Sustainable healthy diets

A comparison of diets can look different depending on what is measured. This guide helps you identify the health, environmental and social questions behind a sustainability claim.

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Consider the whole question

FAO and WHO's 2019 guiding principles bring together nutrition and health, environmental impacts, economic accessibility and social and cultural acceptability. They provide a framework for considering these dimensions together. The practical choices depend on the setting and the goals being pursued. Sustainable healthy diets: guiding principles.

Use that framework to define your question. A study of greenhouse gas emissions answers a narrower question than a study assessing whether a diet meets nutritional needs and is affordable. Both can be useful; their conclusions need to stay within what was actually examined.

Check the comparison before the conclusion

When reading a study or report, look for the following information:

Part of the comparison Questions to ask
The diets Are these observed diets, modelled menus or proposed dietary changes?
Health and nutrition Which nutrient criteria, food recommendations or health outcomes were included?
Environmental measures Which impacts were counted, and which stages of the food system were covered?
Cost and access Which prices and locations were used? Were preparation time or availability considered?
Local context Whose food preferences, practices and constraints informed the comparison?

These questions are a reading aid, not a scoring system. An omitted dimension may limit a conclusion without making the study useless. State the limitation clearly and look for complementary evidence.

Follow the method behind a food model

The UK Eatwell Guide publication page links both the model and reports explaining its development; it also describes an environmental assessment. The Swiss dietary recommendations connect dietary advice with health and sustainability. These are examples of national resources to examine, not a basis for assuming that one model transfers unchanged to every setting.

For a seminar, ask participants to identify where a resource addresses nutrition, where it addresses sustainability and where further methods information is needed. Keep the public advice separate from your interpretation of its supporting evidence.

Work through a proposed change

Imagine a research discussion about changing a weekly menu. Write down the proposed change before discussing whether it is “more sustainable”. Then list the outcomes you would need to assess: nutritional adequacy, the selected environmental measures, cost, availability and acceptability to the intended users.

Next, mark which of those outcomes the available study actually measures. A useful conclusion might be limited to one environmental outcome in one model. It should not expand silently into a claim that the menu is healthier, cheaper or suitable for everyone.

Use the FAO and WHO resource introduction to open the publication, or continue to food-based dietary guidelines for country examples.

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