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The global food system contributes to the environmental burdens and has been assessed as unsustainable. Indeed, it has a negative impact on greenhouse gas emissions as it accounts for approximately 21% to 37% of overall global anthropogenic greenhouse gas emissions (Rosenzweig, 2020). In line with the agreement of the Danish parliament upon the aim of a reduction of 70% in GHG emissions by 2030 compared to 1990 (Danish Ministry of Climate, 2020), “the Official Danish Dietary Guidelines-good for health and climate” were launched to contribute to reach this goal by transitioning to a more plant-based and still healthy diet. A plant-rich diet is low in meat and discretionary foods, high in fruit, vegetables, legumes, nuts, seeds, wholegrain products and potatoes, and moderate in fish, dairy products, eggs and vegetable oils (Lassen, 2020).

The cumulative chronic dietary exposure for the Danish population were assessed using Danish food monitoring data for the period 2012–2017 and Danish food consumption data for the consumer groups children (age 1–2, age 4–6 and age 7–14 years), adults age 15–75, high consumers and consumers eating Danish produced fruit and vegetables whenever possible. Levels below the Limit of Reporting (LOR) were set to ½ LOR with correction. For risk assessment of the cumulative chronic dietary exposure we used the Hazard Index (HI) method where the Hazard Quotient (HQ) was calculated for each pesticide and summed up to a HI. The HI was calculated to be below 1 for all consumer groups; i.e. 0.36 for children age 4–6 years and 0.13 for adults, indicating that the cumulative chronic dietary pesticide exposure is unlikely to constitute a health risk for Danish consumers, even for high consumers eating 600 g or more of fruit and vegetables each day. By eating Danish produced commodities whenever possible, the HI was reduced by a factor of one third for both children and adults. 25 different commodities contributed to about 90% of the HI and to 84% of the exposure.

Knowledge is needed about effective tools that reach public health objectives focused on reducing the intake of sugar-rich foods and drinks. The purpose of this study was to assess the parental acceptability, use and motivational potential of intervention components developed in the randomized family-based trial ‘Are you too sweet?’ aimed at reducing the intake of sugar-rich foods and drinks among children (5–7 y). Intervention components included guidance on sugar-rich foods and drinks at a school health nurse consultation, a box with home-use materials and a digital platform. The methods used were a questionnaire among intervention families (n = 83) and semi-structured interviews with parents in selected intervention families (n = 24). Results showed the good acceptability and usefulness of the components, with reported frequencies of use of materials ranging from 48% to 94% and a high satisfaction rate with the school health nurse consultation. Personalized feedback and guidance from the school health nurse seemed to be a motivational trigger, and components that were compatible with existing practices were most frequently used. However, the components were not considered engaging by all families. Overall, intervention components were well received and hold the potential for enhancing parental knowledge and parenting practices regarding limiting the intake of sugar-rich foods and drinks.

In Denmark, as in many other countries, there has been a commitment to the common goal of reducing greenhouse gas emissions (GHGE) in order to mitigate climate change. As part of the interventions to obtain an overall reduction of GHGE, “The Danish Official Dietary Guidelines – good for health and climate” were launched in January 2021 (1). As a part of developing the scientific basis for the new food-based dietary guidelines (FBDG) a reference diet was modelled for people aged 6-64 y, i.e. “The Danish Adapted Healthy Plant-Rich Diet” (2) (for simplicity referred to as “the plant-rich diet” in the present work). Further, plant-rich diets covering small children 2-5 y and elderly 65 y and above have been modelled based on the plant-rich reference diet 6-64 y (3,4). In addition, vegetarian diet models covering the three age groups have been developed (5). Based on literature, it has been estimated that changing the current Danish diet to a diet following the new official FBDG would lead to a 30-35% diet-related reduction of GHGE (6). A transition to a vegetarian diet could warrant additional GHGE reductions (7). The calculated reduction, however, depends to a large extent on the data used for the calculation. In Denmark, different sets of data of the Carbon Footprints (CF) of foods on the Danish market exist. In this report, we focus on two sets of data based on two different approaches to provide data. One of the datasets, developed in collaboration between Aarhus University (AU) and the Technical University of Denmark (DTU), is based on life cycle assessment (LCA) studies and bottom–up analyses (8). The other one – the Big Climate Database (BCD), launched by CONCITO (9), and developed in collaboration with 2.-0 LCA Consultants – is based on a top-down approach in combination with LCA data (10). Different methods are used for LCA of food products, where one of the main differences is, that the AU-DTU table is based on attributiona

