The carbon footprint of dietary guidelines around the world: a seven country modeling study
Nutrition Journal volume 20, Article number: 15 (2021)
Do the environmental impacts inherent in national food-based dietary guidelines (FBDG) vary around the world, and, if so, how? Most previous studies that consider this question focus on a single country or compare countries’ guidelines without controlling for differences in country-level consumption patterns. To address this gap, we model the carbon footprint of the dietary guidelines from seven different countries, examine the key contributors to this, and control for consumption differences between countries.
In this purposive sample, we obtained FBDG from national sources for Germany, India, the Netherlands, Oman, Thailand, Uruguay, and the United States. These were used to structure recommended diets using 6 food groups: protein foods, dairy, grains, fruits, vegetables, and oils/fats. To determine specific quantities of individual foods within these groups, we used data on food supplies available for human consumption for each country from the UN Food and Agriculture Organization’s food balance sheets. The greenhouse gas emissions (GHGE) used to produce the foods in these consumption patterns were linked from our own database, constructed from an exhaustive review of the life cycle assessment literature. All guidelines were scaled to a 2000-kcal diet.
Daily recommended amounts of dairy foods ranged from a low of 118 ml/d for Oman to a high of 710 ml/d for the US. The GHGE associated with these two recommendations were 0.17 and 1.10 kg CO2-eq/d, respectively. The GHGE associated with the protein food recommendations ranged from 0.03 kg CO2-eq/d in India to 1.84 kg CO2-eq/d in the US, for recommended amounts of 75 g/d and 156 g/d, respectively. Overall, US recommendations had the highest carbon footprint at 3.83 kg CO2-eq/d, 4.5 times that of the recommended diet for India, which had the smallest footprint. After controlling for country-level consumption patterns by applying the US consumption pattern to all countries, US recommendations were still the highest, 19% and 47% higher than those of the Netherlands and Germany, respectively.
Despite our common human biology, FBDG vary tremendously from one country to the next, as do the associated carbon footprints of these guidelines. Understanding the carbon footprints of different recommendations can assist in future decision-making to incorporate environmental sustainability in dietary guidance.
More than 90 countries have developed food-based dietary guidelines, which provide brief science-based messages to promote nutritious diets . Previous research comparing FBDG among countries has traced the development or implementation of the guidelines [2,3,4] or analyzed the pictorial messages associated with the FBDG [5,6,7,8,9,10,11]. Other studies have focused on qualitative comparisons of countries’ FBDG by investigating similarities and differences in key messages, the number of food groups included, the categorization of foods into food groups, and recommended serving sizes [4, 10,11,12,13,14,15].
A recent comparative analysis of key messages in FBDG looked at the inclusion of messages promoting sustainability . Four of 83 countries included in the study had key messages related to sustainability, such as eating more plant-based foods and reducing meat consumption, integrated into their official FBDG. Besides these four countries, additional countries have addressed sustainability in quasi-official guidelines or through recommendations made by other government-funded entities , yet sustainability considerations and recommendations have not been integrated into the majority of official FBDG around the world.
Addressing sustainability in FBDG will become critical as the global population continues to grow towards an estimated 9.8 billion people by 2050  and as climate change threatens the world’s food supply and global food security . A number of changes in the climate system, including increasing temperatures, warming oceans, rising sea levels, and melting ice sheets, have been observed over the past several decades . Many of these changes are associated with increased levels of anthropogenic greenhouse gas emissions (GHGE), which are continuing to rise . Food systems are estimated to contribute up to 29% of global anthropogenic GHGE , and agriculture is one of the largest contributors of GHGE within food systems, with livestock responsible for approximately 14.5% of total global anthropogenic GHGE . The GHGE contribution of the agricultural sector is expected to continue to rise  as urbanizing populations around the world continue to shift to diets higher in animal products and lower in legumes, coarse grains, and other vegetables . The dual burden of recent global dietary change on health and the environment presents a global challenge [21, 23].
One solution to address both health and environmental concerns is to shift current dietary patterns to diets that are both nutritious and sustainable. Though dietary shifts may require interventions on multiple levels, including macro-level policy changes and micro-level behavior change, a simple macro-level intervention is for governments to promote diets that are both nutritious and sustainable and incorporate these recommendations into nutrition and food-related policies. Although many countries have already developed FBDG to promote a culturally relevant, nutritious diet and to address nutrition-related public health concerns, more work is needed on incorporating environmental sustainability, such as dietary impacts on GHGE, into countries’ FBDG.
