Lancet Planetary Health最新文献

{"title":"Physical activity in context: the systems and inequalities of metabolic harm.","authors":"Alex Broom, Imogen Harper, Jakelin Troy, Louise Baur, Emmanuel Stamatakis","doi":"10.1016/j.lanplh.2025.101323","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101323","url":null,"abstract":"<p><p>Physical inactivity and sedentary lifestyles are now accepted as major contributors to metabolic harm and disorder in the 21st century. These harms are frequently framed as a result of individual choices, with solutions leaning into personal responsibility. There are, however, crucial structural influences on individuals' capacity to engage with so-called lifestyle advice. In particular, the way in which structural environments influence labour, lives, and communities can present several barriers to exercise and physical activity. These pressures, and their consequences, have particular and compounding effects on those who are economically and socially marginalised. When scientific and clinical literature overlooks these structural determinants of lifestyle, the effectiveness of interventions are undermined, or even worse, intervention failure reinforces judgement and isolation, which cements metabolically harmful behaviours. In this Viewpoint, we call for renewed focus on how social structures influence physical activity to characterise the injustices underpinning current metabolic health and harm.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101323"},"PeriodicalIF":21.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How far can neutrality go?","authors":"Oliver Razum, Nataliia Lepska, Maksym Lepskyi, Diego S Silva","doi":"10.1016/j.lanplh.2025.101322","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101322","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101322"},"PeriodicalIF":21.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toxic trade: shipbreaking in South Asia.","authors":"Udani Samarasekera","doi":"10.1016/j.lanplh.2025.101333","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101333","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101333"},"PeriodicalIF":21.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of ambient exposure to benzene, toluene, ethylbenzene, and xylene with daily mortality: a multicountry time-series study in 757 global locations.","authors":"Lu Zhou, Ying Xiong, Francesco Sera, Ana Maria Vicedo-Cabrera, Rosana Abrutzky, Yuming Guo, Shilu Tong, Micheline de Sousa Zanotti Stagliorio Coelho, Paulo Hilario Nascimento Saldiva, Eric Lavigne, Patricia Matus Correa, Nicolás Valdés Ortega, Samuel Osorio, Dominic Roye, Jan Kyselý, Hans Orru, Marek Maasikmets, Jouni J K Jaakkola, Niilo Ryti, Mathilde Pascal, Veronika Huber, Susanne Breitner-Busch, Alexandra Schneider, Klea Katsouyanni, Evangelia Samoli, Alireza Entezari, Fatemeh Mayvaneh, Patrick Goodman, Ariana Zeka, Raanan Raz, Matteo Scortichini, Massimo Stafoggia, Yasushi Honda, Masahiro Hashizume, Chris Fook Sheng Ng, Barrak Alahmad, Magali Hurtado Diaz, Eunice Elizabeth Félix Arellano, Ala Overcenco, Jochem Klompmaker, Shilpa Rao, Gabriel Carrasco, Xerxes Seposo, Paul Lester Carlos Chua, Susana das Neves Pereira da Silva, Joana Madureira, Iulian-Horia Holobaca, Noah Scovronick, Rebecca M Garland, Ho Kim, Whanhee Lee, Aurelio Tobias, Carmen Íñiguez, Bertil Forsberg, Martina S Ragettli, Yue Leon Guo, Shih-Chun Pan, Shanshan Li, Pierre Masselot, Valentina Colistro, Michelle Bell, Antonella Zanobetti, Joel Schwartz, Tran Ngoc Dang, Do Van Dung, Antonio Gasparrini, Yaoxian Huang, Haidong Kan","doi":"10.1016/j.lanplh.2025.101306","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101306","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The presence of benzene, toluene, ethylbenzene, and xylene isomers (BTEX) in the environment is of increasing concern due to their toxicity and ubiquity. Although the adverse health effects of BTEX exposure have been documented, robust epidemiological evidence from large-scale, multicountry studies using advanced exposure assessment methodologies remains scarce. We aimed to assess the association of short-term ambient exposure to individual BTEX components and their mixture with daily total, cardiovascular, and respiratory mortality on a global scale.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Daily data on mortality, meteorological factors, and air pollution were collected from 757 locations across 46 countries or regions. Data on individual chemicals (ie, benzene, toluene, xylenes [summation of ethylbenzene, m-xylene, p-xylene, and o-xylene]) and the aggregate mixture (ie, BTEX) were estimated using a chemistry-climate model. We examined the short-term associations of each individual chemical as well as the BTEX mixture with daily total, cardiovascular, and respiratory mortality in a multicountry framework. Using a two-stage time-series design, we first applied generalised additive models with a quasi-Poisson distribution to obtain location-specific associations, which were subsequently pooled using random-effects meta-analysis. Two-pollutant models were used to assess the independent effects of BTEX after adjusting for co-pollutants (PM&lt;sub&gt;2·5&lt;/sub&gt;, PM&lt;sub&gt;10&lt;/sub&gt;, nitrogen dioxide, sulphur dioxide, ozone, and carbon monoxide). Additionally, we assessed the overall exposure-response curves with spline terms.