Evidence map›Paper›PMID 41324694›Full record

ArticleEuropean journal of nutrition2025

Development and validation of a multicriteria measure to assess the sustainability characteristics of diets: the Diet Sustainability Score.

Mariana Rei, Catarina Campos Silva, Duarte Torres, Colin Sage, Sara Rodrigues

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Associating Dietary Sustainability with Health: A Focus on General and Central Adiposity.International journal of environmental research and public health · 2026
    Article
  2. 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.

Mariana ReiFaculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua do Campo Alegre 823, 4150-180, Porto, Portugal.ORCID http://orcid.org/0000-0001-8945-3708
Catarina Campos SilvaFaculdade de Medicina, Universidade do Porto, 4200-319, Porto, Portugal.ORCID http://orcid.org/0009-0001-4146-9070
Duarte TorresFaculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua do Campo Alegre 823, 4150-180, Porto, Portugal.ORCID http://orcid.org/0000-0001-8960-2160
Colin SageFaculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua do Campo Alegre 823, 4150-180, Porto, Portugal.ORCID http://orcid.org/0000-0002-2063-4815
Sara RodriguesFaculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua do Campo Alegre 823, 4150-180, Porto, Portugal. saraspr@fcna.up.pt.ORCID http://orcid.org/0000-0003-0647-5018

Funding

EEA Grants Program, Public Health Initiatives PT06-000088SI3FCT - Fundação para a Ciência e Tecnologia, I.P. 2021.04955.BDFCT - Fundação para a Ciência e Tecnologia, I.P. https://doi.org/10.54499/LA/P/0064/2020FCT - Fundação para a Ciência e Tecnologia, I.P. https://doi.org/10.54499/UIDB/04750/2020
6 · The paper itself

Abstract

purposeThis cross-sectional study aims to develop and validate the Diet Sustainability Score (DSS), a multicriteria measure designed to evaluate the sustainability of diets by integrating nutritional, environmental, economic, and sociocultural dimensions.

methodsDietary data from 2287 adults (18 + years) who completed two non-consecutive 24-h dietary recalls during the National Food, Nutrition, and Physical Activity Survey (IAN-AF 2015/2016) were used to assess the psychometric properties of the DSS. Content validity was assessed through expert evaluation. Reproducibility was tested using the intraclass correlation coefficient (ICC), and construct validity was examined by testing conceptually derived hypotheses.

resultsThe DSS demonstrated robust content validity through expert assessment and alignment with established frameworks. Reproducibility was supported by an ICC of 0.407 and construct validity by confirming 78% of conceptually derived hypotheses. The DSS showed positive associations with females, older ages, higher education, and higher income, as well as healthier lifestyle behaviours, including non-smoking, non-alcohol consumption, greater organic food intake, and less frequent eating out-of-home habits. Participants with higher DSS consumed more vegetables, fruits, fish, white meat, and olive oil and less red and processed meat, sweets, and salty snacks, aligning with Portuguese Mediterranean dietary guidelines.

conclusionThe DSS effectively captures the multidimensional nature of sustainable diets, offering a reliable tool for research and policy to promote more sustainable eating practices.

Indexed as

DietDiet, HealthyDiet SurveysNutrition SurveysAdolescentAdultAgedCross-Sectional StudiesFeeding BehaviorFemaleHumansMaleMiddle AgedPortugalPsychometricsReproducibility of Results24-h recallsAdultsDietary dataMulticriteria analysisSustainability scoreSustainable diets

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.