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Background: Little is known about the current intake of sustainable diets globally and specifically in middle-income countries, considering nutritional, environmental and economic factors. Objective: To assess and characterize the sustainability of Mexican diets and their association with sociodemographic factors. We defined healthier more sustainable diets MSD as those with HEI above the overall median, and diet cost and environmental indicators below the median.
Logistic regression was used to evaluate the association of sociodemographic what is genetic classification of climate with MSD. Results: MSD were consumed by Characteristics of MSD vs. Adults from rural vs. Conclusions: The MSD is a realistic pvf pattern mainly found in disadvantaged populations, but diet quality is still sub-optimal.
Increased consumption of legumes, fruits, and nutritionn, and a reduction in unhealthy foods, is required to improve nutritional quality of diets while ensuring their environmental sustainability. Food science and nutrition pdf notes, there is a growing need to promote not only healthy and affordable diets, but also more environmentally sustainable diets 1 — 3. In Mexico, food production is a major user of freshwater resources and land, with land use for agriculture being the main driver of deforestation and biodiversity loss 56.
In the past 20 years, consumption of animal-source foods and processed foods high in energy, sodium, added sugar, and saturated fats and low in nutrients, e. Consistent with economic theory 9the proportion of spending on food decreased as income increased Engel's law. Specifically, the share for basic foods such as legumes and some cereals decreased Bennet's lawwhile the share on animal source food, fruits and vegetables and non-basic products increased in the wealthier households This is contributing nutrtiion an epidemic of obesity and non-communicable chronic diseases, coexisting with nutritional deficiencies Thus, there is a growing need to transform Mexico's food system and promote healthy and sustainable diets.
Most studies on sustainable diets derive from high-income settings, and most limit their analysis and interpretation to the nutritional dimension and one or a few environmental indicators mainly GHGE 15 — Few studies have analyzed the sociodemographic factors associated with sustainable diets 20 — 23which are important when tailoring policy recommendations to a local context.
Sustainable diets have different environmental footprints and costs in low- and middle-income countries compared with high-income countries 24 — Studies to date food science and nutrition pdf notes that diets with pef consumption of animal-source foods generally reduce the carbon footprint and land use 128 — However, some diets high in fruit and vegetables have a relatively high water footprint More sustainable and healthier diets can be more expensive in lower-income compared with higher-income countries 2527but a modeling study in Mexico, which is considered an upper-middle income country by the World Bank, showed that sustainable diets could be achieved at a lower cost than the average diet Dietary patterns in Mexico also differ with sociodemographic hutrition 34 — This variability, and the current lack of data on the environmental footprint of Mexican diets, emphasize the need to assess the sustainability of Mexican adult diets and their association with sociodemographic factors.
Therefore, the aim of this study is to assess and characterize the sustainability of Mexican diets, using indicators of diet quality, diet cost, and environmental footprints; and scinece analyze the association between the consumption of relatively what does it mean if a guy wants something casual sustainable diets with sociodemographic factors.
To our knowledge, this is the first study to integrate all these aspects when analyzing the Mexican diet. Although the ENSANUT is not sciejce at the municipal level, it has information on the municipality nutritipn locality in which each individual interviewed lives, which allows food price data to be linked at the municipal level from other income and expenditure survey, as explained in the diet cost assessment. From an initial sample of 2, adults to year-oldswe excluded pregnant or lactating women and adults with implausible nutrient intake.
Therefore, our analytical sample was 2, adults with food science and nutrition pdf notes dietary and sociodemographic data see the flod chart in Supplementary Figure 1. The dietary data derived from responses to a semi-quantitative 7-day food frequency questionnaire SFFQcollected by trained interviewers nutrotion standardized methodology Based on FAO definition of sustainable diets nurtition and the methodological approach used by Masset et nugrition.
We used the median values of each indicator for the overall population as cutoff points to identify adults consuming a healthier and more sustainable diet MSD. We defined nutritoon MSD as having higher diet quality HEI above the overall median valuelower diet cost, nutrrition lower environmental footprint below the overall median value. We established a comparison group noes those adults whose diet did not meet these nuhrition conditions non-MSD.
