Association between Beverage Consumption and Environmental Sustainability in an Adult Population with Metabolic Syndrome

Silvia García, Margalida Monserrat-Mesquida, Emma Argelich, Lucía Ugarriza, Jordi Salas-Salvadó, Inmaculada Bautista, Jesús Vioque, María Dolores Zomeño, Dolores Corella, Xavier Pintó, Aurora Bueno-Cavanillas, Lidia Daimiel, J. Alfredo Martínez, Stephanie Nishi, Estefanía Herrera-Ramos, Sandra González-Palacios, Montserrat Fitó, Eva M. Asensio, Marta Fanlo-Maresma, Naomi Cano-IbáñezEsther Cuadrado-Soto, Itziar Abete, Josep A. Tur, Cristina Bouzas

Research output: Indexed journal article Articlepeer-review


Beverages are an important part of the diet, but their environmental impact has been scarcely assessed. The aim of this study was to assess how changes in beverage consumption over a one-year period can impact the environmental sustainability of the diet. This is a one-year longitudinal study of 55–75-year-old participants with metabolic syndrome (n = 1122) within the frame of the PREDIMED-Plus study. Food and beverage intake were assessed using a validated food frequency questionnaire and a validated beverage-specific questionnaire. The Agribalyse® 3.0.1 database was used to calculate environmental impact parameters such as greenhouse gas emission, energy, water, and land use. A sustainability beverage score was created by considering the evaluated environmental markers. A higher beverage sustainability score was obtained when decreasing the consumption of bottled water, natural and packed fruit juice, milk, and drinkable dairy, soups and broths, sorbets and jellies, soft drinks, tea without sugar, beer (with and without alcohol), and wine, as well as when increasing the consumption of tap water and coffee with milk and without sugar. Beverage consumption should be considered when assessing the environmental impact of a diet. Trial registration: ISRCTN, ISRCTN89898870. Registered 5 September 2013.

Original languageEnglish
Article number730
Issue number5
Publication statusPublished - Mar 2024


  • beverages
  • drinks
  • environmental parameters
  • health
  • metabolic syndrome
  • sustainability
  • sustainability score


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