Med Diet 4.0: the Mediterranean diet with four sustainable benefits

Public Health Nutrition - Tập 20 Số 7 - Trang 1322-1330 - 2017
S. Dernini1,2,3, Elliot M. Berry4,3, Lluís Serra‐Majem5,3,6, Carlo La Vecchia4,3,7, Roberto Capone8,3, F. Xavier Medina3,9, Javier Aranceta Bartrina3,10, Rekia Belahsen3,11, Barbara Burlingame3,12, G Calabrese3,13, Dolores Corella3,14, Lorenzo M. Donini15,3,16, Denis Lairon3,17, A. Meybeck3,14, Gülden Pekcan18,3, Suzanne Piscopo3,19, Agneta Yngve3,20, Antonia Trichopoulou21,3
1Food and Agriculture Organization of the United Nations
2Forum on Mediterranean Food Cultures
3International Foundation of Mediterranean Diet
4Hadassah Hebrew University Medical Center
5Inter-University International Centre of Mediterranean Food Cultures Studies
6Universidad de Las Palmas de Gran Canaria.
7Università degli Studi di Milano = University of Milan
8International Centre for Advanced Mediterranean Agronomic Studies
9Universitat Oberta de Catalunya [Barcelona]
10Universidad de Navarra [Pamplona]
11Université Chouaib Doukkali
12Massey University
13Universita di Torino
14UNIVERSITAT DE VALÈNCIA
15Center for MedInternational Inter-University Center for Mediterranean Food Culture Studies
16Nutrition, obésité et risque thrombotique
17Università degli Studi di Roma "La Sapienza" = Sapienza University [Rome]
18Hacettepe University = Hacettepe Üniversitesi
19University of Malta
20Örebro University
21Hellenic Health Foundation

Tóm tắt

AbstractObjectiveTo characterize the multiple dimensions and benefits of the Mediterranean diet as a sustainable diet, in order to revitalize this intangible food heritage at the country level; and to develop a multidimensional framework – the Med Diet 4.0 – in which four sustainability benefits of the Mediterranean diet are presented in parallel: major health and nutrition benefits, low environmental impacts and richness in biodiversity, high sociocultural food values, and positive local economic returns.DesignA narrative review was applied at the country level to highlight the multiple sustainable benefits of the Mediterranean diet into a single multidimensional framework: the Med Diet 4.0.Setting/subjectsWe included studies published in English in peer-reviewed journals that contained data on the characterization of sustainable diets and of the Mediterranean diet. The methodological framework approach was finalized through a series of meetings, workshops and conferences where the framework was presented, discussed and ultimately refined.ResultsThe Med Diet 4.0 provides a conceptual multidimensional framework to characterize the Mediterranean diet as a sustainable diet model, by applying principles of sustainability to the Mediterranean diet.ConclusionsBy providing a broader understanding of the many sustainable benefits of the Mediterranean diet, the Med Diet 4.0 can contribute to the revitalization of the Mediterranean diet by improving its current perception not only as a healthy diet but also a sustainable lifestyle model, with country-specific and culturally appropriate variations. It also takes into account the identity and diversity of food cultures and systems, expressed within the notion of the Mediterranean diet, across the Mediterranean region and in other parts of the world. Further multidisciplinary studies are needed for the assessment of the sustainability of the Mediterranean diet to include these new dimensions.

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Tài liệu tham khảo

10.1017/S1368980011002539

2015, Global Nutrition Report 2015: Actions and Accountability to Advance Nutrition and Sustainable Development

10.1017/S1368980015002402

Keys, 1970, Coronary heart disease in seven countries, Circulation, 41, 1

Burlingame, 2012, Sustainable Diets: Directions and Solutions for Policy, Research and Action

US Department of Agriculture (2015) Scientific Report of the 2015 Dietary Guidelines Advisory Committee. Washington, DC: USDA.

10.1017/S1368980011003466

10.1016/j.jacc.2010.09.073

10.1017/S1368980011002618

10.3390/nu7115459

10.1079/PHN2004566

Capone, 2012, Food consumption patterns and sustainable natural resources management in the Mediterranean region, J Food Sci Eng, 2, 437

Serra-Majem, 2016, Mediterranean Diet in Health and Disease, 3, 10.1007/978-3-319-27969-5_1

Pekcan G , Köksal E , Küçükerdönmez Ö et al.2006) Household Food Waste in Turkey. Statistics Division Working Paper Series no. ESS/ESA/006e. Rome: FAO.

10.3945/ajcn.112.044487

10.3390/ijms150711678

10.3945/ajcn.111.016501

10.1097/CEJ.0b013e328354d2d7

10.1017/S1368980011002527

Serra-Majem, 2014, The Mediterranean Diet: An Evidence-Based Approach, 37

10.1016/j.ecolecon.2011.05.001

10.1016/j.foodpol.2013.11.002

10.3389/fnut.2015.00015

High Level Panel of Experts on Food Security and Nutrition (2014) Food Losses and Waste in the Context of Sustainable Food Systems. A Report by the High Level Panel of Experts on Food Security and Nutrition of the Committee on World Food Security. Rome: HLPE.

