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Review
. 2019 Nov 1;10(Suppl_4):S380-S388.
doi: 10.1093/advances/nmz019.

Vegetarian Diets: Planetary Health and Its Alignment with Human Health

Ujué Fresán  1 , Joan Sabaté  1
Affiliations
Review

Vegetarian Diets: Planetary Health and Its Alignment with Human Health

Ujué Fresán et al. Adv Nutr. .

Abstract

To maintain planetary health, human activities must limit the use of Earth's resources within finite boundaries and avoid environmental degradation. At present, food systems account for a substantial use of natural resources and contribute considerably to climate change, degradation of land, water use, and other impacts, which in turn threaten human health through food insecurity. Additionally, current dietary patterns, rich in animal products and excessive in calories, are detrimental to both population and planetary health. In order to resolve the diet-environment-health trilemma, population-level dietary changes are essential. Vegetarian diets are reported to be healthy options. Most plant-sourced foods are less resource intense and taxing on the environment than the production of animal-derived foods, particularly meat and dairy from ruminants. This review article explores simultaneously the environmental sustainability of vegetarian diets, and its alignment with people's health. In general, the progression from omnivorous to ovolactovegetarian and vegan diets is associated with increased environmental sustainability. Greenhouse gas emissions resulting from vegan and ovolactovegetarian diets are ∼50% and ∼35% lower, respectively, than most current omnivore diets, and with corresponding reductions in the use of natural resources. Concomitant health benefits could be obtained by shifting from current dietary patterns to sustainable vegetarian diets. Thus, there seems to be an alignment of health and environmental outcomes for vegetarian diets. Although this shows the human health and environmental sustainability benefits of vegetarian diets in high-income countries, questions remain about the challenges in other contexts and the political will to promote meat-free diets as the social norm.

Keywords: environmental impact; environmental nutrition; health; ovolactovegetarian; planetary health; plant-based diet; sustainability; sustainable diet; vegan; vegetarian.

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Figures

FIGURE 1
FIGURE 1
GHG emissions in the production of foods. Adapted from Clune et al. 2017 (23). Values represented in the boxplots are minimum and maximum (extremes), IQR (borders of the rectangle) and median (line inside the rectangle). n = number of studies included. CO2e, CO2 equivalents; GHG, greenhouse gas.
FIGURE 2
FIGURE 2
Relative difference (percentage) in GHG emission, land use, and water use when shifting from current dietary patterns to vegetarian diets. Black line at 0 on the x axis represents current dietary patterns. Values represented in the boxplots are minimum and maximum (extremes), IQR (borders of the rectangle), and median (line inside the rectangle). Dots represent values of specific studies. Orange color represents ovolactovegetarian diets; green color represents vegan diets. Note: on water use, the dot in the ovolactovegetarian diet is an outlier (not included in the calculations of the boxplot). Values on shifting to vegan diets are represented by dots and not in a boxplot due to the small number of published studies. n = number of dietary scenarios assessed. GHG, greenhouse gas.
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