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Title: Updating the mediterranean diet pyramid towards sustainability: Focus on environmental concerns
Authors: Serra Majem, Luis 
Tomaino, Laura
Dernini, Sandro
Berry, Elliot M.
Lairon, Denis
de la Cruz, Joy Ngo
Bach-Faig, Anna
Donini, Lorenzo M.
Medina, Francesc Xavier
Belahsen, Rekia
Piscopo, Suzanne
Capone, Roberto
Aranceta Bartrina, Javier 
Vecchia, Carlo La
Trichopoulou, Antonia
UNESCO Clasification: 32 Ciencias médicas
3206 Ciencias de la nutrición
Keywords: Environmental Concerns
Food-Based Dietary Guidelines
Mediterranean Diet
Mediterranean Diet Pyramid
Nutrition, et al
Issue Date: 2020
Journal: International Journal of Environmental Research and Public Health 
Abstract: Nowadays the food production, supply and consumption chain represent a major cause of ecological pressure on the natural environment, and diet links worldwide human health with environmental sustainability. Food policy, dietary guidelines and food security strategies need to evolve from the limited historical approach, mainly focused on nutrients and health, to a new one considering the environmental, socio-economic and cultural impact—and thus the sustainability—of diets. Objective: To present an updated version of the Mediterranean Diet Pyramid (MDP) to reflect multiple environmental concerns. Methods: We performed a revision and restructuring of the MDP to incorporate more recent findings on the sustainability and environmental impact of the Mediterranean Diet pattern, as well as its associations with nutrition and health. For each level of the MDP we provided a third dimension featuring the corresponding environmental aspects related to it. Conclusions: The new environmental dimension of the MDP enhances food intake recommendations addressing both health and environmental issues. Compared to the previous 2011 version, it emphasizes more strongly a lower consumption of red meat and bovine dairy products, and a higher consumption of legumes and locally grown eco-friendly plant foods as much as possible.
ISSN: 1661-7827
DOI: 10.3390/ijerph17238758
Source: International Journal of Environmental Research and Public Health [ISSN 1661-7827], v. 17 (23), 8758, p. 1-20, (Diciembre 2020)
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