Evidence map›Paper›PMID 35334839›Full record

ArticleNutrients2022

Low Adherence to the EAT-Lancet Sustainable Reference Diet in the Brazilian Population: Findings from the National Dietary Survey 2017-2018.

Dirce Maria Marchioni, Leandro Teixeira Cacau, Eduardo De Carli, Aline Martins de Carvalho, Maria Cristina Rulli

Abstract read
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Relevance and challenges of exposome studies for environmental health research.Environmental health : a global access science source · 2026
    Review
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  9. Exploring nudging strategies for plant-based dietary choices in hospital patients: a quasi-experimental study.The international journal of behavioral nutrition and physical activity · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Health and Environmental Impacts of Major Foods Consumed in Regional Food Systems of Brazil.International journal of environmental research and public health · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
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

5 authors.

Dirce Maria MarchioniDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil.ORCID 0000-0002-6810-5779
Leandro Teixeira CacauDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil.ORCID 0000-0003-1681-5960
Eduardo De CarliDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil.ORCID 0000-0003-2900-8797
Aline Martins de CarvalhoDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil.ORCID 0000-0002-4900-5609
Maria Cristina RulliDepartment of Civil and Environmental Engineering, Politecnico di Milano, 20133 Milan, Italy.ORCID 0000-0002-9694-4262

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diets are simultaneously connected with population health and environment. The EAT-Lancet Commission proposed a sustainable reference diet to improve population health and respect the planetary boundaries. Recently, the Planetary Health Diet Index (PHDI) has been developed to assess the adherence to this reference diet. In the present study, we aimed to evaluate the adherence to the EAT-Lancet diet through the PHDI in a nationwide population-based study carried out in Brazil. We used data from the National Dietary Survey conducted through the Household Budget Survey in 2017-2018, with 46,164 Brazilians aged over 10 years old. Food consumption was evaluated with a 24 h dietary recall. The average PHDI total score in the Brazilian population was 45.9 points (95% CI 45.6:46.1) on a total score that can range from 0 to 150 points. The adherence to EAT-Lancet diet was low among all Brazilian regions. Women, elderly, those overweighed/obese, with higher per capita income and living in the urban area had higher scores in the PHDI. In general, the Brazilian population presented low adherence to a healthy and sustainable dietary pattern and seems far from meeting the EAT-Lancet recommendations.

Indexed as

DietIncomeAgedBrazilChildDiet, HealthyDiet SurveysFemaleHumansdiet indexesEAT-Lancet dietsustainable diet

Identifiers

PMID35334839
PMCPMC8956109

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Registered trials

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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.