Purpose: Wholegrain intake is linked to lower risk of lifestyle diseases, but little is known about its role in growth and metabolic health during the first years of life. We characterized wholegrain and dietary fibre intake in 439 Danish children at 9 and 36 months of age and explored associations with height z-scores (HAZ), body mass index z-scores (BMIZ) and metabolic markers.Methods: We used pooled data from two infant cohorts and estimated intakes of total wholegrain, dietary fibre and wholegrain subtypes from 7-day dietary records. Associations with HAZ, BMIZ and non-fasting plasma low-density (LDLC) and high-density-lipoprotein cholesterol, triacylglycerol, insulin and glucose were analysed in mixed models, adjusted for potential confounders.Results: Median (25th, 75th percentile) wholegrain intake was 7.5 (4.9, 10.5) and 6.5 (4.6, 9.0) g/MJ at 9 and 36 months. Neither wholegrain nor dietary fibre intake were associated with HAZ (P ≥ 0.09). At 36 months, wholegrain intake was inversely associated with LDLC (P = 0.05) and directly with glucose (P < 0.001). In secondary analyses, wholegrain rye was inversely associated with glucose at 9 months and insulin at 36 months (both P ≤ 0.03). Oat and wheat wholegrain were directly associated with glucose (both P ≤ 0.01) and wheat with BMIZ (P = 0.02) at 36 months.Conclusion: Danish infants and toddlers have high intakes of wholegrain and dietary fibre, with no indication of compromised growth. In line with studies in adults, wholegrain intake was inversely associated with LDLC. The observed direct association between wholegrain intake and plasma glucose and associations with wholegrain subtypes should be investigated further.

A high consumption of discretionary foods and drinks has been associated with increased risk of multiple adverse health outcomes, including risk of overweight and dental caries. The family-based cluster randomized intervention study "Are you too sweet?" aimed at reducing the intake of discretionary foods and drinks in a population of children starting pre-school. As part of the intervention a new short web-based sugar-rich food screener (SRFS), was developed to make the parents and the school health nurses aware of the children's intake of discretionary foods and drinks. In addition to the short assessment tool the parents also completed a validated web-based 7-day dietary record for the children. In the present study, estimates for intake of discretionary foods and drinks from the two assessment tools were compared (n = 80). There was significant correlation between estimates from the two assessment tools, but the SRFS provided lower estimates for intake of discretionary foods and drinks compared to the 7-day dietary record. The correlation coefficient between the two assessment tools was 0.49 (p < 0.001) and Kappa coefficient was 0.33. It is concluded that the SRFS can provide a fairly ranking of participants according to their intake of discretionary foods and drinks when compared to a validated 7-day dietary record. The screener may be a useful tool in practical settings, such as school health nurse consultations, in order to gain insight into the child's sweet intake habits.

Fødevarestyrelsen har bedt DTU Fødevareinstituttet om en faglig vurdering i forhold til nedenstående forespørgsel fra en sundhedsplejerske angående laktosefri mælk til alle børn i en daginstitution. ”Vi har fået en forespørgsel omkring laktosefri mælk i daginstitutionerne. Vil det være ok at alle børn (1-6 år) i institutionen får laktosefri mælk, så er de fri for at skelne mellem, hvem der skal have alm. mælk og hvem der skal have laktosefri mælk? Vi kan ikke umiddelbart finde svar i vores håndbøger.”

