Introduction
During the past century, human activity has stressed and pushed the limits of the natural environment while food systems and food choices became a major contributor to environmental degradation and poor health outcomes. The industrialized food system along with food choicesâwhether they are intentional or a consequence of policies or food environmentsâcritically and simultaneously impact the health and well-being of individuals and the natural environment. Hence, the term âdiet-environment-health trilemmaâ has been used to draw attention to the quandaries created by these seemingly disparate entities (Tilman and Clark, 2014).
Though the industrialized food system has contributed more calories for consumption over time (World Health Organization [WHO] and Food and Agriculture Organization [FAO], 2002), 800 million people suffer from undernutrition (United Nations Systems Standing Committee on Nutrition [UNSSCN], 2017). One hundred and fifty-nine (159) million children in the world under 5 years of age have stunted growth patterns, while 50 million are wasted (UNSSCN, 2017). Conversely, nearly 2 billion people on the planet are overweight and 500 million are obese (UNSSCN, 2017). Globally, heart disease and strokeâboth diet-related chronic diseasesâare the leading causes of mortality (WHO, 2017a, b, c, d, e). Type 2 diabetes and obesity are chronic diseases that can be prevented and ameliorated with a healthful diet along with physical activityâbut have reached epidemic levels (Chen et al., 2012; McMacken and Shah, 2017; The 2015 Global Burden of Disease Collaborators, 2017; Turner-McGrievy et al., 2017).
Eating in excess of one's energy needs not only contributes to obesity and related comorbidities such as type 2 diabetes and hypertensionâbut also to greenhouse gas emissions and excessive resource use (Walpole et al., 2012; Underwood and Zahran, 2016). The industrialized food system contributes to biodiversity loss, deforestation, the degradation of land and soil, climate change, eutrophication, dead zones, and food insecurity (FAO, 2006). Climate change in turn negatively impacts public health in numerous ways and includes, but is not limited to, the increased intensity, duration, and frequency of wildfires; drought; sea level rise; extreme weather events including extreme heat, extreme precipitation, and flooding; increased vector-borne diseases; degraded water and air quality; increased allergens; and food insecurity (American Public Health Association, 2017). Excessive heat and extreme weather events in turn negatively impact crops, animal agriculture, and fisheries (Melillo et al., 2014).
This chapter will discuss the nexus and challenges posed by the diet-environment-health trilemma. First, the concept of âecological overshoot,â or the excessive use of natural resources that are consumed before they can be naturally replenished within a year's time will be discussed (World Wildlife Fund for Nature, 2017). An overview of our planetary boundaries will follow where an emphasis is placed on the role of industrialized agriculture in biodiversity loss, land use changes, water and energy use, and nitrogen and phosphorus pollution. Next, the role of food systems and the burden of diet-related chronic diseases will be delineated that includes obesity, type 2 diabetes, cardiovascular diseases, cancer, and antibiotic resistance. Altogether, the diet-environment-health trilemma not only contributes to jeopardizing our âsafe operating space on the planetâ (Steffen et al., 2015a), but impacts the quality and longevity of human lives too.
The increased use of natural resources
As a species, humans have been successful in the ability to procreate and survive. It took thousands of years for the human population to reach 1 billionâbut only 200 years to reach 7 billion (American Museum of Natural History, 2016). The global population stands at 7.6 billion people and is projected to increase to, 9.8 billion by 2050, and 11.2 billion by 2100, respectively (United Nations, 2017). Life expectancy is expected to rise globally from 71 years of age (2014â2015) to 77 by 2045â2050 (United Nations, 2017). It is estimated that there are 83 million more people on the planet every year, with 60% of the world's population living in Asia, followed by 17% in Africa, 10% in Europe, 9% in Latin America and the Caribbean, and 6% in North America and Oceana, respectively (United Nations, 2017). China and India are the most populous countries in the world at 1.4 and 1.3 billion people, respectively (United Nations, 2017). Those living in the least developed countries (48 countries including island nations) comprised 13% of the global population in 2015 and will grow to 20% of the global population by 2050 (United Nations, 2016). The number of persons displaced by conflict continues to rise as an unprecedented 65 million were displaced in 2016 (United Nations High Commissioner for Refugees, 2017).
With a growing population and with populations that face economic strife and tragic hardships, it is critical to protect natural resources and the integrity of the Earth System. Reducing population growth as a strategy to control resource utilization may not offer the expediency necessary to protect ecosystems and natural resources (Bradshaw and Cook, 2014). Therefore, strategies to reduce anthropogenic impact on the natural environment must also include conserving and reducing the use of resources altogetherâalong with a paradigm shift to renewable energy sources and changes to the industrialized food system (Bradshaw and Cook, 2014; Pelletier and Tyedmers, 2010).
Additionally, where a child is born is important in determining its lifetime contribution to resource consumption and greenhouse gas emissions. The carbon legacy of a child born in the United States (based on average carbon dioxide emissions/equivalents per person per year) is estimated at 4.5 times that of a child born in Japan, 7 times that of a child born in China, 85 times that of a child born in Nigeria, and 168 times that of a child born in Bangladesh (Murtaugh and Schlax, 2009).
Ecological overshoot
It is obvious that humans cannot live without water and food and that our lives are compromised without the resources of the Earth that provide medicines, shelter, and necessary textiles. However, the rate at which humans are excessively using and degrading the Earth's biocapacity is alarming. Over the past 46 years, humanity has been using more resources altogetherâand more resources than can be naturally replenished in a year, which has been coined âEarth Overshootâ (Global Footprint Network, 2017a). Unfortunately, âEarth Overshoot Dayâ happens sooner each year: August 2, 2017; August 4, 2015; August 15, 2007; November 27, 1973; and December 21, 1971 (Global Footprint Network, 2017b). However, comparing dates over time may be less effective than understanding the gravity and totality of the biomass that's being used (Global Footprint Network, 2017b). As supply cannot keep up with demand, humans are outstripping the regenerative biocapacity of natural resources by 50% as a result of increased land use, habitat transformation, habitat fragmentation, destructive agriculture and forestry practices, creating infrastructure, overusing ecosystems, overexploiting species due to hunting and overfishing, introducing invasive species that compete with and eliminate endemic species, and climate change (Galli et al., 2014).
The Anthropocene
The âAnthropoceneâ is a geological and ecological term used to describe the current era where the Earth System has been domineered by humans such that natural forces have been disturbed to a point of uncertaintyâas well as the negative outcomes that will impact future generations (Steffen et al., 2007). The Anthropocene has been divided into two phases: The Industrial Era (1800â1945), and the second stage known as the âGreat Accelerationâ from 1945 to 2010 (Steffen ...