Evidence map›Paper›PMID 42421929›Full record

ArticleFrontiers in nutrition2026

A path to sustainable and healthy diets: modeling ovo-lacto-vegetarian food-based dietary guidelines.

Lisa Sturm, Lena Klausmann, Katrin Seper-Nagl, Oliver Alber, Antonia Griesbacher, Tilman Kühn, Klemens Fuchs, Alexandra Wolf, Karl-Heinz Wagner

Abstract read
In one paragraph

Article in Frontiers in 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. 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

9 authors.

Lisa SturmDepartment Center for Nutrition and Prevention, Austrian Agency for Health and Food Safety, Division Integrative Risk Assessment, Data and Statistics, Vienna, Austria.
Lena KlausmannDepartment Center for Nutrition and Prevention, Austrian Agency for Health and Food Safety, Division Integrative Risk Assessment, Data and Statistics, Vienna, Austria.
Katrin Seper-NaglDepartment Center for Nutrition and Prevention, Austrian Agency for Health and Food Safety, Division Integrative Risk Assessment, Data and Statistics, Vienna, Austria.
Oliver AlberDepartment Statistics and Analytical Epidemiology, Austrian Agency for Health and Food Safety, Division Integrative Risk Assessment, Data and Statistics, Vienna, Austria.
Antonia GriesbacherDepartment Statistics and Analytical Epidemiology, Austrian Agency for Health and Food Safety, Division Integrative Risk Assessment, Data and Statistics, Vienna, Austria.
Tilman KühnDepartment of Nutritional Sciences, University of Vienna, Vienna, Austria.
Klemens FuchsAustrian Agency for Health and Food Safety, Division Integrative Risk Assessment, Data and Statistics, Vienna, Austria.
Alexandra WolfDepartment Center for Nutrition and Prevention, Austrian Agency for Health and Food Safety, Division Integrative Risk Assessment, Data and Statistics, Vienna, Austria.
Karl-Heinz WagnerDepartment of Nutritional Sciences, University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The development of healthy and sustainable food-based dietary guidelines (FBDGs) is an essential measure to support the transformation to sustainable and resilient food systems. Shifting to more sustainable and healthy plant-based diets can benefit both human and planetary health, provided these diets are nutritionally adequate, healthy, environmentally friendly, and culturally acceptable. Methods: This study aimed to obtain a nutritionally adequate and healthy ovo-lacto-vegetarian diet that reduces greenhouse gas emission (GHGE) and land use (LU) by over 45% in comparison to the average observed diet among Austrian adults, while having the least deviation possible in terms of composition from this average observed diet using mathematical optimization. The results of the optimized diet served as a basis for deriving the ovo-lacto-vegetarian FBDGs. Results: The optimized diet met all dietary reference values (DRVs) except for docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) and was associated with a potential 41% reduction in disability-adjusted life years (DALYs) compared to the observed diet-related burden of disease in the Austrian population. It resulted in GHGE of 2.5 kg CO Discussion: This study demonstrates that it is possible to model ovo-lacto-vegetarian FBDGs that are healthy, nutritionally adequate and environmentally sustainable, offering a promising approach for future dietary guidelines. National-level dietary modeling should form the basis for the development of healthy and sustainable FBDGs in the future.

Indexed as

food-based dietary guidelineshealthy dietsmathematical optimizationsustainable dietsvegetarian diets

Identifiers

PMID42421929
PMCPMC13341565

What OpenQuestion holds

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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.