inequality

Three articles with Spanish participation, published in The Lancet, review the evidence that ultra-processed foods are worsening diet quality and displacing the consumption of fresh and minimally processed foods. Furthermore, they warn that their consumption is linked to a higher risk of multiple chronic diseases. According to the authors, who also review the associated policies and commercial factors, only a coordinated global response can combat the strategy of the companies that market these products.

The adoption of plant-based diets could reshape agricultural employment worldwide. This is the main conclusion of an international study that estimates that by 2030, between 5% and 28% less agricultural labour would be needed, i.e. between 18 and 106 million fewer full-time jobs. The countries most affected would be those with agriculture based largely on livestock farming, while others, especially low-income countries, could need between 18 and 56 million more workers to grow fruit, vegetables, legumes and nuts. The study is published in The Lancet Planetary Health.

COP30 will kick off on 10 November in Belém, a Brazilian city and gateway to the Amazon. Expectations are high because it coincides with the tenth anniversary of the Paris Agreement, whose goal of limiting the temperature increase to 1.5 °C was shattered in 2024. In addition, this year countries must present a new version of their measures to combat climate change in a turbulent geopolitical context, marked by the Trump administration's abandonment of the climate agenda.

According to the Global Burden of Disease study, and despite deep inequalities between countries, global life expectancy in 2023 was more than 20 years higher than in 1950. However, deaths among young people increased in some regions such as North America, Latin America—due mainly to suicide and drug use—and sub-Saharan Africa—mainly due to infectious diseases and injuries. Researchers also estimate that almost half of all deaths and disabilities could be prevented by modifying some of the main risk factors. The results are published in The Lancet and will be presented at the World Health Summit, being held in Berlin, Germany, from October 12 to 14.

On the internet, professional women are represented as younger—and therefore less experienced—than their male counterparts, even though this age difference does not correspond to actual data in the US, according to an article published in Nature. This study of gender and age stereotypes is based on an analysis of 1.4 million images on five platforms (Google, Wikipedia, IMDb, Flickr and YouTube), as well as nine large language models, such as ChatGPT, trained with texts from Reddit, Google News, Wikipedia and Twitter. 

The temporary employment rate for teaching staff in Spain is 31%, above the OECD average of 19% and the EU average of 17%. This is one of the results of the latest edition of TALIS, the Teaching and Learning International Study, promoted by the OECD and involving more than 50 participating countries. In its previous edition, in 2018, 33% of Spanish teachers had temporary contracts. The study also shows that teacher job satisfaction is among the highest, at 95%—compared to 89% in the OECD and 90% in the EU. As a new feature, TALIS analyzes four new areas: the impact of artificial intelligence on learning and teaching, managing diversity in the classroom, socio-emotional learning, and education for sustainability.

An international team has analysed cancer incidence and mortality worldwide using data available since 1990. Between then and 2023, there was an increase of almost 75% in deaths from this cause, with more than 40% of all deaths associated with preventable risk factors. Estimates indicate that by 2050 there will be a similar increase in mortality, due in part to the ageing of the population. The increase will be particularly pronounced in low- and middle-income countries. The results are published in The Lancet.

In an analysis published by The Lancet Global Health, a panel of specialists urges the medical community to recognize type 5 diabetes as a disease distinct from other types of diabetes. This form of the disease —first described in 1955 and whose name “type 5” was recognized by the International Diabetes Federation in April 2025— affects 25 million people with a low body mass index, mainly in low- and middle-income countries, according to the authors' estimates. People with type 5 diabetes do not produce enough insulin, but their bodies process insulin normally. In addition, they do not usually suffer from ketoacidosis —an acute metabolic complication of diabetes— and their immune systems do not attack the pancreas. 

An international team has analysed gender representation in more than 1,000 clinical trials on cardiovascular disease between 2017 and 2023, involving more than one million people. Although female participation has increased, especially in areas such as obesity and heart failure, women continue to be underrepresented overall compared to men. The results, presented at the European Society of Cardiology (ESC) Congress held in Madrid from 29 August to 1 September, are published in JAMA Network Open.

The frequency and intensity of extreme heat events have increased in recent years, heightening the risks for those who work outdoors and indoors. Health risks include heatstroke, dehydration, kidney dysfunction and neurological disorders. These are some of the conclusions of a joint report by the World Health Organisation (WHO) and the World Meteorological Organisation (WMO), which estimates that worker productivity falls by between 2% and 3% for every degree above 20°C. The document proposes measures for governments, businesses and health authorities to mitigate the risks of extreme heat for these people.