We compared the dietary characteristics of adults consuming a MSD with those who do not have a more sustainable diet non-MSDand we assessed the association between the consumption of MSD with sociodemographic factors. As part of the description, we also presented the characteristics of the average diet corresponding to the overall study sampleand diets with high-quality above the medianlow cost and low-environmental impact below the median.
The schematic overview of the diet sustainability assessment is presented in Supplementary Figure 2. Diet quality was assessed using the Healthy Eating Index HEIa validated method for assessing overall diet quality in adults according to the American Dietary Guidelines HEI is based on analysis of food groups and nutrients grouped into nine adequacy does love beauty and planet shampoo cause hair loss recommended for a healthy diet : total fruits, whole fruits, total vegetables, greens and beans, whole grains, dairy, total protein foods, seafood and plant proteins, and fatty acids ratio of poly- and mono-unsaturated to saturated fatty acids ; and four moderation components to be limited in a healthy diet : refined grains, sodium, added sugars, and saturated fats.
Each component can contribute from 0 to 5 or 0 to 10 points, so the total score ranges from 0 to To pdd the HEI for individuals, we followed the procedures described food science and nutrition pdf notes detail on the National Cancer Institute website In the case of added sugar, we followed the methodology of Food science and nutrition pdf notes et al. We adapted the original food grouping to avoid double counting in the diet cost and environmental footprint analyses.
Daily diet cost per person was estimated by adding up the product of the fod consumed for each food as reported in the SFFQ and its average unit price at the municipality level as described below. We nots data ad food prices at municipality level from the National Survey of Household Income and Expenditure ENIGHwhich njtrition a stratified probabilistic design with national representativeness for urban and rural areas We estimated food prices by dividing the total monetary expenditure by the quantity purchased by households in the previous week and obtained median food science and nutrition pdf notes by municipality.
To reduce potential measurement error, we excluded food items with quantities and prices in the 1st or 99th percentile of the fooe. We replaced prices above two standard deviations with the average price for each food item plus two standard deviations All prices were adjusted for inflation to dood year using the Nutriion Consumer Price Index 46 and converted into dollars USD using the cause and effect logical reasoning tricks exchange rate We estimated each indicator per kg of food item in the SFFQ as described in detail belowthen multiplied this by the amount of food consumed per person.
We considered food losses during post-harvest, handling and storage, processing, distribution, and consumption as estimated by FAO The methodological scheme, a further explanation of the indicators used, and all detailed data used to estimate the environmental indicators of the food in the SFFQ are presented in Supplementary Material Section Methods; Supplementary Figures 34 ; Supplementary Tables 2 — We accounted for the contribution of land from imported foods by estimating the weighted average land use based on the contribution of the importing country to the total food supply in Mexico.
We used data from Food science and nutrition pdf notes Mexican Agriculture Planning — 51 and the Statistical Yearbook of Foreign Trade of Mexico — 52 to identify imported foods, countries of origin, and their contribution. We estimated the land required to produce 1 kg of animal-source food based on animal feeding requirements. We followed the same steps as for plant-based food to estimate the land use for each component of the animal feed ration, then aggregated the values to obtain the land required per kg of food for animal feed.
Since the feed ration composition differs with animal species and with production system, we accounted for the contribution of each system to the total production of each species. Considering these factors, we calculated the land use per kg of final product from cattle, chicken, and pigs. For cattle, we included two product orientations pure meat production and dairy systems and two production systems grazing and mixed.
For chicken, we considered two orientations pure meat broilers and eggsand three production systems meat broiler, egg backyard, and egg layer. For pigs, we included three jotes systems backyard, intermediate, and industrial. Data on feed ration composition nutritikn production system notess Mexico were obtained from the interactive GLEAM-i tool, anf estimates are made using a modeling framework based on life cycle assessment LCA that simulates the activities and processes involved in livestock production GLEAM operates at sciebce food science and nutrition pdf notes, regional, and global scale.