The concern about the impact of food consumption on climate change has emphasized the importance of a plant-based diet to reduce the consumption of animal products. Various alternatives are introduced to the market to substitute animal products that are known as a source of protein. This study focused on the nutrient analysis of 58 products with protein derived from egg white, mycoprotein, pea, soy, a combination of pea and soy, and wheat. The products were divided into groups such as cold cuts, minced, pieces, sausages, minced balls, tofu and seitan. The products were collected from the Danish market based on the current purchasing trends with the purpose of including the data in the Danish Food Composition Database (FRIDA). Protein was the most abundant macronutrient (6.6-33 g/100 g), followed by carbohydrate (0.6-18 g/100 g), and fat (2.1-14 g/100), contributing to the energy value of 412-963 kJ/100 g in analysed products. The results included amino acids and fatty acids composition, and content of vitamins and minerals that indicated that these products contain a wide range of nutrients, but there is a need for nutritional guidance to satisfy nutritional recommendations when consuming plant-protein products as a substitute for animal products.

The diet of Danish children is often not in accordance with dietary guidelines. We aimed to evaluate changes in the intake of selected foods and beverages during a multi-component school-based physical activity intervention, and to investigate if changes were modified by socioeconomic status (SES). The study included 307 children (intervention group: 184; comparison group: 123) with information on dietary intake pre-and post-intervention as well as on SES. Linear regression models were conducted to assess the effect of the intervention on changes in dietary factors. Children from the intervention group increased their intake of whole-grain bread during the intervention (group means: 6.1 g/d (95% CI: 2.2 to 10.0) vs. 0.3 g/d (95% CI:-3.1 to 3.7) in the comparison group, p = 0.04). A significant interaction between SES and group allocation was observed to change in fruit intake (p = 0.01). Among children from low SES families, only those from the comparison group decreased their fruit intake (group means:-40.0 g/d (95% CI-56.0 to-23.9) vs. 9.3 g/d (95% CI-16.1 to 94) in the intervention group, p = 0.006). The present study found no convincing effect of introducing a multi-component intervention on dietary intake except a small beneficial effect on whole-grain bread consumption. However, beneficial intervention effects in fruit intake were found particularly among children from low SES families.

We conducted an overview of systematic reviews to summarize reviews of cohort studies on intake of unprocessed and processed meat and the risk of cardiovascular disease (CVD), coronary heart disease (CHD), and stroke. Systematic reviews of cohort studies published between January 2010 and August 2020 were identified through a systematic literature search in PubMed, Embase, and Web of Science. The quality of how each review was conducted was assessed and the overall confidence in the results of each review was rated using AMSTAR 2. The quality of evidence of each meta-analysis was graded using NutriGrade. Three reviews were included, with meta-analyses of unprocessed red meat and CVD (n = 1) and stroke (n = 2); unprocessed poultry and stroke (n = 1); and processed meat and CVD (n = 1), CHD (n = 1), and stroke (n = 3). The overall confidence in the results of each review was rated as critically low. The meta-evidence was graded moderate for a positive association between unprocessed red meat and stroke and moderate for a positive association between processed meat and CHD and stroke. For other associations the meta-evidence was graded as low or very low. In conclusion, the associations between unprocessed and processed meat with CVD and major subtypes of CVD have not been extensively investigated.

Public procurement has been highlighted as an important strategic tool to drive sustainable development. The present study aimed at providing direction for decreasing greenhouse gas emissions (GHGE) by 25% for the food purchased by child-care centers in the City of Copenhagen while simultaneously providing nutritionally adequate, affordable and tasty menus. Baseline data were provided by compiling food purchase data with datasets matching each food item to a proxy food item and further with databases containing nutrient and GHGE information. For each food item, the edible amount was estimated in order to evaluate nutritional content and GHGE per 10 MJ. Two scenarios were modeled, i.e., a plant-rich diet and a lacto-ovo vegetarian diet directed at children two to five years old based on current purchase practice. Finally, the diets were translated into guidelines for menu planning. Amounts of pulses, nuts and seeds, as well as dark green vegetables and plant-based fats, were increased substantially in the two scenarios, while animal fat was decreased and the amount of meat was either reduced or eliminated in the plant-rich and lacto-ovo vegetarian diets, respectively. These kinds of changes in public food procurement have the power to significantly affect the transition toward a more healthy and sustainable food system.

