Impact of mediterranean diet promotion on environmental sustainability: a longitudinal analysis

L. Álvarez-Álvarez; F. Vitelli-Storelli; M. Rubín-García; S. García; C. Bouzas; M. Ruíz-Canela; D. Corella; J. Salas-Salvadó; M. Fitó; J. A. Martínez; L. Tojal-Sierra; J. Wärnberg; J. Vioque; D. Romaguera; J. López-Miranda; R. Estruch; F. J. Tinahones; J. M. Santos-Lozano; L. Serra-Majem; A. Bueno-Cavanillas; C. García-Fernández; V. Esteve-Luque; M. Delgado-Rodríguez; M. Torrego-Ellacuría; J. Vidal; L. Prieto; L. Daimiel; R. Casas; A. García Arellano; S. Shyam; J. I. González; O. Castañer; A. García-Rios; F. Ortiz Díaz; A. C. Fernández; A. Sánchez-Villegas; M. Morey; N. Cano-Ibañez; C. Sorto-Sánchez; M. R. Bernal-López; M. Bes-Rastrollo; S. K. Nishi; O. Coltell; M. D. Zomeño; P. J. Peña-Orihuela; D. V. Aparicio; M. A. Zulet; Z. Vázquez; N. Babio; K. A. Pérez; J. A. Tur; V. Martín-Sánchez

doi:10.1016/j.puhe.2024.02.010

Impact of mediterranean diet promotion on environmental sustainability: a longitudinal analysis

L. Álvarez-Álvarez, F. Vitelli-Storelli, M. Rubín-García, S. García, C. Bouzas, M. Ruíz-Canela, D. Corella, J. Salas-Salvadó, M. Fitó, J. A. Martínez, L. Tojal-Sierra, J. Wärnberg, J. Vioque, D. Romaguera, J. López-Miranda, R. Estruch, F. J. Tinahones, J. M. Santos-Lozano, L. Serra-Majem, A. Bueno-CavanillasC. García-Fernández, V. Esteve-Luque, M. Delgado-Rodríguez, M. Torrego-Ellacuría, J. Vidal, L. Prieto, L. Daimiel, R. Casas, A. García Arellano, S. Shyam, J. I. González, O. Castañer, A. García-Rios, F. Ortiz Díaz, A. C. Fernández, A. Sánchez-Villegas, M. Morey, N. Cano-Ibañez, C. Sorto-Sánchez, M. R. Bernal-López, M. Bes-Rastrollo, S. K. Nishi, O. Coltell, M. D. Zomeño, P. J. Peña-Orihuela, D. V. Aparicio, M. A. Zulet, Z. Vázquez, N. Babio, K. A. Pérez, J. A. Tur, V. Martín-Sánchez

Research output: Indexed journal article › Article › peer-review

6 Citations (Scopus)

Abstract

Objective: This article aims to estimate the differences in environmental impact (greenhouse gas [GHG] emissions, land use, energy used, acidification and potential eutrophication) after one year of promoting a Mediterranean diet (MD). Methods: Baseline and 1-year follow-up data from 5800 participants in the PREDIMED-Plus study were used. Each participant's food intake was estimated using validated semi-quantitative food frequency questionnaires, and the adherence to MD using the Dietary Score. The influence of diet on environmental impact was assessed through the EAT-Lancet Commission tables. The influence of diet on environmental impact was assessed through the EAT-Lancet Commission tables. The association between MD adherence and its environmental impact was calculated using adjusted multivariate linear regression models. Results: After one year of intervention, the kcal/day consumed was significantly reduced (−125,1 kcal/day), adherence to a MD pattern was improved (+0,9) and the environmental impact due to the diet was significantly reduced (GHG: −361 g/CO2-eq; Acidification:-11,5 g SO2-eq; Eutrophication:-4,7 g PO4-eq; Energy use:-842,7 kJ; and Land use:-2,2 m2). Higher adherence to MD (high vs. low) was significantly associated with lower environmental impact both at baseline and one year follow-up. Meat products had the greatest environmental impact in all the factors analysed, both at baseline and at one-year follow-up, in spite of the reduction observed in their consumption. Conclusions: A program promoting a MD, after one year of intervention, significantly reduced the environmental impact in all the factors analysed. Meat products had the greatest environmental impact in all the dimensions analysed.

