Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level index

Abstract Background Research related to sustainable diets is is highly relevant to provide better understanding of the impact of dietary intake on the health and the environment. Aim To assess the association between the adherence to an energy-restricted Mediterranean diet and the amount of CO2 emit...

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Main Authors: Silvia García, Cristina Bouzas, David Mateos, Rosario Pastor, Laura Álvarez, María Rubín, Miguel Ángel Martínez-González, Jordi Salas-Salvadó, Dolores Corella, Albert Goday, J. Alfredo Martínez, Ángel M. Alonso-Gómez, Julia Wärnberg, Jesús Vioque, Dora Romaguera, José Lopez-Miranda, Ramon Estruch, Francisco J. Tinahones, José Lapetra, Lluís Serra-Majem, Blanca Riquelme-Gallego, Xavier Pintó, José J. Gaforio, Pilar Matía, Josep Vidal, Clotilde Vázquez, Lidia Daimiel, Emilio Ros, Maira Bes-Rastrollo, Patricia Guillem-Saiz, Stephanie Nishi, Robert Cabanes, Itziar Abete, Leire Goicolea-Güemez, Enrique Gómez-Gracia, Antonio José Signes-Pastor, Antoni Colom, Antonio García-Ríos, Sara Castro-Barquero, Jose C. Fernández-García, José Manuel Santos-Lozano, Zenaida Vázquez, José V. Sorlí, Maria Pascual, Olga Castañer, Maria Angeles Zulet, Jessica Vaquero-Luna, F. Javier Basterra-Gortari, Nancy Babio, Ramon Ciurana, Vicente Martín-Sánchez, Josep A. Tur
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Environmental Health
Subjects:
Online Access:https://doi.org/10.1186/s12940-022-00956-7
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author Silvia García
Cristina Bouzas
David Mateos
Rosario Pastor
Laura Álvarez
María Rubín
Miguel Ángel Martínez-González
Jordi Salas-Salvadó
Dolores Corella
Albert Goday
J. Alfredo Martínez
Ángel M. Alonso-Gómez
Julia Wärnberg
Jesús Vioque
Dora Romaguera
José Lopez-Miranda
Ramon Estruch
Francisco J. Tinahones
José Lapetra
Lluís Serra-Majem
Blanca Riquelme-Gallego
Xavier Pintó
José J. Gaforio
Pilar Matía
Josep Vidal
Clotilde Vázquez
Lidia Daimiel
Emilio Ros
Maira Bes-Rastrollo
Patricia Guillem-Saiz
Stephanie Nishi
Robert Cabanes
Itziar Abete
Leire Goicolea-Güemez
Enrique Gómez-Gracia
Antonio José Signes-Pastor
Antoni Colom
Antonio García-Ríos
Sara Castro-Barquero
Jose C. Fernández-García
José Manuel Santos-Lozano
Zenaida Vázquez
José V. Sorlí
Maria Pascual
Olga Castañer
Maria Angeles Zulet
Jessica Vaquero-Luna
F. Javier Basterra-Gortari
Nancy Babio
Ramon Ciurana
Vicente Martín-Sánchez
Josep A. Tur
author_facet Silvia García
Cristina Bouzas
David Mateos
Rosario Pastor
Laura Álvarez
María Rubín
Miguel Ángel Martínez-González
Jordi Salas-Salvadó
Dolores Corella
Albert Goday
J. Alfredo Martínez
Ángel M. Alonso-Gómez
Julia Wärnberg
Jesús Vioque
Dora Romaguera
José Lopez-Miranda
Ramon Estruch
Francisco J. Tinahones
José Lapetra
Lluís Serra-Majem
Blanca Riquelme-Gallego
Xavier Pintó
José J. Gaforio
Pilar Matía
Josep Vidal
Clotilde Vázquez
Lidia Daimiel
Emilio Ros
Maira Bes-Rastrollo
Patricia Guillem-Saiz
Stephanie Nishi
Robert Cabanes
Itziar Abete
Leire Goicolea-Güemez
Enrique Gómez-Gracia
Antonio José Signes-Pastor
Antoni Colom
Antonio García-Ríos
Sara Castro-Barquero
Jose C. Fernández-García
José Manuel Santos-Lozano
Zenaida Vázquez
José V. Sorlí
Maria Pascual
Olga Castañer
Maria Angeles Zulet
Jessica Vaquero-Luna
F. Javier Basterra-Gortari
Nancy Babio
Ramon Ciurana
Vicente Martín-Sánchez
Josep A. Tur
author_sort Silvia García
collection DOAJ
