A5017765874- Agriculture Sustainability and Environmental Impact
- Nutritional Studies and Diet
- Consumer Attitudes and Food Labeling
- Obesity, Physical Activity, Diet
- Food Waste Reduction and Sustainability
- Climate Change and Health Impacts
- Fluoride Effects and Removal
- Sodium Intake and Health
- Environmental Impact and Sustainability
- Mercury impact and mitigation studies
National Institute for Public Health and the Environment
2019-2025
Wageningen University & Research
2023-2024
Background The Healthy Reference Diet (HRD) was created to formulate dietary guidelines that would be healthy and sustainable. We aimed construct a diet score measuring adherence the HRD explore its association with cardiovascular events environmental impact. Methods Results included 35 496 participants from population‐based EPIC‐NL (European Prospective Investigation into Cancer Nutrition‐Netherlands) study. scores were calculated using data food frequency questionnaires (0–140). Data on...
Ultra-processed plant-based foods, such as burgers, have gained in popularity. Particularly the out-of-home (OOH) environment, evidence regarding their nutritional profile and environmental sustainability is still evolving. Plant-based burgers available at selected OOH sites were randomly sampled Amsterdam, Copenhagen, Lisbon London. (patty, bread condiment) (
The adverse health effects of high ultraprocessed food and drink (UPFD) consumption are well documented. However, the environmental impact remains unclear, separate foods (UPFs) drinks (UPDs) on all-cause mortality have not been studied previously.To assess association between levels UPFD, UPF, UPD diet-related impacts in Dutch adults.Habitual diets were assessed by a Food Frequency Questionnaire (FFQ) from 1993-1997 38,261 participants European Prospective Investigation into Cancer...
Food consumption patterns affect the environment as well public health, and monitoring is needed. The aim of this study was to evaluate Dutch food for environmental (greenhouse gas (GHG) emissions blue water use) health aspects (Dutch Healthy Diet index 2015), according age, gender, moments. data 4313 participants aged 1 79 years were assessed in 2012 2016, by two non-consecutive 24-h recalls. impact foods quantified using a life cycle assessment for, e.g., indicators GHG use. healthiness...
This study investigates nutritional quality, environmental impact and costs of foods drinks their consumption in daily diets according to the degree processing across Dutch population.The NOVA classification was used classify (ultra-processed (UPF) ultra-processed (UPD)). Food data were derived from National Consumption Survey 2012-2016. Indicators assessed quality (saturated fatty acids (SFA), sodium, mono disaccharides (sugar), fibre protein), (greenhouse gas (GHG) emissions blue water...
Background: Seaweed has a high potential for nourishing the future planet. However, besides being beneficial, it also contains adverse components; this poses question whether consumption of seaweed foods overall contributes beneficially or detrimentally to human health, and hence if their should be promoted restricted. Methods: This study evaluated impact substituting regular with in diet, both terms nutritional quality (via iodine sodium) food safety arsenic, cadmium, lead, mercury). Food...
Abstract Purpose Nutri-Score aims to aid consumers in making informed food choices based on nutritional quality. To guide regarding both the quality and environmental impact of foods, it would be beneficial when could also discriminate foods by impact. This study investigated association with indicators greenhouse gas (GHG) emissions blue water consumption. Methods classifications were calculated for generic Dutch Food Composition Database, combined GHG (kg CO 2 equivalents) consumption (m 3...
Background: The current food system has major consequences for the environment and human health. Alignment of policy areas mitigating climate change public health will ensure coherent effective interventions sustaining environment. This paper explores literature on demand-side policies that aim to reduce consumption animal-based foods, increase plant-based overconsumption. Methods: We searched publications, published between January 2000 December 2019, considering above domains. Articles...
Abstract Background Reduced meat consumption benefits human and planetary health. Modelling studies have demonstrated the significant health environmental gains that could be achieved through fiscal measures targeting meat. Adding other interventions may enhance effect of a measure. The current study aimed to examine higher prices, an information nudge combination both on purchases in three-dimensional virtual supermarket. Methods A parallel designed randomised controlled trial with four...
