Low Adherence to the EAT-Lancet Sustainable Reference Diet in the Brazilian Population: Findings from the National Dietary Survey 2017–2018

Marchioni, Dirce Maria Lobo; Cacau, Leandro Teixeira; Carli, Eduardo De; Carvalho, Aline Martins de; Rulli, Maria Cristina

doi:10.3390/nu14061187

Cited by 26 publications

(8 citation statements)

References 41 publications

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“…A cohort analysis revealed that Brazilians with greater PHDI scores (greater adherence to the EAT- Lancet diet) were 24% less likely to be overweight/obese [ 89 ]. Moreover, findings from the National Dietary Survey 2017–2018 revealed that the average PHDI score of the Brazilian population reached 45.9 points (95% CI 45.6–46.1), indicating extremely low adherence [ 90 ].…”

Section: Indexes Assessing Dietary Sustainability Based On the Eat- ...mentioning

confidence: 99%

Basics of Sustainable Diets and Tools for Assessing Dietary Sustainability: A Primer for Researchers and Policy Actors

et al. 2022

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Climate change can have economic consequences, affecting the nutritional intake of populations and increasing food insecurity, as it negatively affects diet quality parameters. One way to mitigate these consequences is to change the way we produce and consume our food. A healthy and sustainable diet aims to promote and achieve the physical, mental, and social well-being of the populations at all life stages, while protecting and safeguarding the resources of the planet and preserving biodiversity. Over the past few years, several indexes have been developed to evaluate dietary sustainability, most of them based on the EAT-Lancet reference diet. The present review explains the problems that arise in human nutrition as a result of climate change and presents currently available diet sustainability indexes and their applications and limitations, in an effort to aid researchers and policy actors in identifying aspects that need improvement in the development of relevant indexes. Overall, great heterogeneity exists among the indicators included in the available indexes and their methodology. Furthermore, many indexes do not adequately account for the diets’ environmental impact, whereas others fall short in the economic impact domain, or the ethical aspects of sustainability. The present review reveals that the design of one environmentally friendly diet that is appropriate for all cultures, populations, patients, and geographic locations is a difficult task. For this, the development of sustainable and healthy diet recommendations that are region-specific and culturally specific, and simultaneously encompass all aspects of sustainability, is required.

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Section: Indexes Assessing Dietary Sustainability Based On the Eat- ...mentioning

confidence: 99%

Basics of Sustainable Diets and Tools for Assessing Dietary Sustainability: A Primer for Researchers and Policy Actors

et al. 2022

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“…The latter means that both diets below and above the range should be penalized in a dietary index. However, most of the indices developed so far to determine adherence to EAT-Lancet recommendations assigned participants simple cut-off points for meeting the minimum or the median intake values recommended for each component [ 5 , 6 , 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Sustainable Dietary Score: Methodology for Its Assessment in Mexico Based on EAT-Lancet Recommendations

et al. 2023

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We developed a Sustainable Dietary Score (SDS) based on the EAT-Lancet commission’s recommendations and evaluated its adherence in a sample of Mexican adults. We used data on 1908 men and women aged 19 to 59 participating in the Health Workers Cohort Study in 2004. Fourteen of the healthy reference diet components were used to develop the SDS. We computed an individual SDS for each food component with scales from 0 (non-adherence) to 10 (perfect adherence), as well as a total SDS including all components, ranging from 0 to 140, based on a food frequency questionnaire. Our score incorporates characteristics of the context in which the score is applied, such as the high consumption of tortillas and eggs, and cut-off points that consider the nutrient deficiencies that prevail in the Mexican population. We propose a practical methodology to estimate a SDS incorporating a gradual score for a better distinction between the degrees of adherence to the reference diet proposed by the EAT-Lancet Commission.

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“…Traditional risk factors for overweight and obesity in children and adolescents, such as insufficient physical activity, excessive dietary intake, and sedentary behavior, have been explored and their relevance confirmed [ 7 ]; however, the causes of obesity cannot be fully explained by self-health behaviors. In addition, researches have shown that individuals, especially children, face obstacles in maintaining a healthy lifestyle, and the outcomes are commonly unsatisfactory [ 8 , 9 ]. Given these findings, it is crucial to explore easily implementable environmental intervention targets for obesity in children and adolescents, such as regarding the influence of artificial light-at-night (ALAN), which has become increasingly acknowledged [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Artificial Light-at-Night Exposure and Overweight and Obesity across GDP Levels among Chinese Children and Adolescents

Dang

Shi

et al. 2023

Nutrients

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Background: Evidence in adults suggests that exposure to artificial light-at-night (ALAN) leads to obesity. However, little is known about whether this effect exists in children and adolescents. We aimed to investigate whether ALAN exposure was associated with overweight and obesity in school-aged children and adolescents and whether this association varied with socioeconomic status. Methods: Data on the height and weight of 129,500 children and adolescents aged 10–18 years from 72 cities were extracted from the 2014 Chinese National Survey on Students’ Constitution and Health (CNSSCH). The ALAN area percentage and average ALAN intensity were calculated using the Visible/Infrared Imager/Radiometer Suite. The subjects were separated into three categories based on the cities’ gross domestic product per capita (GDPPC). A mixed-effect logistic regression model and generalized additive model (GAM) were utilized to evaluate the association between ALAN exposure and overweight and obesity in children and adolescents stratified by municipal GDPPC. Results: Both ALAN area (OR = 1.194, 95% CI: 1.175–1.212) and ALAN intensity (OR = 1.019, 95% CI: 1.017–1.020) were positively associated with overweight and obesity in children and adolescents, and the associations remained robust after adjusting for covariates. ORs for overweight and obesity and ALAN area decreased as GDPPC level increased (first tertile: OR = 1.457, 95% CI: 1.335–1.590; second tertile: OR = 1.350, 95% CI: 1.245–1.464; third tertile: OR = 1.100, 95% CI: 1.081–1.119). Similar results were observed for ALAN intensity. In the GAM models, thresholds existed in almost all these spline trends, indicating that ALAN might have a nonlinear association with overweight and obesity. Conclusions: ALAN contributed to the development of overweight and obesity in children and adolescents and this effect differed with GDPPC. Future longitudinal studies should confirm the causal relationship between ALAN and obesity. Moreover, reducing unnecessary exposure to artificial light at night may have beneficial implications for controlling childhood and adolescent obesity, particularly in low-income areas.

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Low Adherence to the EAT-Lancet Sustainable Reference Diet in the Brazilian Population: Findings from the National Dietary Survey 2017–2018

Cited by 26 publications

References 41 publications

Basics of Sustainable Diets and Tools for Assessing Dietary Sustainability: A Primer for Researchers and Policy Actors

Basics of Sustainable Diets and Tools for Assessing Dietary Sustainability: A Primer for Researchers and Policy Actors

Sustainable Dietary Score: Methodology for Its Assessment in Mexico Based on EAT-Lancet Recommendations

Artificial Light-at-Night Exposure and Overweight and Obesity across GDP Levels among Chinese Children and Adolescents

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