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Mini-review of the EAT-Lancet planetary health diet and its role in cardiometabolic disease prevention

2025/08/06 by Anna Stubbendorff, Suzanne Janzi, Juulia Jukkola +4 · 1 voice · 1 citation
Environmental Science · Medicine · #Agriculture Sustainability and Environmental Impact #Nutritional Studies and Diet #Diet and metabolism studies

paper · pdf · doi:10.1016/j.metabol.2025.156373

openalex publication_date 2025/08/06 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/29

Abstract

Human diets play a crucial role in both human health and environmental sustainability. In 2019, the EAT-Lancet Commission on healthy diets from sustainable food systems introduced the EAT-Lancet planetary health diet, a universal reference diet designed to promote human health while minimizing environmental degradation. It is a predominantly plant-based dietary pattern, rich in whole grains, vegetables, fruits, legumes, and nuts, while low in red meat and added sugars. In this mini-review, we summarize findings from prospective cohorts examining the EAT-Lancet diet in relation to mortality and cardiometabolic outcomes. Higher adherence to this diet was generally associated with lower risk of all-cause mortality, cardiovascular disease, and type 2 diabetes. However, the magnitude of associations varied depending on cohort characteristics, scoring systems, and methodological factors. In addition, adherence to the EAT-Lancet diet was generally low in the studies reviewed. These results suggest potential public health benefits of adopting the EAT-Lancet diet but also highlight the need for harmonized definitions and further research on underlying mechanisms.

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