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Sustainable diets, as defined by the Food and Agriculture Organisation, aim to be nutritionally adequate, safe, and healthy, while optimising natural and human resources. Teff (Eragrostis tef), a gluten-free grain primarily grown in Ethiopia, has emerged as a key contender in this context. Widely regarded as a "supergrain", teff offers an outstanding nutrition profile, making it an excellent choice for people with gluten-related disorders. Rich with protein, essential amino acids, polyunsaturated fats, and fibre, and abundant in minerals like calcium and iron, teff rivals other popular grains like quinoa and durum wheat in promoting human health. Beyond its nutritional benefits, teff is a hardy crop that thrives in diverse climates, tolerating both drought and waterlogged conditions. Due to its resilience and rich nutrient content, teff holds the potential to address nine of the 17 United Nations' Sustainable Development Goals (SDGs), including SDG 1 (no poverty), SDG 2 (zero hunger), and SDG 3 (good health and wellbeing), which are tied to improving food and nutrition security. However, teff production in Ethiopia faces significant issues. Traditional farming practices, insufficient storage infrastructure, and food safety challenges, including adulteration, hinder teff's full potential. This review explores teff's dual role as a nutritious, sustainable food source and outlines the key challenges in its production to conclude on what needs to be done for its adoption as a golden crop to address global food and nutrition security. [ABSTRACT FROM AUTHOR]

Background/objectives: The Planetary Health Diet Index (PHDI) was recently introduced to assess adherence to the EAT-Lance recommendations. In this study, we aimed to evaluate the relationship between PHDI and metabolic syndrome (MS). Subjects/methods: We used the data of 6465 participants from the PERSIAN cohort study at Mashhad University of Medical Sciences, Mashhad, Iran. Diet was assessed using a 130-item Food Frequency Questionnaire (FFQ). The PHDI comprises sixteen components and is scored between 0 and 150 points. We first assessed the validity and reliability of the PHDI for this population. We used regression logistic models to assess the relationships between PHDI and MS and its related indicators. Results: The average PHDI score was 52.3 ± 9. The Cronbach’s alpha value was 0.53. After controlling for age and sex, the PHDI was positively related to the Diet Quality Index-International (DQI-I) and was negatively related to carbon and water footprints (p < 0.001). PHDI quartile was negatively associated with MS, hypo-HDL cholesterolemia, and abdominal obesity after controlling for confounders (P < 0.05). Conclusion: The validity and reliability of the PHDI were found to be satisfactory for the Iranian population we studied. Our results showed that a higher PHDI was potentially related to a reduced likelihood of MS, hypo-HDL cholesterolemia, and abdominal obesity. [ABSTRACT FROM AUTHOR]

Flexitarian diets have gained attention for their potential positive impact on human health and greenhouse gas emissions reduction. However, a critical question remains: Can the segment of flexitarians significantly contribute to necessary changes in our current unsustainable food systems? Our study addresses this gap by examining meat consumption habits among young adults (n = 1023) in a country with traditionally high meat intake. Furthermore, we focus on a subset of flexitarians (n = 286). Our findings reveal two distinct groups of flexitarians: ethical (n1 = 140) and utilitarian (n2 = 148). Utilitarian flexitarians exhibit a stronger preference for meat (t(284)= −15.180, p < 0.001), greater food neophobia (t(284) = −4.785, p < 0.001), and lower environmental awareness (t(284) = 7.486, p < 0.001) compared to Ethical flexitarians. The Ethical group, predominantly female (χ2(1) = 13.366, p < 0.001), demonstrates higher life satisfaction (t(284) = 5.485, p < 0.001), better health perceptions (t(284) = 5.127, p < 0.001), and stronger beliefs in reducing meat consumption (t(284) = −8.968, p < 0.001). Additionally, Ethical flexitarians hold more positive views on plant-based meat, perceiving it as healthier (t(284) = 4.326, p < 0.001) and more ethical (t(284) = 4.942, p < 0.001), and show a greater willingness to adopt it (t(284) = 7.623, p < 0.001). While both groups possess similar knowledge and willingness regarding cultured meat and insects, Ethical flexitarians view cultured meat more favourably (t(250.976) = 2.964, p = 0.003). Our study provides insights into the evolving trends of flexitarianism within Central and Eastern European countries, where research on meat consumption and flexitarianism is scarce. These insights hold value for promoting behaviour change toward reduced meat consumption for both health and environmental reasons. Additionally, they offer guidance to the food industry, including producers, sellers, and providers of meals in educational and employment facilities. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to investigate the relationship between Med-Diet adherence with sustainable nutrition and environmental footprints in academicians. Methods: The study involved 153 academicians aged 23-64 working in a university in Turkey. Data were collected through a questionnaire including socio-demographic characteristics, anthropometric measurements, Mediterranean Diet Adherence Scale (MEDAS) and Sustainable and Healthy Eating Behaviours Scale (SHEBS). Carbon and water footprints were calculated. Results: All sub-scales of SHEBS were higher in individuals who adhered to Med-Diet than those who did not (p<0.05). The carbon and water footprints of individuals with high adherence to the Med-Diet were lower than those of no adherence (p<0.05). Each 1-point increase in MEDAS score was associated with a 1-point increase in SHEBS score, a 0.15 CO2 eq/kg and a 0.001 m3/year decrease in the amount of carbon and water footprint of food. Conclusion: Higher adherence to the Med-Diet was associated with higher sustainable nutrition behaviours, and lower environmental footprints. [ABSTRACT FROM AUTHOR]

Background: An increase in plant-sourced (PS) nutrient intake is promoted in support of a sustainable diet. PS dietary minerals and proteins have bioactive properties that can affect bone health and the risk of fracture. Methods: In a group randomised, cross-over design, this study evaluated the post-ingestion temporal pattern of change in arterialised ionised calcium (iCa), parathyroid hormone (PTH), C-terminal crosslinked telopeptide of type I collagen (CTX) and procollagen type 1 amino-terminal propeptide (P1NP) for 4 h following ingestion of a novel supplement (SUPP) containing a PS marine multi-mineral + PS protein isolate. A diurnally matched intake of mineral water was used as a control (CON). Results: Compared to baseline, the change in iCa concentration was 0.022 (95% CI, 0.006 to 0.038, p = 0.011) mmol/l greater in SUPP than CON, resulting in a −4.214 (95% CI, −8.244 to −0.183, p = 0.042) pg/mL mean reduction in PTH, a −0.64 (95% CI, −0.199 to −0.008, p = 0.029) ng/mL decrease in the biomarker of bone resorption, CTX, and no change in the biomarker of bone formation, P1NP. Conclusions: When used as a dietary supplement, or incorporated into a food matrix, the promotion of PS marine multi-mineral and PS protein isolates may contribute to a more sustainable diet and overall bone health. [ABSTRACT FROM AUTHOR]