Previous single-country studies comparing the carbon footprint of recommended diets to current average population intakes in Europe and Australia have largely found that shifting from the average national diet to the diet recommended by the country’s FBDG would lower GHGE [24,25,26,27]. Several multi-country studies have been conducted that also tend to show reduced GHGE impacts of diets based on recommendations as compared to average diets [28,29,30]. However, these reductions have not been seen in other studies comparing current eating patterns to guidelines in the United States [31,32,33,34].
These results suggest there may be differences in the carbon footprint of recommended dietary patterns among countries, in particular, with the footprint of the US guidelines being higher than other countries. Unfortunately, single-country studies do not allow for evaluation of the carbon footprint differences in the recommendations between countries. Moreover, the multi-country studies, which could allow for comparisons using a consistent methodology across countries, use a country’s current eating pattern as part of the specification of the recommended diet. Analytically this is necessary, since FBDG are never specific enough to calculate a footprint without assuming a baseline food pattern. But this implies that comparisons between FBDG footprints are dependent on the countries’ existing food consumption pattern.
Here we address this analytic gap in the literature by developing a simple method to make comparisons between FBDG of different countries, while “controlling” for a country’s consumption patterns. We are particularly interested in guidelines from the US because of the anomaly discussed above, but also because the country is the world’s second largest contributor to greenhouse gas emissions  and there has been recent controversy about the exclusion of sustainability considerations from these guidelines [36, 37]. Here, we use a purposive sample of countries that includes the US and 6 others to examine this issue. Specifically, this study aims to: 1) describe the differences in an illustrative sample of different countries’ recommended diets; 2) develop a method to compare the GHGE of FBDG using food supply data and a database of global warming impacts; and 3) examine the differences in global warming impacts (i.e. GHGE, or carbon footprint) of these countries’ recommended diets with a method that uses countries’ existing consumption patterns, as well as one that controls for differences in these patterns.
Study design and sample
We used purposive sampling to include the US and a diverse range of countries that would shed light on the variation in potential impacts of FBDG. We relied on the United Nations Food and Agriculture Organization’s (FAO) online repository of FBDG  to examine a list of such countries. Only FBDG available in English or Spanish were considered for inclusion in this study, as were those with a list of clearly defined food groups (e.g. grains) and daily quantitative recommendations for each food group, including defined weight- or volume-based serving sizes, which are needed to model greenhouse gas emissions. We selected two European countries, Germany and the Netherlands, for which earlier research had shown that diet shifts towards their guidelines would lower GHGE [26, 27, 38]. To seek maximum variation in GHGE, we chose India  and the US vegetarian FDBG , which do not include meat in their FBDG, since animal proteins are a major dietary contributor to this impact. Other countries, including Oman , Thailand , and Uruguay  were chosen for diverse geographic representation. Additional countries, including Australia, Belize, Malta, and Malaysia were considered, but they did not have either specific quantitative recommendations for all food groups (Malta) or defined weight- or volume-based serving sizes for all food groups (Australia, Belize, Malaysia). Finally, we also included the EAT-Lancet dietary recommendations, since these are global guidelines explicitly designed with environmental sustainability in mind .
Food-based dietary guidelines (FBDG)
In addition to the FAO repository, we used government websites to obtain additional details on country-level FBDG. Quantitative recommendations for discrete food groups were included in the analysis. “Discretionary calories” were included in the analysis based on each country’s recommendations. For example, Germany, India, and Uruguay specified additional intakes of sugar, so we included those quantities in our analysis. The US and the Netherlands included discretionary calorie amounts, but no specificity on the composition of those calories, so we increased GHGE to cover the discretionary calories assuming the same composition as the rest of the recommended diet. We did not include non-caloric items, such as coffee or tea, since there were no specific recommendations for them. Additionally, qualitative recommendations (e.g. “eat a variety of food to ensure a balanced diet”) were not included in this analysis. For consistency, the main dietary pattern equal or closest to 2000 kcal was selected from each country’s FBDG, regardless of the targeted age-sex group. If the main pattern was higher, as in the EAT-Lancet recommendation of 2500 kcal, or the Netherlands’ recommendation of 2053, or Uruguay’s recommendation of 2200 kcal, quantities were scaled to 2000 kcal. If recommended quantities of food groups were only listed in ranges, we used the mid-point of those ranges for our analysis, otherwise we used the specified amounts.