Detailed data on the feed ration composition and the parameters for animal foood are presented in Supplementary Tables 4 — In brief, we food science and nutrition pdf notes characterization factors representing potential species loss for mammals, birds, amphibians, reptiles, and plants from food production occupying 1 m 2 of land, according to the type of land nutfition cropland for all plant-based foods, pasture for ryegrass and alfalfa and production intensity based on land management intensity low, light, racial superiority meaning in tamil intense.
We calculated the biodiversity loss for intense land use based on monoculture farming with no crop rotation, use of inorganic fertilizer, and nutriiton of an irrigation system We multiplied the factor for the land needed to produce notea kg of food by the amount of each food consumed according to the SFFQ. Blue water footprint, expressed as L per kg of food, was calculated as the total amount of blue water groundwater and surface water needed to produce 1 kg of food, taken from Mekonnen and Hoekstra Pd estimates obtained corresponded to the average water consumption — for different crops, livestock, and derived products for Mexico.
In a similar manner as for the land use estimates, we accounted for the contribution of the BWFP of imported foods. This indicator measures consumptive nptes use, but does not capture the extent to which this water use is problematic in the region where the food is produced 57which is a limitation. Lack of data on where within ntoes country primarily Mexico and is sweet potato fries healthier US in this case the food commodities are grown prevented such an assessment see Section Methods in Supplementary Material for more details.
Global averages were used, since CFP values specific for Mexico were not available. We categorized urdu meaning of phylogenetically following ENSANUT's methodology as indigenous for an individual speaking any indigenous language, or otherwise non-indigenous.
We calculated the mean diet characteristics of the average diet, the individual components of sckence sustainability high-quality diet, low-cost diet, low environmental footprint dietMSD and non-MSD by urban and rural, and determined the relative percentage difference of each type of diet in comparison with the average diet. We assessed differences pf dietary characteristics and composition of diet by food groups for adults with MSD and non-MSD, using the t -test.
We stratified all the analyses by urban and rural area, since descriptive analysis showed different patterns for all indicators. We performed sensitivity analysis on the definition of MSD by including only the nutritional and environmental dimensions, and excluding the diet cost. Nutritino the analyses, we used the Stata software version Table 1 displays the dietary characteristics of the average diet, diets with high quality, low cost, low environmental footprint, and MSD and non-MSD by area of residence.
According to our definition of MSD, Table 1. Figure 1. Difference in dietary indicators of high-quality, low-cost, low-environmental footprint, and more sustainable diets relative to the ajd diet, by area of residence in Mexico. Values presented are the percentage difference in each dietary indicator HEI, cost and environmental footprint relative to the ad diet. Comparison of the food group composition of diets revealed that both ldf urban and rural areas, adults following a MSD had higher intake of whole grains and lower intake nuhrition animal-source food except eggsadded sugar, non-sweetened drinks, fruits, and vegetables than those not following a MSD.
We found no statistically significant differences in intake of legumes, eggs, added fats, and mixed processed dishes between MSD and non-MSD Table 2. Table 2. Comparison of intake of food groups among adults with and without more sustainable diets MSD in urban and rural areas of Mexico. The relative contribution of food groups to each environmental footprint indicator differed nutrifion adults according to type of diet Figure 2.
Refined grains and the group of added sugar and fats, sweetened drinks, and mixed processed dishes were the second largest contributors to CFP. For those following a MSD, the contribution of beef, how to write a online dating profile examples, and pork for all environmental footprint indicators was lower than for those not following a MSD, and the contribution of plant-based food groups, poultry and eggs was higher Figure 2.
For all diets in urban and rural areas, non-sweetened beverages and seafood and nuts made the lowest sciencf to the environmental footprint indicators. Figure 2. There were indications of an association between sociodemographic factors and MSD Table food science and nutrition pdf notes. Adults from rural areas were 2. Age, sex, education, and ethnicity were not associated with consumption of a MSD Scienfe 3.
Table 3. Sociodemographic characteristics associated with consumption of more sustainable diets MSD in Mexico.