There is a pressing need for healthy diets guided by environmental and nutritional targets. Plant‐based proteins have emerged as a recent and rapidly growing trend in response to the challenge of sustainable and healthy food systems. While plant‐based protein foods are widely promoted as sustainable alternatives, shifting beliefs and attitudes about conventional protein sources present an ongoing challenge. The study examined Canadians' intentions to transition to plant‐based protein diets, partially or entirely. A nationally representative survey was conducted among Canadian consumers to achieve our research objective. The survey was administered online using the Qualtrics platform by a market research firm and yielded valid responses from over 1800 participants. The Theory of Planned Behavior (TPB) constructs—attitudes, self‐efficacy, and perceived availability—explained only 12% of the variation in intentions toward plant‐based protein foods, while sustainability and ethical concerns accounted for 10% of the variation in dietary patterns. Meat attachment negatively impacted changes in dietary patterns, explaining 11% of the intention variation. Additionally, individual past behavior accounted for 7% of intentions toward plant‐based proteins. Demographic factors, such as gender and education, strongly and positively predicted purchase intentions, while contextual factors, such as residing in rural neighborhoods and being from Atlantic Canada, showed a strong negative association with intentions toward plant‐based protein diets. The findings underscore the multifaceted nature of individuals' intentions toward plant‐based protein diets and emphasize the significance of considering cognitive, social, emotional, and past behavioral factors, alongside sustainability values and messaging, to transition to a more plant‐based protein diet. This approach should carefully balance individuals' emotional connection and the perception of meat as essential to their meals. Also, targeting interventions based on demographic characteristics, specifically gender, education, and residential neighborhood, can enhance changes in dietary protein sources. The findings contribute to the existing body of knowledge on consumer behavior and sustainable diets, guiding future research and policies informing the design of effective interventions to promote plant‐based protein consumption and dietary changes. [ABSTRACT FROM AUTHOR]

At the present state of industrialized agriculture and specialized economy, achieving nutritional self-sufficiency on a personal level is widely considered a naïve goal, unsuited to the present technological era. Furthermore, nutritional self-sufficiency is considered overly demanding in terms of training, land, labor intensity, and time requirements. This study contests these common notions. Drawing on a study of a small (approximately 0.075 ha) low-input self-sufficient farm in an industrialized country, we show that achieving nutritional self-sufficiency on this farm required modest initial agricultural training, a small parcel of land, and, perhaps most surprisingly, a single day of labor per month, on average. We offer these results as proof of concept that, when properly planned, nutritional self-sufficiency may be sustained over an extended period (more than a decade) and that doing so may be compatible with working full-time outside the farm, as well as engaging in regular leisure activities. We also propose that some upscaling is viable at the industrial, small-scale, and household levels. [ABSTRACT FROM AUTHOR]

Background: The inclusion of minor and pseudo-cereals enhances the nutritional quality of a gluten-free diet. Yet, affordability determines practical implementation. Environmental concerns should also be considered as moving towards a more sustainable diet. How do these aspects of sustainability manifest themselves in a special diet, such as gluten-free? Methods: An international pilot survey among practicing dietitians was conducted during the Congress of The European Federation of the Associations of Dietitians (EFAD, Budapest, 2023). Respondents marked their recommendation for eight gluten-free cereals based on five criteria, including nutritional quality, accessibility/price, and climate change. Differences were analysed using Cohran's Q and pairwise post-hoc tests (N = 38). Results: There were significant differences in the recommendation for cereals (p < 0.05 for each grain), with quinoa (89.5%), gluten-free oats (89.5%), rice (86.8%), and corn (65.8%) being the most recommended. Buckwheat (55.3%), millet (50.0%), amaranth (44.7%) and sorghum (26.3%) were less recommended. Although gluten-free oats were recommended overall, quinoa was recommended for its nutritional content, and rice and corn were recommended for accessibility/price. No cereal received a high recommendation for climate change. Conclusions: According to this pilot survey, nutritional content and accessibility/price were the most important criteria for evaluating gluten-free grains. Dietitians were willing to integrate climate change considerations into practice, but more information is needed. The recommendation for minor and pseudo-cereals contradicted the importance emphasised by the literature. Further research is needed to integrate these aspects, helping dietitians formulate recommendations. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to assess the effectiveness of different AI models in accurately aggregating information about the protein quality (PQ) content of food items using four artificial intelligence (AI) models -– ChatGPT 3.5, ChatGPT 4, Bard AI and Bing Chat. Design/methodology/approach: A total of 22 food items, curated from the Food and Agriculture Organisation (FAO) of the United Nations (UN) report, were input into each model. These items were characterised by their PQ content according to the Digestible Indispensable Amino Acid Score (DIAAS). Findings: Bing Chat was the most accurate AI assistant with a mean accuracy rate of 63.6% for all analyses, followed by ChatGPT 4 with 60.6%. ChatGPT 4 (Cohen's kappa: 0.718, p < 0.001) and ChatGPT 3.5 (Cohen's kappa: 0.636, p: 0.002) showed substantial agreement between baseline and 2nd analysis, whereas they showed a moderate agreement between baseline and 3rd analysis (Cohen's kappa: 0.538, p: 0.011 for ChatGPT 4 and Cohen's kappa: 0.455, p: 0.030 for ChatGPT 3.5). Originality/value: This study provides an initial insight into how emerging AI models assess and classify nutrient content pertinent to nutritional knowledge. Further research into the real-world implementation of AI for nutritional advice is essential as the technology develops. [ABSTRACT FROM AUTHOR]

The manuscript was prepared to conduct a thorough analysis and deepen the understanding of sustainable food production and diets within the context of the challenges posed by intensive agricultural practices and their environmental impacts, as well as their effects on human health. The rapid growth of the human population necessitates an increase in food production to meet nutritional needs. However, increasing the production of animal-derived products, which are significant protein sources, is likely to worsen undesirable consequences, such as global climate change, greenhouse gas emissions, and a larger carbon footprint. Traditional farming techniques also contribute to environmental contamination due to the use of synthetic fertilizers and pesticides. Transitioning to a sustainable food production model that addresses food needs while protecting consumer health and the environment is crucial. The challenge for the food industry and research centers is to find and develop the production of alternative sources of protein. In addition to the technological problems that must be solved, there is consumer education focused on healthy eating and overcoming psychological barriers related to the consumption of new foods. [ABSTRACT FROM AUTHOR]

Abstract Background/objectives The Planetary Health Diet Index (PHDI) was recently introduced to assess adherence to the EAT-Lance recommendations. In this study, we aimed to evaluate the relationship between PHDI and metabolic syndrome (MS). Subjects/methods We used the data of 6465 participants from the PERSIAN cohort study at Mashhad University of Medical Sciences, Mashhad, Iran. Diet was assessed using a 130-item Food Frequency Questionnaire (FFQ). The PHDI comprises sixteen components and is scored between 0 and 150 points. We first assessed the validity and reliability of the PHDI for this population. We used regression logistic models to assess the relationships between PHDI and MS and its related indicators. Results The average PHDI score was 52.3 ± 9. The Cronbach’s alpha value was 0.53. After controlling for age and sex, the PHDI was positively related to the Diet Quality Index-International (DQI-I) and was negatively related to carbon and water footprints (p

