Feeding the world “healthily” in 2050 London School of Hygiene & Tropical Medicine (LSHTM),  School or Oriental and Africa...
Population growth to continue, but at a slower pace Josef Schmidhuber  FAO Head, Global Perspective Studies Unit Populatio...
Germany: The Melander family of Bargteheide Food expenditure for one week US $500
Ecuador: The Ayme family of Tingo  Food expenditure for one week US $31.55
Chad: The Aboubakar family of Breidjing Camp  Food expenditure for one week US $1.23
 
Four crops represent  65% of food produced in the world Lentils Chick peas Lettuce Peppers Carrots Bean, dry Plantains Coc...
Kg per person per year
Kg per person per year
Deaths by Regions of the World Accidents Non-communicable Diseases Communicable diseases AFRICA Eastern Mediterranean EURO...
Lancet Malnutrition Series 2008
<ul><li>More than 3 million deaths, one third of the disease burden in children less than 5 years old can be attributed to...
Maternal & child undernutrition Immediate causes Underlying causes Basic causes Lancet Malnutrition Series 2008 Lack of ca...
% of total DALYs lost  Vit A deficiency Iron deficiency
% of total DALYs lost  Blood Pressure  Cholesterol
% of total DALYs lost  Energy Imbalance Under nutrition
Malnutrition in all its forms  Foetus / Infants /  Children • LBW/IUGR  • Stunting and Severe wasting • Micronutrient defi...
Nutrition defines in great part how many will survive infancy & how they will live and die  Years  of age 20 40 60 80 100 ...
Right to “Adequate food”: Quantity and Quality -  macronutrient quantity and quality AND - micronutrient density per unit ...
How do food prices affect health ? <ul><li>Higher food prices limit the access to food by the poor and most vulnerable.  <...
All cause Diabetes Cancer Heart Disease M. Franco et al AJE Sept 19, 2007
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Feeding the World "Healthily" by 2050 - Professor Ricardo Uauy, London School of Hygiene and Tropical Medicine

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  • Non communicable diseases include premature heart disease, stroke, diabetes, and cancers. Overweight and Obesity are serious underlying problems that increase risk of NCDs. If one looks ate the mortality from diseases it is already evident in the year 2000 that NCDs have overtaken infectious diseases in most regions of the world apart from Africa. High cholesterol accounts for 4 million premature deaths while high blood pressure is responsible for 7 million premature deaths. It has been projected that in 2020: 71% of deaths due to heart disease, 75% due to stroke and 70% due to diabetes, will be in developing countries. Premature death and disability from NCDs are the result of unhealthy diets and lack of physical activity. They are largely preventable by healthy diets and lifestyles.
  • Feeding the World "Healthily" by 2050 - Professor Ricardo Uauy, London School of Hygiene and Tropical Medicine