Abstract Objective: To measure the effects of health-related food taxes on environmental impact consumer purchases in a virtual supermarket. Design: This is secondary analysis data from randomised controlled trial which participants were randomly assigned to control condition with regular prices ( n 152), an experimental sugar-sweetened beverage (SSB) tax 131) or nutrient profiling based Nutri-Score 112). Participants instructed undertake their typical weekly grocery shopping for households....
Abstract Background Diet plays an important role in the development of cardiovascular diseases and maintaining sustainable planetary boundaries. The EAT-Lancet Planetary Health could potentially provide co-benefits for human environmental health, yet evidence on association between adherence to risk events impact is limited. Methods We investigated diet coronary heart disease (CHD) stroke risk, with greenhouse gas (GHG) emissions, land use, dietary species richness (DSR). included 364,745...
Abstract Objective: To investigate the effects of a sugar-sweetened beverage (SSB) tax and nutrient profiling on consumer food purchases in virtual supermarket. Design: A randomised controlled trial was conducted with control condition regular prices ( n 152), an SSB 130) based Nutri-Score 112). Participants completed weekly grocery shop for their household. Primary outcome measures were (ordinal variable) overall healthiness total shopping basket (proportion unit items classified as...
Abstract Purpose Investigate the associations of ultra-processed foods (UPF) in healthful (hPDI) and unhealthful (uPDI) plant-based diets with all-cause mortality, greenhouse gas emissions (GHGE), blue water consumption (BWC). Methods Analyses were based on 35,030 participants (20–70 years; 74% females) from EPIC-NL cohort who followed up 1993 to 1997 through 2014. Plant-based diet indices (hPDI uPDI) UPF calculated a validated FFQ, assessed at baseline. Cox proportional hazard multiple...
Abstract Objectives To construct a diet-score measuring the level of adherence to Healthy Reference Diet (HRD), explore whether HRD is associated with coronary heart disease (CHD), all-cause mortality risk, and calculate its environmental impact. Design Prospective cohort study. Setting The Dutch contribution European Investigation into Cancer Nutrition (EPIC-NL). Participants 37,349 adults (20-70y) without CHD at baseline. Main outcome measures Primary outcomes were incident mortality....
Background: There is a need for uniform communication on healthy and sustainable food choices. Several front-of-pack labels exist with the purpose of informing consumers. Nutri-Score has been introduced in Europe, aiming to help public make more nutritionally sound However, its potential also aid consumers making environmentally choices not yet studied. Objective: determine extent which algorithm capable discriminating foods based their environmental impact. Methods: Nutri-Scores were...
Introduction: Ultra-processed plant-based foods, such as burgers, have gained popularity and are perceived by consumers a healthier more environmentally sustainable alternative to animal-based foods. However, evidence regarding their nutritional profile environmental sustainability is still evolving. Purpose: To contribute the understanding of nutrient ultra-processed foods in out-of-home environment. Methods: Cities four WHO European Member States were selected for study convenience sample...
Background: The growing consumption of ultra-processed foods (UPFs) among vegetarians and vegans may occur at the expense health environmental benefits plant-based diets. Objectives: This study aimed to investigate associations UPFs in diets with all-cause mortality impact. Methods: Analyses were based on 35,030 participants (20–70 years; 74% females) from EPIC-NL cohort who followed up 1993 1997 through 2014. Plant-Based Diet Index (PDI) UPF (g/2000 kcal) calculated using a validated FFQ....
Abstract Introduction Food consumption is important for population as well planetary health. Globally, fresh water a scarce resource. For both use and greenhouse gas (GHG) emissions risk of exceeding the boundaries exists. production accounts approximately 90% global footprint 30% emissions. In this study, Dutch food patterns are evaluated blue emission its association with dietary quality (Dutch Healthy Diet index 2015). Materials Methods was assessed, in 2012–2016, by two non-consecutive...