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A collaborative effort by Helmholtz Munich, the German Diabetes Center, and the German Center for Diabetes Research

Sustainable and healthy living

Scientific support: Prof. Dr. Baptist Gallwitz

A sustainable lifestyle with regular physical activity and a regional, seasonal plant-based diet is the best way to prevent a variety of illnesses, such as type 2 diabetes, obesity and cardiovascular disease — while also protecting the climate and the environment.

The Big Points released by the Competence Center for Sustainable Consumption show which measures are most effective in reducing your own carbon footprint. These include a “plant-based diet” and “driving less.”



1. What is meant by the term “sustainable lifestyle”?

“Living in such a way that today, and in the future, all people can live like me” is the basic principle of a sustainable lifestyle. The central aims are slowing down climate change, maintaining resources, and observing the limits of what the earth can provide.

A good indicator of how sustainable your lifestyle is and the ecological effects on climate is the CO2 footprint. This refers to the amount of carbon dioxide produced due to the activities of one person. It is comprised of various factors.

In Germany, the average CO2 footprint is 10.8 tons per person per year. This is well above the global average of 6.5 tons! To achieve the 1.5-degree goal agreed by the international community in the Paris Climate Accords in 2015, it is necessary to reduce the CO2 footprint to less than 1 ton per capita. This would help keep the increase in global warming below 1.5-degrees by the year 2100 and limit the increase to below 2-degrees compared with preindustrial temperatures.


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2. What does a sustainable lifestyle have to do with health?

A lot. After all, a sustainable lifestyle is about protecting the earth so it remains livable and habitable for humans. This has a direct effect on health with global warming playing a significant role. These are the findings of the "Lancet Countdown", an international collaborative project that independently assesses the health-related consequences of climate change. According to the panel of experts, climate change will be the decisive factor for human health.

Regarding a sustainable lifestyle, the following applies: The majority of our environmental and climate protection activities also benefit our health.

In the context of activity and diet, the expert recommendations for health and sustainability go hand in hand. A healthy lifestyle and regular physical activity coupled with a seasonal and regional diet is not only the best way to prevent insulin resistance, cardiovascular disease, obesity and type 2 diabetes – it also protects the climate and the environment.

Good to know:

The information portal www.klima-mensch-gesundheit.de (Link in German) of the Federal Institute of Public Health (BIÖG) provides quality-assured and independent information on climate change, heat, and health.


3. Physical activity protects the climate and benefits health

For example, cycling or walking instead of driving helps reduce greenhouse gases, particulate matter, and nitrogen oxide gases, and make sure you get more exercise. This helps prevent cardiovascular disease, mental illness, and many other diseases as well as obesity – and as a consequence, the onset of  type 2 diabetes. This is because exercise helps reduce blood sugar levels and increase the sensitivity of the body's cells to insulin. However, as the effect is short-lived, it is especially important to exercise regularly and integrate physical activity into everyday life.

Here you will learn more about how you can prevent the development of type 2 diabetes, overweight and cardiovascular disease with exercise.


4. Diet: Healthy and sustainable

On the one hand, malnutrition is prevalent in many parts of the world. On the other, scientific calculations show that the current energy-intensive food system used in the Western world is not only responsible for a quarter of all global greenhouse gas emissions, but is also detrimental to health. According to findings from the German Diabetes Society (DDG in German), this system leads to the over-consumption of processed high-calorie foods and animal products containing high levels of salt, sugar, and saturated fats. All these are factors in the onset of type 2 diabetes, obesity, cancer, and cardiovascular disease.

To solve this multitude of problems, the EAT Lancet Commission, an international network of scientists from the fields of nutrition, agriculture, and geoscience, developed the Planetary Health Diet. The German Diabetes Society (DDG) recommends using this nutritional concept as a guideline.

The planetary health diet aims to double the consumption of vegetables, pulses, fruit and nuts, while halving the consumption of meat and sugar. Moreover, it aims to improve food production methods and reduce food waste.

An example of the implementation of the Planetary Health Diet is as follows:

  • 1 to 2 eggs per week,
  • one piece of meat and fish and
  • no more than 250 g of dairy product per day.
  • The remainder should consist of vegetables, fruit, and cereals.

Furthermore, when shopping, pay attention to the origin of the food purchased. Fresh, unpackaged, local produce that has not been transported a long distance or grown in a heated greenhouse is particularly sustainable.

Find out more about what a healthy, balanced, mixed diet looks like here.

Did you know?

The CO2 footprint of meals can differ greatly when you replace certain ingredients. For example:

  • Beef meatballs with rice and fresh peas: 2.0 kilograms of CO2e*
  • Soy-based veggie burger with rice and fresh peas: 1.0 kilograms of CO2e*

Find the CO2 footprints of more foods and meals here (Link in German).

*CO2e: The abbreviation CO2e stands for CO2-equivalent. This means that, alongside CO2, the effects of other greenhouse gases were included in the calculation.


