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Sustainability analysis of the Mediterranean diet: results from the French NutriNet-Santé study.
Baudry, Julia; Neves, Floriane; Lairon, Denis; Allès, Benjamin; Langevin, Brigitte; Brunin, Joséphine; Berthy, Florine; Danquah, Ina; Touvier, Mathilde; Hercberg, Serge; Amiot, Marie-Josèphe; Pointereau, Philippe; Kesse-Guyot, Emmanuelle.
Affiliation
  • Baudry J; Université Sorbonne Paris Nord and Université Paris Cité, Inserm, INRAE, CNAM, Centre of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017 Bobigny, France.
  • Neves F; Université Sorbonne Paris Nord and Université Paris Cité, Inserm, INRAE, CNAM, Centre of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017 Bobigny, France.
  • Lairon D; Aix Marseille Université, Inserm, INRAE, C2VN, Marseille, France.
  • Allès B; Université Sorbonne Paris Nord and Université Paris Cité, Inserm, INRAE, CNAM, Centre of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017 Bobigny, France.
  • Langevin B; Solagro, Voie TOEC Toulouse, France.
  • Brunin J; Université Sorbonne Paris Nord and Université Paris Cité, Inserm, INRAE, CNAM, Centre of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017 Bobigny, France.
  • Berthy F; Université Sorbonne Paris Nord and Université Paris Cité, Inserm, INRAE, CNAM, Centre of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017 Bobigny, France.
  • Danquah I; Heidelberg Institute of Global Health (HIGH), Medical Faculty and University Hospital, Heidelberg University, Heidelberg, Germany.
  • Touvier M; Université Sorbonne Paris Nord and Université Paris Cité, Inserm, INRAE, CNAM, Centre of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017 Bobigny, France.
  • Hercberg S; Université Sorbonne Paris Nord and Université Paris Cité, Inserm, INRAE, CNAM, Centre of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017 Bobigny, France.
  • Amiot MJ; Département de Santé Publique, Hôpital Avicenne, Bobigny, France.
  • Pointereau P; MoISA, Univ Montpellier, CIHEAM-IAMM, CIRAD, INRAE, Institut Agro, IRD, Montpellier, France.
  • Kesse-Guyot E; Solagro, Voie TOEC Toulouse, France.
Br J Nutr ; 130(12): 2182-2197, 2023 12 28.
Article in En | MEDLINE | ID: mdl-37357796
ABSTRACT
The Mediterranean diet is often proposed as a sustainable diet model. This study aimed to evaluate the associations between adherence to the Mediterranean diet and sustainability domains in a cohort of French adults, using multiple criteria including nutritional quality, environmental pressures, monetary cost and dietary pesticide exposure. Food intakes of 29 210 NutriNet-Santé volunteers were assessed in 2014 using a semi-quantitative FFQ. Adherence to the Mediterranean diet was evaluated using the validated literature-based adherence score (MEDI-LITE). The associations between the MEDI-LITE and various sustainability indicators were examined using ANCOVA models, adjusted for sex, age and energy intake. Higher adherence to the MEDI-LITE was associated with higher nutritional quality scores, better overall nutrient profile as well as reduced environmental impact (land occupation Q5 v. Q1 -35 %, greenhouse gas emissions -40 % and cumulative energy demand -17 %). In turn, monetary cost increased with increasing adherence to the Mediterranean diet (Q5 v. Q1 +15 %), while higher adherents to the Mediterranean diet had overall higher pesticide exposure due to their high plant-based food consumption. In this large cohort of French adults, greater adherence to the Mediterranean diet was associated with nutritional and environmental benefits, but also with higher monetary cost and greater exposure to pesticides, illustrating the necessity to develop large-scale strategies for healthy, safe (pesticide- and contaminant-free) and environmentally sustainable diets for all.
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Full text: 1 Database: MEDLINE Main subject: Pesticides / Diet, Mediterranean Type of study: Prognostic_studies Limits: Adult / Humans Language: En Journal: Br J Nutr Year: 2023 Type: Article Affiliation country: France

Full text: 1 Database: MEDLINE Main subject: Pesticides / Diet, Mediterranean Type of study: Prognostic_studies Limits: Adult / Humans Language: En Journal: Br J Nutr Year: 2023 Type: Article Affiliation country: France