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The triple benefits of slimming and greening the Chinese food system

Abstract

The Chinese food system has undergone a transition of unprecedented speed, leading to complex interactions with China’s economy, health and environment. Structural changes experienced by the country over the past few decades have boosted economic development but have worsened the mismatch between food supply and demand, deteriorated the environment, driven obesity and overnutrition levels up, and increased the risk for pathogen spread. Here we propose a strategy for slimming and greening the Chinese food system towards sustainability targets. This strategy takes into account the interlinkages between agricultural production and food consumption across the food system, going beyond agriculture-focused perspectives. We call for a food-system approach with integrated analysis of potential triple benefits for the economy, health and the environment, as well as multisector collaboration in support of evidence-based policymaking.

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Fig. 1: Food intake per day per capita and malnutrition prevalence in China.
Fig. 2: Economic, public health and environmental impacts of the Chinese food system.
Fig. 3: The CFSD framework to visualize and analyse the food system indicators.

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References

  1. Gong, P. et al. Urbanisation and health in China. Lancet 379, 843–852 (2012).

    Article  PubMed  PubMed Central  Google Scholar 

  2. He, Y. et al. The dietary transition and its association with cardiometabolic mortality among Chinese adults, 1982–2012: a cross-sectional population-based study. Lancet Diabetes Endocrinol. 7, 540–548 (2019).

    Article  PubMed  Google Scholar 

  3. Liu, J., Lundqvist, J., Weinberg, J. & Gustafsson, J. Food losses and waste in China and their implication for water and land. Environ. Sci. Technol. 47, 10137–10144 (2013).

    Article  CAS  PubMed  ADS  Google Scholar 

  4. Ng, S. W., Norton, E. C. & Popkin, B. M. Why have physical activity levels declined among Chinese adults? Findings from the 1991–2006 China health and nutrition surveys. Soc. Sci. Med. 68, 1305–1314 (2009).

    Article  PubMed  PubMed Central  Google Scholar 

  5. Monda, K. L., Gordon-Larsen, P., Stevens, J. & Popkin, B. M. China’s transition: the effect of rapid urbanization on adult occupational physical activity. Soc. Sci. Med. 64, 858–870 (2007).

    Article  PubMed  Google Scholar 

  6. Zhou, M. et al. Mortality, morbidity, and risk factors in China and its provinces, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 394, 1145–1158 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  7. Global Burden of Disease (GBD 2019) (Institute for Health Metrics and Evaluation, 2020); https://www.healthdata.org/gbd/2019

  8. Gao, L. et al. Double burden of malnutrition and nutrition transition in Asia: a case study of 4 selected countries with different socioeconomic development. Adv. Nutr. 11, 1663–1670 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Zhai, F. et al. Dynamics of the Chinese diet and the role of urbanicity, 1991–2011. Obes. Rev. 15, 16–26 (2014).

    Article  PubMed  Google Scholar 

  10. Dearth-Wesley, T., Wang, H. & Popkin, B. M. Under- and overnutrition dynamics in Chinese children and adults (1991–2004). Eur. J. Clin. Nutr. 62, 1302–1307 (2008).

    Article  CAS  PubMed  Google Scholar 

  11. Liu, Y.-Y. et al. Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study. Lancet Infect. Dis. 16, 161–168 (2016).

    Article  PubMed  CAS  Google Scholar 

  12. Zhao, F.-J., Ma, Y., Zhu, Y.-G., Tang, Z. & McGrath, S. P. Soil contamination in China: current status and mitigation strategies. Environ. Sci. Technol. 49, 750–759 (2015).

    Article  CAS  PubMed  ADS  Google Scholar 

  13. Lu, Y. et al. Impacts of soil and water pollution on food safety and health risks in China. Environ. Int. 77, 5–15 (2015).

    Article  CAS  PubMed  Google Scholar 

  14. Rozelle, S. & Hell, N. Invisible China: How the Urban–Rural Divide Threatens China’s Rise (Univ. of Chicago Press, 2020).

  15. Wang, X., Luo, R., Zhang, L. & Rozelle, S. The education gap of China’s migrant children and rural counterparts. J. Dev. Stud. 53, 1865–1881 (2017).

    Article  Google Scholar 

  16. Tombe, T. & Zhu, X. Trade, migration, and productivity: a quantitative analysis of China. Am. Econ. Rev. 109, 1843–1872 (2019).

