ArticleThe Journal of nutrition2022
Associations of Adherence to a Dietary Index Based on the EAT-Lancet Reference Diet with Nutritional, Anthropometric, and Ecological Sustainability Parameters: Results from the German DONALD Cohort Study.
Article in The Journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- The Health and Environmental Impacts, Safety, and Affordability of the EAT-Lancet Planetary Health Diet: A Multidisciplinary Systematic Review and Meta-Analysis.Advances in nutrition (Bethesda, Md.) · 2026Pooled it
- Associations between Intake of Dietary Sugars and Diet Quality: A Systematic Review of Recent Literature.Nutrients · 2024Pooled it
- Associations between diet quality, epigenetic aging and epigenome in two population-based cohorts.Nature communications · 2026Article
- Planetary health diet: dissecting the link between diet, mortality risk and heart age from a 16-year follow-up of the Guangzhou Biobank Cohort Study.European journal of nutrition · 2026Article
- Adherence to the eat-lancet planetary health diet and sustainability impacts of the Swiss diet.European journal of nutrition · 2026Article
- Adherence to the EAT-Lancet Planetary Health Diet during pregnancy and associations with preterm birth and infant size: a prospective analysis from the New Hampshire Birth Cohort.The American journal of clinical nutrition · 2026Article
- Adherence to a healthy and sustainable diet and its association with overweight and obesity among Mexican adolescents: a cross-sectional study.European journal of nutrition · 2026Article
- Health and environmental evidence, challenges, and sustainable strategies of Planetary Health Diet: A mixed-methods review.Eco-Environment & Health · 2026Review
- Article
- Planetary health diet adherence, nutritional adequacy, and environmental footprints: a cross-sectional study in Turkish adults.Frontiers in nutrition · 2026Article
- Article
- Adherence to and factors associated with the adoption of healthy and sustainable diets in young Australian adults: a cross-sectional study.Frontiers in nutrition · 2026Article
- Nutritional adequacy of the EAT-Lancet planetary health diet: cross-sectional analyses of the United Kingdom National Diet and Nutrition Survey.The American journal of clinical nutrition · 2026Article
- EAT-Lancet reference diet and nutritional adequacy in children: examining the planetary health diet index for children (PHDI-C).European journal of nutrition · 2025Article
- The EAT-Lancet diet in relation nutrient intake among older adults: insights from the Gothenburg H70 birth cohort study.Nutrition journal · 2025Article
- Healthy Eating for the Planet, Cardiovascular Health, and Longevity: An Observational Study.Journal of the American Heart Association · 2025Observational
- Sustainability of Diets Consumed by UK Adolescents and Associations Between Diet Sustainability and Meeting Nutritional Requirements.Nutrients · 2025Article
- Article
- The Two Dimensions of Nutrition for the Planet: Environment and Health.Current nutrition reports · 2025Review
- How Do the Indices based on the EAT-Lancet Recommendations Measure Adherence to Healthy and Sustainable Diets? A Comparison of Measurement Performance in Adults from a French National Survey.Current developments in nutrition · 2025Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundValidation of the EAT-Lancet reference diet (ELR-diet), recently proposed by the EAT-Lancet Commission, within the context of real-life studies is necessary to elucidate its feasibility, nutritional value, sustainability, and health effects.
objectivesWe aimed to develop a dietary index (DI) score to measure adherence to the ELR-diet. We further aimed to study the association between the DI score and 1) nutritional characteristics, 2) indicators of ecological sustainability, and 3) anthropometric markers and biomarkers for cardiometabolic health.
methodsA DI score was constructed by comparing the categories defined by the ELR-diet with the dietary data of 2-5 sets of 3-d weighed dietary records from DONALD (Dortmund Nutritional and Anthropometric Longitudinal Designed) study participants (n = 298; ≥15 y of age). Prospective associations between the DI score and risk markers (anthropometric and cardiometabolic) in young adulthood (≥18 y old) were investigated using multivariate linear regression.
resultsAdherence to the DI score components was considerable (majority > 50%), but varied within the population (2%-100%). The highest tertile of the DI score was inversely associated with the intake of protein (tertile 3 compared with tertile 1: 13.5 compared with 14.5 energy %), added sugars (10.5 compared with 12.4 energy %), and cholesterol (100 compared with 116 mg/1000 kcal), but positively associated with fiber intake (10.0 compared with 8.82 g/1000 kcal) (all P < 0.05). The DI score was inversely associated with greenhouse-gas emissions (tertile 1 compared with tertile 3: 6.48 compared with 5.85 kg of carbon dioxide equivalents/2500 kcal; P < 0.001) and land use (8.24 compared with 7.16 m2 × y/2500 kcal; P < 0.001). Inverse associations between the DI score and anthropometric markers during young adulthood were observed (e.g., BMI: tertile 1 compared with tertile 3: 22.9 compared with 21.9 kg/m2; P = 0.03) (all P < 0.05). No associations between the DI score and cardiometabolic risk markers were found (all P ≥ 0.05).
conclusionsAdherence to the ELR-diet was associated with favorable nutritional characteristics and reduced environmental impact. Adherence to the DI score in adolescence was also beneficial with respect to anthropometric markers in early adulthood, although not for further cardiometabolic risk markers.
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