Food Bytes: December 2024 Edition

FOOD BYTES IS A (ALMOST) MONTHLY BLOG POST OF “NIBBLES” ON ALL THINGS CLIMATE, FOOD, NUTRITION SCIENCE, POLICY, AND CULTURE.

I am here in Gotham City, writing my final blog post for 2024 in the quiet. This is one of my favorite times of the year. Not because it is Christmas and New Year’s, but more so because the whole world pauses. Less email, less bustle, less stress. The opportunity to not have to click on that Zoom link for a week or two is just pure bliss. My posts as of late have gone from reflection to angst to dread, but at this moment, dear reader, I am feeling “set” — like a voluminous beehive hairdo or a delightful buttery pound cake. I am ready to take on whatever 2025 brings, as I hope you are.

This is my last Food Bytes of 2024. I managed to publish 9 (not 12) this year. I learn a ton gathering up material for the monthly Food Bytes as it forces me to do some reading, listening, and watching to highlight the prolific content being put out in the world on food systems, climate, and nutrition. I feel incredibly fortunate to work in an area so rich and doused with science, politics, culture, and controversy. This area of chosen work would be dull without those elements all jumbled together and needing constant teasing apart. So here it goes…my last Food Bytes of 2024. Hang onto your hats, guys and gals, for a very interesting 2025…

Let’s start with obesity. There is so much coming out related to obesity prevalence and trends, as well as the new GLP-1 anti-obesity class of medications (formally known as glucagon-like peptide-1 receptor agonists). Earlier this year, the NCD Risk Factor Collaborators published a paper in the Lancet showing the obesity and undernutrition trends among adults and children. They showed that we have moved from a world paralyzed by undernutrition to a world of obesity, with some countries struggling with both forms. One in 8 people are obese - or 1 billion people suffer. Many of you know this story of the nutrition transition and the double and triple burdens of malnutrition, but the overall picture over the last 30 years is quite staggering. Check out the circular bar plots of the changes in the underweight burden (the blue bar's length shows prevalence) and obesity (pink/red bar) among women in 1990 and 2022.

Another paper just released, again in the Lancet, showed in the United States, between 1990 and 2021, the percentage change in the prevalence of obesity in adults was 123.6% in men and 99.% in women. They forecast that by 2050 if current trends continue, the total number of adults with overweight and obesity will reach 213 million. And I am not even reporting on teen prevalence. Wowsa. Yet, JAMA just published results that found that the prevalence of BMI and obesity in the United States decreased in 2023 for the first time in over a decade. Some pontificate it is because of the GLP1 inhibitors, others because of COVID-related deaths (obesity being a heightened risk factor for morbidity and mortality associated with COVID).

The difference could be that the Lancet paper by the Global Burden of Disease 2021 US Obesity Forecasting Collaborators didn’t investigate trends beyond 2021. In contrast, the JAMA authors showed a decline in 2023 specifically. Also, we don’t know the future of the GLP-1s. Currently, they are cost-prohibitive for many living in the United States and, moreover, the world. One report estimated that if half of U.S. adults with obesity took these drugs, it could cost the healthcare system $411 billion per year. The inequities in who has access to these drugs are staggering.

These medications certainly help people lose weight, with various studies showing reductions in body weight somewhere between 10-25%, as well as other benefits for those struggling with diabetes and cardiovascular disease, to name a few. I worry that we still know so little about obesity, its drivers, and the potential ramifications of medicalizing the challenge into one silver-bullet solution. I also fear that the scale-up of these drugs gets food systems and industry “off the hook.” Why stop making ultra-processed foods and ensuring food environments are healthy for people when they can easily take these drugs? But RFK Jr is going to solve all that, right? Don’t hold your breath. I appreciated this commentary by Francesca Celletti and colleagues in JAMA on where we are at in our understanding of obesity:

“The seriousness of the crisis is now widely recognized. Yet there are many challenges that continue to hinder a successful national and global response. Perceptions and attitudes toward obesity, including the debate about whether obesity represents a risk factor or a disease, are widely divergent. Efforts to address the stigma associated with obesity have, in some cases, evolved into a narrative that obscures the importance of obesity-related morbidity and mortality. Compared with other noncommunicable diseases, there remains a lack of knowledge on the associated biological and genetic factors, and there are inconsistencies in the appreciation of the effect of obesity on other noncommunicable diseases and the overall burden of disease. There is limited evidence on long-term management interventions and their effectiveness among populations most at risk and in low-income settings in relation to issues such as access and adherence.”

