ArticleProceedings of the National Academy of Sciences of the United States of America2024
Global adherence to a healthy and sustainable diet and potential reduction in premature death.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- How does culinary medicine training impact the diet-related knowledge, skills and attitudes of undergraduate medical students in Germany?-A systematic review.BMC medical education · 2026Pooled it
- Planetary Health Diet Index and breast cancer risk.British journal of cancer · 2026Article
- Dietary environmental impacts and quality differ by socio-demographic characteristics.Nature food · 2026Article
- Are European diets healthy and sustainable? Evidence from nine countries using the planetary health diet framework.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
- Modifying Role of Sustainable Diets on the Association Between Particulate Matter and Biological Aging: The Guangzhou Biobank Cohort Study.Aging cell · 2026Article
- The Mediterranean diet and cardiovascular disease.Cardiovascular research · 2025Review
- The Role of a Sustainable Planetary Health Diet in the Prevention of Non-Communicable Diseases and Cause-Specific Mortality: A Narrative Review.Foods (Basel, Switzerland) · 2025Review
- Behavioral Profiles and Sociodemographic Predictors of Planetary Health Diet Engagement Among Health Care Professionals to Inform Public Health Promotion: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
- Exploring nudging strategies for plant-based dietary choices in hospital patients: a quasi-experimental study.The international journal of behavioral nutrition and physical activity · 2025Article
- Sustainable diets and cancer: a systematic review and meta-analysis.EClinicalMedicine · 2025Article
- Association of the adherence to EAT-Lancet Planetary Health Diet with mortality in Switzerland: results from the national nutrition survey menuCH.BMJ nutrition, prevention & health · 2025Article
- Redefining Protein Quality: Integrating Health Outcomes and Environmental Impacts in the Plant-Animal Protein Debate.Foods (Basel, Switzerland) · 2024Article
- Sustainability of animal-sourced foods and plant-based alternatives.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Global adherence to a healthy and sustainable diet and potential reduction in premature death.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
The Planetary Health Diet (PHD), also known as the EAT-Lancet reference diet, was developed to optimize global dietary quality while keeping the environmental impacts of food production within sustainable planetary boundaries. We calculated current national and global adherence to the PHD using the Planetary Health Dietary Index (PHDI). In addition, we used data on diet and mortality from three large US cohorts (n = 206,404 men and women, 54,536 deaths) to estimate the total and cause-specific mortality among adults 20 y of age and older that could be prevented by shifting from current diets to the reference PHD. The PHDI varied substantially across countries, although adherence was universally far from optimal (mean PHDI = 85 out of 140). By improving the global PHDI to 120, approximately 15 million deaths (27% of total deaths) could be prevented annually. Estimates of preventable deaths due to this shift ranged from 2.5 million for cardiovascular diseases to 0.7 million for neurodegenerative diseases. Our analysis suggests that adopting healthy and sustainable diets would have major direct health benefits by reducing mortality due to multiple diseases and could contribute substantially to achieving the United Nations Sustainable Development Goals. These numbers of preventable deaths are based on evidence that human biology is similar across racial and ethnic groups, but the exact numerical estimates should be interpreted with caution because some assumptions used for the calculations build on limited data. Refinement of these estimates will be possible when additional regional data on diet and mortality become available.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.