Acting in the Anthropocene: the EAT–Lancet Commission

Expanding waistlines are a problem not just for dietitians and population health specialists but, increasingly, for Earth system scientists too. The waistlines belong largely to the growing global middle class. The world is undergoing a dramatic nutrition transition to western diets. Wealth, industrialisation, and rapid urbanisation are driving a surge in resource-intensive meat and dairy products and ultra-processed foods. This dietary shift is the main cause of an exponential rise in obesity and non-communicable diseases (NCDs).