Speaking of nutrition trends, the Global Burden of Disease Group published their analysis on global, regional, and national progress towards achieving the six nutrition-related Sustainable Development Goal (SDG) targets by 2030. The picture ain’t so rosy. These are their high-level results: “In 2030, we project that 94 countries will meet one of the six targets, 21 countries will meet two targets, and 89 countries will not meet any targets. We project that seven countries will meet the target for exclusive breastfeeding, 28 for child stunting, and 101 for child wasting, and no countries will meet the targets for low birthweight, child overweight, and anaemia.” Looking at current trends, the authors show that in 2021, seven countries had already met two of six targets (Georgia, Mongolia, South Korea, Peru, Rwanda, American Samoa, and Puerto Rico). What are they doing right? Case studies, anyone?

Diets heavily weigh into dietary outcomes, and as the SDGs stand, there is no target or monitoring of a dietary indicator, such as dietary diversity. SDGs. One of the juggernauts of our diets is how much animal source foods we should or could consume that benefit our health and the planet. A PNAS special feature delves into this quandary in what I think is quite a balanced set of papers showing all the angles and issues. We contributed a piece laying out the biological nutritional vulnerabilities stemming from high micronutrient needs per calorie among infants and young children, women of reproductive age, pregnant and lactating women, and older adults, particularly older women, and the importance of nutrient-dense foods coming from both plant and animal-source foods. Speaking of nutrient-dense foods, some colleagues from the Blue Foods Assessment published a paper in the Environmental Research Letters that assessed nutrition-sensitive climate risk to five essential micronutrients across production systems. By mid-century (2041–2060), we estimate that 75% of calcium, 30% of folate, 39% of iron, 68% of vitamin A, and 79% of vitamin B12 produced in primary food products will face frequent climate extremes globally. Nearly 50 countries are projected to face high domestic climate risk for two or more micronutrients during this period. Check out the figure below.

Speaking of the climate crisis, I have written before about tipping points, but some scientists argue the framing is distracting and confusing. Regardless, people are fatigued and confused by all the terminology: diebacks, atmospheric rivers, bomb cyclones. Grist calls it “alert fatigue”. The question is, does the fatigue translate into inaction? The scientists in that Nature paper argue that urgency and the terms and definitions to illustrate that urgency do not always translate into political commitments. And sadly, people are being left behind. Did you hear about Cyclone Chido on the French island of Mayotte? Neither did I. People are dying from climate-related extreme events, and we aren’t even able to count the dead or notice. Unless you live in a rich country… We are really on the edge here, and leaders seem to be shrugging their shoulders. Look at this year’s various COP events - climate, biodiversity, and dry lands. Were any binding and bold commitments made? Nope. And science is under ever more scrutiny and openly ignored and disregarded by some. This title says it all: Good COP, Bad COP, science struggles under a year of environmental summits. As this editorial argues in the Lancet Planetary Health, somebody has to move first. As the editors wrote: “…The absence of consensus on the world stage should not hold back individual countries from moving rapidly away from fossil fuels and benefitting from this. Keeping warming below 2°C is still possible, and actions that limit warming to almost any degree will be beneficial, but some have to do the right thing and decisively move first.”  The question is, who will be brave enough?

But we scientists keep churning. The IPBES Nexus and Transformative Change assessment summary reports have been released (my hermano, Mario Herrero, one of the lead authors says the very long reports are coming soon). First, what is IPBES? It is the Intergovernmental Platform on Biodiversity and Ecosystem Services. It is similar to the IPCC in that it sits at the interface between science and policy and is meant to spur evidence-based political action. The Nexus report argues that we need to holistically tackle biodiversity loss, water and food insecurity, health risks, and climate change because these five areas interact, cascade, and compound each other, and addressing them separately is counterproductive, redundant, and inefficient. The Transformative report focuses on the underlying causes of the biodiversity crisis, the drivers of change, and available options and argues for a “whole of society” approach. Overall, their analysis is not a chipper one. Half of the world lives in areas hit hard by food and water insecurity and biodiversity loss. Biodiversity is in massive decline. And delaying action will be catastrophic. Action in these areas could unlock trillions of dollars in economic growth and jobs. The figure below is worth a lot. It shows a wheel of interconnected challenges (different colors) and barriers (different 637 letters) to transformative change.

