Planet Health A two-year school-based health behavior intervention designed to reduce obesity among students in grades 6-8 by increasing energy expenditure while promoting key dietary behaviors. This is an Open Access article under the CC BY NC-ND 4.0 license. Massachusetts Department of Public Health and Blue Cross Blue Shield of Massachusetts disseminated Planet Health as part of the 3-year, Healthy Choices obesity prevention program in middle schools. Gas stoves and ovens leak significant amounts of planet-warming methane whether they are on or off. The percentage of children who are obese has doubled or even tripled in some countries over the past few decades (1). We searched five databases from inception up to July 25, 2021. Childhood obesity. We have a variety of tools, resources, and curricula within these topic areas. Additional details about Planet Health have been described previously (11). For technical In addition, prior research has found that many school teachers, like adults in general, hold stigmatizing attitudes toward obesity, and physical education and health teachers in particular are themselves at elevated risk of eating disorder symptoms and behaviors compared with other teachers (29,30). The World Journal of Biological Psychiatry , 2021; 1 DOI: 10.1080/15622975.2021.1938670 Cite This Page : 2018 Oct;2(10):e451-e461. 2023 Jan 1;15(1):215. doi: 10.3390/nu15010215. In 2019, a consortium of 37 nutritionists, ecologists and other experts from 16 countries the EAT-Lancet Commission on Food, Planet, Health released a report 4 that called for a broad . Austin SB, Spadano-Gasbarro J, Greaney ML, Richmond TK, Feldman HA, Osganian SK, et al. Han JC, Lawlor DA, Kimm SYS. Planetary health goes beyond seeking equal access to health care. The Institutional Review Board of HSPH approved the evaluation study with passive parental consent and adolescent assent at survey administration. While it will still take some time for the ozone hole to recover, if countries hadn't acted to ban ozone-destroying substances, the situation could have been much worse. The curriculum is publicly available at low cost ($59; www.planet-health.org/). Life expectancy is up. Global governance for pandemic prevention and the wildlife trade, Climate anxiety in children and young people and their beliefs about government responses to climate change: a global survey, The Lancet Regional Health Southeast Asia, The Lancet Regional Health Western Pacific, Statement on offensive historical content. Cradock AL, Wiecha JL, Peterson KE, Sobol AM, Colditz GA, Gortmaker SL. Carter J, Wiecha JL, Peterson KE, Nobrega S, Gortmaker SL. Where did the diet come from? Only one answer is correct for each We conducted an evaluation in 45 schools from fall 2005 to spring 2008. jaelen_buxtonpunch. score) and earn continuing medical education (CME) credit, please go to Health Educ Res 2006;21(6):77082. multiple-choice questions. Treasure J, Claudino AM, Zucker N. Eating disorders. Graduate Medical Education Office Jackson Memorial Hospital Institute 118B 1611 NW 12th Avenue, Miami, Florida 33136 Phone: (305) 585-4310 Fax: (305) 585-4309. Planet health was founded in 2001 by Rohit Patel. While we are the significant force behind much of the change to Earth's systems, those effects can come back and impact us through our health and changing environmental conditions that we must adapt to. Does climate change threaten human right to health? Climate anxiety and dissatisfaction with government responses are widespread in children and young people in countries across the world and impact their daily functioning. You may opt-out by. Black infant mortality in Detroit reached a historic low in 2019 at 12.2 per 1,000 live births. Nature prescriptions are gaining popularity as a form of social prescribing in support of sustainable health care. This amount of forest clearing generates nearly 20 percent of greenhouse gas emissions, according to the WWF (formerly the World Wildlife Fund). This circle of impacts is exemplified by the shifting ecology of Lyme disease. The concept of public health notes the correlations and connections among people, that peoples exposures to environmental contaminants occur in groups, that occupational hazards are a feature of how we organize and regulate society, and that the transmission of infectious diseases can be interrupted. The content on this site is intended for healthcare professionals. This research was supported by the Ellen Feldberg Gordon Fund for Eating Disorders Research and the Massachusetts Department of Public Health in collaboration with the International Nutrition Foundation, Inc. Additional funding for this project was provided by cooperative agreement no. It's essential to life as we know it, and though the planet's surface is two-thirds water, pollution is making it unsuitable for the humans who drink it and the animals that live in it. We conducted multivariate logistic analyses with generalized estimating equations to examine the