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;An IQR increment of BTEX concentration on lag 0-2 days (3-day moving average of the present day and the previous 2 days) was associated with increases of 0·57% (95% CI 0·49-0·65), 0·42% (0·30-0·54), and 0·68% (0·50-0·86) in total, cardiovascular, and respiratory mortality, respectively. The corresponding effect estimates for an IQR increment in individual chemicals (benzene, toluene, and xylenes) were 0·38-0·61%, 0·44-0·70%, and 0·41-0·65%, respectively. The associations remained significant after adjusting for co-pollutants, with a general decline in magnitude, except for a slight increase after adjustment for ozone. The shape of the exposure-response curves for all pollutants and causes of death was almost linear, with steeper slopes at low concentrations and no discernible thresholds.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Interpretation: &lt;/strong&gt;This global study provides novel evidence linking short-term exposure to ambient BTEX, both individually and as a mixture, with increased daily total, cardiovascular, and respiratory mortality. Our findings underscore the need for comprehensive air pollution mitigation policies, including stringent controls on BTEX emissions, to protect public health.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Funding: &lt;/strong&gt;Noncommunicable Chronic Diseases-National Science and Technology Major Project, ","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101306"},"PeriodicalIF":21.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The health, environmental, and cost implications of providing healthy and sustainable school meals for every child by 2030: a global modelling study.","authors":"Marco Springmann, Manasi P Hansoge, Linda Schulz, Silvia Pastorino, Donald A P Bundy","doi":"10.1016/j.lanplh.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.06.002","url":null,"abstract":"<p><strong>Background: </strong>School meal programmes are thought to improve dietary behaviour in children, with benefits sustained throughout the life course, making them important catalysts for wider food-system change. However, only one in five children globally currently receives school meals. We estimated the potential effects of extending school meal coverage to all children by 2030 for dietary health; the environmental effects related to diets; and the costs of diets at global, regional, and national levels.</p><p><strong>Methods: </strong>We conducted health, environmental, and cost assessments of future scenarios of school meal coverage, meal frequency, meal composition, and food wastage. In the health assessment, we used statistical methods and a comparative risk assessment to estimate short-term changes in undernourishment and long-term changes in dietary risks and mortality. In the environmental assessment, we used food-related environmental footprints to analyse how changes in dietary composition and food waste affect greenhouse gas emissions, land use, and freshwater use. In the cost assessment, we used an international dataset of food prices to estimate changes in diet costs, and we used estimates of the social cost of carbon and the costs of illness to estimate changes in the costs of climate-change damages and in health-related costs.</p><p><strong>Findings: </strong>Extending school meal programmes to all children globally by 2030 could be associated with substantial health and environmental benefits globally and in each country. In the model assessments, the prevalence of undernourishment in food-insecure populations was reduced by a quarter due to having an additional meal at school; more than 1 million cases of non-communicable diseases were prevented globally per year if dietary habits were partly sustained into adulthood; and food-related environmental effects were halved if meal composition adhered to recommendations for healthy and sustainable diets and food waste was reduced. Increasing school meal coverage incurred additional meal-related costs that ranged from 0·1% of gross domestic product (GDP) in high-income countries to 1·0% of GDP in low-income countries. Reductions in the external costs of climate-change damages and the costs of illness compensated for the costs of providing meals in line with health and sustainable diets.</p><p><strong>Interpretation: </strong>Universal school meal coverage could make important contributions to improving children's health, the food security of their families, and the sustainability of food systems. However, dedicated policy and financial support will be required to close the gap in school meal coverage, especially in low-income countries.</p><p><strong>Funding: </strong>Research Consortium for School Health and Nutrition.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101278"},"PeriodicalIF":21.