    Article  Google Scholar 

  17. Wang, L. et al. Are infant/toddler developmental delays a problem across rural China? J. Comp. Econ. 47, 458–469 (2019).

    Article  Google Scholar 

  18. Luo, R. et al. The effect of a micronutrient powder home fortification program on anemia and cognitive outcomes among young children in rural China: a cluster randomized trial. BMC Public Health 17, 738 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  19. He, L. et al. Clustering of multiple lifestyle behaviors among migrant, left-behind and local adolescents in China: a cross-sectional study. BMC Public Health 21, 542 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  20. Popkin, B. M., Corvalan, C. & Grummer-Strawn, L. M. Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet 395, 65–74 (2020).

    Article  PubMed  Google Scholar 

  21. Repositioning Nutrition as Central to Development: A Strategy for Large Scale Action (World Bank, 2006).

  22. Crippa, M. et al. Food systems are responsible for a third of global anthropogenic GHG emissions. Nat. Food https://doi.org/10.1038/s43016-021-00225-9 (2021).

  23. Xiong, X. et al. Urban dietary changes and linked carbon footprint in China: a case study of Beijing. J. Environ. Manage. 255, 109877 (2020).

    Article  PubMed  Google Scholar 

  24. Gu, B. et al. Atmospheric reactive nitrogen in China: sources, recent trends, and damage costs. Environ. Sci. Technol. 46, 9420–9427 (2012).

    Article  CAS  PubMed  ADS  Google Scholar 

  25. Yu, C. et al. Managing nitrogen to restore water quality in China. Nature 567, 516–520 (2019).

    Article  CAS  PubMed  ADS  Google Scholar 

  26. Springmann, M. et al. Options for keeping the food system within environmental limits. Nature 562, 519–525 (2018).

    Article  CAS  ADS  PubMed  Google Scholar 

  27. Springmann, M., Godfray, H. C. J., Rayner, M. & Scarborough, P. Analysis and valuation of the health and climate change cobenefits of dietary change. Proc. Natl Acad. Sci. USA 113, 4146–4151 (2016).

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  28. Willett, W. et al. Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems. Lancet 393, 447–492 (2019).

    Article  PubMed  Google Scholar 

  29. Growing Better: Ten Critical Transitions to Transform Food and Land Use (FOLU, 2019).

  30. Kastner, T., Rivas, M. J. I., Koch, W. & Nonhebel, S. Global changes in diets and the consequences for land requirements for food. Proc. Natl Acad. Sci. USA 109, 6868–6872 (2012).

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  31. Vanwambeke, S. O., Linard, C. & Gilbert, M. Emerging challenges of infectious diseases as a feature of land systems. Curr. Opin. Environ. Sustain. 38, 31–36 (2019).

    Article  Google Scholar 

  32. Vanwambeke, S. O., Linard, C., Gilbert, M. & Dellicour, S. SARS-CoV-2 emergence and diffusion: a new disease manifesting human–environment interactions and a global geography of health. Curr. Opin. Environ. Sustain. 46, 43–45 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  33. Dhingra, M. S. et al. Geographical and historical patterns in the emergences of novel highly pathogenic avian influenza (HPAI) H5 and H7 viruses in poultry. Front. Vet. Sci. 5, 84 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  34. Gilbert, M., Xiao, X. & Robinson, T. P. Intensifying poultry production systems and the emergence of avian influenza in China: a ‘One Health/Ecohealth’ epitome. Arch. Public Health 75, 48 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  35. Van Boeckel, T. P. et al. Global trends in antimicrobial resistance in animals in low- and middle-income countries. Science 365, eaaw1944 (2019).

    Article  CAS  PubMed  Google Scholar 

  36. Schar, D., Klein, E. Y., Laxminarayan, R., Gilbert, M. & Van Boeckel, T. P. Global trends in antimicrobial use in aquaculture. Sci. Rep. 10, 21878 (2020).

    Article  CAS  PubMed  PubMed Central  ADS  Google Scholar 

  37. Spraying diseased citrus orchards with antibiotics could backfire. Nature 567, 283 (2019).

  38. Mann, A., Nehra, K., Rana, J. S. & Dahiya, T. Antibiotic resistance in agriculture: perspectives on upcoming strategies to overcome upsurge in resistance. Curr. Res. Microb. Sci. 2, 100030 (2021).