We continue to push out sound data to inform policymakers across food systems. The Food Systems Countdown to 2030 Initiative will publish its 3rd annual paper in January, so stay tuned for that. Meanwhile, a few of us at the Columbia Climate School wrote a piece for IFPRI’s Impact group on food system data gaps and the future potential to measure food systems data with new big data technology.

As you may know, I am a big fan of rivers. This poem, Rest, Like a River by Leena Danawala is a fitting way to close out 2024:

I like the idea of a river yawning:

its mouth a vast open width,

just a symptom of fatigue.

I think of how it wraps its length

around itself, serpentine and sure;

how its waves rock back and forth,

a cradle on an unsteady floor.

on days like today, when the

spring fog has melted into my bones,

or when time seems to stop or slow,

I think of my spine as that river

and curl into myself like the letter “c.”

breath floating downstream,

body swaying like the currents of the sea.

That banks the river for which it's named

Rivers are special. These ribbon-like bodies of water cut through topography, shaping and shifting the landscape around them.

rivers begin where they end
if 1 considers rain + jet stream winds
look deeper into grainy sands
the sublimation from the wind-swept lands ever reach sea — Jordan, Sound Furies

My partner and I have always been drawn to rivers and try to live or be near them. We currently reside quite close to the great Hudson River (~500 km long), where we can amble through Riverside Park and enjoy the views. We are so obsessed with rivers that we made a double album as the Sound Furies dedicated to rivers, entitled “Tributaries.” One of my favorite songs from the album is Columbia.

We are not alone in our obsession with all things river. There are many songs inspired by rivers in the archives of rock-n-roll. Al Green just wanted someone to take him to the river. Jimmy Cliff had many rivers to cross. Joni Mitchell longed to have a river to skate away on. Sam Cooke was born by a river. Tina fearlessly rolled on a river (thanks for the original CCR). I could go on and on, but I think you get the point. Rivers mean something to many of us.

It is not just music. There are a plethora of movies about rivers. African Queen, A River Runs Through It, and one of the best movies ever made which spends most of its time on the river, Apocalypse Now. In the movie, the French woman living on the plantation says to Willard (played by Martin Sheen), “Do you know why you can never step into the same river twice?” Willard answers, “Yeah, 'cause it's always moving.” The best scene, though, is the conversation between Willard, who has come to assassinate the unhinged Colonel Kurtz (played by Brando). They converse about the Ohio river and a gardenia plantation.

What was up with all those movies in the 90s about dead bodies being found along river banks — Short Cuts, Stand By Me, A River’s Edge, and of course, David Lynch’s Twin Peaks? We Gen Xers were so demented.

Supposedly, there are 165 major rivers around the world, but no one really knows the real number. The five longest rivers in the world are the Nile, which starts in Uganda and moves north (odd, right?) to Egypt, the Amazon-Ucayali-Apurimac in South America, the Mississippi-Missouri-Red Rock in the U.S., the Yangtze in China, and the Yenisey-Baikal-Selenga in northern Asia. The Nile is the longest, topping out at 6,650 km. The Danube in Europe flows through 10 countries. The Congo River is the deepest. Rivers serve all sorts of purposes. They provide water, food, habitats, transportation, and recreation, to name just a few purposes. Rivers are really important for food. Fish and other aquatic creatures that live in rivers are consumed. Food is traded on and transported by rivers. Food is grown in or around river banks. Water from rivers irrigates crops.

We wrote a paper on the dynamism and multifaceted nature of rivers as food environments (i.e., the place within food systems where people obtain their food) and their role in securing food security, including improved diets and overall health. In the figure below, we showed the elements of multidimensional riverine food environments.