FAO food balance sheet data
Although the FBDG used in this study provide daily quantitative recommendations for clearly defined food groups, the guidelines do not provide recommendations for the specific foods within each group. For example, Thailand recommends 135 g/d of protein foods, but does not make further recommendations on how much beef, pork, or chicken should be consumed. There is tremendous variation in the global warming impacts of these individual foods , so item specificity within a food group is needed. To address this, we used national consumption patterns of specific foods within each food group. We relied on FAO food balance sheets to obtain these country-level patterns, specifically relying on the annual per capita food supply to humans. This is ‘apparent consumption,’ since it is obtained by summing the contributions to total domestic food availability (production, imports, and stock changes) and subtracting exports and other foods utilized for non-human purposes (feed, seed, processing, waste, exports, and other uses). The 2013 food supply quantity data (kilograms/capita/year) for 58 commodities in the protein foods, grains, fruit, vegetables, and oils/fats food groups in seven countries were used in this study . The FAO food balance sheets did not provide sufficient data on dairy products for this analysis, so we used the 2013 Organization for Economic Co-operation and Development (OECD)-FAO Agricultural Outlook dairy data  in the same manner as the FAO food balance sheets for four types of dairy products.
Apparent consumption patterns were described by a series of proportions, that is, the food supply quantity of an individual food item (e.g. poultry) divided by the sum of quantities of all items in a food group (e.g. protein foods). These consumption patterns were different for each country and not all countries consumed all items in a group. Prior to calculating these apparent consumption patterns, commodity weights were converted to cooked edible weights. This required a series of factors to convert individual protein foods (i.e. meats, poultry, and fish) from carcass weight to raw, boneless weight  and then again to cooked, boneless weight using an average of dry and wet cooking method conversion factors [48, 49]. Conversion factors were also applied to remove the shells from groundnuts, nuts and products, eggs, molluscs, and crustaceans [45, 48] and also to convert legumes and grains from raw weight to cooked weight .
Environmental impact data: dataFIELD
Data on the greenhouse gas emissions (GHGE) for the production of different foods come from the database of Food Impacts on the Environment for Linking to Diets (dataFIELD), which is based on an extensive review of the life cycle assessment literature . Articles and reports available in the public domain and published in English from 2005 to 2016 were included in this review, with cradle-to-farm gate impact factors used for the vast majority of the 332 commodities in this database. DataFIELD includes studies throughout the world, and although differences in production practices affect GHGE values, there is not sufficient research to identify GHGE values of foods disaggregated to the country level. Thus, we used the same mean GHGE values, expressed as carbon dioxide equivalents per kilogram of food (CO2-eq/kg), for all countries studied here, and applied them to 58 FAO commodities and four OECD-FAO dairy products. Aggregate values were created for certain commodities that included multiple foods (e.g. “nuts and products”, “freshwater fish”). GHGE data were not available for five other commodities and were excluded from our analysis. These commodities – cephalopods, aquatic animals other than fish or seafood, sorghum, palm kernel oil, and rice bran oil – contributed a trivial amount to consumption patterns, accounting for less than 10 kcal per capita per day, on average.
Carbon footprint calculations
To calculate the GHGE for each country’s FBDG recommendation for each food group ‘g’, we calculated a weighted average of the GHGE for the specific commodities in that group and multiplied it by the recommended daily amount of that group using the following formula:
where RECg is each country’s FBDG recommended daily amount of group g, for example, 2 cups of fruit. Proportionc is the quantity share of each commodity c consumed out of the total food group quantity, for example, the proportion of oranges out of total fruits consumed, which comes from food balance sheet data for each country. CFc is a conversion factor for adjusting the recommendation to kilograms of commodity c, and GHGEc is the greenhouse gas emissions (kg CO2-eq) to produce a kilogram of this commodity. For the EAT-Lancet guidelines, the same procedure was followed using the apparent consumption pattern of the US. Finally, the GHGE of all food groups within a country were summed for the total GHGE that could be attributed to eating a diet as recommended by the FBDG of a particular country.
Conversion factors were used in several ways in the final calculations. For the FBDG that provided recommendations in units of weight other than grams (e.g. ounces), conversions were made using the standard conversion factor for ounces to grams. For recommendations given by volume (e.g. cups), we used food composition tables  that provided the necessary conversions to grams of an equivalent amount of food in calories. For example, a cup of black beans has 662 kcal and 100 g of black beans has 341 cal, so a cup of black beans would be equivalent to 194 g. For Thailand’s recommendations, which define one recommended serving of fruit as a “piece” of fruit, one piece of fruit was estimated to be equivalent to one cup of fruit. If the commodity group was aggregated, an average equal calorie conversion was calculated based on the individual foods included in that commodity group. Some commodities, including meat, fish, grains and legumes, were converted from cooked weights (used in the recommendations) to raw, edible weights (used in the global warming impact factors). Grains and legumes were converted using equal calorie conversion factors, and meat and fish and seafood were converted using an average of dry and wet cooking method conversion factors .
