eprintid: 27555 rev_number: 8 eprint_status: archive userid: 2 dir: disk0/00/02/75/55 datestamp: 2026-02-25 23:30:14 lastmod: 2026-02-25 23:30:15 status_changed: 2026-02-25 23:30:14 type: article metadata_visibility: show creators_name: Tucci, Massimiliano creators_name: Martini, Daniela creators_name: Godos, Justyna creators_name: Olvera-Moreira, Marco Antonio creators_name: Fresán, Ujué creators_name: Giampieri, Francesca creators_name: Frias-Toral, Evelyn creators_name: Zambrano-Villacres, Raynier creators_name: Vitale, Marilena creators_name: Giosuè, Annalisa creators_name: Stranges, Saverio creators_name: Iacoviello, Licia creators_name: Ruggiero, Emilia creators_name: Bonaccio, Marialaura creators_name: Grosso, Giuseppe creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: francesca.giampieri@uneatlantico.es creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: title: Association of planetary health diet indices with diet composition, nutritional quality and environmental impacts in Italian adults ispublished: pub subjects: uneat_sn divisions: uneatlantico_produccion_cientifica full_text_status: public keywords: Diet Sustainability Nutritional quality Environmental impact abstract: Background and aims Sustainable diets are increasingly recognized as a key strategy to promote human health while reducing environmental impacts. The Planetary Health Diet (PHD) provides a global framework for sustainable and healthy eating patterns, but evidence on its adherence and implications in specific populations is still limited. The aim of this study was to test the level of adherence, the environmental impact, and the nutritional quality of several scores assessing the level of adherence to the PHD in a cohort of Italian individuals. Methods and results Dietary habits were assessed through validated food frequency questionnaires while various scores have been applied to evaluate the level of adherence to PHD (ELD-I, EAT, PHDI-Cacau, NB-EAT, PHDI-Bui) in 1936 Italian adults, using the Mediterranean diet (MEDI-LITE) as reference. The environmental impact was quantified as carbon and water footprints (CF and WF) using the SU-EATABLE LIFE database. Higher adherence to PHD-related indices generally corresponded to healthier nutrient profiles, higher fiber intake, and better concordance with Italian dietary recommendations, although some indices predicted lower intake of certain nutrients (e.g., vitamin B12, calcium). The MEDI-LITE index consistently predicted higher adequacy across dietary and nutrient recommendations. Absolute CF and WF showed mixed trends across indices, while energy-standardized values (per 1000 kcal) indicated lower impacts for all PHD-related scores, apart from the ELD-I. Adherence to the Mediterranean diet was also associated with favorable energy-adjusted environmental outcomes. Conclusion These findings reinforce the existing alignment between the intrinsic characteristics of the Mediterranean diet with both nutrition and sustainability objectives. date: 2025-12 publication: Nutrition, Metabolism and Cardiovascular Diseases pagerange: 104537 id_number: doi:10.1016/j.numecd.2025.104537 refereed: TRUE issn: 09394753 official_url: http://doi.org/10.1016/j.numecd.2025.104537 access: open language: en citation: Artículo Materias > Alimentación Universidad Europea del Atlántico > Investigación > Artículos y libros Abierto Inglés Background and aims Sustainable diets are increasingly recognized as a key strategy to promote human health while reducing environmental impacts. The Planetary Health Diet (PHD) provides a global framework for sustainable and healthy eating patterns, but evidence on its adherence and implications in specific populations is still limited. The aim of this study was to test the level of adherence, the environmental impact, and the nutritional quality of several scores assessing the level of adherence to the PHD in a cohort of Italian individuals. Methods and results Dietary habits were assessed through validated food frequency questionnaires while various scores have been applied to evaluate the level of adherence to PHD (ELD-I, EAT, PHDI-Cacau, NB-EAT, PHDI-Bui) in 1936 Italian adults, using the Mediterranean diet (MEDI-LITE) as reference. The environmental impact was quantified as carbon and water footprints (CF and WF) using the SU-EATABLE LIFE database. Higher adherence to PHD-related indices generally corresponded to healthier nutrient profiles, higher fiber intake, and better concordance with Italian dietary recommendations, although some indices predicted lower intake of certain nutrients (e.g., vitamin B12, calcium). The MEDI-LITE index consistently predicted higher adequacy across dietary and nutrient recommendations. Absolute CF and WF showed mixed trends across indices, while energy-standardized values (per 1000 kcal) indicated lower impacts for all PHD-related scores, apart from the ELD-I. Adherence to the Mediterranean diet was also associated with favorable energy-adjusted environmental outcomes. Conclusion These findings reinforce the existing alignment between the intrinsic characteristics of the Mediterranean diet with both nutrition and sustainability objectives. metadata Tucci, Massimiliano; Martini, Daniela; Godos, Justyna; Olvera-Moreira, Marco Antonio; Fresán, Ujué; Giampieri, Francesca; Frias-Toral, Evelyn; Zambrano-Villacres, Raynier; Vitale, Marilena; Giosuè, Annalisa; Stranges, Saverio; Iacoviello, Licia; Ruggiero, Emilia; Bonaccio, Marialaura y Grosso, Giuseppe mail SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, francesca.giampieri@uneatlantico.es, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR (2025) Association of planetary health diet indices with diet composition, nutritional quality and environmental impacts in Italian adults. Nutrition, Metabolism and Cardiovascular Diseases. p. 104537. ISSN 09394753 document_url: http://repositorio.uneatlantico.es/id/eprint/27555/1/PIIS0939475325006921.pdf