Elsevier

Advances in Nutrition

Volume 10, Supplement 4, November 2019, Pages S275-S283
Advances in Nutrition

Plant-Based Diets for Personal, Population, and Planetary Health

https://doi.org/10.1093/advances/nmy117Get rights and content
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ABSTRACT

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.

plant-based diets
obesity
cardiovascular disease
type 2 diabetes
precision nutrition
public health nutrition
sustainable nutrition

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Published in a supplement to Advances in Nutrition. This supplement was sponsored by the Harding-Buller Foundation of Ohio. The contents are solely the responsibility of the authors and do not necessarily represent the official views of the sponsors. Publication costs for this supplement were defrayed in part by the payment of page charges. The opinions expressed in this publication are those of the authors and are not attributable to the sponsors or the publisher, Editor, or Editorial Board of Advances in Nutrition.

FBH's research is supported by NIH grants HL60712, HL118264, and DK112940.

Author disclosures: ECH report no conflicts of interest. FBH reported receiving research support from the California Walnut Commission and personal fees from Standard Process, Diet Quality Photo Navigation, and Metagenics, outside the submitted work.

Abbreviations used: CVD, cardiovascular disease; FFVP, Fresh Fruit and Vegetable Program; GHG, greenhouse gas; MUFA, monounsaturated fatty acid; PUFA, polyunsaturated fatty acid; SSB, sugar-sweetened beverage; T2D, type 2 diabetes.