Original language	English
Pages (from-to)	12-20
Number of pages	9
Journal	Public Health
Volume	230
DOIs	https://doi.org/10.1016/j.puhe.2024.02.010
Publication status	Published - May 2024

Keywords

Environmental footprint
Mediterranean diet
Sustainable diets

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.puhe.2024.02.010

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Álvarez-Álvarez, L., Vitelli-Storelli, F., Rubín-García, M., García, S., Bouzas, C., Ruíz-Canela, M., Corella, D., Salas-Salvadó, J., Fitó, M., Martínez, J. A., Tojal-Sierra, L., Wärnberg, J., Vioque, J., Romaguera, D., López-Miranda, J., Estruch, R., Tinahones, F. J., Santos-Lozano, J. M., Serra-Majem, L., ... Martín-Sánchez, V. (2024). Impact of mediterranean diet promotion on environmental sustainability: a longitudinal analysis. Public Health, 230, 12-20. https://doi.org/10.1016/j.puhe.2024.02.010

@article{16443424ee0c4bd987d277e1c1d765d6,

title = "Impact of mediterranean diet promotion on environmental sustainability: a longitudinal analysis",

abstract = "Objective: This article aims to estimate the differences in environmental impact (greenhouse gas [GHG] emissions, land use, energy used, acidification and potential eutrophication) after one year of promoting a Mediterranean diet (MD). Methods: Baseline and 1-year follow-up data from 5800 participants in the PREDIMED-Plus study were used. Each participant's food intake was estimated using validated semi-quantitative food frequency questionnaires, and the adherence to MD using the Dietary Score. The influence of diet on environmental impact was assessed through the EAT-Lancet Commission tables. The influence of diet on environmental impact was assessed through the EAT-Lancet Commission tables. The association between MD adherence and its environmental impact was calculated using adjusted multivariate linear regression models. Results: After one year of intervention, the kcal/day consumed was significantly reduced (−125,1 kcal/day), adherence to a MD pattern was improved (+0,9) and the environmental impact due to the diet was significantly reduced (GHG: −361 g/CO2-eq; Acidification:-11,5 g SO2-eq; Eutrophication:-4,7 g PO4-eq; Energy use:-842,7 kJ; and Land use:-2,2 m2). Higher adherence to MD (high vs. low) was significantly associated with lower environmental impact both at baseline and one year follow-up. Meat products had the greatest environmental impact in all the factors analysed, both at baseline and at one-year follow-up, in spite of the reduction observed in their consumption. Conclusions: A program promoting a MD, after one year of intervention, significantly reduced the environmental impact in all the factors analysed. Meat products had the greatest environmental impact in all the dimensions analysed.",

keywords = "Environmental footprint, Mediterranean diet, Sustainable diets",

author = "L. {\'A}lvarez-{\'A}lvarez and F. Vitelli-Storelli and M. Rub{\'i}n-Garc{\'i}a and S. Garc{\'i}a and C. Bouzas and M. Ru{\'i}z-Canela and D. Corella and J. Salas-Salvad{\'o} and M. Fit{\'o} and Mart{\'i}nez, {J. A.} and L. Tojal-Sierra and J. W{\"a}rnberg and J. Vioque and D. Romaguera and J. L{\'o}pez-Miranda and R. Estruch and Tinahones, {F. J.} and Santos-Lozano, {J. M.} and L. Serra-Majem and A. Bueno-Cavanillas and C. Garc{\'i}a-Fern{\'a}ndez and V. Esteve-Luque and M. Delgado-Rodr{\'i}guez and M. Torrego-Ellacur{\'i}a and J. Vidal and L. Prieto and L. Daimiel and R. Casas and {Garc{\'i}a Arellano}, A. and S. Shyam and Gonz{\'a}lez, {J. I.} and O. Casta{\~n}er and A. Garc{\'i}a-Rios and {Ortiz D{\'i}az}, F. and Fern{\'a}ndez, {A. C.} and A. S{\'a}nchez-Villegas and M. Morey and N. Cano-Iba{\~n}ez and C. Sorto-S{\'a}nchez and Bernal-L{\'o}pez, {M. R.} and M. Bes-Rastrollo and Nishi, {S. K.} and O. Coltell and Zome{\~n}o, {M. D.} and Pe{\~n}a-Orihuela, {P. J.} and Aparicio, {D. V.} and Zulet, {M. A.} and Z. V{\'a}zquez and N. Babio and P{\'e}rez, {K. A.} and Tur, {J. A.} and V. Mart{\'i}n-S{\'a}nchez",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s)",

