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dc.contributor.authorDonini, LMen_US
dc.contributor.authorDernini, Sen_US
dc.contributor.authorLairon, Den_US
dc.contributor.authorSerra-Majem, Len_US
dc.contributor.authorAmiot, M-Jen_US
dc.contributor.authorDel Balzo, Ven_US
dc.contributor.authorGiusti, A-Men_US
dc.contributor.authorBurlingame, Ben_US
dc.contributor.authorBelahsen, Ren_US
dc.contributor.authorMaiani, Gen_US
dc.contributor.authorPolito, Aen_US
dc.contributor.authorTurrini, Aen_US
dc.contributor.authorIntorre, Fen_US
dc.contributor.authorTrichopoulou, Aen_US
dc.contributor.authorBerry, EMen_US
dc.coverage.spatialSwitzerlanden_US
dc.date.available2016en_US
dc.date.available2016-08-15en_US
dc.date.issued2016en_US
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/27622186en_US
dc.identifier.citationFront Nutr, 2016, 3 pp. 37 - ?en_US
dc.identifier.issn2296-861Xen_US
dc.description.abstractBACKGROUND: There is increasing evidence of the multiple effects of diets on public health nutrition, society, and environment. Sustainability and food security are closely interrelated. The traditional Mediterranean Diet (MD) is recognized as a healthier dietary pattern with a lower environmental impact. As a case study, the MD may guide innovative inter-sectorial efforts to counteract the degradation of ecosystems, loss of biodiversity, and homogeneity of diets due to globalization through the improvement of sustainable healthy dietary patterns. This consensus position paper defines a suite of the most appropriate nutrition and health indicators for assessing the sustainability of diets based on the MD. METHODS: In 2011, an informal International Working Group from different national and international institutions was convened. Through online and face-to-face brainstorming meetings over 4 years, a set of nutrition and health indicators for sustainability was identified and refined. RESULTS: Thirteen nutrition indicators of sustainability relating were identified in five areas. Biochemical characteristics of food (A1. Vegetable/animal protein consumption ratios; A2. Average dietary energy adequacy; A3. Dietary Energy Density Score; A4. Nutrient density of diet), Food Quality (A5. Fruit and vegetable consumption/intakes; A6. Dietary Diversity Score), Environment (A7. Food biodiversity composition and consumption; A8. Rate of Local/regional foods and seasonality; A9. Rate of eco-friendly food production and/or consumption), Lifestyle (A10. Physical activity/physical inactivity prevalence; A11. Adherence to the Mediterranean dietary pattern), Clinical Aspects (A12. Diet-related morbidity/mortality statistics; A13. Nutritional Anthropometry). A standardized set of information was provided for each indicator: definition, methodology, background, data sources, limitations of the indicator, and references. CONCLUSION: The selection and analysis of these indicators has been performed (where possible) with specific reference to the MD. Sustainability of food systems is an urgent priority for governments and international organizations to address the serious socioeconomic and environmental implications of short-sighted and short-term practices for agricultural land and rural communities. These proposed nutrition indicators will be a useful methodological framework for designing health, education, and agricultural policies in order, not only to conserve the traditional diets of the Mediterranean area as a common cultural heritage and lifestyle but also to enhance the sustainability of diets in general.en_US
dc.format.extent37 - ?en_US
dc.languageengen_US
dc.rights© 2016 Donini, Dernini, Lairon, Serra-Majem, Amiot, del Balzo, Giusti, Burlingame, Belahsen, Maiani, Polito, Turrini, Intorre, Trichopoulou and Berry. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_US
dc.subjectMediterranean dieten_US
dc.subjectdietary diversityen_US
dc.subjectdietary energy densityen_US
dc.subjectdietary nutrient densityen_US
dc.subjectnon-communicable chronic diseasesen_US
dc.subjectnutrition indicatorsen_US
dc.subjectphysical activityen_US
dc.subjectsustainable dietsen_US
dc.titleA Consensus Proposal for Nutritional Indicators to Assess the Sustainability of a Healthy Diet: The Mediterranean Diet as a Case Study.en_US
dc.typeJournal Article
dc.citation.volume3en_US
dc.identifier.doi10.3389/fnut.2016.00037en_US
dc.identifier.elements-id337746
dc.relation.isPartOfFront Nutren_US
dc.description.publication-statusPublished onlineen_US
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/School of Public Health
dc.identifier.harvestedMassey_Dark
pubs.notesNot knownen_US


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