5. What can I do for the climate, environment, and health?

It is important to reduce your own CO2 footprint. There are many ways to achieve this in everyday life. But which are the most effective?

Guidance is provided by the Big Points released by the Competence Center for Sustainable Consumption. It identified 7 measures that can halve the average annual CO2 footprint of 10.8 tons per person. These 7 measures are:

 

Measure 1: Water-saving showerhead
A water-saving showerhead reduces water usage when showering by almost half, therefore saving on the energy used to heat the water. Installation takes around 10 minutes and savings are made with every shower. The water-saving showerhead not only reduces your own footprint but also that of the other members of the household. This has an additional benefit: The water-saving shower head also helps you save money!

Measure 2: Avoiding flying
A return flight from Frankfurt to Barcelona generates almost half a ton of CO2. This means that even a short weekend trip can significantly enlarge even the smallest of carbon footprints. Therefore, flying should be looked at very closely when trying to half your carbon footprint. Avoiding flying is a Big Point.

Measure 3: Insulated living spaces
Good house insulation reduces energy consumption for heating and rapidly saves half a ton or more of CO2 annually per person. It is most effective to insulate the building envelope; however, smaller measures can also help save energy.

Measure 4: Plant-based diet
A vegetarian or vegan diet avoids the production of up to half a ton of greenhouse gases. Those who follow a (environmentally-) conscious diet often choose to buy seasonal, regional, and organic foods, which are all lower in CO2.

Measure 5: Green electricity
Switching to green electricity is easy and saves on average more than half a ton of CO2 per person. Make sure to look for labeled green electricity when selecting a tariff. The “Grüner-Strom” (Green Electricity) label and the Ok Power label guarantee that the use of green electricity will promote new power plants (Websites in German).

Measure 6: Drive less
Those who do not use a car on a daily basis are implementing a Big Point. This is because frequently traveling short distances by car adds up over the course of the year, e.g., driving to work or dropping the children off at kindergarten. Less frequent journeys, such as going on vacation, taking trips, or transporting things, play a less significant role. Carsharing provides an alternative to owning a car, because if you don’t own a car, you won’t be tempted to use it more than you should.

Measure 7: Conscious consumption
The lower the level of consumption, the smaller the footprint. There are many ways to consume less. Extending the useful life of a product by repairing, buying second-hand, and borrowing – i.e., buy fewer new things and use what is already on hand. Saving and investing money also stops you from spending on consumer goods. Private assets held in green investments or checking accounts make an important contribution to climate protection. Combined, these actions result in the Big Point of “conscious consumption”.

Good to know:

How big is your CO2 footprint? Here you can visit the German Environment Agency CO₂-calculator (Link in German).


6. What does climate change mean for people with diabetes, obesity or cardiovascular disease?

Addressing climate change and knowing how the body reacts to prolonged heat, for example, is particularly important for people with obesitydiabetes or cardiovascular disease. This is because the expected increase in periods of high temperatures associated with global warming can be more problematic for such individuals than for people without pre-existing conditions. This is especially true for older people.

Read more about the reduced heat tolerance of people with diabetes here.

 

The body responds to high temperatures by increasing sweat production and dilating the blood vessels in the skin. This allows the body to cool itself down. However, if heat stress persists for an extended period — because there are increasingly longer periods of heat in summer, for example — these cooling mechanisms can have a negative impact on the cardiovascular system. This is because blood pressure drops as the blood vessels dilate and fluid loss through sweating increases. The heart then has to exert more force to achieve the same output. This can be particularly dangerous for older people and people who already have heart failure or blood pressure problems.

In people with heart disease, the body’s own cooling mechanism is also restricted. This means that the body can only release heat with considerable effort and often inadequately. In affected people, symptoms include fatigue and lethargy.

During warm periods, older people and people with cardiovascular disease should make sure that they: 

  • drink enough fluids
  • avoid heat
  • measure their blood pressure regularly
  • exercise in moderation
  • adjust their medication as necessary
  • pay attention to their electrolyte balance (mineral content in the blood, e.g. potassium)

Good to know:

People with heart disease should discuss precautionary measures for the summer months with their attending physician at an early stage. This includes, for example, individually adjusting the amount of fluid intake or changing medication dosages as necessary.

Obesity also restricts the body’s own cooling mechanism, as the body’s surface area becomes smaller relative to its weight. In addition, heat dissipation is slower in fatty tissue than in muscle tissue. This is why it is particularly important for people with obesity to drink enough and avoid heat as much as possible to prevent circulatory problems. 

For people with diabetes, warm temperatures and heat waves also mean a change in their treatment and management of diabetes.

The most important points in the heat are:

  • drink enough fluids
  • store insulin correctly
  • keep blood sugar meters and test strips out of the sun
  • adjust the dosage of insulin and medication
  • frequent blood sugar checks

Read more about the points listed and the reduced heat tolerance of people with diabetes here.

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As of: 07.05.2024