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

Author(s)

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

• Document type: Journal article
• Source: NUTRIENTS; v. 14, n. 6, p. 14-pg., 2022-03-01.

Abstract

Diets are simultaneously connected with population health and environment. The EAT-Lancet Commission proposed a sustainable reference diet to improve population health and respect the planetary boundaries. Recently, the Planetary Health Diet Index (PHDI) has been developed to assess the adherence to this reference diet. In the present study, we aimed to evaluate the adherence to the EAT-Lancet diet through the PHDI in a nationwide population-based study carried out in Brazil. We used data from the National Dietary Survey conducted through the Household Budget Survey in 2017-2018, with 46,164 Brazilians aged over 10 years old. Food consumption was evaluated with a 24 h dietary recall. The average PHDI total score in the Brazilian population was 45.9 points (95% CI 45.6:46.1) on a total score that can range from 0 to 150 points. The adherence to EAT-Lancet diet was low among all Brazilian regions. Women, elderly, those overweighed/obese, with higher per capita income and living in the urban area had higher scores in the PHDI. In general, the Brazilian population presented low adherence to a healthy and sustainable dietary pattern and seems far from meeting the EAT-Lancet recommendations. (AU)

• FAPESP's process: 20/12326-1 - Association between an index based on planetary health diet and cardiovascular risk outcomes: analysis of epidemiological studies
• Grantee: Leandro Teixeira Cacau
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate (Direct)
• FAPESP's process: 19/13424-0 - Progression of subclinical Atherosclerosis markers and a priori eating patterns: an analysis to the longitudinal study in adult health (ELSA-Brazil)
• Grantee: Leandro Teixeira Cacau
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)