association of Planet Health implementation measures with the odds of students reporting DWCB at Year 3 follow-up. In 2015, scientists from the Johns Hopkins Arthritis Center collected data from 100 patients with rheumatoid arthritis and 40 healthy controls. official website and that any information you provide is encrypted For months the group has called on the city to force Wikol to clean up the site that they argue posed a health threat to nearby residents. This report was prepared by EAT and is an adapted summary of the Commission Food in The Anthropocene: the EAT-Lancet Commission on Healthy Diets From Sustainable Food Systems. Read the current issue of The Lancet Planetary Health, a monthly open access journal publishing content on planetary health, environment, sustainable development, and the SDGs . We hypothesized that higher fidelity of implementation would be associated with lower odds of DWCB after the intervention. PMC An official website of the United States government. It emphasizes a plant-forward diet where whole grains, fruits, vegetables, nuts and legumes comprise a greater proportion of foods consumed. Washington (DC): National Academy of Sciences; 2006. The importance of protein variety in a higher quality and lower environmental impact dietary pattern. A perceived failure by governments to respond to the climate crisis is associated with increased distress. In the oceans, sharks, whales, dolphins and some species of fish are also hurting. Dieting and smoking initiation in early adolescent girls and boys: a prospective study. The World's Leading Vegan Media Platform Plant Based NewsThe World's Leading Vegan Media Platform Support Us Support Us Support Plant Based News Support Us View All Opinion Piece The Long Read Opinion 2018 Aug;2(8):e344-e352. Planet Health provides: Planet Health is designed to fit within existing curricula and meets Massachusetts Department of Education Curriculum Frameworks and national learning standards for math, science, language arts, social studies, comprehensive health, and physical education. Lancet 2010;375(9714):58393. There is an urgent need for further research into the emotional impact of climate change on children and young people and for governments to validate their distress by taking urgent action on climate change. Note that because data were anonymous, models did not estimate change in individuals DWCB from baseline to follow-up and were based on 2 sequential cross-sectional samples with substantially but not entirely overlapping samples. Child mortality is down. doi: 10.1016/S2542-5196(18)30260-2. Springmann M, Spajic L, Clark MA, Poore J, Herforth A, Webb P, Rayner M, Scarborough P. BMJ. Neumark-Sztainer DR, Friend SE, Flattum CF, Hannan PJ, Story MT, Bauer KW, et al. Rabin BA, Brownson RC, Kerner JF, Glasgow RE. Effective public health practice requires that programs be evaluated continuously throughout the process of translation from RCT to dissemination (18,21). For more information about this message, please visit this page: CDC 24/7: Saving Lives. information on this award, please refer to First store in February 1997 in Anna nagar. Five U.S. Dietary Patterns and Their Relationship to Land Use, Water Use, and Greenhouse Gas Emissions: Implications for Future Food Security. 59 terms. For questions regarding the content of To obtain credit, you should first read the journal article. Polar bears were placed on the Endangered Species List last year, which means they will have protection under the Endangered Species Act. Such healthy lifestyle habits can help prevent overweight, and if sustained, can lower risk factors for diabetes, cardiovascular disease, certain types of cancer, and osteoporosis. With world leaders gathering at a U.N. summit in Copenhagen to brainstorm ways to quash increasing temperatures and hold back rising seas, LiveScience takes a look at the state of Earth's ecosystems and its inhabitants from polar bears to us. doi: 10.1136/bmj.m2322. Massachusetts Department of Elementary and Secondary Education. Champaign (IL): Human Kinetics; 2007. In a separate process evaluation of HC, school staff sometimes found it difficult to ensure that teachers received training in the Planet Health curriculum even though training was offered both in person and online (ML Greaney, CK Hardwick, JL Spadano-Gasbarro, S Mezgebu, CM Horan, S Schlotterbeck, et al, unpublished data). Prev Chronic Dis 2012;9:120111. Planetary health explores how human-caused perturbations of natural systems influence human health. American The percentage of students reporting DWCB ranged from 0.9% to 12.0% at baseline and from 0% to 14.0% at Year 3 follow-up, but the mean percentage reporting DWCB across the schools did not differ from baseline to follow-up (4.2% vs 4.6%; P > .05). doi: 10.1016/S2542-5196(18)30167-. . Disclosure: Caran Wilbanks Mon 27 Mar 2023 01.00 EDT. Meet Eli Newell '24, an undergraduate in global development who seeks to boost environmental health by using a key ingredient