1. Adherence to the EAT-Lancet index is associated with lower diet costs in the Mexican population.
- Author
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Aburto TC, Salgado JC, Rodríguez-Ramírez S, Rivera JA, Barquera S, and Batis C
- Subjects
- Humans, Mexico, Female, Male, Adult, Middle Aged, Young Adult, Adolescent, Diet, Healthy statistics & numerical data, Diet, Healthy economics, Diet, Healthy methods, Costs and Cost Analysis, Feeding Behavior, Aged, Diet methods, Diet statistics & numerical data, Diet economics, Nutrition Surveys statistics & numerical data, Nutrition Surveys methods
- Abstract
Background: Poor diet quality contributes to morbidity and mortality and affects environmental sustainability. The EAT-Lancet reference diet offers a healthy and sustainable solution. This study aimed to estimate the association between diet cost and dietary quality, measured with an EAT-Lancet Index., Methods: An EAT-Lancet index was adapted to assess adherence to this dietary pattern from 24-h recalls data from the 2012 and 2016 Mexican National Health and Nutrition Surveys (n = 14,242). Prices were obtained from the Consumer Price Index. We dichotomized cost at the median (into low- and high-cost) and compared the EAT-Lancet index scores. We also used multivariate linear regression models to explore the association between diet cost and diet quality., Results: Individuals consuming a low-cost diet had a higher EAT-Lancet score than those consuming a high-cost diet (20.3 vs. 19.4 from a possible scale of 0 to 42; p < 0.001) due to a lower intake of beef and lamb, pork, poultry, dairy, and added sugars. We found that for each one-point increase in the EAT-Lancet score, there was an average decrease of MXN$0.4 in the diet cost (p < 0.001). This association was only significant among low- and middle-SES individuals., Conclusions: Contrary to evidence from high-income countries, this study shows that in Mexico, adhering to the EAT-Lancet reference diet is associated with lower dietar costs, particularly in lower SES groups. These findings suggest the potential for broader implementation of healthier diets without increasing the financial burden., (© 2024. The Author(s).)
- Published
- 2024
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