Evidence map›Paper›PMID 42866093›Full record

ArticleFrontiers in nutrition2026

Shortcomings of food-based dietary guidelines worldwide: a focus on sustainability and food processing issues.

Anthony Fardet, Marlene Ohlau

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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Anthony FardetINRA, UMR 1019, UNH, CRNH Auvergne, F-63000 Clermont-Ferrand & Clermont Auvergne Université, Université d'Auvergne, Unité de Nutrition Humaine, Clermont-Ferrand, France.
Marlene OhlauTMG-Töpfer, Müller, Gaßner GmbH, EUREF-Campus, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since 1992, food-based dietary guidelines (FBDGs) have been developed worldwide to help consumers and society on a larger scale make informed food choices for their health. However, the global prevalence of chronic diseases continues to increase, raising questions about the effectiveness of FBDGs in addressing the broader determinants of health, and in promoting sustainable food systems. Therefore, this policy and practice review intends to identify and summarize the main shortcomings of the current FBDGs. The more detailed focus on sustainability and food processing issues showed that these two dimensions are still lacking or insufficiently considered in current FBDGs, hindering the formulation of robust recommendations for protecting global health. Based on this analysis, we propose several paradigms shifts to increase the relevance and coherence of future FBDGs: moving from food pyramids to technological pyramids; shifting from the currently excessive quantitative and food group-based recommendations toward more qualitative and holistic guidance; emphasizing the role of the food matrix rather than isolated nutrients; and integrating sustainability and regenerative agricultural practices more explicitly. The overarching challenge lies in designing FBDGs that adopt a systems-oriented, holistic approach-one that reflects the interconnectedness of human, environmental, and societal wellbeing, and that organizes and hierarchizes nutritional information from broad dietary patterns down to specific nutrients.

Indexed as

Food-based dietary guidelinesfood processingholistic approachrecommendation hierarchyshortcomingssustainability

Identifiers

PMID42866093
PMCPMC13656912

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.