BackgroundFood choices influence health status, but also have a great impact on the environment. The production of animal-derived foods has a high environmental burden, whereas the burden of refined carbohydrates, vegetables and fruit is low. The aim of this study was to investigate the associations of greenhouse gas emission (GHGE) and land use of usual diet with mortality risk, and to estimate the effect of a modelled meat substitution scenario on health and the environment.MethodsThe usual diet of 40011 subjects in the EPIC-NL cohort was assessed using a food frequency questionnaire. GHGE and land use of food products were based on life cycle analysis. Cox proportional hazard ratios (HR) were calculated to determine relative mortality risk. In the modelled meat-substitution scenario, one-third (35 gram) of the usual daily meat intake (105 gram) was substituted by other foods.ResultsDuring a follow-up of 15.9 years, 2563 deaths were registered. GHGE and land use of the usual diet were not associated with all-cause or with cause-specific mortality. Highest vs. lowest quartile of GHGE and land use adjusted hazard ratios for all-cause mortality were respectively 1.00 (95% CI: 0.86-1.17) and 1.05 (95% CI: 0.89-1.23). Modelled substitution of 35 g/d of meat with vegetables, fruit-nuts-seeds, pasta-rice-couscous, or fish significantly increased survival rates (6-19%), reduced GHGE (4-11%), and land use (10-12%).ConclusionsThere were no significant associations observed between dietary-derived GHGE and land use and mortality in this Dutch cohort. However, the scenario-study showed that substitution of meat with other major food groups was associated with a lower mortality risk and a reduced environmental burden. Especially when vegetables, fruit-nuts-seeds, fish, or pasta-rice-couscous replaced meat.

Objective: To evaluate the greenhouse gas emission (GHGE) of diets in Dutch girls, boys, women and men and to explore associations with diet composition. Design: Descriptive analyses for the total population as well as stratified for gender, age and dietary environmental load. Setting: The Netherlands. Subjects: Dutch children and adults aged 7-69 years (n 3818). Results: The GHGE of daily diets was on average 3·2 kg CO 2 -equivalents (CO 2 e) for girls, 3·6 kg CO 2 e for boys, 3·7 kg CO 2 e for women and 4·8 kg CO 2 e for men. Meat and cheese contributed about 40 % and drinks (including milk and alcoholic drinks) 20 % to daily GHGE. Considerable differences in environmental loads of diets existed within age and gender groups. Persons with higher-GHGE diets consumed more (in quantity of foods and especially drinks) than their counterparts of a similar sex and age with low-GHGE diets. Major differences between high-and low-GHGE diets were in meat, cheese and dairy consumption as well as in soft drinks (girls, boys and women) and alcoholic drinks (men). Of those, differences in meat consumption determined the differences in GHGE most. Diets with higher GHGE were associated with higher saturated fat intake and lower fibre intake Conclusions: GHGE of daily diets in the Netherlands is between 3 and 5 kg CO 2 e, with considerable differences between individuals. Meat, dairy and drinks contribute most to GHGE. The insights of the study may be used in developing (age-and gender-specific) food-based dietary guidelines that take into account both health and sustainability aspects.

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Abstract:Background: This study aims to find diets with low price and low climate impact, yet fulfilling all nutritional requirements. Methods: Optimization by linear programming. The program constrains 33 nutrients to fulfill Dutch dietary requirements. In a second cycle, the upper boundary for climate impact through greenhouse gas emissions (GHGE) is set to 1.6 kg carbon dioxide equivalents/day (CO2eq). In a third cycle, the costs are set on €2.50 as a constraint. The objective function of the optimization maximized the most consumed food products (n = 206) for male and female adults separately (age 31-50). Results: A diet of 63 popular and low priced basic products was found to deliver all required nutrients at an adequate level for both male and female adults. This plant-based, carbohydrate and fiber-rich diet consists mainly of wholegrain bread, potatoes, muesli, open-field vegetables and fruits. The climate impact of this diet is very low (1.59 kg CO2eq/day) compared to the average Dutch diet. By constraining costs, a low carbon diet of €2.59/day is possible. Conclusions: A two-person diet consisting of 63 products and costing €37 per week can simultaneously be healthy and yet have half the average climate impact. Linear programming is a promising tool to combine health and sustainability on both societal and individual levels. OPEN ACCESSSustainability 2015, 7 12838

Reducing meat is the most effective option for lowering the environmental impact of diets in all age-gender groups. Reducing alcoholic and non-alcoholic beverages is another option. Leaving out fish and dairy products are not. The differences in nutritional requirements related to age and gender have a significant effect on the composition of the optimised diets.

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