Determining differences in FDBG ‘controlling’ for national dietary patterns
Since country recommendations do not specify food items within a group, we used FAO food balance sheet data for each country to calculate these specific food consumption patterns, as described above. This means that differences in the carbon footprints between countries are partly due to each country’s current consumption pattern, as reflected in these FAO data. To control for this effect, we recalculated each country’s FBDG carbon footprint using the same food consumption pattern across all countries, that of the United States. At times, this required different aggregations of foods. For example, the protein foods group in India’s FBDG does not include meats, so we only considered plant protein foods – beans, peas, and legumes – when applying the US consumption pattern to the India FBDG.
Although all the FBDG used in this analysis are designed to meet the nutritional requirements of adults, variation was found in the quantitative daily recommendations presented in the FBDG. For presentation purposes, all FBDG were organized into six major food groups – protein foods, dairy, grains, fruits, vegetables, and oils/fats. Recommended daily quantities for each group for each FBDG are presented in Table 1, summed into a single metric (g or ml) and scaled to a 2000-kcal diet for comparison purposes. For protein foods, this ranges from 75 g in India to 156 g in the US to 168 g for Oman, though the latter is more than half vegetable protein. For dairy foods, recommended daily amounts range from 118 ml for Oman to 710 ml for the US. The composition of these recommended food groups varies widely; roots and tubers, potatoes, legumes, and pulses are often grouped in different food groups among the seven countries, and the composition of the protein foods group also differed. Our display of groups in Table 1 reflects the way that the majority of countries structured their FBDG. For this reason, and because of its potential substitutability for animal proteins, we included legumes and pulses within the protein foods group. Some countries make specific recommendations within the larger recommendations for food groups, as India does within the vegetable food group, or as Germany or the EAT-Lancet pattern do with the protein foods group. See Supplemental Table 1 for the detailed recommendations expressed in each country’s FBDG.
Table 2 displays our approach for calculating the greenhouse gas emissions associated with the recommendation for one food group, fruits, in one country, the US. Overall, the GHGE from this recommendation of 2 c/d is 0.16 kg CO2-eq/d. As can be seen from the table, this is a weighted average of GHGE for different fruits, with the weights determined by apparent consumption data from FAO’s food balance sheets.
The daily GHGE attributed to the recommended diet of each country, broken down by food group, is displayed in Table 3. For the protein food recommendations, this ranges from 0.03 kg CO2-eq/d in India to 1.84 kg CO2-eq/d in the United States. For dairy, this ranges from 0.17 kg CO2-eq/d in Oman to 1.10 kg CO2-eq/d in the United States. The total GHGE that could be attributed to eating the country’s recommended diet ranges from 0.86 kg CO2-eq/d in India to 3.83 kg CO2-eq/d in the United States. The US vegetarian guideline is the third lowest in terms of GHGE (1.80 kg CO2-eq/d), though much higher than India’s, due largely to the differences in dairy recommendations.
The GHGE results described above are based on using each country’s FBDG as well as its consumption patterns, calculated from FAO food balance sheet data. To examine the sole impact of the recommendations, the GHGE attributable to the FBDG were recalculated assuming the specific foods for each country’s guidelines all used the same apparent consumption pattern, namely that of the US. As seen in Table 4, after controlling for the details of the consumption pattern, the US dietary recommendations, at 3.83 kg CO2-eq/d, still have the highest carbon footprint of any of the seven countries. The footprint of the US FBDG is about 1.2 times that of the Netherlands’, about 1.5 times that of Germany’s, and about 5.2 times that of India’s.
This study found both similarities and differences in the quantitative recommendations of the FBDG of our study countries. The principal similarity is the presence of six common food groups – protein foods, dairy, grains, fruits, vegetables, and oils/fats – although Thailand’s FBDG does not include an oils/fats groups and Uruguay’s FBDG combines fruits and vegetables into one group. The principal difference among the FBDG is the wide range of daily recommended amounts for each group. Recommendations for protein foods in the US are more than twice those for India, while dairy recommendations in the US are six times those in Oman and three times those in Thailand. There are also differences in which specific foods are included in this group, with the United States and Thailand recommending a full spectrum of plant and animal protein foods, whereas India recommends just plant proteins and the US vegetarian FBDG recommends plant foods, as well as dairy and eggs. These results are consistent with previous work that demonstrated a number of differences among the countries’ FBDG .
