a REKO (‘REjäl KOnsumtion’, meaning ‘fair consumption’ in English) network in Finland comprising distributed local food groups and three types of actors: consumers, producers, and local administrators. We examine a conflict that arose within the REKO network in May–June 2016 when a small group of actors demanded that all local groups should implement similar rules, principles, and ethical standards. Our findings illustrate how moral, geographic, market, and power boundaries emerge in a self-organized grassroots-led food network. We further explicate the challenges that may appear within a self-organized grassroots-led food network, as it grows in scale and scope.


The Lancet ◽  
2019 ◽  
Vol 394 (10194) ◽  
pp. 214-215 ◽  
Author(s):  
Edward Archer ◽  
Carl J Lavie

2019 ◽  
Vol 11 (18) ◽  
pp. 4815
Author(s):  
Michelle Grant ◽  
Anna K. Gilgen ◽  
Nina Buchmann

The World Food System Summer School is an innovative two-week course that seeks to develop the knowledge, skills and attitudes of the next generation of decision makers to build sustainable food systems. Meaningful learning, where the participant is able to relate new information to existing knowledge, is a critical part of education about complex systems and requires the integration of reflective approaches to teaching and learning. We adapted the rich picture method in three summer schools in Switzerland, South Africa and Côte d’Ivoire (74 participants with 29 nationalities) to support the reflection of participants on their knowledge gained on complex food systems. Coding and comparing 51 pairs of pre- and post-course pictures of food systems clearly demonstrated newly gained knowledge: The number of sub-categories drawn significantly increased from 11 to 19 in the post-course pictures, the largest increase occurred for environmental sustainability (57%). The rich picture method is a highly valuable and simple tool to gain insight into how participants’ knowledge changes and where there are gaps in meeting the learning objectives. This is particularly useful within a highly diverse participant cohort, as it allows participants to discuss and reflect on their own learning experience in a personalized way. Additionally, the rich picture method provides insights for faculty to improve their approaches to teaching on food systems.


The Lancet ◽  
2019 ◽  
Vol 394 (10194) ◽  
pp. 215-216 ◽  
Author(s):  
Walter Willett ◽  
Johan Rockström ◽  
Brent Loken

2021 ◽  
Vol 5 ◽  
Author(s):  
Daniel A. Mekonnen ◽  
Dare Akerele ◽  
Thom Achterbosch ◽  
Thijs de Lange ◽  
Elise F. Talsma

This study examines the cost and affordability of healthy diets in Nigeria. Using the 2015/16 and 2018/19 waves of Nigeria General Household Surveys, we find that, generally, the least-cost options to meet dietary recommendations for vegetables, dairy, and protein-rich foods are more expensive to meet than that of other food groups. Despite improvements during the survey years, the challenges of affordability of healthy diets appear more pronounced in rural than urban, among poorest household groups, and in northern than southern Nigeria. Results suggest that it will be more expensive to meet the dietary recommendation for dairy foods if priority will be given for food systems sustainability over concerns for food preferences of the households. It will however be cheaper to achieve dietary recommendations for vegetables, fruits and starchy staples even when households give more consideration to food systems sustainability than tastes and preferences in their choice of healthy foods. Relative affordability of protein-rich foods are less affected by whether (or not) tastes/preferences or food systems sustainability drives healthy food choices. Key implication is that interventions targeting on affordability of healthy diets should give greater attention to the poorest of the poor, to rural than urban, and to northern than southern Nigeria. Implications relevant for research, policy, and other actors that focus on transformation of the food systems toward achieving healthier diets in a sustainable food systems are discussed.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
David M. Blodgett ◽  
Marjorie N. Feld

Purpose The sustainability of the global food system hinges on its environmental resiliency and safety, including the health and well-being of its labor force. Single disciplinary courses in liberal arts or science often fail to highlight the overlap between environmental and social vulnerabilities that lead to food insecurity and diminish the sustainability of food systems. This paper aims to present the design and delivery of a successfully co-taught, interdisciplinary module on agricultural labor and sustainable food systems as a case study. Design/methodology/approach The authors designed a co-taught module in which they joined each other’s respective history and science class sessions at the undergraduate business college where they teach. Innovating the cross-disciplinary content of food security, immigration status, labor exploitation and pesticide exposure, they approached sustainability from the disciplinary perspectives of labor history and environmental science to show how these elements had both unique and overlapping impacts across food systems levels. Comparisons between pre- and post-module survey responses, alongside assessments of a co-authored exam question, measured the effectiveness of this module is changing students’ perspectives as food consumers and as citizens. Findings This module altered students’ understanding and perspectives around issues of food systems sustainability. Assessments indicated that students increased their awareness of agricultural workers at the front end of the food system, during production; students also gained awareness beyond consumption as they came to see the connections between workforce invisibility and ecosystem degradation. Originality/value These insights are valuable to educators at all institutional levels who seek to collaborate on sustainability initiatives and teaching, both in the singular, robust modules and in building modules that will lead to the development of entire courses focused on sustainability. The module described here builds on previous demonstrations of the value, significance and effectiveness of cross-disciplinary collaborations; it pioneers the use of the food system as the link between social and environmental sustainability education.


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