I calculated the % of recommended nutrient intakes for adults on a #EATLancet planetary health diet using global aggregated food composition data. It falls short on iron, calcium, and especially zinc. We urgently need a sustainable food system but cannot ignore nutrient adequacy.
Deficiencies in many of these micronutrients are widespread globally, even in high-income countries like the US and UK, where 30–50% of women 15–49 have at least one micronutrient deficiency.
US 👉🏼
The top sources of priority micronutrients are organs, dark green leafy vegetables, mollusks, fish with bones, crustaceans, ruminant meat, eggs, and dairy.
We absolutely need to produce food within planetary boundaries. But moderate amounts of livestock produced in alignment with local ecosystems can play a role both in achieving healthy diets and in regenerative and sustainable food production.
And fortification should play an important role, too, because it improves the nutrient density of the food supply. Not everyone has access to or will not choose to eat a highly nutrient dense diet.
But the US and UK both have had widespread fortification for decades, yet high burdens of micronutrient deficiencies persist. Thus, practically meeting micronutrient needs and prevent deficiency is remarkably challenging in the real world, even in high-income countries.
Data for the figure are from our preprint on priority micronutrient density. I assumed 15% bioavailability for iron needs and semi-unrefined diets for zinc needs (since I estimated there was between 900–1200 mg of phytate on the diet). researchsquare.com/article/rs-701…
It's very possible that iron bioavailability on the #EATLancet diet, which is high in phytate and low in heme iron, is actually lower than 15%, perhaps 10% or less. If you assumed a 10% iron bioavailability the % of recommended iron intakes would fall to 59%.
There is a lot of fighting amongst people with differing views on healthy and sustainable diets, particularly around the role of animal-source foods. But I think everyone can play a role in achieving diets at the population level that are good for human and planetary health.
Vegans are already playing an important role by advocating for animal rights and planetary health. Some could do a better job by ensuring their diets provide nutrient adequacy (using fortification and supplementation when needed), moderating intake of ultra-processed foods and...
...when possible, choosing foods that are produced using regenerative and sustainable production practices, like diverse farms. Just because it comes from a plant doesn't mean the production doesn't have a negative impact on animals and ecosystems (eg, intensive monocultures).
For human and planetary health, I do think there needs to be moderation of animal-source foods at the population level, but how much depends on the context and method of production.
In my view, moderation would leave room for a very, very small amount of exclusive carnivores for those who absolutely need to be so for their auto-immune condition. And hopefully a much larger share of vegans, many of whom are making huge contributions to planetary health.
Here's a breakdown of the nutrient density rating by nutrient
Top iron sources:
•Organs (liver, spleen, kidney, heart)
•Small dried fish
•Bivalves (clams, mussels, oysters)
•Beef/goat
•Pulses (beans, peas, lentils)
•Traditional grains (fonio, teff, millet, sorghum)
Nutrient density rating
Very high: provides an average of 1/3 of recommended intakes with ≤ 1/6 of both energy & mass recommended intakes (assuming an energy density of 1.3 kcal/g)
Optimal sources of iron, zinc, calcium, folate, vitamin A & B12 are organs, small dried fish, cheese, beef/goat, eggs & dark leafy greens
Shows grams & kcals needed to provide 1/3 of recommended intakes for pregnant women
Nutrient density rating is preliminary & explained below
Foods with optimal nutrient density provide an average of 33.3% of recommended intakes with ≤ 16.7% of both energy (2,583 kcal) and mass (1987 g) recommended intakes (assuming an energy density of 1.3 kcal/g).
Foods with high nutrient density provide an average of 33.3% of recommended intakes with ≤ 33.3% of both energy and mass recommended intakes and with < 16.7% of either energy or mass recommended intakes.
Love Kevin’s advice at the end: love each other, exercise, and limit ultra-processed foods sigmanutrition.com/episode376/
Important distinctions between the two groups in this study: the low-carb diet had nearly double the energy density (2.1 v 1.1), lower fiber (9 g v 31 g), & a higher proportion of energy from ultra-processed foods (32% v 26%) compared with the low-fat diet.nature.com/articles/s4159…
Yet both groups lost weight, & there was no significant differences in weight loss or fat loss between the two groups. So I think most people could maintain a healthy body weight on a variety of macronutrient ratios, animal-to-plant-source food ratios, & diets. Diet quality key.