There are also sizable differences in the carbon footprints of recommended diets. Our results ranged from a low for India at 0.86 kg CO2-eq/d to a high for the United States of 3.83 kg CO2-eq/d. The carbon footprint of the basic US guideline is over twice that of the US vegetarian guideline. These results are broadly consistent with other literature on this topic. For example, Blackstone and colleagues found that the US FBDG was 24.8 kg C02-eq/wk., or 3.54 kg CO2-eq/d, which is about 8% lower than our estimate . This could easily be attributable to the differences in emission factors or consumption factors used in the two studies. More importantly, both studies found that the main US guideline was about twice that of the vegetarian in terms of GHGE. Our results on the carbon footprint of Netherlands FBDG is substantially lower than a previous calculation, 2.86 vs. 4.0 kg CO2-eq/2000 kcal . This is likely due to differences in boundary conditions, as we focused on food production, and the Dutch study used a total life cycle (cradle to plate) approach.
There are three main factors that result in differences in the GHGE of the recommended diets we studied. First, the daily recommended amounts of each food group influence the GHGE of a country’s recommended diet. This is particularly true for the protein and dairy food groups as animal foods have larger carbon footprints than plant-based foods, so larger protein foods and dairy recommendations, to the extent that they are met by animal foods, particularly from ruminants, contribute to larger GHGE attributable to the total diet . The US daily recommendation for dairy is three times that of Thailand’s, as is the corresponding GHGE from that group.
Second, the inclusion of specific recommendations in these groups also greatly affects the GHGE attributable to each recommended diet. For example, protein food recommendations in Germany and Uruguay only include animal proteins, India’s only includes plant proteins, and others include a mixture of animal and plant proteins. The EAT-Lancet guideline amount for the protein food group is greater than that of the US FBDG, but over half of this is allocated to plant proteins, resulting in an overall GHGE for the protein foods recommendation that is about half of the US recommendation. The US Vegetarian FBDG is almost identical in recommendations to the main US guidelines, except for the protein group – which recommends legumes, soy, nuts, and seeds, as well as eggs – resulting in an overall carbon footprint that is less than half. In the US FBDG, fortified soymilk is listed in the dairy products group, but it is not well publicized, relegated to a footnote at the end of the recommendations table . Suggesting a specific recommendation for plant-based alternatives to dairy, as was done in the vegan adaptation of the 2010 DGA , could lower the GHGE from the dairy group substantially. For example, previously we found that the GHGE from the production of cow milk (1.32 kg CO2-eq/kg) was over five times that of soy milk (0.26 kg CO2-eq/kg) .
Third, the apparent consumption pattern in each country, which provides specificity to our calculation of the GHGE attributable to each food group recommendation, also influences our results on a country’s FBDG carbon footprint. Foods with the greatest global warming impact factors, such as those from ruminant animals (e.g. beef), have the potential to drive up the GHGE that could be attributed to a recommended diet if they are consumed in large proportions relative to the other foods included in the same food group. For example, apparent consumption of beef, mutton, and lamb in Uruguay accounts for 31% of protein foods, whereas in Germany it is only 16%. Thus, our calculated GHGE attributed to Uruguay’s protein food recommendation is 53% higher than that of Germany, despite the fact that both countries’ quantity recommendations for protein foods are about the same.
This is a necessary limitation to determining the carbon footprint of a country’s FBDG, since most recommendations, other than, for example, the EAT-Lancet guidelines, do not provide specific quantities of foods (e.g. beef) within a group (e.g. protein foods). Moreover, some FBDG assume “discretionary calories” will be consumed as part of their recommendations, and do not specify the foods that makeup these calories. Our approach – the use of FAO food balance sheet data to create apparent consumption patterns in each country – provides a realistic representation of national food consumption patterns within each food group, using a consistent data source across all countries, and has been used by others [29, 30]. We also used this approach to assign the GHGE for discretionary calories, assuming the foods that make up these additional calories would be similar to the rest of the recommended diet. Though this might under or overestimate the footprint of recommended diets, the ambiguity of the FBDG themselves requires this uncertainty.
Still, this challenges our ability to compare the FBDG as a policy tool across countries as it relates to environmental sustainability, since our Table 3 results are determined by both the FBDG and the country’s existing consumption pattern. We addressed this by controlling for countries’ dietary patterns, using the same pattern of apparent consumption, that of the US, for all countries studied here. This allowed us to better estimate the carbon footprints of different guidelines for purposes of comparing these guidelines between countries.
Another limitation of this study is that it only considers a single environmental impact of diets, GHGE, and uses one set of impact factors for all countries studied. There are other environmental impacts of food, such as land and water use, that should be considered when evaluating the overall impact of a diet, since they could yield different results on the comparisons of environmental impacts of the FBDG studied here. Unfortunately, because of the limitations of current data availability, it is not possible to use specific country-level impact factors for the countries studied here, not even for GHGE.