that is readily available - urine. A central component of the program was the Planet Health curriculum, which was designed to meet academic curricular guidelines of the school system. Lancet Planet Health. The second edition of Planet Health includes revised nutrition and physical activity information, ensuring that youre equipped with the most up-to-date science. Results For years now, so-called oceanic dead zones pockets of the sea where oxygen is so depleted that many fish, crustaceans and other aquatic species can't survive, such as in the Gulf of Mexico have been a growing concern. Once, it was common to think about health only in an individualistic way, as a persons absence of illness. Green LW. Further study of Planet Health and HC is needed to identify why some activities appear to be protective when implemented under real-world conditions while others are not and to identify what level and types of teacher training are required to achieve protective effects. In 2007, the world population passed the 6 billion mark. The impact of a school-based obesity prevention trial on disordered weight-control behaviors in early adolescent girls. The EAT- Lancet Commission addresses the need to feed a growing global population a healthy diet while also defining sustainable food systems that will minimise damage to our planet. On land, the actual rainforests aren't fairing much better, thanks in large part to deforestation. She also holds an affiliate appointment with the Nelson Institute for Environmental Studies. Charles P. Vega, MD, Health Sciences Clinical Professor; Residency Director, Department of Family Medicine, University of California, Irvine. portal provides access to data and resources that can help planners, program staff, and researchers to design, implement, and evaluate evidence-based cancer control programs. Poverty is down. In the fully adjusted model, for each additional 100 student lesson-exposures to Planet Health lessons on reducing television viewing, a students odds of DWCB at follow-up were reduced by 20% (Table 3). The https:// ensures that you are connecting to the The Planetary Health Alliance is excited to announce the upcoming publication of Planetary Health: Protecting Nature to Protect Ourselves, co-edited by Dr. Samuel Myers and Dr. Howard Frumkin, in mid-August 2020.Together with Planetary Health Case Studies: An Anthology of Solutions, these two resources are designed to complement one another through corresponding learning themes, objectives . The healthiness and sustainability of national and global food based dietary guidelines: modelling study. He had done his post graduate with marketing specialization. Dr. Hausmann is a social psychologist who conducts multidisciplinary research and quality improvement projects focused on identifying, understanding, and reducing disparities in health and health care for vulnerable patient populations. Jan 2007 - Oct 20103 years 10 months. Embracing a plant-based diet Focusing on whole foods from plant sources can reduce body weight, blood pressure and risk of heart disease, cancer and diabetes and it can make your environmental impact more sustainable. We assessed other HC components via the Year 2 progress reports. The RCT study design has the benefit of evaluating the preventive program effects under ideal conditions where investigators exercise a great deal of control over implementation. The Lancet Planetary Health FEATURE "Beyond being a genuine milestone for ocean conservation the High Seas Treaty is declared as a victory for multilateralism." Read more Image Submit Alerts About Current issue April 2023 Volume 7Issue 4 Table of contents View archive Review http://www.medscape.org/journal/pcd. U58/CCU12282 with the Centers for Disease Control and Prevention. Evidence-based nutrition policy is a key mechanism to promote planetary health. Yager Z, ODea J. eCollection 2022. Watch 1st aerial footage of gigantic, breakaway Antarctic iceberg the size of Los Angeles, 17-pound meteorite found in Antarctica, likely hidden for millennia, is perfectly intact, 52 million-year-old bat skeleton is the oldest ever found and belongs to a never-before-seen species. Successful translation of preventive programs from the RCT phase of research to large-scale public health initiatives requires continued evaluation throughout the dissemination process (18,21). Glasgow RE, Lichtenstein E, Marcus AC. following statements regarding this program is most accurate? 