Evidence map›Paper›PMID 32962783›Full record

ArticlePublic health nutrition2021

Improving health and carbon footprints of European diets using a benchmarking approach.

Elly Mertens, Anneleen Kuijsten, Argyris Kanellopoulos, Marcela Dofková, Lorenza Mistura, Laura D'Addezio, Aida Turrini, Carine Dubuisson, Sabrina Havard, Ellen Trolle and 5 more

Abstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Toward healthy and sustainable diets for the 21st century: Importance of sociocultural and economic considerations.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  12. Article
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  14. Dietitians Australia position statement on healthy and sustainable diets.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Elly MertensDivision of Human Nutrition and Health, Wageningen University, P.O. Box 17, 6700 AAWageningen, the Netherlands.ORCID 0000-0003-4957-4235
Anneleen KuijstenDivision of Human Nutrition and Health, Wageningen University, P.O. Box 17, 6700 AAWageningen, the Netherlands.
Argyris KanellopoulosOperations Research and Logistics Group, Wageningen University, Wageningen, the Netherlands.ORCID 0000-0003-1192-6178
Marcela DofkováCenter for Health, Nutrition and Food, National Institute of Public Health, Brno, Czech Republic.
Lorenza MisturaCouncil for Agricultural Research and Economics, Research Centre for Food and Nutrition, Rome, Italy.
Laura D'AddezioCouncil for Agricultural Research and Economics, Research Centre for Food and Nutrition, Rome, Italy.
Aida TurriniCouncil for Agricultural Research and Economics, Research Centre for Food and Nutrition, Rome, Italy.
Carine DubuissonRisk Assessment Department, French Agency for Food, Environmental and Occupational Health & Safety (Anses), Maisons-Alfort Cedex, France.
Sabrina HavardRisk Assessment Department, French Agency for Food, Environmental and Occupational Health & Safety (Anses), Maisons-Alfort Cedex, France.
Ellen TrolleDivision of Risk Assessment and Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark.
Marion EcklDivision of Human Nutrition and Health, Wageningen University, P.O. Box 17, 6700 AAWageningen, the Netherlands.
Sander BiesbroekDivision of Human Nutrition and Health, Wageningen University, P.O. Box 17, 6700 AAWageningen, the Netherlands.
Jacqueline BloemhofOperations Research and Logistics Group, Wageningen University, Wageningen, the Netherlands.
Johanna M GeleijnseDivision of Human Nutrition and Health, Wageningen University, P.O. Box 17, 6700 AAWageningen, the Netherlands.
Pieter van 't VeerDivision of Human Nutrition and Health, Wageningen University, P.O. Box 17, 6700 AAWageningen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to identify diets with improved nutrient quality and environmental impact within the boundaries of dietary practices.

designWe used Data Envelopment Analysis to benchmark diets for improved adherence to food-based dietary guidelines (FBDG). We then optimised these diets for dietary preferences, nutrient quality and environmental impact. Diets were evaluated using the Nutrient Rich Diet score (NRD15.3), diet-related greenhouse gas emission (GHGE) and a diet similarity index that quantified the proportion of food intake that remained similar as compared with the observed diet.

settingNational dietary surveys of four European countries (Denmark, Czech Republic, Italy and France). SUBJECTS: Approximately 6500 adults, aged 18-64 years.

resultsWhen dietary preferences were prioritised, NRD15·3 was ~6 % higher, GHGE was ~4 % lower and ~85 % of food intake remained similar. This diet had higher amounts of fruit, vegetables and whole grains than the observed diet. When nutrient quality was prioritised, NRD15·3 was ~16 % higher, GHGE was ~3 % lower and ~72 % of food intake remained similar. This diet had higher amounts of legumes and fish and lower amounts of sweetened and alcoholic beverages. Finally, when environmental impact was prioritised, NRD15·3 was ~9 % higher, GHGE was ~21 % lower and ~73 % of food intake remained similar. In this diet, red and processed meat partly shifted to either eggs, poultry, fish or dairy.

conclusionsBenchmark modelling can generate diets with improved adherence to FBDG within the boundaries of dietary practices, but fully maximising health and minimising GHGE cannot be achieved simultaneously.

Indexed as

BenchmarkingCarbon FootprintAdultCzech RepublicDietEnergy IntakeEuropeFemaleFranceHumansItalyMaleNutrition SurveysBenchmarkingDiet modelEnvironmentEuropeFood-based dietary guidelinesGreenhouse gas emissionsNutrient quality

Identifiers

PMID32962783
PMCPMC7844616

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.