Abstract Background The inclusion of minor and pseudo-cereals enhances the nutritional quality of a gluten-free diet. Yet, affordability determines practical implementation. Environmental concerns should also be considered as moving towards a more sustainable diet. How do these aspects of sustainability manifest themselves in a special diet, such as gluten-free? Methods An international pilot survey among practicing dietitians was conducted during the Congress of The European Federation of the Associations of Dietitians (EFAD, Budapest, 2023). Respondents marked their recommendation for eight gluten-free cereals based on five criteria, including nutritional quality, accessibility/price, and climate change. Differences were analysed using Cohran’s Q and pairwise post-hoc tests (N = 38). Results There were significant differences in the recommendation for cereals (p

Abstract Background and objectives The Mediterranean Diet (MD) has been recognized for its benefits for human health and sustainability for the planet, but it has considered not easy to reproduce in other populations. The United Nations Educational, Scientific and Cultural Organization (UNESCO) Chair on Health Education and Sustainable Development is fostering a research project (Planeterranea), aiming to identify a healthy dietary pattern based on local foods with the same MD features. The aim of our study is to develop a MD-based food pyramid for Asian populations. Methods Asia was stratified into six areas according to pedo-climatic conditions. For each region a comprehensive scoping review of local crops and typical foods was conducted on several databases such as the US Department of Agriculture (USDA)’s database, the Food and Agriculture Organization of the United Nations (FAO) website, and PubMed, focusing on both plant-based and animal-based foods. Narrative review was then conducted on the identified foods to determine their nutritional composition and planetary health impact. Finally, the collected information was used to build up the Asian food pyramid with details for each respective region. Results We proposed a food pyramid for Asian countries, guaranteeing the same nutritional intake and health benefits as MD, by considering dietary habits and typical foods of this population. From the bottom to the top, Asian fruits and vegetables present similar nutritional profile as those in MD. Whole grains (barley) may represent valid alternative to white rice. Sesame oil represents a source of unsaturated fats and an alternative to olive oil. Legumes (soybean), edible insects, mushrooms and algae, guarantee an adequate intake of plant-based proteins with a complete amino-acid profile and a low environmental impact with respect to animal-based ones. Conclusions This work is a new insight of healthy and sustainable local food system based on MD principles for the Asian population.

Background and objectives: The Mediterranean Diet (MD) has been recognized for its benefits for human health and sustainability for the planet, but it has considered not easy to reproduce in other populations. The United Nations Educational, Scientific and Cultural Organization (UNESCO) Chair on Health Education and Sustainable Development is fostering a research project (Planeterranea), aiming to identify a healthy dietary pattern based on local foods with the same MD features. The aim of our study is to develop a MD-based food pyramid for Asian populations. Methods: Asia was stratified into six areas according to pedo-climatic conditions. For each region a comprehensive scoping review of local crops and typical foods was conducted on several databases such as the US Department of Agriculture (USDA)'s database, the Food and Agriculture Organization of the United Nations (FAO) website, and PubMed, focusing on both plant-based and animal-based foods. Narrative review was then conducted on the identified foods to determine their nutritional composition and planetary health impact. Finally, the collected information was used to build up the Asian food pyramid with details for each respective region. Results: We proposed a food pyramid for Asian countries, guaranteeing the same nutritional intake and health benefits as MD, by considering dietary habits and typical foods of this population. From the bottom to the top, Asian fruits and vegetables present similar nutritional profile as those in MD. Whole grains (barley) may represent valid alternative to white rice. Sesame oil represents a source of unsaturated fats and an alternative to olive oil. Legumes (soybean), edible insects, mushrooms and algae, guarantee an adequate intake of plant-based proteins with a complete amino-acid profile and a low environmental impact with respect to animal-based ones. Conclusions: This work is a new insight of healthy and sustainable local food system based on MD principles for the Asian population. [ABSTRACT FROM AUTHOR]

Introduction: A key approach to fostering more sustainable food systems involves shifting dietary patterns towards increased plant-based eating. However, plant-based eating remains low among Canadians. The objective of this research was therefore to explore public perceptions of plant-based eating in a Canadian context. Methods: A qualitative design was used to analyze social media comments posted on Canadian news source Facebook articles between January 16th, 2019 - July 16th, 2020. Investigating perceptions of plant-based eating on social media may capture a broader sample of the population than can be captured using other qualitative methods. Template analysis, a type of codebook thematic analysis, was used to generate themes and subthemes using NVivo software. Results: Nine articles were selected for inclusion and a total of n = 4,918 comments were collected. Five themes and 19 subthemes related to plantbased eating were generated and presented with quotations. Themes included: (1) The ethics of food; (2) The affordability and accessibility of food; (3) Distrust of food system stakeholders; (4) Beliefs related to dietary behavior, health, and the environment; and (5) Sensory aspects of plantbased proteins. Discussion: Findings suggest that addressing food affordability and accessibility, increasing public food literacy, using non-judgmental approaches, and increasing food system transparency and communication may be strategies to foster plant-based eating. Results of this study provide insight for the development of more effective public health messaging about plant-based eating and help inform future research and interventions to address barriers related to plant-based eating and promote consumption. [ABSTRACT FROM AUTHOR]

Transitioning toward sustainable food systems and sustainable diets is critical in reducing environmental impact and achieving the Sustainable Development Goals established by the United Nations General Assembly. This transition requires collaborative efforts across multiple stakeholders, including the general public's knowledge and attitudes. To assess the knowledge and attitudes toward food sustainability, we carried out a cross-sectional study among Kuwait University students with a total of 278 participants aged =18 years (78% women and 22% men). A validated questionnaire was used for this study. Most respondents (>70%) recognized the concept of "local food" and "environmental impact." The concept "green water-blue water" was least recognized among respondents (75%). Participants perceived that a sustainable diet was rich in vegetables, included plenty of fresh products, and was affordable. Participants (>66%) perceived a positive impact of meat and its derivatives toward sustainability, a misconception most common among men. Overall, participants with more knowledge about environmental concepts showed favorable attitudes toward a sustainable diet. Women showed more interest in changing their current dietary habits toward food sustainability. In conclusion, despite participants' positive attitude toward food sustainability, lack of understanding persists, necessitating public health interventions aimed at educating consumers about sustainable diets and their impact on the environment. [ABSTRACT FROM AUTHOR]