    CAS  PubMed  PubMed Central  Google Scholar 

  39. Swinburn, B. A. et al. The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. Lancet 393, 791–846 (2019).

    Article  PubMed  Google Scholar 

  40. Seppelt, R., Arndt, C., Beckmann, M., Martin, E. A. & Hertel, T. W. Deciphering the biodiversity–production mutualism in the global food security debate. Trends Ecol. Evol. 35, 1011–1020 (2020).

    Article  PubMed  Google Scholar 

  41. Herforth, A. et al. Cost and Affordability of Healthy Diets Across and Within Countries (Food and Agriculture Organization of the United Nations (FAO), 2020); https://doi.org/10.4060/cb2431en

  42. Food Security in China (State Council Information Office of the People’s Republic of China, 2019).

  43. Nutrition and Food Systems: A Report by the High Level Panel of Experts on Food Security and Nutrition of the Committee on World Food Security (HLPE, 2017); https://www.fao.org/3/i7846e/i7846e.pdf

  44. Chen, H. et al. Plant-based dietary patterns in relation to mortality among older adults in China. Nat. Aging https://doi.org/10.1038/s43587-022-00180-5 (2022).

  45. Zhu, A. et al. Interaction between plant-based dietary pattern and air pollution on cognitive function: a prospective cohort analysis of Chinese older adults. Lancet Reg. Health West. Pac. 20, 100372 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  46. Chen, P., Li, F. & Harmer, P. Healthy China 2030: moving from blueprint to action with a new focus on public health. Lancet Public Health 4, e447 (2019).

    Article  PubMed  Google Scholar 

  47. Hu, F. B., Liu, Y. & Willett, W. C. Preventing chronic diseases by promoting healthy diet and lifestyle: public policy implications for China. Obes. Rev. 12, 552–559 (2011).

    Article  CAS  PubMed  Google Scholar 

  48. Gerten, D. et al. Feeding ten billion people is possible within four terrestrial planetary boundaries. Nat. Sustain. 3, 200–208 (2020).

    Article  Google Scholar 

  49. Ouyang, Z. et al. Using gross ecosystem product (GEP) to value nature in decision making. Proc. Natl Acad. Sci. USA 117, 14593–14601 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. The 14th Five-Year Plan for National Economic and Social Development of the People’s Republic of China and Outline of the Vision for 2035 (State Council, 2021); http://www.gov.cn/xinwen/2021-03/13/content_5592681.htm

  51. Jin, S. & Zhou, F. Zero growth of chemical fertilizer and pesticide use: China’s objectives, progress and challenges. J. Resour. Ecol. 9, 50–58 (2018).

    Google Scholar 

  52. Notice of the State Council on Printing and Distributing the Action Plan for the Prevention and Control of Air Pollution (State Council, 2013); http://www.gov.cn/zwgk/2013-09/12/content_2486773.htm

  53. Notice of the State Council on Printing and Distributing the Action Plan for the Prevention and Control of Water Pollution (State Council, 2015); http://www.gov.cn/zhengce/content/2015-04/16/content_9613.htm

  54. Busch, J. et al. A global review of ecological fiscal transfers. Nat. Sustain. https://doi.org/10.1038/s41893-021-00728-0 (2021).

  55. Zaken, M. van A. New Steps to Tackle Nitrogen Pollution Offer Prospects for Farmers (Government of the Netherlands, 2020); https://www.government.nl/latest/news/2020/02/07/new-steps-to-tackle-nitrogen-pollution-offer-prospects-for-farmers

  56. Garnett, T., Mathewson, S., Angelides, P. & Borthwick, F. Policies and Actions to Shift Eating Patterns: What Works? (Food Climate Research Network, Chatham House, 2015).

  57. Cao, Z.-J., Wang, S.-M. & Chen, Y. A randomized trial of multiple interventions for childhood obesity in China. Am. J. Prev. Med. 48, 552–560 (2015).

    Article  PubMed  Google Scholar 

  58. Qian, L., Newman, I. M., Yuen, L.-W., Du, W. & Shell, D. F. Effects of a comprehensive nutrition education programme to change grade 4 primary-school students’ eating behaviours in China. Public Health Nutr. 22, 903–911 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  59. Hu, C. et al. Evaluation of a kindergarten-based nutrition education intervention for pre-school children in China. Public Health Nutr. 13, 253–260 (2010).