description Abstract Background Research related to sustainable diets is is highly relevant to provide better understanding of the impact of dietary intake on the health and the environment. Aim To assess the association between the adherence to an energy-restricted Mediterranean diet and the amount of CO2 emitted in an older adult population. Design and population Using a cross-sectional design, the association between the adherence to an energy-reduced Mediterranean Diet (erMedDiet) score and dietary CO2 emissions in 6646 participants was assessed. Methods Food intake and adherence to the erMedDiet was assessed using validated food frequency questionnaire and 17-item Mediterranean questionnaire. Sociodemographic characteristics were documented. Environmental impact was calculated through greenhouse gas emissions estimations, specifically CO2 emissions of each participant diet per day, using a European database. Participants were distributed in quartiles according to their estimated CO2 emissions expressed in kg/day: Q1 (≤2.01 kg CO2), Q2 (2.02-2.34 kg CO2), Q3 (2.35-2.79 kg CO2) and Q4 (≥2.80 kg CO2). Results More men than women induced higher dietary levels of CO2 emissions. Participants reporting higher consumption of vegetables, fruits, legumes, nuts, whole cereals, preferring white meat, and having less consumption of red meat were mostly emitting less kg of CO2 through diet. Participants with higher adherence to the Mediterranean Diet showed lower odds for dietary CO2 emissions: Q2 (OR 0.87; 95%CI: 0.76-1.00), Q3 (OR 0.69; 95%CI: 0.69-0.79) and Q4 (OR 0.48; 95%CI: 0.42-0.55) vs Q1 (reference). Conclusions The Mediterranean diet can be environmentally protective since the higher the adherence to the Mediterranean diet, the lower total dietary CO2 emissions. Mediterranean Diet index may be used as a pollution level index.
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spelling doaj.art-eb0837d0cf124106bc45d1e4e91ddc112023-01-08T12:19:47ZengBMCEnvironmental Health1476-069X2023-01-0122111010.1186/s12940-022-00956-7Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level indexSilvia García0Cristina Bouzas1David Mateos2Rosario Pastor3Laura Álvarez4María Rubín5Miguel Ángel Martínez-González6Jordi Salas-Salvadó7Dolores Corella8Albert Goday9J. Alfredo Martínez10Ángel M. Alonso-Gómez11Julia Wärnberg12Jesús Vioque13Dora Romaguera14José Lopez-Miranda15Ramon Estruch16Francisco J. Tinahones17José Lapetra18Lluís Serra-Majem19Blanca Riquelme-Gallego20Xavier Pintó21José J. Gaforio22Pilar Matía23Josep Vidal24Clotilde Vázquez25Lidia Daimiel26Emilio Ros27Maira Bes-Rastrollo28Patricia Guillem-Saiz29Stephanie Nishi30Robert Cabanes31Itziar Abete32Leire Goicolea-Güemez33Enrique Gómez-Gracia34Antonio José Signes-Pastor35Antoni Colom36Antonio García-Ríos37Sara Castro-Barquero38Jose C. Fernández-García39José Manuel Santos-Lozano40Zenaida Vázquez41José V. Sorlí42Maria Pascual43Olga Castañer44Maria Angeles Zulet45Jessica Vaquero-Luna46F. Javier Basterra-Gortari47Nancy Babio48Ramon Ciurana49Vicente Martín-Sánchez50Josep A. Tur51CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands-IUNICSCIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII)CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)Faculty of Health Sciences, Catholic University of AvilaCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)Faculty of Health Sciences, Catholic University of AvilaCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)Faculty of Health Sciences, Catholic University of AvilaDepartment of Endocrinology and Nutrition, Instituto de Investigación Sanitaria San Carlos (IdISSC)Department of Endocrinology, IDIBAPS, Hospital Clinic, University of BarcelonaDepartment of Endocrinology, Fundación Jiménez-DíazNutritional Control of the Epigenome Group, Precision Nutrition and Obesity Program.IMDEA Food, CEI UAM + CSICCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)Department of Preventive Medicine, University of ValenciaBiochemistry and Biotechnology Department, Human Nutrition Unit, IISPV, Universitat Rovira i Virgili, Hospital Universitari de Sant JoanCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)Department of Preventive Medicine and Public Health, IDISNA, University of NavarraCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII)CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII)Abstract