A third potential limitation is that this study is restricted to the daily quantitative recommendations of seven countries’ FBDG, which, of course, limits its generalizability. Our goal, however, has not been to present generalizable results about all countries’ dietary guidance policies. Rather, we have sought to illustrate a range of such dietary guidance policy options and the potential implications of those options for greenhouse gas emissions, as well as address the anomaly found in previous research that dietary shifts toward a country’s FBDG reduces GHGE except in the US. The seven countries that were included in this study were purposively selected to accomplish these goals.
We found the carbon footprint of the US recommendation is higher than that of all other countries studied here, even after controlling for country-level consumption patterns. This includes other high-income countries in Europe, like the Netherlands and Germany, where the US recommendation is 19% and 47% greater, respectively. The footprint of the US recommendation is over twice that of plant-forward recommendations, like that of EAT-Lancet, the US Vegetarian, or India’s guidelines. These differences are due to the higher quantities of protein and dairy food recommendations in the US FBDG, as well as the types of protein foods recommended.
These findings hold insights for future development of FBDG. To lower the carbon footprint of their recommended diets, countries with large impacts attributable to the protein foods or dairy groups could either reduce the recommended daily amount of these groups or create recommendations for sub-groups of plant proteins within the larger protein foods group, as Oman does with its recommendation for legumes, or the EAT-Lancet guideline does with its specific limits on ruminant consumption and recommendations for various plant protein foods. Similar suggestions, such as reducing the recommended daily amount or encouraging the consumption of plant-based substitutes, could be implemented to lower the carbon footprint of recommended diets for countries with large impacts coming from the dairy group.
A number of countries have discussed sustainability in their dietary guidance materials , and two of the FBDG we studied here – the Netherlands and the EAT-Lancet – include quantitative recommendations based on both nutrition and sustainability considerations [38, 44]. FBDG are important policy tools that influence other national food and nutrition policies, such as school and other institutional-based feeding recommendations. Finding and incorporating a reasonable balance between nutrition and sustainability into national FBDG has the potential to not only influence individuals’ diets and carbon footprints , but to also impact national food policies that shape many elements of national and global food systems. Thus, the inclusion of sustainability considerations and recommendations in dietary guidelines will be an important part of future policy activities to reduce the environmental impact of the food and agriculture sector. This paper provides a starting point for considering a range of potential impacts on global warming from existing dietary recommendations.
Dietary Guidelines for Americans
United Nations Food and Agriculture Organization
Food-based dietary guidelines
Greenhouse gas emissions
Organization for Economic Co-operation and Development
Food and Agriculture Organization of the United Nations (2018) Food-based dietary guidelines. http://www.fao.org/nutrition/education/food-dietary-guidelines/home/en/. Accessed 15 Feb 2018.
Keller I, Lang T. Food-based dietary guidelines and implementation: lessons from four countries – Chile, Germany, New Zealand and South Africa. Public Health Nutr. 2008;11(8):867–74.
Albert JL, Samuda PM, Molina V, Regis TM, Severin M, Finlay B, et al. Developing food-based dietary guidelines to promote healthy diets and lifestyles in the eastern Caribbean. J Nutr Educ Behav. 2007;39(6):343–50.
Albert J. Global patterns and country experiences with the formulation and implementation of food-based dietary guidelines. Ann Nutr Metab. 2007;51:2–7.
Florentino RF, Tee ES, Hardinsyah R, Ismail MN, Suthutvoravut U, Hop LT. Food-based dietary guidelines of Southeast Asian countries: Part 2- Analysis of pictorial food guides. Malya J Nutr. 2016;22(Supplement):S49–65.
Painter J, Rah J-H, Lee Y-K. Comparison of international food guide pictorial representations. J Am Diet Assoc. 2002;102(4):483–9.
Kaufer-Horwitz M, Valdés-Ramos R, Willett WC, Anderson A, Solomons NW. A comparative analysis of the scientific basis and visual appeal of seven dietary guideline graphics. Nutr Res. 2005;25(4):335–47.
Altamirano Martinez MB, Cordero Munoz AY, Macedo Ojeda G, Marquez Sandoval YF, Vizmanos B. A review of graphical representations used in the dietary guidelines of selected countries in the Americas, Europe, and Asia. Nutr Hosp. 2015;32(3):986–96.
Koenig JS. Visualization of food-based dietary guidelines – examples. Ann Nutr Metab. 2007;51:36–43.
Montagnese C, Santarpia L, Buonifacio M, Nardelli A, Caldara AR, Silvestri E, et al. European food-based dietary guidelines: a comparison and update. Nutrition. 2015;31(7–8):908–15.
Montagnese C, Santarpia L, Iavarone F, Strangio F, Caldara AR, Silvestri E, et al. North and south American countries food-based dietary guidelines: a comparison. Nutrition. 2017;42:51–63.