Diet quality has been associated with mental health, and recently, there has been growing interest in the association between the sustainability of diets and human health. The objective of this cross-sectional study was to explore the relationship between a newly developed dietary index for health and sustainability and psychological disorders among Iranian women. Participants in this cross-sectional study included 479 women living in Tehran with no history of chronic disease. A validated 168-item FFQ was used to assess dietary intake. The World Index for Sustainability and Health was calculated, consisting of four sub-scores: less healthy, healthy, low environmental impact and high environmental impact. Participants' psychological status was assessed using the Depression Anxiety Stress Scale-21. Logistic regression models were used to examine the association between the World Index for Sustainability and Health and psychological disorders. Participant ages ranged from 20 to 50 years, with a mean age of 31·86 (sd 7·68) years. After adjusting for potential confounders (age, energy, BMI, marital status, education, family history of chronic disease, body satisfaction, socio-economic status, physical activity, smoking), women in the highest tertile of the healthy sub-score had significantly lower odds of experiencing depression (OR 0·40; 95 % CI 0·24, 0·67), anxiety (OR 0·45; 95 % CI 0·23, 0·87) and psychological distress (OR 0·46; 95 % CI 0·28, 0·77) compared with the reference group. Similarly, the less healthy sub-score was significantly associated with depression (OR 0·51; 95 % CI 0·32, 0·89), anxiety (OR 0·44; 95 % CI 0·25, 0·78) and psychological distress (OR 0·57; 95 % CI 0·36, 0·90). An inverse association was observed between the low environmental impact sub-score and depression (OR 0·32; 95 % CI 0·19, 0·54), anxiety (OR 0·38; 95 % CI 0·18, 0·76) and psychological distress (OR 0·30; 95 % CI 0·17, 0·51). However, no further significant associations were found with the high environmental impact sub-score, except with depression (OR 0·57; 95 % CI 0·33, 0·96). The healthy and low environmental impact sub-scores of the World Index for Sustainability and Health were found to be inversely associated with depression, anxiety and psychological distress. However, due to the cross-sectional study design, causality cannot be inferred. Further prospective studies are required to validate and expand upon these findings and explore potential mechanisms and alternative explanations, such as reverse causation. While this study suggests that choosing a diet that is both healthy for individuals and sustainable for the environment may be associated with a lower risk of mental health issues among women, more research is needed. [ABSTRACT FROM AUTHOR]

The increasing human population and the consequent rise in food demand will make it progressively difficult to access a diet containing sufficient nutrients in the future. The availability of current plant and animal-based foods depends on climate and has negative effects on the environment in longterm. Therefore, researchers are looking for alternative sources to facilitate, and promote the transition to a sustainable diet. Filamentous fungi can break down complex substrates and convert them into valuable products. Fungal biomass obtained through fermentation is a source of important essential compounds such as proteins, enzymes, antioxidants, vitamins, minerals, polyunsaturated fatty acids, organic acids, and fibers. The most well-known commercial example of an alternative food source with meat-like texture produced from the biomass of a filamentous fungus, Fusarium venenatum, is Quorn. Recent studies have focused on the development of high-value-added products, and the achievement of sustainability by utilizing filamentous fungi to process food industry waste and by-products. This review covers studies on biomass production from food waste or by-products using filamentous fungi, its composition, and its effects on health. [ABSTRACT FROM AUTHOR]

Background: The SI.Menu study offers the latest data on the dietary intake of Slovenian adolescents aged 10 to 17. The purpose of this study is to comprehensively assess their dietary intake (energy and nutrients) and compare their food intakes with dietary recommendations for healthy and sustainable diets. Methods: The cross-sectional epidemiological dietary study SI.Menu (March 2017–April 2018) was conducted on a representative sample of Slovenian adolescents aged 10 to 17 years (n = 468) (230 males and 238 females). Data on dietary intake were gathered through two non-consecutive 24 h recalls, in line with the European Food Safety Authority (EFSA) EU Menu methodology. The repeated 24 h Dietary Recall (HDR) and Food Propensity Questionnaire (FPQ) data were combined to determine the usual intakes of nutrients and food groups, using the Multiple Source Method (MSM) program. Results: Adolescents' diets significantly deviate from dietary recommendations, lacking vegetables, milk and dairy products, nuts and seeds, legumes, and water, while containing excessive meat (especially red meat) and high-sugar foods. This results in insufficient intake of dietary fibre, and nutrients such as vitamin D, folate, and calcium. Conclusions: The dietary intake of Slovenian adolescents does not meet healthy and sustainable diet recommendations. This study provides an important insight into the dietary habits of Slovenian adolescents that could be useful for future public health strategies. [ABSTRACT FROM AUTHOR]

This study examined the influence of social responsibility awareness (economic and social-environmental responsibility) and trust in corporate social responsibility on sustainable diets. The subjects of the study were 468 university students. The main research results were as follows. First, the social responsibility awareness of the study subjects was 4.03±0.72 points for economic responsibility and 3.48±0.81 points for social-environmental responsibility. An awareness of economic responsibility showed differences according to gender. Trust in corporate social responsibility was 3.62±0.61 points, and there was no statistical significance based on gender. Second, the level of a sustainable diet was food safety and consideration (4.06±0.63), knowledge of the environment and diet (3.94±0.68), understanding of the food circulation system (3.45±0.77), and healthy diet (3.26±0.89). Among the factors influencing a sustainable diet, female students had higher attitudes toward food safety and consideration and understanding of the food circulation system than male students. Third, the social responsibility awareness (economic responsibility and social-environmental responsibility) and corporate social responsibility trust variables influenced university students’ sustainable diet. Among these, social-environmental responsibility awareness had the highest influence. [ABSTRACT FROM AUTHOR]

Climate change impacts food systems, causing nutritional deficiencies and increasing cardiovascular diseases (CVD). Regulatory frameworks like the European Farm-to-Fork Strategy aim to mitigate these effects, but current EU food safety regulations inadequately address health risks from poor diet quality and contaminants.Climate change adversely affects food quality, such as nutrient depletion in crops due to higher CO2 levels, leading to diets that promote chronic diseases, including CVD. Women, because of their roles in food production and their unique physiological responses to nutrients, face distinct vulnerabilities. This review explores the interplay between climate change, diet, and cardiovascular health in women. The review highlights that sustainable diets, particularly the Mediterranean diet, offer health benefits and lower environmental impacts but are threatened by climate change-induced disruptions. Women's adherence to the Mediterranean diet is linked to significant reductions in CVD risk, though sex-specific responses need further research.Resilient agricultural practices, efficient water management, and climate-smart farming are essential to mitigate climate change's negative impacts on food security. Socio-cultural factors influencing women's dietary habits, such as traditional roles and societal pressures, further complicate the picture.Effective interventions must be tailored to women, emphasizing education, community support, policy changes, and media campaigns promoting healthy eating. Collaborative approaches involving policymakers, health professionals, and the agricultural sector are crucial for developing solutions that protect public health and promote sustainability.Addressing the multifaceted challenges posed by climate change to food quality and cardiovascular health in women underscores the need for integrated strategies that ensure food security, enhance diet quality, and mitigate environmental impacts.