Background Research related to sustainable diets is is highly relevant to provide better understanding of the impact of dietary intake on the health and the environment. Aim To assess the association between the adherence to an energy-restricted Mediterranean diet and the amount of CO2 emitted in an older adult population. Design and population Using a cross-sectional design, the association between the adherence to an energy-reduced Mediterranean Diet (erMedDiet) score and dietary CO2 emissions in 6646 participants was assessed. Methods Food intake and adherence to the erMedDiet was assessed using validated food frequency questionnaire and 17-item Mediterranean questionnaire. Sociodemographic characteristics were documented. Environmental impact was calculated through greenhouse gas emissions estimations, specifically CO2 emissions of each participant diet per day, using a European database. Participants were distributed in quartiles according to their estimated CO2 emissions expressed in kg/day: Q1 (≤2.01 kg CO2), Q2 (2.02-2.34 kg CO2), Q3 (2.35-2.79 kg CO2) and Q4 (≥2.80 kg CO2). Results More men than women induced higher dietary levels of CO2 emissions. Participants reporting higher consumption of vegetables, fruits, legumes, nuts, whole cereals, preferring white meat, and having less consumption of red meat were mostly emitting less kg of CO2 through diet. Participants with higher adherence to the Mediterranean Diet showed lower odds for dietary CO2 emissions: Q2 (OR 0.87; 95%CI: 0.76-1.00), Q3 (OR 0.69; 95%CI: 0.69-0.79) and Q4 (OR 0.48; 95%CI: 0.42-0.55) vs Q1 (reference). Conclusions The Mediterranean diet can be environmentally protective since the higher the adherence to the Mediterranean diet, the lower total dietary CO2 emissions. Mediterranean Diet index may be used as a pollution level index.https://doi.org/10.1186/s12940-022-00956-7Greenhouse gas emissionsMediterranean dietCarbon dioxideSustainabilitySustainable dietsEnvironment
spellingShingle Silvia García
Cristina Bouzas
David Mateos
Rosario Pastor
Laura Álvarez
María Rubín
Miguel Ángel Martínez-González
Jordi Salas-Salvadó
Dolores Corella
Albert Goday
J. Alfredo Martínez
Ángel M. Alonso-Gómez
Julia Wärnberg
Jesús Vioque
Dora Romaguera
José Lopez-Miranda
Ramon Estruch
Francisco J. Tinahones
José Lapetra
Lluís Serra-Majem
Blanca Riquelme-Gallego
Xavier Pintó
José J. Gaforio
Pilar Matía
Josep Vidal
Clotilde Vázquez
Lidia Daimiel
Emilio Ros
Maira Bes-Rastrollo
Patricia Guillem-Saiz
Stephanie Nishi
Robert Cabanes
Itziar Abete
Leire Goicolea-Güemez
Enrique Gómez-Gracia
Antonio José Signes-Pastor
Antoni Colom
Antonio García-Ríos
Sara Castro-Barquero
Jose C. Fernández-García
José Manuel Santos-Lozano
Zenaida Vázquez
José V. Sorlí
Maria Pascual
Olga Castañer
Maria Angeles Zulet
Jessica Vaquero-Luna
F. Javier Basterra-Gortari
Nancy Babio
Ramon Ciurana
Vicente Martín-Sánchez
Josep A. Tur
Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level index
Environmental Health
Greenhouse gas emissions
Mediterranean diet
Carbon dioxide
Sustainability
Sustainable diets
Environment
title Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level index
title_full Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level index
title_fullStr Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level index
title_full_unstemmed Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level index
title_short Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level index
title_sort carbon dioxide co2 emissions and adherence to mediterranean diet in an adult population the mediterranean diet index as a pollution level index
topic Greenhouse gas emissions
Mediterranean diet
Carbon dioxide
Sustainability
Sustainable diets
Environment
url https://doi.org/10.1186/s12940-022-00956-7
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