Global red and processed meat trade and non-communicable diseases.
Global red and processed meat trade and non-communicable diseases.
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DOI：
10.1136/bmjgh-2021-006394
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发表时间：
2021-11
影响因子：
8.1
通讯作者：
Liu J
中科院分区：
文献类型：
--
作者：
Chung MG;Li Y;Liu J
全球红肉和加工肉类贸易的快速增长通过增加肉类消费阻碍了国际社会实现可持续饮食的努力。然而，很少有研究考察由于肉类贸易而导致的与饮食有关的非传染性疾病（NCDs）的跨国差异。我们的目标是研究红肉和加工肉贸易对饮食相关非传染性疾病的影响，并确定哪些国家特别容易因红肉和加工肉贸易而受到饮食相关非传染性疾病的影响。通过选择14种红肉和6种加工肉类，我们调查了154个国家的双边肉类贸易流量。然后，我们整合了红肉和加工肉类贸易的健康数据和信息，使用比较风险评估框架量化了肉类贸易造成的饮食相关非传染性疾病的国家负担。结果表明，全球红肉和加工肉类贸易的增加导致了饮食相关非传染性疾病的突然增加，而饮食相关非传染性疾病的可归因负担在各国之间存在很大的地理差异。我们还确定了增加进口国饮食相关非传染性疾病风险的负责任出口国。在1993年至2018年期间，由于大量肉类进口，加勒比和大洋洲的岛屿国家特别容易受到与饮食有关的非传染性疾病事件和死亡的影响。此外，北方和东欧国家通过肉类进口极大地增加了归因死亡率和残疾调整生命年率。我们的研究结果表明，出口商和进口商都必须紧急采取跨部门行动，以减少肉类贸易对健康的影响。为了防止红肉和加工肉类贸易造成的意外健康后果，未来的干预措施需要通过与负责任的出口国和进口国合作，将卫生政策与农业和贸易政策相结合。
Rapid increases in the trade of global red and processed meat impede international efforts toward sustainable diets by increasing meat consumption. However, little research has examined cross-country variations in diet-related non-communicable diseases (NCDs) because of meat trade. We aimed to examine the impact of red and processed meat trade on diet-related NCDs and to identify which countries are particularly vulnerable to diet-related NCDs due to red and processed meat trade. By selecting 14 red meat and six processed meat items, we investigated bilateral meat trade flows across 154 countries. Then, we integrated health data and information on red and processed meat trade to quantify the country-specific burden of diet-related NCDs attributable to the meat trade using a comparative risk assessment framework. Results show that global increases in red and processed meat trade contributed to the abrupt increase of diet-related NCDs, and the attributable burden of diet-related NCDs had large geographical variations among countries. We also identified responsible exporting countries that increase diet-related NCD risks in importing countries. Over the period from 1993 to 2018, island countries in the Caribbean and Oceania were particularly vulnerable to diet-related NCD incidents and mortality due to large meat imports. In addition, countries in Northern and Eastern Europe have exceedingly increased attributable death and disability-adjusted life year rates via meat imports. Our findings suggest that both exporters and importers must urgently undertake cross-sectoral actions to reduce the meat trade’s health impacts. To prevent unintended health consequences due to red and processed meat trade, future interventions need to integrate health policies with agricultural and trade policies by cooperating with both responsible exporting and importing countries.
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影响因子：
24
作者：
Anand SS;Hawkes C;de Souza RJ;Mente A;Dehghan M;Nugent R;Zulyniak MA;Weis T;Bernstein AM;Krauss RM;Kromhout D;Jenkins DJA;Malik V;Martinez-Gonzalez MA;Mozaffarian D;Yusuf S;Willett WC;Popkin BM
通讯作者：
Popkin BM
影响因子：
37.8
作者：
Micha R;Wallace SK;Mozaffarian D
通讯作者：
Mozaffarian D
DOI：
10.1017/s0029665116000100
发表时间：
2016-08
期刊：
The Proceedings of the Nutrition Society
影响因子：
--
作者：
Clonan A;Roberts KE;Holdsworth M
通讯作者：
Holdsworth M
DOI：
10.1016/s0140-6736(20)30925-9
发表时间：
2020-10-17
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2019 Diseases and Injuries Collaborators
通讯作者：
GBD 2019 Diseases and Injuries Collaborators
影响因子：
10.8
作者：
Friel, Sharon;Gleeson, Deborah;Snowdon, Wendy
通讯作者：
Snowdon, Wendy