The article is a commentary on a review of the evidence regarding the composition and health effects of pork meat. The author disagrees with the conclusions of the review, stating that it overlooked adverse effects of eating red and processed meat and overestimated its sustainability. The author cites other studies that suggest red and processed meat are associated with increased risks of cardiovascular disease, cancer, dementia, type 2 diabetes mellitus, and other health conditions. They also argue that pork meat negatively affects cognitive performance and contributes to the risk of Alzheimer's disease. The author concludes that eating pork has many adverse health effects, especially in mid- and late life. [Extracted from the article]

Abstract Background Promoting healthy and sustainable diets is increasingly important and the Mediterranean Diet (MD) has been recognized as an appropriate example that can be adapted to different countries. Considering that the college years are the time when US young adults are most likely to adopt unhealthy eating habits, the present study assessed adherence to the MD and the sustainability of dietary behaviors in a nationally representative sample of US university students, aiming to identify crucial levers for improving their eating behaviors. Methods MD adherence and the adoption of healthy and sustainable dietary patterns were assessed through the KIDMED and the Sustainable-HEalthy-Diet (SHED Index questionnaires, respectively, administered through an online survey that also included sociodemographic and behavioral questions. Non-parametric and logistic regression analyses were performed. Results A sample of 1485 participants (median (IQR) age 21.0 (19.0–22.0); 59% women) correctly completed the survey. A medium adherence to the MD was the most prevalent (47%). According to multivariate logistic regression analysis, the likelihood of being more compliant with the MD increased when meeting physical activity recommendations, having a high SHED Index score, having the willingness to purchase and eat healthy and sustainable dishes, eating ultra-processed plant-based meat alternatives foods daily, and regularly attending the university canteen. Conclusions Encouraging dietary patterns rich in plant-based foods and with a moderate intake of animal products is crucial to increasing the adoption of healthy and sustainable diets, and university dining services represent a suitable setting to build a supportive environment that educates students on human and planetary health.

Abstract In order to tackle the global increase in overweight and obesity prevalence, several nutrient profiling systems have been developed; among others, Food Compass Score (FCS) has been designed to encompass multiple domains of food healthfulness. However, environmental sustainability of healthy diets is another crucial dimension which should not be overlooked in the context of human health. The aim of the present study is to assess the association between healthiness and environmental sustainability of food items, using the FCS and Agribalyse databases, respectively. A total of 806 matching food items were identified, grouped in 12 food categories; within each category, differences in median Z-scores between FCS and Single Environmental Footprint (EF) Score were assessed. While Fruits, Legumes and Nuts, Mixed foods, Meat Poultry and Eggs (MPE), Savory and Sweets, and Vegetables showed statistically significant differences (all p

Popular modern diets are often seen as a panacea for improving health and promoting weight reduction. While there is a large body of literature reporting the health benefits of popular diets, few studies have described their planetary benefits. Our investigation aims to evaluate the simultaneous impacts of six popular diets within the United States on both human and planetary health. Using carbon footprint databases and representative meal plans, the environmental and health-related impacts of the Standard American, Mediterranean, vegan, paleo, keto, and climatarian diets are compared using the currently available literature. Results indicate that diets that exhibit lower carbon footprints also have positive effects on human health. The diets found to have the lowest environmental impacts were the vegan, climatarian, and Mediterranean diets. These low-carbon-footprint diets can likely be attributed to a reduced reliance on ruminant meat (cattle and sheep) and processed food consumption, while diets with high carbon footprints are more dependent on ruminant meat and saturated fat. Moderate consumption of meats such as chicken, pork, and fish in conjunction with an emphasis on locally grown fruits and vegetables can be maintained without adversely affecting the planetary carbon footprint and with the added benefit of promoting good health. Thus, making simple substitutions within each individual's diet can be advertised as an effective approach to collectively lower the environmental impact in tandem with improving health and longevity.

Background: Promoting healthy and sustainable diets is increasingly important and the Mediterranean Diet (MD) has been recognized as an appropriate example that can be adapted to different countries. Considering that the college years are the time when US young adults are most likely to adopt unhealthy eating habits, the present study assessed adherence to the MD and the sustainability of dietary behaviors in a nationally representative sample of US university students, aiming to identify crucial levers for improving their eating behaviors. Methods: MD adherence and the adoption of healthy and sustainable dietary patterns were assessed through the KIDMED and the Sustainable-HEalthy-Diet (SHED Index questionnaires, respectively, administered through an online survey that also included sociodemographic and behavioral questions. Non-parametric and logistic regression analyses were performed. Results: A sample of 1485 participants (median (IQR) age 21.0 (19.0–22.0); 59% women) correctly completed the survey. A medium adherence to the MD was the most prevalent (47%). According to multivariate logistic regression analysis, the likelihood of being more compliant with the MD increased when meeting physical activity recommendations, having a high SHED Index score, having the willingness to purchase and eat healthy and sustainable dishes, eating ultra-processed plant-based meat alternatives foods daily, and regularly attending the university canteen. Conclusions: Encouraging dietary patterns rich in plant-based foods and with a moderate intake of animal products is crucial to increasing the adoption of healthy and sustainable diets, and university dining services represent a suitable setting to build a supportive environment that educates students on human and planetary health. [ABSTRACT FROM AUTHOR]

Objectives: This scoping review aims to describe factors that facilitate consumer-level transitions to more environmentally sustainable diets. Methods: Using scoping review methods, four databases were searched for articles published in English examining facilitators to consuming an environmentally sustainable diet and focused on consumers, using data collected in Western countries, and were published between 2012 and 2022. Researchers extracted study characteristics and factors influencing adoption or uptake of sustainable foods or dietary patterns. Using this data, researchers conducted a thematic analysis to determine five main themes describing leverage points (modifiable) for dietary transitions. Results: Results are reported per PRISMA guidelines: 21 studies were included with data from the U.K., U.S., Australia, and Europe. The results of this review indicate that values, knowledge, marketing, consumer-product relationships, and support networks, along with their respective subthemes, may be central drivers of consumer adoption of sustainable dietary patterns. Consumers are more likely to purchase and consume products which are familiar and appealing and align with their values. Cost, lack of knowledge, and lack of social support act as barriers to dietary change to more sustainable food choices. Income, education, ethnicity, sex, and employment were common individuallevel characteristics identified as influential over likelihood of adopting environmentally sustainable dietary patterns. Individual-level characteristics create nuances in both likelihood to adopt, and the experience of barriers to adopting, sustainable dietary patterns. Conclusion: Knowledge of leverage points and individual-level nuances is useful in informing strategies to facilitate transitions to more sustainable diets. [ABSTRACT FROM AUTHOR]

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Diet is integral to the healthy ageing process and certain diets can mitigate prolonged and deleterious inflammation. This review aims to assess the impact of diets high in sustainably sourced proteins on nutrient intake, gut, and age-related health in older adults. A systematic search of the literature was conducted on 5 September 2023 across multiple databases and sources. Studies assessing sustainably sourced protein consumption in community dwelling older adults (≥65 years) were included. Risk of bias (RoB) was assessed using 'RoB 2.0′ and 'ROBINS-E'. Narrative synthesis was performed due to heterogeneity of studies. Twelve studies involving 12,166 older adults were included. Nine studies (n = 10,391) assessed habitual dietary intake and had some RoB concerns, whilst three studies (n = 1812), two with low and one with high RoB, conducted plant-based dietary interventions. Increased adherence to sustainably sourced diets was associated with improved gut microbial factors (n = 4640), healthier food group intake (n = 2142), and increased fibre and vegetable protein intake (n = 1078). Sustainably sourced diets positively impacted on gut microbiota and healthier intake of food groups, although effects on inflammatory outcomes and health status were inconclusive. Future research should focus on dietary interventions combining sustainable proteins and fibre to evaluate gut barrier function and consider inflammatory and body composition outcomes in older adults. [ABSTRACT FROM AUTHOR]

