Health and nutritional aspects of sustainable diet strategies and their association with environmental impacts: a global modelling analysis with country-level.

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Health and nutritional aspects of sustainable diet strategies and their association with environmental impacts: a global modelling analysis with country-level detail  Marco Springmann, PhD, Keith Wiebe, PhD, Daniel Mason-D'Croz, MA, Timothy B Sulser, MS, Prof Mike Rayner, DPhil, Peter Scarborough, DPhil  The Lancet Planetary Health  Volume 2, Issue 10, Pages e451-e461 (October 2018) DOI: 10.1016/S2542-5196(18)30206-7 Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 1 Nutrient supply by diet scenario in 2010 Red values are those that are lower than minimum recommendations or higher than maximum recommendations. The Lancet Planetary Health 2018 2, e451-e461DOI: (10.1016/S2542-5196(18)30206-7) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 2 Premature mortality and environmental impacts of diet scenarios in 2030 (A) Diamonds show reductions in premature mortality due to diet patterns and bars show proportion contributions of individual risk factors to the reduction. Total percentage contributions can exceed 100% because individual risks are attenuated when combined and can be compensated by opposing risk factors. (B) Percentage change in environmental impacts. The Lancet Planetary Health 2018 2, e451-e461DOI: (10.1016/S2542-5196(18)30206-7) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 3 Regional changes in premature mortality and environmental impacts of dietary change The scenarios include diets in which all animal-source foods have been replaced by plant-based ones (ani-100; A), diets with optimal energy intake and weight levels (kcal-100; B), and flexitarian diets that are energy balanced and contain small amounts of animal-source foods (flexitarian; C). The Lancet Planetary Health 2018 2, e451-e461DOI: (10.1016/S2542-5196(18)30206-7) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 4 Coefficients of association between health and environmental impacts Coefficients were calculated by dividing the percentage changes in environmental impacts by the percentage changes in premature mortality. Positive values (green) indicate that health and environmental changes are aligned (larger values show stronger positive associations), whereas negative values (red) indicate opposing changes (more-negative values show stronger negative associations). Darker shades show stronger associations, whereas lighter shades show weaker associations. The Lancet Planetary Health 2018 2, e451-e461DOI: (10.1016/S2542-5196(18)30206-7) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions