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Stuart Gillespie

From Plunder and Profit to People and Planet

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Food Fight delves into the global struggle against malnutrition and undernutrition, examining socio-economic, political, and agricultural factors. Gillespie offers strategies to ensure equitable access to nutritious food and promote sustainable food systems worldwide.

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Food Fight
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Key ideas in Food Fight

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The current food system creates a reinforcing crisis of malnutrition, disease, and environmental harm

Across the world, a system built to maximize cheap calories now powers a single, self-reinforcing crisis for health and the environment. Undernutrition hasn’t gone away, while rates of obesity have surged – often in the same countries, communities, and even households. That coexistence is the double burden: too few nutrients and too many empty calories living side by side, driven by the same underlying conditions.

Those conditions start early and accumulate. When nutrition is inadequate during pregnancy and the first two years of life, children are more likely to be born too small or with early excess fat; both paths raise the risk of later metabolic disease. As those children grow up, they encounter food environments saturated with ultra-processed, energy-dense products that are cheap and heavily promoted, tilting the odds toward developing diabetes, cardiovascular disease, and some cancers.

A clear snapshot comes from India, where rapid urbanization and shifting food environments changed diets within a generation. From 2006 to 2021, the number of underweight women roughly halved while those overweight doubled; overweight preschoolers now exceed those who are undernourished. In the same period, snack and soft-drink sales tripled to over $30 billion as supermarkets and convenience stores expanded – patterns linked to higher ultra-processed purchases. The result is the double burden within the same communities, with hunger persisting while diet-related disease layers on top.

The human toll is mirrored in economics. Poor diets are linked to more than 12 million adult deaths annually. Malnutrition in all its forms already costs the world about $3.5 trillion each year and could reach $4.3 trillion by 2035, roughly 3 percent of global GDP – comparable to the shock of COVID-19 in 2020 but repeating every year.

So, how did we get here? To see why a system once geared to avert famine now manufactures abundance of the wrong kind, the next step is to track how power built it – through colonial extraction, post-war productivism, and, later, a corporate order that set today’s incentives.

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What is Food Fight about?

Food Fight (2025) explores how the global food system has evolved into a structure that fuels both human ill health and environmental harm. It traces the political, economic, and cultural forces that shaped today’s food landscape, and highlights examples of successful reforms. Ultimately, it argues for urgent systemic change to prioritize people and the planet over corporate profit.

Who should read Food Fight?

  • Policy-focused professionals in global health and nutrition
  • Environmentally conscious advocates of sustainable food systems
  • Anyone concerned about diet and the planet
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About the author

Stuart Gillespie, PhD in Human Nutrition, has over 40 years of experience in food systems, nutrition, and policy, leading initiatives like the Transform Nutrition consortium and the Agriculture for Nutrition and Health program. He has also published Nourishing Millions: Stories of Change in Nutrition and The Double Burden of Malnutrition in Asia: Causes, Consequences, and Solutions.

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