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The world is facing a triple burden of undernourishment, obesity, and environmental impacts from agriculture while nourishing its population. This burden makes sustainable nourishment of the growing population a global challenge. Addressing this challenge requires an understanding of the interplay between diets, health, and associated environmental impacts (e.g., climate change). For this, we identify 11 typical diets that represent dietary habits worldwide for the last five decades. Plant-source foods provide most of all three macronutrients (carbohydrates, protein, and fat) in developing countries. In contrast, animal-source foods provide a majority of protein and fat in developed ones. The identified diets deviate from the recommended healthy diet with either too much (e.g., red meat) or too little (e.g., fruits and vegetables) food and nutrition supply. The total calorie supplies are lower than required for two diets. Sugar consumption is higher than recommended for five diets. Three and five diets consist of larger-than-recommended carbohydrate and fat shares, respectively. Four diets with a large share of animal-source foods exceed the recommended value of red meat. Only two diets consist of at least 400 gm/cap/day of fruits and vegetables while accounting for food waste. Prevalence of undernourishment and underweight dominates in the diets with lower calories. In comparison, a higher prevalence of obesity is observed for diets with higher calories with high shares of sugar, fat, and animal-source foods. However, embodied emissions in the diets do not show a clear relation with calorie supplies and compositions. Two high-calorie diets embody more than 1.5 t CO<mml:semantics>2</mml:semantics>eq/cap/yr, and two low-calorie diets embody around 1 t CO<mml:semantics>2</mml:semantics>eq/cap/yr. Our analysis highlights that sustainable and healthy diets can serve the purposes of both nourishing the population and, at the same time, reducing the environmental impacts of agriculture.
The aim of this study was to assess the ability of the FFQ to describe reliable and valid dietary pattern (DP) scores. In a total of 134 participants of the European Prospective Investigation into Cancer and Nutrition-Potsdam study aged 35-67 years, the FFQ was applied twice (baseline and after 1 year) to assess its reliability. Between November 1995 and March 1997, twelve 24-h dietary recalls (24HDR) as reference instrument were applied to assess the validity of the FFQ. Exploratory DP were derived by principal component analyses. Investigated predefined DP were the Alternative Healthy Eating Index (AHEI) and two Mediterranean diet indices. From dietary data of each FFQ, two exploratory DP were retained, but differed in highly loading food groups, resulting in moderate correlations (r 0 center dot 45-0 center dot 58). The predefined indices showed higher correlations between the FFQ (r(AHEI) 0 center dot 62, r(Mediterranean Diet Pyramid Index (MedPyr)) 0 center dot 62 and r(traditional Mediterranean Diet Score (tMDS)) 0 center dot 51). From 24HDR dietary data, one exploratory DP retained differed in composition to the first FFQ-based DP, but showed similarities to the second DP, reflected by a good correlation (r 0 center dot 70). The predefined DP correlated moderately (r 0 center dot 40-0 center dot 60). To conclude, long-term analyses on exploratory DP should be interpreted with caution, due to only moderate reliability. The validity differed extensively for the two exploratory DP. The investigated predefined DP showed a better reliability and a moderate validity, comparable to other studies. Within the two Mediterranean diet indices, the MedPyr performed better than the tMDs in this middle-aged, semi-urban German study population.