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The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report
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Additional co-authors: Prof Corinna Hawkes PhD, Mario Herrero PhD, Prof Peter S Hovmand PhD, Prof Mark Howden PhD, Lindsay M Jaacks PhD, Ariadne B Kapetanaki PhD, Matt Kasman PhD, Prof Harriet V Kuhnlein PhD, Prof Shiriki K Kumanyika PhD, Prof Bagher Larijani MD, Tim Lobstein PhD, Michael W Long PhD, Victor K R Matsudo MD, Susanna D H Mills PhD, Gareth Morgan PhD, Alexandra Morshed, Patricia M Nece JD, Prof An Pan PhD, David W Patterson, Gary Sacks PhD, Meera Shekar PhD, Geoff L Simmons, Warren Smit PhD, Ali Tootee PhD, Stefanie Vandevijvere PhD, Wilma E Waterlander PhD, Luke Wolfenden PhD, Prof William H Dietz MD
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“as half of the world's population faces hunger, food insecurity, or malnutrition, highlighting its dysfunction (63).”
From Bridging Sectors and Disciplines to Gain a Critical Understanding of the Eco-Social Determinants of Health Inequities: The ESDHI-EU Conference (2025) · cites this paper as [63]
In the citing paper
“Indeed, the dominant food system model struggles to equitably provide healthy diets (61), as half of the world's population faces hunger, food insecurity, or malnutrition, highlighting its dysfunction (63).”
From Bridging Sectors and Disciplines to Gain a Critical Understanding of the Eco-Social Determinants of Health Inequities: The ESDHI-EU Conference (2025) · cites this paper as [63]
In the citing paper
“At the same time, climate change further threatens food security, underscoring the need for more sustainable protein sources [10,22].”
From Valorization of Microalgae as Multifunctional Protein Sources in Plant-Based Systems: Structural, Functional, and Processing Challenges (2026) · cites this paper as [22]
In the citing paper
“Current food systems, marked by the increasing reliance on animal-derived products, contribute to adverse health and environmental outcomes.”
From Valorization of Microalgae as Multifunctional Protein Sources in Plant-Based Systems: Structural, Functional, and Processing Challenges (2026) · cites this paper as [22]
In the citing paper
“Although soy has traditionally dominated this market because of its high protein content, mild flavor, and technofunctional properties, concerns regarding allergens, antinutritional factors, Genetically Modified Organisms (GMOs), and its extensive use as animal feed have stimulated interest in alternative protein sources [22][23][24].”
From Valorization of Microalgae as Multifunctional Protein Sources in Plant-Based Systems: Structural, Functional, and Processing Challenges (2026) · cites this paper as [22]
In the citing paper
“It has led to an overreliance on 'nutrients-to-limit' reformulation initiatives in some countries 200,201 , with potentially counterproductive outcomes.”
From Ultra‐processed foods and the nutrition transition: global, regional and national trends, food systems transformations and political economy drivers (2020) · cites this paper as [200]
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Metadata
- Authors
- Swinburn, B. A., Kraak, V. I., Allender, S., Atkins, V. J., Baker, P. I., Bogard, J. R., Brinsden, H., Calvillo, A., De Schutter, O., Devarajan, R., Ezzati, M., Friel, S., Goenka, S., Hammond, R. A., Hastings, G., Hawkes, C., Herrero, M., Hovmand, P. S., Howden, M., Jaacks, L. M., Kapetanaki, A. B., Kasman, M., Kuhnlein, H. V., Kumanyika, S. K., Larijani, B., Lobstein, T., Long, M. W., Matsudo, V. K. R., Mills, S. D. H., Morgan, G., Morshed, A., Nece, P. M., Pan, A., Patterson, D. W., Sacks, G., Shekar, M., Simmons, G. L., Smit, W., Tootee, A., Vandevijvere, S., Waterlander, W. E., Wolfenden, L., & Dietz, W. H.
- Affiliations
- Deakin University (AU)
- Virginia Tech (US)
- Commonwealth Scientific and Industrial Research Organisation (AU)
- World Obesity Federation (GB)
- El Poder del Consumidor AC (MX)
- Public Health Foundation of India (IN)
- Imperial College London (GB)
- Australian National University (AU)
- Brookings Institution (US)
- University of Stirling (GB)
- University of London (GB)
- Washington University in St. Louis (US)
- Harvard University (US)
- University of Hertfordshire (GB)
- McGill University (CA)
- Drexel University (US)
- Tehran University of Medical Sciences (IR)
- George Washington University (US)
- Newcastle University (GB)
- Huazhong University of Science and Technology (CN)
- World Bank (US)
- University of Cape Town (ZA)
- Diabetes Research Center (IR)
- University of Auckland (NZ)
- Amsterdam UMC Location University of Amsterdam (NL)
- University of Newcastle Australia (AU)
- Corresponding author
- Swinburn, Boyd A
- ORCID
- Swinburn, Boyd A
- Kraak, Vivica I
- Allender, Steven
- Baker, Phillip I
- Bogard, Jessica R
- Calvillo, Alejandro
- Devarajan, Raji
- Ezzati, Majid
- Friel, Sharon
- Goenka, Shifalika
- Hammond, Ross A
- Hastings, Gerard
- Hawkes, Corinna
- Herrero, Mario
- Hovmand, Peter S
- Howden, Mark
- Jaacks, Lindsay M
- Kapetanaki, Ariadne B
- Kasman, Matt
- Kuhnlein, Harriet V
- Kumanyika, Shiriki K
- Larijani, Bagher
- Lobstein, Tim
- Long, Michael W
- Matsudo, Victor K R
- Mills, Susanna D H
- Morshed, Alexandra
- Pan, An
- Patterson, David W
- Sacks, Gary
- Shekar, Meera
- Smit, Warren
- Tootee, Ali
- Vandevijvere, Stefanie
- Waterlander, Wilma E
- Wolfenden, Luke
- Dietz, William H
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2019-02
- Volume
- 393
- Issue
- 10173
- Pages
- 791-846
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2912842935
- Semantic Scholar
- aa1b4a7e43edc55f15ccf961694a3c48c2a81306
- Cited by
- 3,081
- References
- 249
- Citations by year
- 2026: 324 · 2025: 400 · 2024: 379 · 2023: 422 · 2022: 448 · 2021: 513 · 2020: 422 · 2019: 164
- FWCI
- 37.25
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- DIAL (Catholic University of Leuven) (submittedVersion, other-oa)
- Figshare (submittedVersion, cc-by)
- ANU Open Research (Australian National University) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- Medical Research Council (MR/L01341X/1)
- National Heart, Lung, and Blood Institute (T32HL130357)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Public Health Policies and Epidemiology
- Keywords
- obesity, malnutrition, climate change, syndemic, planetary health, dietary risk, health impacts of climate change
- MeSH terms
- Syndemic, Adult, Child, Child, Preschool, Female, Food Supply, Health Policy, Humans, Infant, Male, Obesity, Global Health, Comorbidity, Malnutrition, Climate Change
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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