英國牛津大學神經學博士、前三軍總醫院基隆分院院長、前臺大醫院綜合診療部主治醫師、國防醫學院醫學系副教授、三軍總醫院主治醫師、台灣神經調節學會 常務監事、經濟部「衛生及醫療器材國家標準技術委員會」委員、愛家自然診所院長

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食物是氣候變遷和健康的共同連結

A common link between climate change and healthFood
Vegan Union of Physicians (醫界蔬食聯盟)
July 2014
According to the Fourth Assessment Report of the IPCC on Climate Change(1), the biggest source of global greenhouse gas emission is agriculturefood productionwhich account for more than one-third of all global greenhouse gasGHGemissions(2) (Figure 1), including livestock industry accounted for approximately 18% of human-induced GHG(3). Therefore, the FAO report in 2013 claims that we cannot ignore the potential effect of our daily food for mitigation of climate change(4).
In addition, based on the IPCC report in 2014, the global crop yield may drop 2% every 10 years due to climate change, while global food demand is expected to rise 14% every 10 years because of population growth(5). This shortage of food including water will certainly make the current situation of starvation and malnutrition worse and even cause conflicts within societies and between countries, because hunger breeds discontentment. The effects of food shortage are multiple including health and social impacts (Figure 1).
The relationship between food and health is also multifaceted. Food not only provide nutrition, but also affect our health status through changing intestinal microbiota, modulating gene expression, and influencing common cancers(6), ect. (Figure 1). Healthy food would provide more healthy nutrition (Figure 2) with less harmful ingredients(7,8,9,10), increase good probiotics in the intestine(11,12,13), modulate healthful gene expression (14) including lengthening the telomere(15), prevent and cure chronic diseases(16) and common cancers (Table 1), even stop epidemics of zoonotic diseases (Table 1). Food, thus, is a common link between climate change and health.
Furthermore, the 2010 report by the International Panel for Sustainable Resource Management of the UNEP concludes that the global shift to a vegan diet without meat, egg & milk is necessary to rescue our world from the worst impact of climate change, hunger and energy shortage, because the Western diet containing meat and milk products is not sustainable (17)! In fact, the ecological footprints of plant-based diets are much more sustainable than animal food(18) (Table 2). Convincing evidences have also shown that vegetarian dietary patterns make people living longer and healthy (Table 3). Therefore, plant-based diets are both sustainable and healthful and can be defined as sustainable food.
Sustainable food consumption can reduce greenhouse gas emission to gain more time for our adaptation to climate change. During the era of climate change, people have to make dietary adaptation in order to promote our health while decreasing chronic diseases and cancers which in turn can improve our tolerance to high temperature variability(19), and avoid social conflicts.
As medical professionals, we are duty-bound to need to promote sustainable food, because sustainable food is good for both climate change and human health (Figure 2). After all, healthy living (20) is the best revenge for climate change.

References:
1.     The Fourth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC AR4).
2.     Agriculture and the climate change negotiations: an FAO perspective. Proceedings of the Symposium on Mitigation Greenhouse Gas Emissions from Animal Production. 2009/5.
3.     Food and Agriculture Organization. Livestock’s long shadow–Environmental issues and options. 2006.
5.     The Fifth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC AR5) Climate Change 2014: Impacts, Adaptation, and Vulnerability.
6.     Grant W. A multicountry ecological study of cancer incidence rates in 2008 with respect to various risk-modifying factors. Nutrients 2014;6:163-189.
7.     Zeneng Wang, Elizabeth Klipfell, Brian J. Bennett, et al. Gut flora metabolism of phosphatidylcholine promotes cardiovascular disease. Nature 2011; 472: 57-63.
8.     K. Rak, D. J. Rader. Cardiovascular disease: The diet-microbe morbid union. Nature 2011;472(7341): 40–41.
9.     Koeth RA, Wang Z, Levison BS, et al. Intestinal microbiota metabolism of l-carnitine, a nutrient in red meat, promotes atherosclerosis. Nat Med 2013;19(5): 567-585. doi:10.1038/nm.3145.
10.  Tang WHW, Wang Z, Levison BS, et al. Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk. N Engl J Med 2013;368: 1575-84. doi: 10.1056/NEJMoa1109400
11.  Wu GD, Chen J, Hoffmann C, Bittinger K, Chen YY, Keilbaugh SA,et al. Linking Long-Term Dietary Patterns with Gut Microbial Enterotypes. Science 2011; 334: 106-108.
12.  David LA, Maurice CF, Carmody RN, et al. Diet rapidly and reproducibly alters the human gut microbiome. Nature 2014;505: 559-563. doi:10.1038/nature12820
13.  Kim MS, Hwang SS , Park EJ, Bae JW. Strict vegetarian diet improves the risk factors associated with metabolic diseases by modulating gut microbiota and reducing intestinal inflammation. Environ Microbiol Rep. 2013;5: 765-775.
14.  Ornish D, Magbanua MJM, Weidner G, et al. Changes in prostate gene expression in men undergoing an intensive nutrition and lifestyle intervention. PNAS 2008;105(24): 8369-8374.
15.  Ornish D, Lin J, Chan JM, et al. Effect of comprehensive lifestyle changes on telomerase activity and telomere length in men with biopsy-proven low-risk prostate cancer: 5-year follow-up of a descriptive pilot study. Lancet Oncol. 17 September 2013. doi: 10.1016/S1470-2045(13)70366-8
16.  Esselstyn CB Jr., Gendy G, Doyle J, Golubic M, Roizen MF. A way to reverse CAD? J Fam Pract. 2014;63: 356-364b.
17.  International Panel for Sustainable Resource Management, UNEP. Assessing the environmental impacts of consumption and production Priority Products and Materials. 2010/6  http://www.unep.org/resourcepanel/Portals/24102/PDFs/ PriorityProductsAndMaterials_Report.pdf
18.  Pimentel D, Pimentel M. Sustainability of meat-based and plant-based diets and the environment. Am J Clin Nutr 2003;78: 660s-663S.
19.  Zanobettia A, O’Neillb MS, Gronlundb CJ, & Schwartza JD. Summer temperature variability and long-term survival among elderly people with chronic disease. PNAS 2012. doi:10.1073/pnas.1113070109
20.  Ford ES, Bergmann MM, Kro¨ ger J, Schienkiewitz A, Weikert C, Boeing H. Healthy living is the best revenge: findings from the European Prospective
Investigation Into Cancer and Nutrition-Potsdam study. Arch Intern Med 2009; 169(15): 1355-1362.