The paper nicely describes why river ecosystems are so critical. “Rivers can be described as nutrient highways across the earth’s surface, transporting sediment and water, sequestering carbon from the atmosphere, and connecting and storing immense biodiversity through aquatic life. The flow and transportation of sediment create environments for cultivation (e.g. rice farming), with river deltas being one of the world’s most agriculturally productive areas. Rivers support approximately 1/3 of all global food production, and an estimated 70% of freshwater from rivers is used for agriculture.”

There are so many challenges with rivers. The first issue is environmental: climate change, environmental degradation, and pollution are vastly changing these waterscapes - altering their composition and flow. The second issue is overfishing and overallocation, meaning the building of dams for electricity, are altering the riverine ecosystems and marine life and creating water shortages and river connectivity, respectively. As for rivers that cut across multiple countries, who governs these waters and decides who can build dams and where? We see those challenges in large rivers such as the Mekong — where China is building dams upstream impacting many Cambodian and Vietnamese living downstream. We also see this with the Nile, in which Ethiopia is building damns to electrify the nation, which could have massive impacts on irrigation systems for Egyptian agriculture. The third issue is that while rivers transport and contain food, they also bring other things, like diseases and unhealthy foods deep into river communities. This New York Times article discusses how the Amazong brought the COVID-19 pandemic into the far reaches of the Amazon forest.

The spread of covid in just a few months during the pandemic along the Amazon waterways. Source: NYT

“The Amazon River is South America’s essential life source, a glittering superhighway that cuts through the continent. It is the central artery in a vast network of tributaries that sustains some 30 million people across eight countries, moving supplies, people and industry deep into forested regions often untouched by road. But once again, in a painful echo of history, it is also bringing disease.”

The Amazon also carries highly processed foods. According to this article, multinational companies like Nestle had river barges that delivered junk foods to isolated communities in the Amazon basin.

There is also the issue of rivers flooding, damaging infrastructure and harming humans and animals in their way. And now, we are experiencing rivers above us — atomospheric rivers — corridors of concentrated water vapor in the atmosphere that wreak havoc. What the hell?!

World WildLife Fund’s solutions for sustainable rivers

I can’t recommend enough the documentary “A River’s Last Chance,” about the Eel River. It delves into the history of how this river has been managed, or lack thereof. The Eel River is in Northern California and has been vulnerable to overfishing of its salmon, logging, floods, droughts, and dams. While the wild salmon population is trying to recover, new cash crops—weed and wine — threaten the salmon once more. It is quite a story of a river struggling to survive.

World Wildlife Fund has a fantastic initiative, Rivers of Food, in which they propose a four-pronged solution towards a more sustainable future for rivers and food security.

Let’s hope rivers can be saved as they provide a vital lifeline for nature, animals, and humans. They are also just so romantic and atmospheric. We used to dwell right near the Tiber when we lived in Rome. It was so magical. The way the early morning light hit the surface of the water, the banks, and the bridges. During the late summer months of the year, the starlings would circle around the Tiber, before settling in for the night in the treetops along the river banks. In Paolo Sorrentino’s La Grande Belleza, the early morning light on the Tiber is captured so beautifully below.

Food Bytes: January 2023 edition

Food Bytes is a monthly blog post of “nibbles” on all things climate, food, nutrition science, policy, and culture.

A little warm-up

Are you doing dry, damp, or wet January? Me, semi-dry…I have a good excuse, though. My lovely partner and I had to celebrate with a bottle of prosecco because I have accepted a full professorship at Columbia University’s new climate school, where I will lead their Food for Humanity initiative. I am sad to leave Johns Hopkins, but alas, change is good. I start in June, so get ready Gotham…

I also quit Twitter after 12 years. Felt good. I should have done it years ago…No toxicity! More time! Less self-promotion!

Let’s get the political stuff out of the way…

Is globalization over? The elite will again meet at the World Economic Forum in Davos, Switzerland, for some strained global discourse. When I say elite, gathering of the world’s 0.001 percent. Every year one asks if Davos has relevance or are these elitists more and more out of touch with what is truly happening in countries and communities. This NYT article on how Davos will confront the new world order says it all:

“The World Economic Forum in Davos, Switzerland, finds itself navigating troubled waters. Long the affluent symbol of a globalizing world where the assumption was that more trade would bring more freedom, it now confronts international fracture, ascendant nationalism and growing protectionism under the shadow of war in Europe and sharp tensions between the United States and China.”

