ArticleNutrients2022
Healthy and Sustainable Diet Index: Development, Application and Evaluation Using Image-Based Food Records.
Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Evaluation of the Variability in Selenoprotein Genes in Hepatocellular Carcinoma Patients.Biochemical genetics · 2026Article
- Development and Construct Validation of a Food-Based Diet Quality Score Using Image-Based Food Records.Nutrients · 2026Article
- A modified Delphi to inform development of a multidimensional diet quality score for a sustainable healthy diet.The British journal of nutrition · 2026Article
- Planetary health diet adherence, nutritional adequacy, and environmental footprints: a cross-sectional study in Turkish adults.Frontiers in nutrition · 2026Article
- Association between sustainable and healthy diet adherence and nutritional adequacy among portuguese adults.European journal of nutrition · 2025Article
- Temporal Eating Patterns and Ultra-Processed Food Consumption Assessed from Mobile Food Records of Australian Adults.Nutrients · 2025Article
- Sustainable Nutrition Knowledge and Behaviours in Highly Educated Adults: A Cross-Sectional Study.Malawi medical journal : the journal of Medical Association of Malawi · 2025Article
- Improving Diet Quality of People Living With Obesity by Building Effective Dietetic Service Delivery Using Technology in a Primary Health Care Setting: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Planetary health diet, mediterranean diet and micronutrient intake adequacy in the Seguimiento Universidad de Navarra (SUN) cohort.European journal of nutrition · 2025Article
- Mapping of the adherence to the planetary health diet in 11 European countries: comparison of different diet quality indices as a result of the PLAN'EAT project.Frontiers in nutrition · 2025Article
- Dietary assessment at the confluence of public and planetary health: introduction of the DIEM (Dietary Impacts on Environmental Measures) scoring system.Frontiers in nutrition · 2025Article
- [Sustainable diets: a scoping review and descriptive study of concept, measurement, and suggested methods for the development of Korean version].Korean journal of community nutrition · 2024Article
- Plastics in human diets: development and evaluation of the 24-h Dietary Recall - Plastic Exposure and the Dietary Plastics Score.Frontiers in nutrition · 2024Article
- Article
- Exploring Benefits and Barriers of Plant-Based Diets: Health, Environmental Impact, Food Accessibility and Acceptability.Nutrients · 2023Review
- Australian Consumers' Attitudes towards Sustainable Diet Practices Regarding Food Waste, Food Processing, and the Health Aspects of Diet: A Cross Sectional Survey.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
There are limited methods to assess how dietary patterns adhere to a healthy and sustainable diet. The aim of this study was to develop a theoretically derived Healthy and Sustainable Diet Index (HSDI). The HSDI uses 12 components within five categories related to environmental sustainability: animal-based foods, seasonal fruits and vegetables, ultra-processed energy-dense nutrient-poor foods, packaged foods and food waste. A maximum of 90 points indicates the highest adherence. The HSDI was applied to 4-day mobile food records (mFRTM) from 247 adults (18−30 years). The mean HSDI score was 42.7 (SD 9.3). Participants who ate meat were less likely to eat vegetables (p < 0.001) and those who ate non-animal protein foods were more likely to eat more fruit (p < 0.001), vegetables (p < 0.05), and milk, yoghurt and cheese (p < 0.05). After adjusting for age, sex and body mass index, multivariable regression found the strongest predictor of the likelihood of being in the lowest total HSDI score tertile were people who only took a bit of notice [OR (95%CI) 5.276 (1.775, 15.681) p < 0.005] or did not pay much/any attention to the health aspects of their diet [OR (95%CI) 8.308 (2.572, 26.836) p < 0.0001]. HSDI provides a new reference standard to assess adherence to a healthy and sustainable diet.
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