Baggrund: Sundhedsplejen udgør en del af de forebyggende og sundhedsfremmende indsatser, som landets kommuner, ifølge Sundhedsloven, er forpligtet til at tilbyde alle børn. I indskolingen tilbydes alle børn en sundhedssamtale, og det er denne, der er afsæt for interventionen og dataindsamlingen i projekt ’Er du for sød?’. Projekt ’Er du for sød?’ sætter fokus på slik og andre søde sager samt søde drikke som sodavand og saftevand i danske børnefamilier. Mange danske børn spiser og drikker mere sødt, end der er plads til i en sund kost. Slik, kage, sodavand og saftevand kan give syreskader og huller i tænderne. Et højt indtag af søde sager og søde drikke øger desuden risikoen for overvægt og optager pladsen fra den sunde mad som frugt, grønt, fuldkorn, fisk og mælk - mad der er væsentlig for at dække behovet for energi og næringsstoffer, og som er nødvendige for vækst og udvikling. Projektet er udviklet med børnesundhed og forebyggelse i fokus. Projektet bygger på indsatskomponenter, som dels henvender sig til sundhedsplejerskernes sundhedssamtale, dels til familierne i hjemmet. Komponenterne er i løbet af efteråret og vinteren 2020/2021 blevet afprøvet i Hvidovre Kommune. Formål: Denne rapport er udarbejdet med det formål at evaluere de deltagende sundhedsplejerskers erfaringer med og holdninger til sundhedssamtalen, som den er blevet gennemført i projekt ’Er du for sød?’, med fokus på de udviklede materialer i projektet. Dette med henblik på vidensdeling og senere forankring i sundhedssamtaler med børn i indskolingen dels i Hvidovre Kommune, dels andre steder i landet. Et delformål er således, at evalueringen giver sundhedsplejersker og ledere i andre danske kommuner et indblik i indsatskomponenter, som kan anvendes til at tale med børnefamilier i indskolingen om sund mad, søde sager, søde drikke samt anden livsstil. Metode: Evalueringen er baseret på kvalitativt materiale indsamlet gennem to fokusgruppeinterviews med de tolv d

Reducing the climate impact of food provided for residents in nursing homes is challenging, as the diets for older, frail adults must be high in protein content and energy density while at the same time ensuring that the meals are palatable and recognizable. This study aimed at providing guidance on healthy and more climate-friendly diets for nursing homes in the City of Copenhagen. The goal was to decrease greenhouse gas emissions (GHGE) by at least 25% while at the same time providing nutritionally adequate and recognizable menus. First, food purchase data were compiled with datasets matching each food item to a proxy food item and then to databases containing GHGE and nutrient information. Secondly, two diet scenarios were modelled based on current procurement practices, i.e., an energy- and protein-dense diet and a standard protein-dense diet, and converted into guidelines for menu planning. The diets contained less total meat, especially beef, and significantly more pulses, nuts and seeds in order to increase protein content according to recommendations for older adults. Finally, a combined scenario was calculated to reflect the joint climate impact reduction. This kind of innovation in food procurement is required in order to achieve the necessary transition to a sustainable food system.

