Life expectancy and agricultural environmental impacts in Addis Ababa can be improved through optimized plant and animal protein consumption

Climate-friendly and nutrition-sensitive interventions can close the global dietary nutrient gap while reducing GHG emissions

Sustainable food systems require malnutrition and climate change to be addressed in parallel. Here, we estimate the non-CO2 greenhouse gas emissions resulting from closing the world's dietary nutrient gap-that between country-level nutrient supply and population requirements-for energy, protein, iron, zinc, vitamin A, vitamin B12 and folate under five climate-friendly intervention scenarios in 2030. We show that improving crop and livestock productivity and halving food loss and waste can close the nutrient gap with up to 42% lower emissions (3.03 Gt CO2eq yr-1) compared with business-as-usual supply patterns with a persistent nutrient gap (5.48 Gt CO2eq yr-1). Increased production and trade of vegetables, eggs, and roots and tubers can close the nutrient gap with the lowest emissions in most countries-with ≤23% increase in total caloric production required for 2030 relative to 2015. We conclude that the world's nutrient gap could be closed without exceeding global climate targets and without drastic changes to national food baskets.

Associations of percentage energy intake from total, animal and plant protein with overweight/obesity and underweight among adults in Addis Ababa, Ethiopia

OBJECTIVE

This study investigated associations between types and food sources of protein with overweight/obesity and underweight in Ethiopia.

DESIGN

We conducted a cross-sectional dietary survey using a non-quantitative FFQ. Linear regression models were used to assess associations between percentage energy intake from total, animal and plant protein and BMI. Logistic regression models were used to examine the associations of percentage energy intake from total, animal and plant protein and specific protein food sources with underweight and overweight/obesity.

SETTING

Addis Ababa, Ethiopia.

PARTICIPANTS

1624 Ethiopian adults (992 women and 632 men) aged 18-49 years in selected households sampled using multi-stage random sampling from five sub-cities of Addis Ababa.

RESULTS

Of the surveyed adults, 31 % were overweight or obese. The majority of energy intake was from carbohydrate with only 3 % from animal protein. In multivariable-adjusted linear models, BMI was not associated with percentage energy from total, plant or animal protein. Total and animal protein intake were both associated with lower odds of overweight/obesity (OR per 1 % energy increment of total protein 0·92; 95 % CI: 0·86, 0·99; P = 0·02; OR per 1 % energy increment of animal protein 0·89; 95 % CI: 0·82, 0·96; P = 0·004) when substituted for carbohydrate and adjusted for socio-demographic covariates.

CONCLUSION

Increasing proportion of energy intake from total protein or animal protein in place of carbohydrate could be a strategy to address overweight and obesity in Addis Ababa; longitudinal studies are needed to further examine this potential association.