Murphy SP, Barr SI. Food guides reflect similarities and differences in dietary guidance in three countries (Japan, Canada, and the United States). Nutrition Rev. 2007;65(4):141–8.
Sichieri R, Chiuve SE, Pereira RA, Lopes AC, Willett WC. Dietary recommendations: comparing dietary guidelines from Brazil and the United States. Cad Saude Publica. 2010;26(11):2050–8.
Fuster M. Comparative analysis of dietary guidelines in the Spanish-speaking Caribbean. Public Health Nutr. 2016;19(4):607–15.
Tee ES, Hardinsyah R, Florentino RF, Ismail MN, Suthutvoravut U, Hop LT. Food-based dietary guidelines of Southeast Asian countries: Part 1- A compilation and analysis of key messages. Malyas J Nutr. 2016;22(Supplement):S1–S47.
Gonzalez Fischer C, Garnett T. Plates, pyramids, planet. Developments in national healthy and sustainable dietary guidelines: A state of play assessment. Food and Agriculture Organization of the United Nations & Food Climate Research Network at Oxford University; 2016.
United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision, key findings, and advance tables. New York, NY: United Nations; 2017.
Intergovernmental Panel on Climate Change. Climate Change 2014: Synthesis Report. Contribution of Working Groups I, II, and III to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Geneva: Intergovernmental Panel on Climate Change; 2014.
Vermeulen SJ, Campbell BM, Ingram JSI. Climate change and food systems. Annu Rev Environ Resour. 2012;37:195–222.
Gerber PJ, Steinfeld H, Henderson B, Mottet A, Opio C, Dijkman J, et al. Tackling climate change through livestock – A global assessment of emissions and mitigation opportunities. Rome; 2013.
Tilman D, Clark M. Global diets link environmental sustainability and human health. Nature. 2014;515(7528):518–22.
Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3–21.
Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al. The global Syndemic of obesity, Undernutrition, and climate change: the lancet commission report. Lancet. 2019;393(10173):791–846.
Hendrie GA, Ridoutt BG, Wiedmann TO, Noakes M. Greenhouse gas emissions and the Australian diet—comparing dietary recommendations with average intakes. Nutrients. 2014;6(1):289–303.
Carbon Trust. The Eatwell guide: a more sustainable diet. Methodology and results summary. Carbon Trust: United Kingdom; 2016. https://www.carbontrust.com/media/672635/phe-sustainable-diets.pdf. Accessed 15 Jan 2018
Meier T, Christen O. Environmental impacts of dietary recommendations and dietary styles: Germany as an example. Environ Sci Technol. 2013;47(2):877–88.
van de Kamp ME, van Dooren C, Hollander A, Geurts M, Brink EJ, van Rossum C, et al. Healthy diets with reduced environmental impact? – the greenhouse gas emissions of various diets adhering to the Dutch food based dietary guidelines. Food Res Int. 2018;104:14–24.
Mertens E, Van't Veer P, Hiddink GJ, Steijns JM, Kuijsten A. Operationalising the health aspects of sustainable diets: a review. Public Health Nutr. 2017;20(4):739–57.
Behrens P, Kiefte-de Jong JC, Bosker T, Rodrigues JFD, de Koning A. Tukker A. Proc Natl Acad Sci: Evaluating the environmental impacts of dietary recommendations; 2017.
Springmann M, Spajic L, Clark MA, Poore J, Herforth A, Webb P, et al. The healthiness and sustainability of national and global food based dietary guidelines: modelling study. BMJ. 2020;370:m2322.
Heller MC, Keoleian GA. Greenhouse gas emission estimates of U.S. dietary choices and food loss. J Ind Ecol. 2015;19(3):391–401.
Tom M, Fischbeck P, Hendrickson C. Energy use, blue water footprint, and greenhouse gas emissions for current food consumption patterns and dietary recommendations in the US. Environ Syst Decis. 2016;36(1):92–103.
Kim D, Parajuli R, Thoma GJ. Life cycle assessment of dietary patterns in the United States: a full food supply chain perspective. Sustainability. 2020;12(4):1586.
Reinhardt SL, Boehm R, Blackstone NT, El-Abbadi NH, McNally Brandow JS, Taylor SF, et al. Systematic review of dietary patterns and sustainability in the United States. Adv Nutr. 2020;11(4):1016–31.
Global Historical Emissions. Climate Watch. 2016. https://www.climatewatchdata.org/ghg-emissions. Acessed 27 Jul 2020.
