ArticleEuropean journal of nutrition2023
Relative validity of the Planetary Health Diet Index by comparison with usual nutrient intakes, plasma food consumption biomarkers, and adherence to the Mediterranean diet among European adolescents: the HELENA study.
Article in European journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 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
- Higher Adherence to the EAT-Lancet Diets After a Lifestyle Intervention in a Pediatric Population with Abdominal Obesity.Nutrients · 2024Trial
- Sustainable Plant-Based Diets in Children and Adolescents: Current Evidence on Metabolic Syndrome and Cardiometabolic Health.Current nutrition reports · 2026Review
- Observational
- 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
- Adherence to the EAT-Lancet planetary health diet and its associations with obesity and health-related quality of life in Iranian adolescents: a cross-sectional study.BMC public health · 2026Article
- Greater adherence to the Planetary Health Diet is inversely associated with dyslipidemia in children: PASE Study-Brazil.Frontiers in 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
- Article
- Global trends in research on eating behaviors among overweight/obese children and adolescents: a bibliometric study from 2003 to 2023.Frontiers in 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
- Comparing Australian children's dietary intakes with the Eat-Lancet Commission Planetary Health Diet targets and Australian Dietary Guidelines: a cross-sectional study.European journal of nutrition · 2024Article
- Planetary Health Diet and Cardiovascular Disease Risk in the Seguimiento Universidad de Navarra (SUN) Cohort.Nutrients · 2024Article
- How to improve sustainability of nutrient dense diets for children and adolescents: an exemplary assessment in Germany.European journal of nutrition · 2024Article
- Adherence to the EAT-Public health nutrition · 2024Article
- Chilean children's adherence to sustainable healthy diets and its associations with sociodemographic and anthropometric factors: a cross-sectional study.European journal of nutrition · 2024Article
- The Planetary Health Diet and Its Association with Asthma and Airway Inflammation in School-Aged Children.Nutrients · 2024Article
- Sociodemographic Trends in Planetary Health Diets among Nutrition Students in Türkiye: Bridging Classroom to Kitchen.Nutrients · 2024Article
- Association between adherence to the EAT-Lancet sustainable reference diet and cardiovascular health among European adolescents: the HELENA study.European journal of clinical nutrition · 2024Article
- Are there differences between Mediterranean diet and the consumption of harmful substances on quality of life?-an explanatory model in secondary education regarding gender.Frontiers in nutrition · 2023Article
Corrections and comments
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Authors and funding
18 authors at 15 institutions in 9 countries.
Funding
Abstract
purposeThe EAT-Lancet Commission proposed an evidence-based global reference diet to improve human health within planetary boundaries. Recently, the Planetary Health Diet Index (PHDI) was developed based on the EAT-Lancet recommendations and validated among Brazilian adults. However, the relative validity of the PHDI in adolescents has yet to be assessed. Thus, we aimed to evaluate the relative validity of the PHDI in European adolescents.
methodsWe used cross-sectional data from 1804 adolescents (12.5-17.5 years) enrolled in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. The PHDI (0-150 points) was calculated based on dietary intake data from two non-consecutive 24-h dietary recalls. Associations between the PHDI and usual nutrient intakes, plasma food consumption biomarkers, and adherence to the Mediterranean diet were evaluated using multivariable-adjusted mixed-effects linear regression models.
resultsHigher PHDI score was associated with greater intakes of nutrients predominantly from plant-source foods, such as vegetable protein, vitamin E, and folate and with lower intake of nutrients predominately from animal-source foods, such as total and saturated fat, cholesterol, and animal protein. Furthermore, a higher PHDI score was also positively associated with plasma β-carotene, vitamin C, vitamin D, folate, and ferritin concentrations, while negatively associated with trans-fatty acids concentration. Moreover, higher PHDI was related to a greater adherence to the Mediterranean dietary pattern.
conclusionsThe PHDI showed good relative validity among adolescents in the HELENA study. Hence, future research should assess adherence to the PHDI and long-term health outcomes.
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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.