Copyright of Journal of General Health Sciences (JGEHES) is the property of Journal of General Health Sciences (JGEHES) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Although vegan and vegetarian diets and lifestyles differ significantly from each other, among other things, notably in their respective consequences regarding animal welfare and their ecological impact, vegans and vegetarians are often grouped together and usually compared to omnivores in psychological research. Considering that vegans and vegetarians often share similar motives for their lifestyle choices, namely animal and environmental issues, the question arises why similar motives lead to different conclusions and correspondingly different behaviors, most notably, of course, that vegetarians consume animal-derived foods such as cheese or milk while vegans do not consume animal-derived products (e.g., food, cosmetic products). This is why this study explored the psychological differences between vegans, vegetarians, and prospective vegans - the latter group being located in an intermediate, transitionary position. Focusing on the motivational, affective and cognitive components of dietary transition and participants' adherence to eating patterns, reasons for said patterns, possible hinderances to becoming vegan, the role of participants' social environments, and the impact of various misconceptions regarding the feasibility of a vegan diet in everyday life were all explored. Methods: An observational study was conducted via online questionnaire (1420 participants). Results: Significant differences were found between vegans, prospective vegans, and vegetarians, especially concerning their knowledge of issues pertaining to their respective lifestyles. Discussion: The critical role of knowledge is invoked as an explanation as to why vegans and vegetarians display different behaviors although they share a similar motivation. Thus, in this study the concept of vegan literacy is introduced. Additionally, the distinctive role of cheese is explored, discussing possible indications of its potentially addictive nature and, consequently, the importance of cheese as a hindering factor for pursuing a vegan diet. [ABSTRACT FROM AUTHOR]

In order to tackle the global increase in overweight and obesity prevalence, several nutrient profiling systems have been developed; among others, Food Compass Score (FCS) has been designed to encompass multiple domains of food healthfulness. However, environmental sustainability of healthy diets is another crucial dimension which should not be overlooked in the context of human health. The aim of the present study is to assess the association between healthiness and environmental sustainability of food items, using the FCS and Agribalyse databases, respectively. A total of 806 matching food items were identified, grouped in 12 food categories; within each category, differences in median Z-scores between FCS and Single Environmental Footprint (EF) Score were assessed. While Fruits, Legumes and Nuts, Mixed foods, Meat Poultry and Eggs (MPE), Savory and Sweets, and Vegetables showed statistically significant differences (all p < 0.001), Beverages (p = 0.361), Dairy (p = 0.092), Fats and Oils (p = 0.594), Grains (p = 0.436), Sauce and Condiments (p = 0.093), and Seafood (p = 0.241) had similar Food Compass and Single EF Z-scores distributions. These findings underscore a relevant lack of difference between healthfulness and environmental impact of some prominent food categories, such as Grains and Seafood. Therefore, we suggest matching nutrient profiling systems with adequate environmental sustainability indices. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the association between Mediterranean diet adherence (MDA) and sleep quality in adults. Methods: This cross-sectional research was conducted among adults aged 19–64 years in Ankara, Türkiye. Data on demographics, education, lifestyle, and physical activity habits were collected. Mediterranean diet adherence was assessed with the Mediterranean Diet Adherence Screener (MEDAS). Healthy eating attitudes were evaluated with the Attitude Scale for Healthy Nutrition (ASHN). Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Data were gathered using an online format. Results: Among 1031 participants enrolled (74% women), mean age was 28.6 ± 8.3 years. Median age increased with MDA (p = 0.001). As individuals' MDA increased, ASHN total and subgroup scores also increased significantly (p < 0.001). The total sleep duration of the participants with low MDA was significantly lower than the other groups (p = 0.003). Pittsburgh Sleep Quality Index score and MEDAS (β = − 0.222, p < 0.001), ASHN (β = − 0.043, p < 0.001) and ASHN subgroups (β = (− 0.086) − (− 0.031)) were found to have a weakly signficant negative relation. Conclusions: The findings suggest that healthy eating attitudes and nutritional behavior in accordance with the Mediterranean diet are associated with sleep quality. [ABSTRACT FROM AUTHOR]

This study aimed to explore challenges and promising avenues for integrating sustainable diets into healthcare organizations. An exploratory descriptive qualitative study was conducted from May to November 2019 in the province of Quebec, Canada, using semi-structured interviews with 29 key informants from a variety of professions. The study identified that the main recommendation for integrating sustainable diets (SDs) is that a clear commitment from policymakers is needed, that public health officers are in a favorable position to promote SDs, that food services require assistance integrating SD principles, and that health professionals face significant barriers to integrating sustainability into dietary advice. [ABSTRACT FROM AUTHOR]

At the present state of industrialized agriculture and specialized economy, achieving nutritional self-sufficiency on a personal level is widely considered a naïve goal, unsuited to the present technological era. Furthermore, nutritional self-sufficiency is considered overly demanding in terms of training, land, labor intensity, and time requirements. This study contests these common notions. Drawing on a study of a small (approximately 0.075 ha) low-input self-sufficient farm in an industrialized country, we show that achieving nutritional self-sufficiency on this farm required modest initial agricultural training, a small parcel of land, and, perhaps most surprisingly, a single day of labor per month, on average. We offer these results as proof of concept that, when properly planned, nutritional self-sufficiency may be sustained over an extended period (more than a decade) and that doing so may be compatible with working full-time outside the farm, as well as engaging in regular leisure activities. We also propose that some upscaling is viable at the industrial, small-scale, and household levels.

Transitioning toward sustainable food systems and sustainable diets is critical in reducing environmental impact and achieving the Sustainable Development Goals established by the United Nations General Assembly. This transition requires collaborative efforts across multiple stakeholders, including the general public’s knowledge and attitudes. To assess the knowledge and attitudes toward food sustainability, we carried out a cross-sectional study among Kuwait University students with a total of 278 participants aged ≥18 years (78% women and 22% men). A validated questionnaire was used for this study. Most respondents (>70%) recognized the concept of “local food” and “environmental impact.” The concept “green water-blue water” was least recognized among respondents (75%). Participants perceived that a sustainable diet was rich in vegetables, included plenty of fresh products, and was affordable. Participants (>66%) perceived a positive impact of meat and its derivatives toward sustainability, a misconception most common among men. Overall, participants with more knowledge about environmental concepts showed favorable attitudes toward a sustainable diet. Women showed more interest in changing their current dietary habits toward food sustainability. In conclusion, despite participants’ positive attitude toward food sustainability, lack of understanding persists, necessitating public health interventions aimed at educating consumers about sustainable diets and their impact on the environment.