Rose D, Heller MC, Roberto CA. Position of the Society for Nutrition Education and Behavior: The Importance of Including Environmental Sustainability in Dietary Guidance. J Nutr Educ Behav. 2019;51(1):3–15.e1.
Freidberg S. Wicked nutrition: the controversial greening of official dietary guidance. Gastronomica. 2016;16(2):69–80.
Brink E, van Rossum C, Postma-Smeets A, Stafleu A, Wolvers D, van Dooren C, et al. Development of healthy and sustainable food-based dietary guidelines for the Netherlands. Public Health Nutr. 2019;22(13):2419–35.
National Insitute of Nutrition. Dietary Guidelines for Indians- A Manual. Hyderabad. India: National Institute of Nutrition; 2011.
US Department of Health and Human Services, US Department of Agriculture. 2015-2020 Dietary guidelines for Americans. Washington, DC: U.S. Department of Health and Human Services and U.S. Department of Agriculture; 2015.
Department of Nutrition, Ministry of Health. The Omani Guide to Healthy Eating. Oman: Department of Nutrition, Ministry of Health; 2009.
Working Group on Food-Based Dietary Guidelines for Thai People. Manual- Nutrition Flag- Healthy Eating for Thais. Ampur Muang, Thailand: Nutrition Division, Department of Health, Ministry of Public Health; 2001.
Ministerio de Salud Pública, Programa Nacional de Nutrición. Manual para la promoción de practicas saludables de alimentación en la población uruguaya. Uruguay: Ministerio de Salud Pública; 2005.
Willett W, Rockström J, Loken B, Springmann M, Lang T, Vermeulen S, et al. Food in the Anthropocene: the EAT-lancet commission on healthy diets from sustainable food systems. Lancet. 2019;393(10170):447–92.
Heller MC, Willits-Smith A, Meyer R, Keoleian GA, Rose D. Greenhouse gas emissions and energy use associated with production of individual self-selected US diets. Environ Res Lett. 2018;13(4):044004.
Food and Agriculture Organization of the United Nations. Food Balance Sheets 2018 http://www.fao.org/faostat/en/#data/FBS. Accessed 15 Feb 2018.
Organisation for Economic Co-operation and Development. OECD-FAO Agricultural Outlook 2014-2023: Dairy-OECD-FAO Agricultural Outlook 2014-2023 2017 http://stats.oecd.org/viewhtml.aspx?QueryId=58652&vh=0000&vf=0&l&il=&lang=en. Accessed 21 Feb 2018.
Bowman SAMC, Carlson JL, Clemens JC, Lin BH, Moshfegh AJ. Food intakes converted to retail commodities databases 2003–08: methodology and user guide. Beltsville, MD & Washington DC: US Department of Agriculture, Agricultural Research Service & US Department of Agriculture, Economic Research Service; 2013.
Bowman SACJ, Thoerig RC, Friday JE, Shimizu M, Moshfegh AJ. Food patterns equivalents database 2009–10: methodology and user guide Beltsville. MD: US Department of Agriculture, Agricultural Research Service; 2013.
US Department of Agriculture, Agricultural Research Service. Documentation and User Guide: Composition of Foods Raw, Processed, Prepared, USDA National Nutrient Database for Standard Referece, Release 28. In: US Department of Agriculture. Beltsville, MD: U.S. Department of Agriculture; 2016.
Blackstone NT, El-Abbadi NH, McCabe MS, Griffin TS, Nelson ME. Linking sustainability to the healthy eating patterns of the dietary guidelines for Americans: a modelling study. Lancet Planet Health. 2018;2(8):e344–e52.
US Department of Agriculture and US Department of Health and Human Services. Dietary Guidelines for Americans, 2010. Washington, DC: USDA and USDHHS; 2010.
Willits-Smith A, Aranda R, Heller MC, Rose D. Addressing the carbon footprint, healthfulness, and costs of self-selected diets in the USA: a population-based cross-sectional study. Lancet Planet Health. 2020;4(3):e98–e106.
Draaijer J. Milk producer group resource book: a practical guide to assist Milk producer groups: UN food and agriculture organization; 2002.
The authors would like to thank Amelia Willits-Smith for invaluable assistance with conversion factor calculations.
This research was supported by the Wellcome Trust (Grant No. 106854/Z/15/Z), which had no role in the design, analysis, interpretation or write-up of this research.
Ethics approval and consent to participate
This research project meets the federal criteria for exemption as determined by the Tulane University Human Subjects Protection Program.
Consent for publication
The authors declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
Kovacs, B., Miller, L., Heller, M.C. et al. The carbon footprint of dietary guidelines around the world: a seven country modeling study. Nutr J 20, 15 (2021). https://doi.org/10.1186/s12937-021-00669-6