2022 Oct 10;25(12):1-6. doi: 10.1017/S1368980022002221. School/district profiles. It has been demonstrated to reduce obesity but not disordered weight control behaviors (DWCB), It has been demonstrated to reduce DWCB but not obesity, The program has only been used in suburban and affluent schools, The curriculum is available for less than $60. A 2007 study found that this stressor alone could make most current coral habitats too acidic for reef growth by 2050. Effect of the Planet Health Intervention on Eating Disorder Symptoms in Massachusetts Middle Schools, 20052008. The economic effect of Planet Health on preventing bulimia nervosa. Disordered weight control behavior (DWCB), such as self-induced vomiting or abuse of laxatives or diet pills for weight control, and clinical and subclinical eating disorders are also recognized as international public health concerns (2). Under the mentorship of Rebecca Nelson, professor in the Department of Global Development and School of Integrative Plant Science, Eli's work revolves around a growing field of research: circular bionutrient economy. In 2004, the Massachusetts Department of Public Health (MDPH) and Blue Cross Blue Shield of Massachusetts collaborated to disseminate the Planet Health curriculum via Healthy Choices (HC), a multicomponent intervention designed to prevent obesity in middle-school students (25,26). While much of her work has focused on issues of discrimination and bias in the . As the combination of two words that individually are common enough, the phrase must have been used idiosyncratically by numerous environmentalists, health advocates, politicians and others over the years. e270. Planetary health goes beyond interrupting the spillover of pathogens from animals to people and vice versa. Copyright 2023 Elsevier Inc. except certain content provided by third parties. The study investigated whether so-called high quality masks such as N95, KN95 and FFP2 coverings helped protect . All other clinicians completing this activity will be issued a certificate of participation. James Webb Space Telescope discovers oldest black hole in the universe a cosmic monster 10 million times heavier than the sun, Alan Turing's famous mathematical model was right all along, chia seed experiment reveals. Environmental Impact of Two Plant-Based, Isocaloric and Isoproteic Diets: The Vegan Diet vs. the Mediterranean Diet. registered on Medscape.org, please click on the Register link on the right 2023 Feb 21;20(5):3797. doi: 10.3390/ijerph20053797. Correction to Lancet Planet Health . Therefore, our study was undertaken to evaluate the effect of Planet Health on DWCB when widely disseminated to middle schools. The goals of HC were to prevent obesity in middle-school students through decreased television viewing and improved nutrition and physical activity. 10. Lesson 19: Pass the Sugar. Wang LY, Yang Q, Lowry R, Wechsler H. Economic analysis of a school-based obesity prevention program. Youth recall and TriTrac accelerometer estimates of physical activity levels. Disclosures: S. Bryn Austin, ScD; Jennifer L. Spadano-Gasbarro, PhD; Mary L. Greaney, PhD; Information was not available on idiosyncratic implementation styles of individual teachers; for instance, some teachers who themselves hold unhealthy beliefs about food, weight, and weight control may have conveyed these beliefs to students while teaching Planet Health lessons (29,30). . Am J Prev Med 2010;39(5):42132. One verdant sign: Fewer trees were cut down in the Brazilian Amazon this year than since record-keeping began in 2000, according to the WWF. Asia and Africa have seen rising rates of deforestation. Diffusion of an integrated health education program in an urban school system: Planet Health. Careers. Am J Prev Med 2006;31(4, Suppl):S2434. This year, the U.S. Environmental Protection Agency formally declared that carbon dioxide and five other heat-trapping gases are pollutants under the Clean Air Act, paving the way for regulations of emissions. From research to best practices in other settings and populations. Health Educ Res 2010;25(5):84152. Diffusion of an integrated health education program in an urban school system: Planet Health. Unable to load your collection due to an error, Unable to load your delegates due to an error. Disclaimer. Atlanta (GA): Centers for Disease Control and Prevention; 2011. http://apps.nccd.cdc.gov/YouthOnline/App/Default.aspx. Health Educ Res 2009;24(3):47282. The .gov means its official. Explore now! Medscape, LLC is pleased to provide online continuing medical education (CME) for this journal article, allowing clinicians the opportunity to earn CME credit. For five of the six impacts, the VEG pattern had 42-84% lower burdens than both the US and MED patterns. J Nutr. That is, planetary health as a thing is the outcome of a collaboration between The Rockefeller Foundation, one of the largest philanthropic foundations in the world, with its emphasis on health, equity, and climate change, and The Lancet, one of the worlds premier medical journals. We used publicly available data from the National Center for Education Statistics to obtain socioeconomic information about each school (http://nces.ed.gov/datatools/index.asp?DataToolSectionID=4). Owen N, Glanz K, Sallis JF, Kelder SH. Even so, the Amazon did lose swaths of forest, just not as much. Variability in implementation fidelity can lead to different results than those found with RCTs. Correction to Lancet Planet Health 2018; 2: e344-52. Authored by Paul Joseph Watson via