IntroductionA key approach to fostering more sustainable food systems involves shifting dietary patterns towards increased plant-based eating. However, plant-based eating remains low among Canadians. The objective of this research was therefore to explore public perceptions of plant-based eating in a Canadian context.MethodsA qualitative design was used to analyze social media comments posted on Canadian news source Facebook articles between January 16th, 2019 – July 16th, 2020. Investigating perceptions of plant-based eating on social media may capture a broader sample of the population than can be captured using other qualitative methods. Template analysis, a type of codebook thematic analysis, was used to generate themes and subthemes using NVivo software.ResultsNine articles were selected for inclusion and a total of n = 4,918 comments were collected. Five themes and 19 subthemes related to plant-based eating were generated and presented with quotations. Themes included: (1) The ethics of food; (2) The affordability and accessibility of food; (3) Distrust of food system stakeholders; (4) Beliefs related to dietary behavior, health, and the environment; and (5) Sensory aspects of plant-based proteins.DiscussionFindings suggest that addressing food affordability and accessibility, increasing public food literacy, using non-judgmental approaches, and increasing food system transparency and communication may be strategies to foster plant-based eating. Results of this study provide insight for the development of more effective public health messaging about plant-based eating and help inform future research and interventions to address barriers related to plant-based eating and promote consumption.

Over the last few years, the European Commission highlighted the need to develop a transition path towards a more sustainable food system, promoting a change in consumers’ dietary habits. In this context, the Mediterranean diet (MD) may play a crucial role as an example of a healthy and sustainable diet. Despite the growing interest of consumers, currently, adherence to the MD is generally undermined, also in Mediterranean countries. Therefore, this study investigates consumers’ adherence to the MD and uncovers those factors that are able to affect such adherence. Data were collected through a web-based questionnaire, and MD adherence was measured according to the MEDI-LITE score scale. Thus, 190 individuals participated in the survey. The respondents’ perceived and real adherence to MD were tested through descriptive statistics, while a linear regression was used to investigate factors affecting MD adherence. The results show a mismatch between real and perceived adherence to MD, underscoring a lack of knowledge concerning such dietary pattern. Women, as well as health-conscious and highly educated individuals tend to adopt such a diet. Despite some limitations, the study provides knowledge to increase the adoption of MD.

Objectives Transformation through a sustainable food system to provide healthy diets is essential for enhancing both human and planetary health. This study aimed to explain about sustainable diets and illustrate appropriate measurement of adherence to sustainable diets using a pre-existing index. Methods For literature review, we used PubMed and Google Scholar databases by combining the search terms “development,” “validation,” “sustainable diet,” “sustainable diet index,” “planetary healthy diet,” “EAT-Lancet diet,” and “EAT-Lancet reference diet.” For data presentation, we used data from National Health and Nutrition Examination Survey, 2017–2018, among adults aged 20 years and older (n = 3,920). Sustainable Diet Index-US (SDI-US), comprising four sub-indices corresponding to four dimensions of sustainable diets (nutritional quality, environmental impacts, affordability, and sociocultural practices), was calculated using data from 24-hour dietary recall interview, food expenditures, and food choices. A higher SDI-US score indicated greater adherence to sustainable diets (range: 4–20). This study also presented SDI-US scores according to the sociodemographic status. All analyses accounted for a complex survey design. Results Of 148 papers, 16 were reviewed. Adherence to sustainable diets fell into 3 categories: EAT-Lancet reference diet-based (n = 8), Food and Agriculture Organization (FAO) definition-based (n = 4), and no specific guidelines but including the sustainability concept (n = 4). Importantly, FAO definition emphasizes on equal importance of four dimensions of diet (nutrition and health, economic, social and cultural, and environmental). The mean SDI-US score was 13 out of 20 points, and was higher in older, female, and highly educated adults than in their counterparts. Conclusions This study highlighted that sustainable diets should be assessed using a multidimensional approach because of their complex nature. Currently, SDI can be a good option for operationalizing multidimensional sustainable diets. It is necessary to develop a Korean version of SDI through additional data collection, including environmental impact of food, food price, food budget, and use of ready-made products.

Abstract Background Tools for measuring adherence to sustainable healthy diets among children and adolescents are lacking. Objective To advance methods for measuring adherence to sustainable healthy diets among children and adolescents by adapting an existing index, compare scores obtained using the original and adapted versions of the index in a sample of Chilean children, and describe the adapted index association with diet characteristics. Methods The Planetary Health Diet Index (PHDI) was adapted to better reflect children's and adolescents’ nutritional requirements. The adapted index (PHDI-C) comprises 16 components with a maximum score of 150 points. PHDI-C was piloted among a sample of 958 Chilean children (3–6 years) using dietary data collected in 2016 through single 24-h recalls. A decision tree and food disaggregation methodology were developed to guide the calculation of scores. Scores obtained using the original and adapted versions of the index were compared. Linear regression models adjusted by child’s gender and age were fitted to explore associations between total PHDI-C score, dietary recall characteristics and nutritional composition of children’s diets. Results PHDI accounted for 75.7% of children’s total caloric intake, whereas PHDI-C accounted for 99.6%. PHDI & PHCI-C scores were low among this sample of children; however, mean total score was lower when using PHDI compared to PHDI-C [40.7(12.1) vs 50.1(14.6)]. Children’s scores were very low for nuts & peanuts, legumes, dark green vegetables, whole cereals, tubers & potatoes, and added sugars components across both indices, but were higher for dairy products and eggs & white meats components when using the PHDI-C due to adjustments made to ensure nutritional adequacy. Mean total PHDI-C score was significantly lower on weekends and special occasions, and significantly higher when children reported having a special diet (e.g., vegetarian). Total PHDI-C score was negatively associated with total sugars, saturated fats, trans fats, and animal-based protein intake, and positively associated with total protein, plant-based protein, total carbohydrates, and total fibre intake. Conclusions This study provides a replicable method for measuring adherence to sustainable healthy diets among children and adolescents that can be used to monitor trends and measure the effectiveness of actions targeting improving children’s diets.

Background: Knowledge on the association between the EAT-Lancet Planetary Health Diet (PHD) or the Finnish Nutrition recommendations (FNR) and anthropometric changes is scarce. Especially, the role of the overall diet quality, distinct from energy intake, on weight changes needs further examination. Objectives: To examine the association between diet quality and weight change indicators and to develop a dietary index based on the PHD adapted for the Finnish food culture. Methods: The study population consisted of participants of two Finnish population-based studies (n = 4,371, 56% of women, aged 30−74 years at baseline). Dietary habits at the baseline were assessed with a validated food frequency questionnaire including 128−130 food items. We developed a Planetary Health Diet Score (PHDS) (including 13 components) and updated the pre-existing Recommended Finnish Diet Score (uRFDS) (including nine components) with energy density values to measure overall diet quality. Weight, height, and waist circumference (WC), and the body mass index (BMI) were measured at the baseline and follow-up, and their percentual changes during a 7-year follow-up were calculated. Two-staged random effects linear regression was used to evaluate β-estimates with 95% confidence intervals. Results: Adherence to both indices was relatively low (PHDS: mean 3.6 points (standard deviation [SD] 1.2) in the range of 0−13; uRFDS: mean 12.7 points (SD 3.9) in the range of 0−27). We did not find statistically significant associations between either of the dietary indices and anthropometric changes during the follow-up (PHDS, weight: β −0.04 (95% CI −0.19, 0.11), BMI: β 0.05 (−0.20, 0.10), WC: β −0.08 (−0.22, 0.06); uRFDS, weight: β 0.01 (−0.04, 0.06), BMI: β 0.01 (−0.04, 0.06), WC: β −0.02 (−0.07, 0.03)). Conclusion: No associations between overall diet quality and anthropometric changes were found, which may be at least partly explained by low adherence to the PHD and the FNR in the Finnish adult population.