I am sure climate change and food security will be on the agenda, but again much of it will be talking, among the elite few, with little action. As it stands, with the global food security crisis, rich countries have fallen short in providing much-needed assistance with increasing risk of hunger and, for some countries, such as Somalia, starvation. Sci Dev wrote an important piece on global starvation looming and rising food prices (see graph below. It deserves attention.

As the world tenses, doing nothing is not good enough, and flying to Davos in your private jet pontificating about poverty is getting tiresome.

If Davos doesn’t get you depressed enough, take a gander at the World Economic Forum’s global risk report. One word: polycrises.

Let’s confront the scary stuff…

California’s “atmospheric rivers”—these doom terms, I tell ya — yield all kinds of chaos for the Californians. The damage due to these intense storms and flooding is estimated to cost the state 30 billion. It is ironic, though, that droughts are a major issue and all roads point to these torrential storms as not helping, but perhaps they will contribute to the necessary snowpack in the long term. What hasn’t been discussed much in relation to storms is the potential damage to crops. California is a massive horticulture producer in this country, growing nearly half of the fruits, nuts, and vegetables in the United States. California’s agriculture also matters to the world because its products are exported to approximately 200 countries. Why is this such as issue? This is why:

“The rains are critical in breaking the worst drought in the US southwest in 1,200 years. The dryness has hurt crops across California’s Central Valley, one of the world’s largest agriculture economies, put large cities under stress, threatened water supplies for many smaller communities, and contributed to some of the largest and deadliest wildfires in state history. Dwindling flow in the Colorado River bordering California has also put hydroelectric supplies in danger.”

There is some hope, though. According to Civil Eats, farms that practice regenerative agriculture seem to weather the storms through innovation.

Let’s give a shout-out to great science…

The AI DALL-E’s rendering of when I asked for “her?” to draw an abstract painting of the Mediterranean diet.

  • Some colleagues at GAIN and Cornell just published this fantastic review on how animal-source foods—meat, fish, eggs, and dairy—can play an important role globally in ensuring healthy and sustainable diets.

  • Another paper by Amanda Woods and colleagues makes the case for resilience in food systems management and governance.

  • Remember that pesky EAT-Lancet Commission report that came out with a planetary diet (very similar to a Mediterranean diet, in my opinion…so what’s the big deal)? Yah, I am guilty of having been a commissioner. Since its publication in 2019, it has been cited about 6,000 times (no joke), and much science has followed. Take this article showing that 86 nations representing 51% of the global population can secure a nationally sourced EAT-Lancet diet from a land-availability perspective. That leaves 3.7 billion living in countries without enough land to source a planetary health diet. I guess trade is important after all!

  • Loved this Nature piece on the importance of indigenous knowledge for food security. This line. YES. “I am under no illusion about what it will take to achieve true collaboration at scale — both at the individual and systemic level. Yet in my interactions with Indigenous people and local communities, people’s generosity and willingness to work collaboratively has impressed me again and again.”

  • A modeling study published in the Global Food Security Journal from a multi-country collaboration examined the impact of the Ukraine-Russia war on food security. Their model show that food trade would decrease by 60%, wheat prices will increase 50%, and severe food insecurity would increase 30% in 2023. Dire.

  • A study in the Lancet Planetary Health examined 83 Food-based dietary guidelines (FBDGs) for their inclusion of environmental sustainability. Of the 83 they examined, only 37 mention ES and of those, none really emphasize why it is important, and how diets can be made to be more sustainable. My question is, who cares about FBDG? Does anyone follow them?? Yes, I get it, they inform public procurement, but they don’t really help individuals with dietary guidance. If you want a snarky take on the United States guideline, listen to this Maintenance Phase podcast (hands down the best podcast on poking holes in nutrition and dietary science).

Still baking, after all these years…

I am still baking, and it has become a relaxing ritual. This weekend? A castelvetrano olive, rosemary, whole wheat sourdough. My prettiest loaf yet! I followed this recipe more or less.