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Abstract Dietary-related risks rank top among all the health risks in many countries. The 2nd United Nations Sustainable Development Goal aims to end hunger, achieve food security and improved nutrition and promote sustainable agriculture. Yet whether improving nutritional quality also benefits the environment is still under-explored, particularly for developing countries. China is an interesting and important case because of its rapidly changing dietary patterns distinct from the western countries studied in the literature, sub-national level heterogeneity, socio-economic characteristics and lifestyles, as well as its considerable population. This paper evaluates greenhouse gas (GHG) emissions, water consumption, and land appropriation resulting from shifting the Chinese population to healthy diets. We quantify the environmental impacts of individual diets using the latest available data of China Health and Nutrition Survey (2011), and compare them with the environmental impacts of suggested healthy dietary patterns in accordance with the 2016 Chinese Dietary Guidelines. If all Chinese would follow healthy diets rather than their current diets revealed in the survey, GHG emissions, water consumption, and land occupation would increase by 7.5% (63.9 Mt CO 2 e annually), 53.5% (510 billion m3), and 54.2% (1256 billion m2), respectively. Urban and high-income groups have higher diet-related environmental impacts but could achieve less additional environmental impacts when moving to healthier diets. These findings indicate an expense of increased GHG emissions, and consumption of water and land resources in improving health. They also highlight the need to focus on the effects of improved economic conditions and urbanization in reconciling environmental impacts and human nutritional adequacy. Highlights • Shifting to healthy diets in China leads to 7.5% lower GHG emissions. • Water consumption and land use increase by 53.5% and 54.2% because of the shift. • Urban dwellers and high-income groups deliver larger reductions in GHG emissions. • Increase of water consumption and land use is also smaller for these groups. [ABSTRACT FROM AUTHOR]

Abstract: Water is a critical issue in China for a variety of reasons. China is poor of water resources with 2300m3 of per capita availability, which is less than of the world average. This is exacerbated by regional differences; e.g. North China''s water availability is only about 271m3 of per capita value, which is only of the world''s average. Furthermore, pollution contributes to water scarcity and is a major source for diseases, particularly for the poor. The Ministry of Hydrology [1997. China''s Regional Water Bullets. Water Resource and Hydro-power Publishing House, Beijing, China] reports that about 65–80% of rivers in North China no longer support any economic activities. Previous studies have emphasized the amount of water withdrawn but rarely take water quality into consideration. The quality of the return flows usually changes; the water quality being lower than the water flows that entered the production process initially. It is especially important to measure the impacts of wastewater to the hydro-ecosystem. Thus, water consumption should not only account for the amount of water inputs but also the amount of water contaminated in the hydro-ecosystem by the discharged wastewater. In this paper we present a new accounting and analytical approach based on economic input–output modelling combined with a mass balanced hydrological model that links interactions in the economic system with interactions in the hydrological system. We thus follow the tradition of integrated economic–ecologic input–output modelling. Our hydro-economic accounting framework and analysis tool allows tracking water consumption on the input side, water pollution leaving the economic system and water flows passing through the hydrological system thus enabling us to deal with water resources of different qualities. Following this method, the results illustrate that North China requires 96% of its annual available water, including both water inputs for the economy and contaminated water that is ineligible for any uses. [Copyright &y& Elsevier]