Abstract Objective: This study aimed to identify the amount of discretionary foods and drinks consumed by Norwegian children and adolescents, describe how such products contribute to the intake of total energy and nutrients, and study the distribution in intake of discretionary foods and drinks across different meals. Secondly, the aim was to explore factors associated with those children and adolescents having the highest consumption of discretionary foods and drinks. Design: Secondary analysis of data from a national survey of dietary intake among Norwegian children and adolescents. Setting: Schools in fifty randomly selected municipalities in Norway. Participants: The study population included 636 pupils in 4th grade (9–11 years) and 687 pupils in 8th grade (12–14 years). Results: Discretionary foods and drinks contributed to about 20 % of the children and adolescents’ total energy intake. These products contributed to about two-thirds of the participants’ intake of added sugar, and limited amounts of dietary fibre, vitamins and minerals. The quartile which had the lowest proportion of their energy intake from discretionary foods and drinks seemed to have a higher intake of whole grains, and fish and seafood. Conclusions: Almost all 4th and 8th graders in Norway consumed discretionary foods and drinks, and these products contributed to a substantial proportion of the total energy intake and limited amounts of nutrients. Those children and adolescents consuming the least discretionary foods and drinks had a higher intake of whole grains, fish and seafood, indicating healthier and more sustainable food habits.

Sustainable diets, as defined by the Food and Agriculture Organisation, aim to be nutritionally adequate, safe, and healthy, while optimising natural and human resources. Teff (Eragrostis tef), a gluten-free grain primarily grown in Ethiopia, has emerged as a key contender in this context. Widely regarded as a “supergrain”, teff offers an outstanding nutrition profile, making it an excellent choice for people with gluten-related disorders. Rich with protein, essential amino acids, polyunsaturated fats, and fibre, and abundant in minerals like calcium and iron, teff rivals other popular grains like quinoa and durum wheat in promoting human health. Beyond its nutritional benefits, teff is a hardy crop that thrives in diverse climates, tolerating both drought and waterlogged conditions. Due to its resilience and rich nutrient content, teff holds the potential to address nine of the 17 United Nations’ Sustainable Development Goals (SDGs), including SDG 1 (no poverty), SDG 2 (zero hunger), and SDG 3 (good health and wellbeing), which are tied to improving food and nutrition security. However, teff production in Ethiopia faces significant issues. Traditional farming practices, insufficient storage infrastructure, and food safety challenges, including adulteration, hinder teff’s full potential. This review explores teff’s dual role as a nutritious, sustainable food source and outlines the key challenges in its production to conclude on what needs to be done for its adoption as a golden crop to address global food and nutrition security.

Flexitarian diets have gained attention for their potential positive impact on human health and greenhouse gas emissions reduction. However, a critical question remains: Can the segment of flexitarians significantly contribute to necessary changes in our current unsustainable food systems? Our study addresses this gap by examining meat consumption habits among young adults (n = 1023) in a country with traditionally high meat intake. Furthermore, we focus on a subset of flexitarians (n = 286). Our findings reveal two distinct groups of flexitarians: ethical (n1 = 140) and utilitarian (n2 = 148). Utilitarian flexitarians exhibit a stronger preference for meat (t(284)= −15.180, p < 0.001), greater food neophobia (t(284) = −4.785, p < 0.001), and lower environmental awareness (t(284) = 7.486, p < 0.001) compared to Ethical flexitarians. The Ethical group, predominantly female (χ2(1) = 13.366, p < 0.001), demonstrates higher life satisfaction (t(284) = 5.485, p < 0.001), better health perceptions (t(284) = 5.127, p < 0.001), and stronger beliefs in reducing meat consumption (t(284) = −8.968, p < 0.001). Additionally, Ethical flexitarians hold more positive views on plant-based meat, perceiving it as healthier (t(284) = 4.326, p < 0.001) and more ethical (t(284) = 4.942, p < 0.001), and show a greater willingness to adopt it (t(284) = 7.623, p < 0.001). While both groups possess similar knowledge and willingness regarding cultured meat and insects, Ethical flexitarians view cultured meat more favourably (t(250.976) = 2.964, p = 0.003). Our study provides insights into the evolving trends of flexitarianism within Central and Eastern European countries, where research on meat consumption and flexitarianism is scarce. These insights hold value for promoting behaviour change toward reduced meat consumption for both health and environmental reasons. Additionally, they offer guidance to the food industry, including producers, sellers, and providers of meals in educational and employment facilities.

Background: An increase in plant-sourced (PS) nutrient intake is promoted in support of a sustainable diet. PS dietary minerals and proteins have bioactive properties that can affect bone health and the risk of fracture. Methods: In a group randomised, cross-over design, this study evaluated the post-ingestion temporal pattern of change in arterialised ionised calcium (iCa), parathyroid hormone (PTH), C-terminal crosslinked telopeptide of type I collagen (CTX) and procollagen type 1 amino-terminal propeptide (P1NP) for 4 h following ingestion of a novel supplement (SUPP) containing a PS marine multi-mineral + PS protein isolate. A diurnally matched intake of mineral water was used as a control (CON). Results: Compared to baseline, the change in iCa concentration was 0.022 (95% CI, 0.006 to 0.038, p = 0.011) mmol/l greater in SUPP than CON, resulting in a −4.214 (95% CI, −8.244 to −0.183, p = 0.042) pg/mL mean reduction in PTH, a −0.64 (95% CI, −0.199 to −0.008, p = 0.029) ng/mL decrease in the biomarker of bone resorption, CTX, and no change in the biomarker of bone formation, P1NP. Conclusions: When used as a dietary supplement, or incorporated into a food matrix, the promotion of PS marine multi-mineral and PS protein isolates may contribute to a more sustainable diet and overall bone health.

Chefs' decisions can greatly improve the quality of food provided and positively guide diners' choices. Culinary students' knowledge of healthy and sustainable nutrition is still scarcely investigated and is limited to the nutritional aspect of the diet, without considering food sustainability or the environmental impact of foods. This study aims to determine the effectiveness of an educational program designed for apprentice chefs. Two questionnaires were administered twice to each student who followed dedicated lectures about nutrition and food sustainability and to other students enrolled as the control group. A total of 264 and 252 apprentice chefs of The School of Italian Culinary Arts—ALMA were enrolled in the control and intervention groups, respectively. At baseline, both groups showed a good level of nutrition knowledge, whereas food sustainability knowledge was lower in all students, regardless of the group. This educational intervention proved to be effective in improving knowledge about nutrition and the environmental impact of food production and consumption. However, a small but significant improvement in nutritional knowledge was also found over time in the control group. Finally, a food sustainability knowledge questionnaire was developed and validated for this study, providing interesting results to be treated as a guide for future developments. [ABSTRACT FROM AUTHOR]