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Priority climate and health modelling needs.","authors":"Kristie L Ebi, Peng Bi, Kathryn Bowen, Michael Brauer, Paul L C Chua, Felipe J Colón-González, Asya Dimitrova, Antonio Gasparrini, Nelson Gouveia, Shakoor Hajat, Ian Hamilton, Sherilee Harper, Tomoko Hasegawa, Masahiro Hashizume, Clare Heaviside, Yasushi Honda, Carole Green, Chris Jack, Ho Kim, Patrick Kinney, Brama Kone, Sari Kovats, Simon J Lloyd, Andrew P Morse, Nicholas H Ogden, Shlomit Paz, Jeff Price, Sadie J Ryan, Jan C Semenza, Timothy Sheehan, Rachael Taylor, Bas van Ruijven, Ana Maria Vicedo-Cabrera, Rachel Warren, Ben Zaitchik, Jeremy J Hess","doi":"10.1016/j.lanplh.2025.101297","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101297","url":null,"abstract":"<p><p>Climate and health modelling is necessary for improving understanding of the current and future distribution and timing of climate-related health risks. However, underinvestment in this area has limited the understanding required to inform policies that enable multisectoral interventions to safeguard health. We synthesised insights from a survey of 65 global climate and health modelling experts and 36 participants in a hybrid meeting to identify priority strategies for enhancing the validity, utility, and policy relevance of climate and health models. Foundational investments to support modelling included strengthening research capacity, establishing a network of multinational centres of excellence for transdisciplinary research and capacity building, improving data collection and sharing infrastructure, investing in scenario development and quantitative elaboration, assessing adaptation effectiveness, and committing to intermodel comparisons and interdisciplinary modelling activities. Specific recommendations included updating the 2014 WHO Quantitative Risk Assessment to cover a wider range of causal pathways and health endpoints, using interdisciplinary methods that facilitate model intercomparisons. Additional recommendations included supporting modelling of a broader set of climate-health outcomes, developing models to support early warning systems and investments in their implementation, evaluation, and maintenance, and improving health system capacity for modelling in low-resource settings.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101297"},"PeriodicalIF":21.6,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rift Valley fever epidemiology: shifting the paradigm and rethinking research priorities.","authors":"Melinda K Rostal, Peter N Thompson, Assaf Anyamba, Bernard Bett, Catherine Cêtre-Sossah, Véronique Chevalier, Milehna Guarido, William B Karesh, Alan Kemp, A Desiree LaBeaud, Alison Lubisi, Louise Matthews, Veerle Msimang, M Kariuki Njenga, Noam Ross, Dan Tumusiime, William C Wilson, Jacqueline Weyer, Janusz T Paweska, Robert Swanepoel","doi":"10.1016/j.lanplh.2025.101299","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101299","url":null,"abstract":"<p><p>Rift Valley fever (RVF), a zoonotic mosquito-borne viral disease with erratic occurrence and complex epidemiology, results in substantial costs to veterinary and public health and national economies. Since 1985, RVF virus (RVFV) epidemiology has focused on epidemics triggered by flood-induced emergence of transovarially infected mosquitoes, following an interepidemic period during which RVFV persists primarily in floodwater Aedes spp mosquito eggs, with potential for low-level interepidemic circulation. In this Personal View, we challenge this classic framework of RVFV epidemiology, presenting instead a spectrum of RVFV dynamics ranging from epidemic to hyperendemic. We present the case for RVFV being maintained in a variable reservoir system of livestock, wildlife, and mosquitoes, with or without transovarial transmission. We highlight that sufficient evidence supports a shift in the paradigm of RVF epidemiology to embrace a more nuanced understanding of the spectrum of RVFV dynamics and call for more research into understanding the drivers of RVFV dynamics in hyperendemic areas.</p>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101299"},"PeriodicalIF":21.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The dismantling of climate disaster preparedness in the USA: Following the devastating flash floods that hit Texas on July 4-7, 2025, many experts have expressed concerns that budget cuts by the Trump administration exacerbated the crisis. These fears are not unfounded as a systematic dismantling of climate disaster preparedness infrastructure is apparent in new White House policies.","authors":"Cahal McQuillan","doi":"10.1016/j.lanplh.2025.101316","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101316","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101316"},"PeriodicalIF":21.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to Lancet Planet Health 2025; 9: 101273.","authors":"","doi":"10.1016/j.lanplh.2025.101319","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101319","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101319"},"PeriodicalIF":21.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Whose descent? Whose design?","authors":"Jeadran N Malagón-Rojas","doi":"10.1016/j.lanplh.2025.101313","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101313","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101313"},"PeriodicalIF":21.6,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}