    Article  PubMed  Google Scholar 

  60. Cui, Z. et al. Pursuing sustainable productivity with millions of smallholder farmers. Nature 555, 363–366 (2018).

    Article  CAS  PubMed  ADS  Google Scholar 

  61. Herrero, M. et al. Innovation can accelerate the transition towards a sustainable food system. Nat. Food 1, 266–272 (2020).

    Article  Google Scholar 

  62. Galdeano-Gómez, E. Does an endogenous relationship exist between environmental and economic performance? A resource-based view on the horticultural sector. Environ. Resour. Econ. 40, 73–89 (2008).

    Article  Google Scholar 

  63. Wang, H., Dong, X., Rozelle, S., Huang, J. & Reardon, T. Producing and procuring horticultural crops with Chinese characteristics: the case of northern China. World Dev. 37, 1791–1801 (2009).

    Article  Google Scholar 

  64. Farm Labor (USDA ERS, 2022); https://www.ers.usda.gov/topics/farm-economy/farm-labor/#size

  65. Wang, J. Revive China’s green GDP programme. Nature 534, 37 (2016).

    Article  CAS  PubMed  ADS  Google Scholar 

  66. Wang, X. et al. Reforming China’s fertilizer policies: implications for nitrogen pollution reduction and food security. Sustain. Sci. https://doi.org/10.1007/s11625-022-01189-w (2022).

  67. IPCC Climate Change 2014: Mitigation of Climate Change (eds Edenhofer, O. et al.) (Cambridge Univ. Press, 2014)

  68. Fan, S. Economics in food systems transformation. Nat. Food 2, 218–219 (2021).

    Article  Google Scholar 

  69. Becerra-Posada, F. Health in all policies: a strategy to support the Sustainable Development Goals. Lancet Glob. Health 3, e360 (2015).

    Article  PubMed  Google Scholar 

  70. Gaupp, F. et al. Food system development pathways for healthy, nature-positive and inclusive food systems. Nat. Food 2, 928–934 (2021).

    Article  Google Scholar 

  71. Rockström, J. et al. A safe operating space for humanity. Nature 461, 472–475 (2009).

    Article  PubMed  ADS  CAS  Google Scholar 

  72. Singh, B. K. et al. Enhancing science–policy interfaces for food systems transformation. Nat. Food 2, 838–842 (2021).

    Article  Google Scholar 

  73. Schmidt-Traub, G., Obersteiner, M. & Mosnier, A. Fix the broken food system in three steps. Nature 569, 181–183 (2019).

    Article  CAS  PubMed  ADS  Google Scholar 

  74. Fanzo, J. et al. The Food Systems Dashboard is a new tool to inform better food policy. Nat. Food 1, 243–246 (2020).

    Article  Google Scholar 

  75. Soergel, B. et al. A sustainable development pathway for climate action within the UN 2030 Agenda. Nat. Clim. Change 11, 656–664 (2021).

    Article  ADS  Google Scholar 

  76. China Nutrition Statistics Yearbook (Chinese Center for Disease Control and Prevention, 2022); http://www.chinanutri.cn/sjnj/

  77. FAOSTAT (Food and Agriculture Organization of the United Nations, 2022); https://www.fao.org/faostat/en/#home

  78. World Development Indicators (World Bank, 2022); https://databank.worldbank.org/reports.aspx?source=world-development-indicators

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Acknowledgements

We acknowledge funding from the National Key Research and Development Program of China (grant no. 2020YFA0608604), the National Natural Science Foundation of China (grant no. 72134006) and the Fundamental Research Funds for the Central Universities in China, as well as support from the Food System Economics Commission (grant no. G-2009-01682) and the Good Food Foundation. We thank H. Chen and J. Xuan from Zhejiang University and Y. Gu from Nanjing Normal University for their excellent research assistance.

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X.W., B.L.B. and C.Y. developed the initial idea and draft of the paper. X.W., B.L.B., C.Y. and C.M. contributed equally to the further conceptualization and writing of the manuscript. X.W. curated the data and created the illustrations. X.W., B.L.B., C.Y., C.M. and K.Z.C. contributed to the editing and reviewing of the manuscript and agreed on the final version.

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Correspondence to Xiaoxi Wang, Benjamin Leon Bodirsky or Changzheng Yuan.

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Wang, X., Bodirsky, B.L., Müller, C. et al. The triple benefits of slimming and greening the Chinese food system. Nat Food 3, 686–693 (2022). https://doi.org/10.1038/s43016-022-00580-1

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