year = "2024",

month = may,

doi = "10.1016/j.puhe.2024.02.010",

language = "English",

volume = "230",

pages = "12--20",

journal = "Public Health",

issn = "0033-3506",

publisher = "Elsevier B.V.",

}

Álvarez-Álvarez, L, Vitelli-Storelli, F, Rubín-García, M, García, S, Bouzas, C, Ruíz-Canela, M, Corella, D, Salas-Salvadó, J, Fitó, M, Martínez, JA, Tojal-Sierra, L, Wärnberg, J, Vioque, J, Romaguera, D, López-Miranda, J, Estruch, R, Tinahones, FJ, Santos-Lozano, JM, Serra-Majem, L, Bueno-Cavanillas, A, García-Fernández, C, Esteve-Luque, V, Delgado-Rodríguez, M, Torrego-Ellacuría, M, Vidal, J, Prieto, L, Daimiel, L, Casas, R, García Arellano, A, Shyam, S, González, JI, Castañer, O, García-Rios, A, Ortiz Díaz, F, Fernández, AC, Sánchez-Villegas, A, Morey, M, Cano-Ibañez, N, Sorto-Sánchez, C, Bernal-López, MR, Bes-Rastrollo, M, Nishi, SK, Coltell, O, Zomeño, MD, Peña-Orihuela, PJ, Aparicio, DV, Zulet, MA, Vázquez, Z, Babio, N, Pérez, KA, Tur, JA & Martín-Sánchez, V 2024, 'Impact of mediterranean diet promotion on environmental sustainability: a longitudinal analysis', Public Health, vol. 230, pp. 12-20. https://doi.org/10.1016/j.puhe.2024.02.010

TY - JOUR

T1 - Impact of mediterranean diet promotion on environmental sustainability

T2 - a longitudinal analysis

AU - Álvarez-Álvarez, L.

AU - Vitelli-Storelli, F.

AU - Rubín-García, M.

AU - García, S.

AU - Bouzas, C.

AU - Ruíz-Canela, M.

AU - Corella, D.

AU - Salas-Salvadó, J.

AU - Fitó, M.

AU - Martínez, J. A.

AU - Tojal-Sierra, L.

AU - Wärnberg, J.

AU - Vioque, J.

AU - Romaguera, D.

AU - López-Miranda, J.

AU - Estruch, R.

AU - Tinahones, F. J.

AU - Santos-Lozano, J. M.

AU - Serra-Majem, L.

AU - Bueno-Cavanillas, A.

AU - García-Fernández, C.

AU - Esteve-Luque, V.

AU - Delgado-Rodríguez, M.

AU - Torrego-Ellacuría, M.

AU - Vidal, J.

AU - Prieto, L.

AU - Daimiel, L.

AU - Casas, R.

AU - García Arellano, A.

AU - Shyam, S.

AU - González, J. I.

AU - Castañer, O.

AU - García-Rios, A.

AU - Ortiz Díaz, F.

AU - Fernández, A. C.

AU - Sánchez-Villegas, A.

AU - Morey, M.

AU - Cano-Ibañez, N.

AU - Sorto-Sánchez, C.

AU - Bernal-López, M. R.

AU - Bes-Rastrollo, M.

AU - Nishi, S. K.