OBJECTIVE: This study aimed to identify diets with improved nutrient quality and environmental impact within the boundaries of dietary practices.DESIGN: We used Data Envelopment Analysis to benchmark diets for improved adherence to food-based dietary guidelines (FBDG). We then optimised these diets for dietary preferences, nutrient quality and environmental impact. Diets were evaluated using the Nutrient Rich Diet score (NRD15.3), diet-related greenhouse gas emission (GHGE) and a diet similarity index that quantified the proportion of food intake that remained similar as compared with the observed diet.SETTING: National dietary surveys of four European countries (Denmark, Czech Republic, Italy and France).SUBJECTS: Approximately 6500 adults, aged 18-64 years.RESULTS: When dietary preferences were prioritised, NRD15·3 was ~6 % higher, GHGE was ~4 % lower and ~85 % of food intake remained similar. This diet had higher amounts of fruit, vegetables and whole grains than the observed diet. When nutrient quality was prioritised, NRD15·3 was ~16 % higher, GHGE was ~3 % lower and ~72 % of food intake remained similar. This diet had higher amounts of legumes and fish and lower amounts of sweetened and alcoholic beverages. Finally, when environmental impact was prioritised, NRD15·3 was ~9 % higher, GHGE was ~21 % lower and ~73 % of food intake remained similar. In this diet, red and processed meat partly shifted to either eggs, poultry, fish or dairy.CONCLUSIONS: Benchmark modelling can generate diets with improved adherence to FBDG within the boundaries of dietary practices, but fully maximising health and minimising GHGE cannot be achieved simultaneously.

I Danmark er Fødevarestyrelsen ansvarlig for de officielle nationale kostråd. I 2011 besluttede Fødevarestyrelsen at igangsætte en opdatering af De officielle Kostråd 2005. Arbejdet resulterede i 10 kostråd som styrelsen lancerede i 2013 (De officielle Kostråd 2013). Et af de 10 råd vedrører indtag af næringsstoffet mættet fedt: ”Spis mindre mættet fedt”. Et andet råd vedrører indtag af magre mejeriprodukter: ”Vælg magre mejeriprodukter”. Den primære grund til, at Fødevarestyrelsen anbefaler befolkningen at reducere indtag af mættet fedt er, at indtag af mættet fedt øger risiko for iskæmisk hjertesygdom (IHS) medieret af blandt andet effekten på low-density lipoprotein kolesterol i blodet, der er en væsentlig risikofaktor for udvikling af aterosklerotiske hjerte-kar-sygdomme, herunder IHS. Baggrunden for, at Fødevarestyrelsen anbefaler befolkningen at vælge de magre varianter af mejeriprodukter, er, at de magre varianter har et lavere indhold af mættet fedt sammenlignet med de fede varianter. De seneste år har ernæringsforskningen dog fokuseret på effekten af indtag af hele fødevarer og fødevaremønstre på helbredet, da næringsstofferne, andre biologisk aktive stoffer, deres indbyrdes sammenspil samt fødevarens fysiske struktur (for eksempel fast struktur versus flydende) sandsynligvis har betydning. Formålet med nærværende projekt er derfor at gennemgå den videnskabelige litteratur omhandlende indtag af mejeriprodukter og udvikling af hjerte-kar-sygdomme, type 2 diabetes (T2D) og metabolisk syndrom (MetS), da en sådan gennemgang af den videnskabelige litteratur vil kunne bidrage til at opdatere det videnskabelige grundlag for Fødevarestyrelsens anbefaling om indtag af mejeriprodukter. Vi benyttede i store træk de metoder til at identificere, udvælge og gennemgå litteratur, som blev anvendt i forbindelse med opdateringen af De officielle Kostråd 2005. Her blev lagt størst vægt på konklusioner i vidensopsummeringer, hvor uafhængige organisat, In Denmark, the Danish Veterinary and Food Administration (DVFA) is responsible for the official national dietary guidelines. In 2011, DVFA decided to initiate an update of The Official Dietary Guidelines 2005. The work resulted in 10 recommendations, which DVFA launched in 2013 (The Official Dietary Guidelines 2013). One of the 10 recommendations concerns the nutrient saturated fat: “Eat less saturated fat”. Another recommendation concerns intake of low-fat dairy products: “Choose low-fat dairy products”. The primary reason why DVFA recommends the population to decrease intake of saturated fat is that intake of saturated fat increases the risk of ischemic heart disease (IHD), mediated partly by the effect on low-density lipoprotein cholesterol in the blood, which is an important risk factor for development of atherosclerotic cardiovascular diseases, among these IHD. The reason why DVFA recommends the population to choose the low-fat dairy product variants of dairy products is that the low-fat variants have a lower content of saturated fat compared with the high-fat variants. During the last years, however, nutritional research has focused on the effect of intake of whole foods and dietary patterns on health as nutrients, other biologically active components, their mutually interplay as well as the physical structure of the food (for example solid versus liquid) probably all are of importance. The aim of the current project is therefore to review the scientific literature on intake of dairy products and development of cardiovascular diseases, type 2 diabetes (T2D) and metabolic syndrome (MetS), as such a review of the scientific literature could contribute to update the scientific evidence of DVFA’s recommendation of intake of dairy products. We used similar methods to identify, select and review literature as used when updating The Official Dietary Guidelines 2005. Most emphasis was put on conclusions in systematic expert reports, where i

