Evidence map›Paper›PMID 41793479›Full record

ArticleEuropean journal of nutrition2026

Are European diets healthy and sustainable? Evidence from nine countries using the planetary health diet framework.

Agustin R Miranda, Joseph M M Meunier, Sofia Romagosa Vilarnau, Anant Jani, Eric O Verger

Abstract read
In one paragraph

Article in European journal of nutrition, 2026. 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. Review
  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.

Agustin R MirandaMoISA, Univ Montpellier, CIHEAM-IAMM, CIRAD, INRAE, Institut Agro, IRD, Montpellier, France. agustin.miranda@ird.fr.
Joseph M M MeunierMoISA, Univ Montpellier, CIHEAM-IAMM, CIRAD, INRAE, Institut Agro, IRD, Montpellier, France.
Sofia Romagosa VilarnauEuroHealthNet, Bruxelles, Belgium.
Anant JaniHeidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany. anant.jani@uni-heidelberg.de.
Eric O VergerMoISA, Univ Montpellier, CIHEAM-IAMM, CIRAD, INRAE, Institut Agro, IRD, Montpellier, France. eric.verger@ird.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeContemporary food systems pose challenges for both human and planetary health. This study aimed to assess and compare adherence to the Planetary Health Diet (PHD) in nine European countries.

methodsNationally representative dietary surveys (post-2013) from Estonia, Finland, France, Hungary, the Netherlands, Portugal, Spain, Switzerland, and the United Kingdom, with ≥ 2 non-consecutive 24-hour recalls, were used (n = 16,083 adults). Adherence to the PHD was assessed at two levels: (1) food group compliance, evaluated as the alignment with PHD target values and recommended ranges; (2) overall adherence, captured by three valid dietary indices. Multivariate regression analyses were conducted to identify associations with demographic factors.

resultsDietary patterns across Europe were characterised by insufficient intake of plant-based foods (whole grains, legumes, nuts, vegetables, and unsaturated oils) relative to PHD targets, alongside excessive consumption of foods to limit (red meat, saturated fats, and added sugars). Spain, Portugal, and the Netherlands showed comparatively better alignment with the PHD, whereas Hungary, the United Kingdom, and Estonia had the lowest scores. Red meat, particularly pork, and added sugars were the primary contributors to low scores across PHD indices. Being female, older, and having a higher level of education were positively associated with PHD adherence.

conclusionEuropean diets show systematic deviations from the PHD. Targeted and multilevel policies are needed to promote healthy and sustainable diets.

Indexed as

Diet, HealthyDiet SurveysNutrition PolicyAdultEuropeEuropean PeopleFemaleHumansMaleMiddle AgedYoung AdultDietary patternsEAT-Lancet dietNutrition surveysSustainable nutrition

Identifiers

PMID41793479
PMCPMC12967455

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.