選擇永續食物輕鬆化解氣候變遷的危機

陳惟華/愛家自然診所院長、英國牛津大學博士、醫界蔬食聯盟發起人
2013/11/24 東森新聞雲

菲律賓剛經歷了百年來最具毀滅性的超級強颱海燕,造成上萬人死傷慘重;在滿目瘡痍的街道上,屍橫遍野,除了飽受搶匪劫掠之外,失去家園的倖存者如同喪屍般在街頭尋找食物和水。
氣候變遷爆增「糧食危機」
    由於人類排放過多的「人為溫室氣體」導致全球暖化,氣候變遷越來越嚴重。氣候變遷至少造成三種後果:首先,強震、海嘯、颱風、水患或乾旱、嚴寒或熱浪等極端氣候的災難會越來越頻繁,甚至成為常態。其次,一波波感染人類的豬流感、禽流感、新型冠狀病毒和狂犬病等來自動物的疫情沒完沒了,蚊子傳播的疾病如登革熱和瘧疾也在快速蔓延;再者,水資源和糧食的短缺更導致全球有八億人缺水和十億人挨餓的水和糧食的危機。
    根據聯合國2010年國際永續資源管理的研究報告,上述這些危機都與我們日常的「飲食」息息相關。因為牲畜消耗全球74%大豆和34%穀物(這些足以餵飽20億的人口),研究估計畜產業將繼續消耗每年近60%的農作物收成,突顯出畜產業過度依賴農作物而無法永續的情形;並且畜產業又排放了全球18-51%的人為溫室氣體加劇氣候變遷。
    所以,聯合國的研究報告指出,含有肉蛋奶的西方飲食是無法永續的。為了拯救地球免於飢荒、能源匱乏和氣候變遷的最壞衝擊,聯合國公開倡導全球改採無肉魚蛋奶的「純蔬食」(vegan)是必需的!
人口成長加劇「糧食危機」
    根據聯合國2013年公布最新《世界人口展望》報告指出:在未來12年內,全球人口預計將從現有的72億上升至81億,並在2050年達到96億,2100年到110億人。研究警告,依目前人口增加的速度,隨之而來的「糧食危機」與「極端氣候」將更加嚴峻。
由於全球主要作物生產過度集中在五個區域-美國、澳洲、南美洲、俄羅斯歐洲以及越南和泰國,只要這幾個糧倉發生極端氣候,就會造成全球糧荒;例如,2006年澳洲大旱,2010年俄羅斯乾旱,2011年澳洲洪水、歐洲乾旱,2012年美國乾旱。
    因為全世界的糧食儲備量只夠吃53天,而台灣的糧食自給率只有3成,我們的糧食安全堪虞。再加上,世界糧食使用的低效益以及分配的不平均,已經有10%的人處於長期的飢餓狀態,人口成長加上氣候變遷對我們最大的衝擊,就是爆增「糧食危機」。
「永續食物」化解氣候變遷和糧食危機
    基於氣候變遷已經危害到身體健康和生活安全的急迫性,為了留給後代一個能讓子孫盡情揮灑未來璀璨人生的地方-我們唯一的地球,提出「永續食物」(sustainable food) 這個人人都能做到的解決之道。所謂永續食物,就是對「健康」、「子孫」、「地球」和「動物」都友善的飲食。聯合國所倡導的「純蔬食」正符合了這四項原則。因此,呼籲大家每天三餐多選擇「永續食物」,這是你我每個人都可以簡單做到化解氣候變遷和糧食危機的有效方法。
所謂「永續食物」是指:
1 健康友善食物 (health-friendly food),選擇讓我們身心健康又長壽的食物。
2 地球友善食物 (earth-friendly food),選擇排放溫室氣體最少和破壞地球環境較小的食物,化解氣候變遷的危機,讓地球持續長存。
3 子孫友善食物 (offspring-friendly food),選擇消耗地球資源最小和汙染地球較少的食物,留給後代一個物產豐饒、氣候宜人的生存場所。
4 動物友善食物 (animal-friendly food),選擇不傷害動物的食物和用品,化解人類和動物間的緊繃關係,讓萬物和諧相處在一起。

    推廣「永續食物」是謀求改善個人的飲食習慣和改變農畜產業結構的草根運動。人人採取永續食物的結果,不但能促使個人健康,地球永續,緩解氣候變遷的災難,化解全球糧食的危機,而且也能夠恢復人與動物間的和諧,進而共創世界和平。
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