AU - Coltell, O.

AU - Zomeño, M. D.

AU - Peña-Orihuela, P. J.

AU - Aparicio, D. V.

AU - Zulet, M. A.

AU - Vázquez, Z.

AU - Babio, N.

AU - Pérez, K. A.

AU - Tur, J. A.

AU - Martín-Sánchez, V.

PY - 2024/5

Y1 - 2024/5

N2 - Objective: This article aims to estimate the differences in environmental impact (greenhouse gas [GHG] emissions, land use, energy used, acidification and potential eutrophication) after one year of promoting a Mediterranean diet (MD). Methods: Baseline and 1-year follow-up data from 5800 participants in the PREDIMED-Plus study were used. Each participant's food intake was estimated using validated semi-quantitative food frequency questionnaires, and the adherence to MD using the Dietary Score. The influence of diet on environmental impact was assessed through the EAT-Lancet Commission tables. The influence of diet on environmental impact was assessed through the EAT-Lancet Commission tables. The association between MD adherence and its environmental impact was calculated using adjusted multivariate linear regression models. Results: After one year of intervention, the kcal/day consumed was significantly reduced (−125,1 kcal/day), adherence to a MD pattern was improved (+0,9) and the environmental impact due to the diet was significantly reduced (GHG: −361 g/CO2-eq; Acidification:-11,5 g SO2-eq; Eutrophication:-4,7 g PO4-eq; Energy use:-842,7 kJ; and Land use:-2,2 m2). Higher adherence to MD (high vs. low) was significantly associated with lower environmental impact both at baseline and one year follow-up. Meat products had the greatest environmental impact in all the factors analysed, both at baseline and at one-year follow-up, in spite of the reduction observed in their consumption. Conclusions: A program promoting a MD, after one year of intervention, significantly reduced the environmental impact in all the factors analysed. Meat products had the greatest environmental impact in all the dimensions analysed.

AB - Objective: This article aims to estimate the differences in environmental impact (greenhouse gas [GHG] emissions, land use, energy used, acidification and potential eutrophication) after one year of promoting a Mediterranean diet (MD). Methods: Baseline and 1-year follow-up data from 5800 participants in the PREDIMED-Plus study were used. Each participant's food intake was estimated using validated semi-quantitative food frequency questionnaires, and the adherence to MD using the Dietary Score. The influence of diet on environmental impact was assessed through the EAT-Lancet Commission tables. The influence of diet on environmental impact was assessed through the EAT-Lancet Commission tables. The association between MD adherence and its environmental impact was calculated using adjusted multivariate linear regression models. Results: After one year of intervention, the kcal/day consumed was significantly reduced (−125,1 kcal/day), adherence to a MD pattern was improved (+0,9) and the environmental impact due to the diet was significantly reduced (GHG: −361 g/CO2-eq; Acidification:-11,5 g SO2-eq; Eutrophication:-4,7 g PO4-eq; Energy use:-842,7 kJ; and Land use:-2,2 m2). Higher adherence to MD (high vs. low) was significantly associated with lower environmental impact both at baseline and one year follow-up. Meat products had the greatest environmental impact in all the factors analysed, both at baseline and at one-year follow-up, in spite of the reduction observed in their consumption. Conclusions: A program promoting a MD, after one year of intervention, significantly reduced the environmental impact in all the factors analysed. Meat products had the greatest environmental impact in all the dimensions analysed.

KW - Environmental footprint

KW - Mediterranean diet

KW - Sustainable diets

UR - http://www.scopus.com/inward/record.url?scp=85187230948&partnerID=8YFLogxK

U2 - 10.1016/j.puhe.2024.02.010

DO - 10.1016/j.puhe.2024.02.010

M3 - Article

C2 - 38479163

AN - SCOPUS:85187230948

SN - 0033-3506

VL - 230

SP - 12

EP - 20

JO - Public Health

JF - Public Health

ER -

Impact of mediterranean diet promotion on environmental sustainability: a longitudinal analysis

Abstract

Keywords

UN SDGs

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