Summit News, A report published by the UK Health Security Agency (UKHSA) found that "no evidence could be presented" to prove medical-grade face masks protected vulnerable people from COVID. It is a call to mobilize, say the authors who . Students in schools reaching a high number of youth with Planet Health lessons on reducing television viewing had lower odds of DWCB at follow-up (odds ratio [OR], 0.80 per 100 lesson-exposures; 95% confidence interval [CI], 0.740.85). Health and nutritional aspects of sustainable diet strategies and their association with environmental impacts: a global modelling analysis with country-level detail. Prev Med 1986;15(5):45174. Once preventive programs are shown to be beneficial in RCTs, first through efficacy trials and then through effectiveness trials, the next step is to move a program to scale (18,19). Here are 10 signs of how well (and not-so-well) our planet is doing. With public health, well-being became a collective enterprise. All covariates included in models were school characteristics assessed at baseline. Mars is also home to the Mars Global Food Safety Center (GFSC), a state-of-the-art research and training facility that generates science and technology insights that aim to raise the bar on food safety. The Planet Health efficacy trial found decreased television viewing was the strongest mediator of intervention effects on obesity (11). Another program, Planet Health, an obesity prevention curriculum for middle schools, had preventive effects on both obesity and DWCB (911). It's been more than 20 years since scientists discovered the gaping hole in the ozone layer, which normally protects Earth's denizens from the sun's harmful ultraviolet rays. Emily A. What happened to the prevalence of DWCB across the schools as a whole in the current study during the 3-year intervention period? Next, a saturated model was constructed including all variables, and then through a process of backward elimination, any HC implementation variables that did not reach P < .05 were dropped from the model while all Planet Health variables and baseline school-level covariates were retained. Reinhardt SL, Boehm R, Blackstone NT, El-Abbadi NH, McNally Brandow JS, Taylor SF, DeLonge MS. Adv Nutr. Systematic Review of Dietary Patterns and Sustainability in the United States. Controlling fertilizer runoff could improve the situation fairly quickly. Planet Health is an inexpensive program that is typically implemented by P.E., health education, and academic teachers during regular classroom time, so the allocation of teaching time is the most critical resource to sustaining the program. Institute of Medicine. Bethesda, MD 20894, Web Policies Blood, Tracy K. Richmond, Stavroula K. Osganian, Boston Childrens Hospital, Boston, Massachusetts; Anne T. Hunt, Hunt Consulting Associates, Lyme, New Hampshire; Solomon Mezgebu, Massachusetts Department of Public Health, Boston, Massachusetts. Planet Health: An Interdisciplinary Curriculum for Teaching Middle School Nutrition and Physical Activity (Second Edition). a Disordered weight-control behavior (DWCB) defined as report of any vomiting or use of laxatives or diet pills for weight control in past month. Author Affiliations: Jennifer L. Spadano-Gasbarro, Mary L. Greaney, Monica L. Wang, Karen E. Peterson, Harvard School of Public Health, Boston, Massachusetts; Emily A. Findings indicated that when Planet Health was widely disseminated throughout Massachusetts as part of the HC program, a greater number of student lesson-exposures to Planet Health lessons on reducing television viewing was associated with reduced odds of student DWCB at follow-up. In contrast, the interior of the frozen continent was thought to be cooling, but earlier this year, new research suggested that these vast ice sheets are also experiencing warming, though the trend has so far been masked by the cooling influence of the ozone hole. Ocean waters become more acidic as they absorb carbon dioxide from the atmosphere. New Moves preventing weight-related problems in adolescent girls: a group-randomized study. Before Assessing the feasibility of a multi-program school-based intervention to promote physical activity and healthful eating in middle schools prior to wide-scale implementation. At baseline, 20,710 students responded to the anonymous student self-report survey, but, because of missing information, school-level covariates were based on 20,363 surveys (98.3% of total). These conditions maximize internal validity and strengthen RCT conclusions that observed effects are due to the intervention (16,17). Participating middle schools varied widely on school characteristics and prevalence of students reporting DWCB (Table 1). 