Lacirignola, 2009, Mediterranean diet: territorial identity and food safety, New Medit, 4, 2

10.1016/j.numecd.2014.03.003

Singh, 2014, Association of Mediterranean diet with mild cognitive impairment and Alzheimer’s disease: a systematic review and meta-analysis, J Alzheimers Dis, 39, 271, 10.3233/JAD-130830

10.1136/bmj.b2337

10.1016/j.tifs.2006.03.005

2014, Sustainable Diets: Food for Healthy People and a Healthy Planet: Workshop Summary

Willett, 1995, Mediterranean diet pyramid: a cultural model for healthy eating, Am J Clin Nutr, 61, 1402S, 10.1093/ajcn/61.6.1402S

10.1017/S1368980009990504

Meybeck A (2015) Understanding sustainable diets: from diets to food systems, from personal to global. In Assessing Sustainable Diets Within the Sustainability of Food Systems. Mediterranean Diet, Organic Food: New Challenges. Proceedings of an International Workshop, pp. 207–214 [A Meybeck, S Redfern, F Paoletti et al., editors]. Rome: FAO.

10.1021/es4025113

10.12966/ajnfs.04.04.2014

10.1111/j.1753-4887.2006.tb00232.x

10.1038/35002501

10.1079/PHN2004564

10.1016/S0140-6736(94)92580-1

10.1038/nature13959

2014, Dietary Guidelines for the Brazilian Population

10.1177/0003319714532169

10.1017/S0007114509990559

Gussow, 1995, Mediterranean diets: are they environmentally responsible?, Am J Clin Nutr, 61, 1383S, 10.1093/ajcn/61.6.1383S

10.3945/ajcn.114.092486

Capone, 2013, A preliminary assessment of the environmental sustainability of the current Italian dietary pattern: water footprint related food consumption, J Food Nutr Res, 1, 59

10.1017/S136898001500021X

10.1111/j.1467-789X.2008.00503.x

10.1186/1476-069X-12-118

10.1016/j.ecolind.2013.02.020

10.1016/S0022-3182(86)80255-2

2011, Guidelines for a Healthy Diet: The Ecological Perspective

10.3389/fnut.2016.00037

2013, The Sustainable Shopping Basket: A Guide to Better Shopping

10.1097/MCO.0000000000000131

10.1056/NEJMoa025039

2015, Swedish Dietary Guidelines – Risk and Benefit Management Report

10.1007/s00394-014-0811-z

10.1126/science.aab2031

10.1080/01635581.2010.509834

10.1017/S0029665112002832

Kesse-Guyot, 2012, Adherence to Mediterranean diet reduces the risk of metabolic syndrome: a 6-year prospective study, Nutr Metab Cardiovasc Dis, 142, 909

10.3945/jn.109.108902

10.1016/j.jvs.2014.10.022

10.1002/ijc.27958

10.1017/S0029665112002893

10.3390/nu6010231

10.1111/j.1753-4887.2009.00174.x

10.1016/S0140-6736(15)60901-1

Dernini, 2016, Mediterranean Diet in Health and Disease, 29, 10.1007/978-3-319-27969-5_3

10.1017/S0029665114000135

10.3945/an.113.005553

International Centre for Advanced Mediterranean Agronomic Studies/Food and Agriculture Organization of the United Nations (2015) Mediterranean Food Consumption Patterns: Diet, Environment, Society, Economy and Health. A White Paper Priority 5 of the Expo Milan 2015 Feeding Knowledge Programme. Rome: FAO.

Le Mouël C , Forslund A , Marty P et al. (2015) Le système agricole et alimentaire de la région Afrique du Nord – Moyen-Orient à l’horizon 2050: projections de tendance et analyse de sensibilité. Rapport final d’étude pour Pluriagri. Paris/Rennes: INRA.

10.1016/S0140-6736(14)60460-8

10.1017/S1368980012000304

10.1001/archinte.165.8.929

Dernini, 2012, Mediterra 2012: The Mediterranean Diet for Sustainable Regional Development, 71, 10.3917/scpo.chea.2012.02.0071

10.1016/j.metabol.2014.04.010

10.1146/annurev-publhealth-032013-182351

10.1056/NEJMoa0708681

10.1038/ejcn.2011.146

10.1017/S002966511200290X

10.1002/ana.23944

Alexandratos N & Bruinsma J (2012) World Agriculture Towards 2030/2050: The 2012 Revision. ESA Working Paper no. 12–03. Rome: FAO.

10.1017/S1368980011002515

Gitz V (2015) Sustainable diets and sustainable food systems. In Assessing Sustainable Diets Within the Sustainability of Food Systems. Mediterranean Diet, Organic Food: New Challenges. Proceedings of an International Workshop, pp. 131–136 [A Meybeck, S Redfern, F Paoletti et al., editors]. Rome: FAO.

10.3945/ajcn.113.077958

10.1016/S0022-3182(99)70441-3

2012, Towards the Development of Guidelines for Improving the Sustainability of Diets and Food Consumption Patterns in the Mediterranean Area

10.1017/S1368980014002110

10.3945/ajcn.2010.29673

10.1080/01635580903285007

10.3402/fnr.v59.27541

Capone, 2016, Assessing the sustainability of typical agro-food products: insights from Apulia region, Italy, New Medit, 15, 28

Dernini, 2013, Developing a methodological approach for assessing the sustainability of diets: the Mediterranean diet as a case study, New Medit, 12, 28

10.1017/S1368980009990450

González, 2012, Mediterra 2012: The Mediterranean Diet for Sustainable Regional Development, 115, 10.3917/scpo.chea.2012.02.0115

10.1056/NEJMoa1200303

10.1136/bmj.39561.501007.BE

10.1111/pai.12071

United Nations Educational, Scientific and Cultural Organization (2010) Inscription of Mediterranean diet on the Representative List of the Intangible Heritage of Humanity. Intergovernmental Committee for the Safeguarding of the Intangible Cultural Heritage. Paris: UNESCO.

10.1111/j.1753-4887.1997.tb01578.x