A high consumption of sugar-rich discretionary food and drinks has several health implications, which have been traced from childhood into adulthood. Parents act as primary mediators shaping children’s dietary habits, and interventions that engage parents have shown to result in positive outcomes. Further, collaboration with local school health nurses and dentists provides an effective structural frame to support behaviour change and anchor new initiatives. The multicomponent 3.5-month cluster randomised family-focused intervention “Are you too Sweet?” aims to evaluate the effectiveness of communicating new Danish guidelines for sugar-rich discretionary food and drinks for school starters (5–7 years). This paper describes the development, outcomes and process evaluation of the intervention that includes three main components: extended dialogue during a school health nurse consultation, a box with home-use materials, and a social media platform to facilitate interaction among participants. Children (n = 160) and their parents were scheduled for a baseline interview at six different schools. The intervention was developed to increase self-efficacy, knowledge about guidelines, observational learning and reduce impediments for behavioural change. The desired primary outcome was a reduction in intake of sugar-rich food measured through a 7-day dietary record. The results contribute to the evidence on effective health promotion strategies.

DTU Fødevareinstituttet gennemfører med jævne mellemrum de nationale undersøgelser af danskernes kost og fysiske aktivitet for at sikre et forskningsbaseret grundlag for instituttets arbejde med at vurdere forskellige fødevarerelaterede risici samt for instituttets forskning i folkesundhed. Formålet er at undersøge indtag af fødevarer, næringsstoffer og uønskede stoffer samt det fysiske aktivitetsniveau i den danske befolkning. Resultaterne bruger forskere og myndigheder til at vurdere fødevaresikkerheden, folkesundheden og kostens klimabelastning i Danmark. Denne e-artikel giver et indblik i planlægningen og udviklingen af 2020-2021 undersøgelsen.

Der er solid evidens for sammenhængen mellem et højt saltindtag og forhøjet blodtryk, som er en væsentlig risikofaktor for hjerte karsygdomme. Alligevel spiser hver fjerde voksne dansker mere end dobbelt så meget salt som de anbefalede maksimum 5-6 gram dagligt. DTU Fødevareinstituttet har analyseret danskernes indtag af de fødevarer, der især bidrager til kostens samlede saltindtag. Analysen viser, at kostens samlede indhold af saltholdige produkter målt i g/10 MJ er steget med knap 10 % i perioden 2000-2013 vurderet ud fra de nationale undersøgelser af danskernes kost og fysiske aktivitet. Stigningen ser ud til at være fortsat i perioden 2013-2017 vurderet ud fra salgsdata fra detailhandlen.

Et højt indtag af søde sager og søde drikke hos børn kan lede til både overvægt, dårlig tandsundhed og til, at vigtige vitaminer og mineraler bliver skubbet ud af kosten. På den baggrund er forskningsprojektet Er du for sød? blevet til med en ambition om at formulere konkrete anbefalinger og tiltag og derved bane vejen for et lavere indtag af søde sager og søde drikke blandt børn. Denne e-artikel gennemgår de videnskabelige grunde til at arbejde hen imod, at børn mindsker deres indtag af søde sager og søde drikke.

Meat replacers could play a role in achieving more plant-based diets, but their current consumption is limited. The present modelling study aimed to explore the nutritional and greenhouse gas emissions impacts of meat replacers. Using dietary surveys from Denmark, Czech Republic, Italy and France (~6500 adults), we composed alternative diets in which all the meat in the observed diet (in grams) was substituted by similar use meat replacers (with and without fortification). Starting from the observed diets and meat-replacement diets, diets with improved adherence to food-based dietary guidelines (FBDGs) were modelled using Data Envelopment Analysis. These improved diets were then further optimised for dietary preferences (MaxP, diet similarity index), nutrient quality (MaxH, Nutrient Rich Diet score, NRD15.3) or diet-related greenhouse gas emissions (GHGE) (MaxS, CO2 equivalents). In all optimised modelled diets, the total amount of meat was lower than in the observed diets, i.e., 30% lower in the MaxP, 50% lower in the MaxH, and 75% lower in the MaxS diets. In the MaxP diet, NRD15.3 was ~6% higher, GHGE was ~9% lower, and ~83% of food intake remained similar. In the MaxH diet, NRD15.3 was ~17% higher, GHGE was ~15% lower, and ~66% of food intake remained similar. In the MaxS diet, NRD15.3 was ~9% higher, GHGE was ~33% lower, and ~65% of food intake remained similar. When using fortified meat replacers, for all modelled diets, the diet similarity was on average 2% lower and the GHGE reduction was on average 3% higher as compared with the same scenarios without fortification. This analysis showed that meat replacers, provided their preference is similar to meat, can provide benefits for GHGE, without necessarily compromising nutrient quality.

I september 2018 udgav Fødevarestyrelsen anbefalinger til sundere mad i daginstitutioner. Formålet med dette notat er at belyse, om der er en sammenhæng mellem brugen af økologiske råvarer og henholdsvis opfyldelse af principper for frokostretter og fokus på madspild blandt daginstitutioner. Analysen er baseret på et tværsnitsstudie af madudbud blandt 1053 daginstitutioner, hvoraf 520 tilbød mad til frokost mindst 3 dage om ugen. Data blev indhentet via et online selvadministreret spørgeskema i november 2018. Analysen af sammenhængen mellem daginstitutioners brug af økologiske råvarer og opfyldelse af principper for frokostretter viser, at daginstitutioner med et højt forbrug af økologiske råvarer (50%-100%) har dobbelt så høje odds for at opfylde princippet om minimum frekvens for fisk, kød, æg og/eller bælgfrugter i forhold til daginstitutioner med lavt økologisk forbrug. Det er dog stadig kun godt halvdelen af daginstitutionerne med højt forbrug af økologiske råvarer, som opfylder dette princip, hvorfor daginstitutionerne (både dem med højere og lavere grad af brug af økologiske råvarer) generelt kan blive bedre til at tilbyde proteinrige fødevarer i måltiderne. Derudover har daginstitutioner med et højt forbrug af økologiske råvarer tre gange så høje odds for at opfylde princippet om maksimum frekvens for federe kød. Daginstitutioner med et højt forbrug af økologiske råvarer har desuden også cirka to gange så høje odds for at have et meget høj grad af fokus på madspild sammenlignet med daginstitutioner med et lavt forbrug af økologiske råvarer. Daginstitutionerne har generelt et højt forbrug af økologiske råvarer, og samlet set viser analysen, at et højt forbrug af økologiske råvarer har en positiv sammenhæng med opfyldelse af to af de syv principper for sundere mad i daginstitutioner, mens der ikke er fundet nogle negative sammenhænge mellem opfyldelse af principperne og højt forbrug af økologiske fødevarer. Analysen viser desuden, at madspild i særlig høj