2020 Jul 1;11(4):1016-1031. doi: 10.1093/advances/nmaa026. Our study builds on prior RCT studies (911) that established the protective effect of the Planet Health obesity-prevention curriculum on DWCB in middle schools by evaluating its implementation as part of a large-scale dissemination program led by a state public health department in collaboration with a major private health insurer in the state. The commission noted that the human population (prior to the Covid-19 pandemic, anyway) is healthier than its ever been. 46 terms. Researchers in cancer and obesity prevention, physical activity promotion, and numerous other health domains are increasingly focusing on evaluation of dissemination efforts (2124). Int J Environ Res Public Health. Finally, one health observes that the health of people, wild and domesticated animals, and natural living systems are also connected. A greater number of Planet Health lessons taught on reducing television viewing also had a positive association with DWCB, but only after simultaneously controlling for number of student lesson-exposures to the television lessons, which, in contrast, was protective. Peterson KE, Fox MK. Future US, Inc. Full 7th Floor, 130 West 42nd Street, 2018 Aug;2(8):e331-e332. Use of psychodynamic, CBT, DBT . . Unauthorized use of these marks is strictly prohibited. eligible for AMA PRA Category 1 Credits. As wild lands are plowed over, built upon or otherwise altered, the animals and plants that dwell there also come under pressure. But reefs from the Caribbean to the Great Barrier Reef have been under pressure in recent decades from overfishing, pollution, disease, warming waters and ocean acidification. Abbreviations: OR, odds ratio; CI, confidence interval; , not applicable.a Disordered weight-control behavior defined as report of any vomiting or use of laxatives or diet pills for weight control in past month.b Both models use individual level as unit of analysis and generalized estimating equation methods to account for school clustering.c Partially adjusted models adjust for school sociodemographic characteristics listed in Table 1 and disordered weight-control behavior at baseline.d Fully adjusted model adjusts for all variables in the table that remained significant at P < .05 after process of backward elimination, school sociodemographic characteristics, and disordered weight-control behavior at baseline.e Lessons lasting only 5 to 10 minutes. That and the rapid pace of development in countries like China and India have kept levels of carbon dioxide and other greenhouse gases rising globally, and at a faster rate than in previous years. Through classroom and physical education activities, Planet Health aims to increase activity, improve dietary quality, and decrease inactivity. Online ahead of print. This study has several limitations. Would you like email updates of new search results? Food marketing to children and youth: threat or opportunity? Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Meat and dairy . J Acad Nutr Diet. Mycotoxin risk management. accepted in the US as evidence of participation in CME activities. Credit cannot be obtained for tests Planetary health is of recent coinage. Telephone: 617-355-8194. Why don't hurricanes form at the equator? http://www.ama-assn.org/ama/pub/category/2922.html. Finally, after the process of backward elimination, we identified a fully adjusted model that included all Planet Health and HC implementation variables that remained significant (P < .05), controlling for baseline school-level covariates. Accessed September 30, 2012. Depending on where they are grown, the crops used to make biofuels could stress local water supplies. Last modified on Tue 28 Mar 2023 12.37 EDT. 2022 Jul 29;9:874721. doi: 10.3389/fnut.2022.874721. In this modelling study done at the University of New Hampshire (Durham, NH, USA), we analysed the healthy US-style (US), healthy Mediterranean-style (MED), and healthy vegetarian (VEG) patterns recommended in the 2015-20 Dietary Guidelines for Americans. The city issued 57 blight tickets and $44,950 in fines to the property owners between 2022 and February 2023 and city officials confirmed that there are still several thousand dollars in outstanding fines. Spend time outdoors for your brain - an in-depth longitudinal MRI study. These findings suggest that school staff involved in implementing Planet Health and other obesity and DWCB prevention programs likely need training not only in how to implement the programs but also in how to recognize and address their own possible weight-biased attitudes and unhealthy beliefs and behaviors related to food and weight (2931). Actual rainforests are n't fairing much better, thanks in large part to deforestation Sciences Clinical Professor ; Director! All other clinicians completing this activity will be issued a certificate of in! From RCT to dissemination ( 18,21 ) youre equipped with the Nelson Institute environmental! Species List last year, which was designed to meet academic curricular guidelines of the impacts!, et al n't fairing much better, thanks in large part to deforestation of HC to...:215. doi: 10.1017/S1368980022002221, Claudino AM, Colditz GA, Gortmaker SL et al Boehm R, NT! 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