    1. 1. Feeding the world “healthily” in 2050 London School of Hygiene & Tropical Medicine (LSHTM), School or Oriental and African Studies (SOAS), Royal Veterinary College (RVC), School of Pharmacy (SoP). The London International Development Centre Leverhulme Centre for Integrative Research on Agriculture and Health (LCIRAH) Ricardo Uauy MD PhD
    2. 2. Population growth to continue, but at a slower pace Josef Schmidhuber FAO Head, Global Perspective Studies Unit Population growth is a key driver for long-term outlook on global food, agriculture and nutrition 0.0 3.0 6.0 9.0 12.0 1750 1800 1850 1900 1950 2000 2050 Total population (billions) 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 Annual increments (billions)
    3. 3. Germany: The Melander family of Bargteheide Food expenditure for one week US $500
    4. 4. Ecuador: The Ayme family of Tingo Food expenditure for one week US $31.55
    5. 5. Chad: The Aboubakar family of Breidjing Camp Food expenditure for one week US $1.23
    6. 7. Four crops represent 65% of food produced in the world Lentils Chick peas Lettuce Peppers Carrots Bean, dry Plantains Coconuts Cabbages Oranges Sorghum Tomatoes Oil Palm Fruit Soybeans Sweet Potatoes Barley Cassava Sugar Beets Potatoes Rice, Paddy Maize Wheat 0 100 200 300 400 500 600 100,000 metric tons Mann, C. (1997)
    7. 8. Kg per person per year
    8. 9. Kg per person per year
    9. 10. Deaths by Regions of the World Accidents Non-communicable Diseases Communicable diseases AFRICA Eastern Mediterranean EUROPE SE-ASIA W.PACIFIC AMERICAS 25 50 75 % Source: WHO, World Health Report 2004
    10. 11. Lancet Malnutrition Series 2008
    11. 12. <ul><li>More than 3 million deaths, one third of the disease burden in children less than 5 years old can be attributed to maternal and child undernutrition. </li></ul><ul><li>Stunting, severe wasting and intrauterine growth restriction account for > 20% of global deaths and DALYs in children < 5 yrs old, malnutrition in all its forms is the greatest risk factor for this age group. </li></ul><ul><li>Vitamin A and zinc deficiencies, by far have the largest remaining disease burden. </li></ul><ul><li>1.4 million deaths and 10% of the disease burden in children <5 y can be attributed to sub-optimal BF especially non-exclusive BF in the first 6 m of life. </li></ul>Lancet Malnutrition Series 2008
    12. 13. Maternal & child undernutrition Immediate causes Underlying causes Basic causes Lancet Malnutrition Series 2008 Lack of capital: financial, human, physical, social and natural Social, economic and political context Income poverty: employment, self-employment, dwelling, assets, remittances, pensions, transfers, etc. Unhealthy household environment & lack of health services Inadequate care Household food insecurity Long-term consequences: Adult size, intellectual ability, economic productivity , reproductive performance, Diabetes & CVDs Short-term consequences: Morbidity, Disability, Death Inadequate dietary intake Disease
    13. 14. % of total DALYs lost Vit A deficiency Iron deficiency
    14. 15. % of total DALYs lost Blood Pressure Cholesterol
    15. 16. % of total DALYs lost Energy Imbalance Under nutrition
    16. 17. Malnutrition in all its forms Foetus / Infants / Children • LBW/IUGR • Stunting and Severe wasting • Micronutrient deficiency ( Vit A,I,Fe,Zn,Fol) • Infection (HIV/AIDS) Adults / Older People • Cardiovascular (CHD, Stroke ) • Obesity /Diabetes/ Dyslipidemia • Cancer related to Diet and Physical inactivity • Osteoporosis, Caries • Age related loss of function (vit D, B12, n-3 FAs)
    17. 18. Nutrition defines in great part how many will survive infancy & how they will live and die Years of age 20 40 60 80 100 120 1930 2000 Foetus / Infants / Children • LBW/IUGR • Stunting and wasting • Micronutrient deficiency ( Vit A,I,Fe,Zn ) • Infection (HIV/AIDS) Adults / Elderly • Cardiovascular (CHD, Stroke ) • Obesity /Diabetes/ dyslipidemia • Cancer related to diet • Osteoporosis • Aging Ideal % survival Nutrition-Infection interactions determine in great part, how we grow physically and develop mentally , Nutrition-Physical activity interactions define how we will age and die. 0 25 50 75 100 Disability Physical /Mental
    18. 19. Right to “Adequate food”: Quantity and Quality - macronutrient quantity and quality AND - micronutrient density per unit energy consumed Nutrient poor high energy foods displace nutrient rich foods Effect most marked at low levels of physical activity Leading to: - poor/abnormal fetal growth - low birth weight - stunting -increased risk of obesity
    19. 20. How do food prices affect health ? <ul><li>Higher food prices limit the access to food by the poor and most vulnerable. </li></ul><ul><li>The challenge is not only to prevent a reduction in the quantity of food energy but to preserve the quality of the food consumed </li></ul><ul><li>Agriculture/food/nutrition scientists must call for international action to prevent a food crisis. </li></ul><ul><li>We need a second HEALTHIER and GREENER food revolution </li></ul>
    20. 21. All cause Diabetes Cancer Heart Disease M. Franco et al AJE Sept 19, 2007

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