Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-28T02:21:44.321Z Has data issue: false hasContentIssue false

Integrating sustainability into the multi-criteria assessment of urban dietary patterns

Published online by Cambridge University Press:  30 January 2020

Jose-Maria Garcia-Alvarez-Coque*
Affiliation:
Department of Economics and Social Sciences, Universitat Politècnica de València, Valencia, Spain
Ola Abdullateef
Affiliation:
Fayoum University, Cairo, Egypt
Loreto Fenollosa
Affiliation:
Department of Economics and Social Sciences, Universitat Politècnica de València, Valencia, Spain
Javier Ribal
Affiliation:
Department of Economics and Social Sciences, Universitat Politècnica de València, Valencia, Spain
Neus Sanjuan
Affiliation:
Department of Food Technology, Universitat Politècnica de València, Valencia, Spain
Jose Miguel Soriano
Affiliation:
Food & Health Lab, Institute of Materials Science, Universitat de València, Valencia, Spain
*
Author for correspondence: Jose-Maria Garcia-Alvarez-Coque, E-mail: jmgarcia@upvnet.upv.es

Abstract

This study develops a decision-making procedure to help policymakers compare alternative patterns for sustainable diets by reaching a compromise among three criteria: socio-economic perspective, health and environment (including carbon and water footprints). An Analytical Hierarchy Process (AHP) was performed in several stages. First, a total of 25 stakeholders (members of organizations on the Valencia Food Policy Council) evaluated criteria that are relevant to the sustainability of diets. Secondly, a workshop with 14 experts from different backgrounds evaluated by consensus four dietary alternatives: Mediterranean, flexitarian, pescatarian and vegan. In terms of environment, experts gave priority to the vegan diet. However, the Mediterranean diet pattern (MDP) appeared, according to the process, as the most suitable pattern from the holistic perspective that integrates all relevant criteria. The MDP was ranked first in terms of the health criterion and the socio-economic perspective. These include culture, affordability, social impact and local production as decision elements that food policy advisory bodies take into consideration to define sustainable diets.

Type
Research Paper
Copyright
Copyright © Cambridge University Press 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aleksandrowicz, L, Green, R, Joy, EJ, Smith, P and Haines, A (2016) The impacts of dietary change on greenhouse gas emissions, land use, water use, and health: a systematic review. PLoS ONE 11, e0165797.CrossRefGoogle ScholarPubMed
Alfares, HK and Duffuaa, SO (2008) Assigning cardinal weights in multicriteria decision making based on ordinal ranking. Journal of Multi-Criteria Decision Analysis 15, 125133.CrossRefGoogle Scholar
Belahsen, R and Rguibi, M (2006) Population health and Mediterranean diet in southern Mediterranean countries. Public Health Nutrition 9, 11301135.CrossRefGoogle ScholarPubMed
Bizjak, M, Peršolja, M and Stirn, LZ (2016) Expert opinions about the use of comprehensive nutrition protocol in practice for obesity prevention. Obzornik zdravstvene nege 50, 224231.CrossRefGoogle Scholar
Castañé, S and Antón, A (2017) Assessment of the nutritional quality and environmental impact of two food diets: a Mediterranean and a vegan diet. Journal of Cleaner Production 167, 929937.CrossRefGoogle Scholar
Clark, M and Tilman, D (2017) Comparative analysis of environmental impacts of agricultural production systems, agricultural input efficiency, and food choice. Environmental Research Letters 12, 064016.CrossRefGoogle Scholar
Curtis, BM and O'Keefe, JH Jr (2002) Understanding the Mediterranean diet: could this be the new ‘gold standard’ for heart disease prevention? Postgraduate Medicine 112, 3545.CrossRefGoogle Scholar
De Cunto, A, Tegoni, C, Sonnino, R, Michel, C and Lajili-Djalaï, F (2017) Food in cities: study on innovation for a sustainable and healthy production, delivery, and consumption of food in cities. European Commission. Directorate-General for Research and Innovation. Directorate A - Policy Development and Coordination. Brussels.Google Scholar
Debru, J, Albert, S, Bricas, N and Conaré, D (2017) Urban food policies: Proceedings of the International Meeting on Experience in Africa, Latin America and Asia. 16–18 November, Unesco Chair in WorldFood Systems, Montpellier, France.Google Scholar
Dernini, S and Berry, EM (2015) Mediterranean diet: from a healthy diet to a sustainable dietary pattern. Frontiers in Nutrition 2, 15.CrossRefGoogle ScholarPubMed
Dernini, S, Meybeck, A, Burlingame, B, Gitz, V, Lacirignola, C, Debs, P, Capone, R and El Bilali, H (2013) Developing a methodological approach for assessing the sustainability of diets: the Mediterranean diet as a case study. New Medit 12, 2836.Google Scholar
Ekmekcioglu, C, Wallner, P, Kundi, M, Weisz, U, Haas, W and Hutter, HP (2018) Red meat, diseases, and healthy alternatives: a critical review. Critical Reviews in Food Science and Nutrition 58, 247261.CrossRefGoogle ScholarPubMed
Generalitat Valenciana (2013) Encuesta de Nutrición de la Comunidad Valenciana 2010–2011. Valencia: Conselleria de Sanitat.Google Scholar
Gerber, PJ, Steinfeld, H, Henderson, B, Mottet, A, Opio, C, Dijkman, J, Falcucci, A and Tempio, G (2013) Tackling Climate Change Through Livestock: A Global Assessment of Emissions and Mitigation Opportunities. Rome: Food and Agriculture Organization of the United Nations.Google Scholar
Goldstein, B, Birkved, M, Fernández, J and Hauschild, M (2017) Surveying the environmental footprint of urban food consumption. Journal of Industrial Ecology 21, 151165.CrossRefGoogle Scholar
Gustafson, D, Gutman, A, Leet, W, Drewnowski, A, Fanzo, J and Ingram, J (2016) Seven food system metrics of sustainable nutrition security. Sustainability 8, 196.CrossRefGoogle Scholar
Guyomard, H, Darcy-Vrillon, B, Esnouf, C, Marin, M, Russel, M and Guillou, M (2012) Eating patterns and food systems: critical knowledge requirements for policy design and implementation. Agriculture & Food Security 1, 13.CrossRefGoogle Scholar
Hoek, AC, Pearson, D, James, SW, Lawrence, MA and Friel, S (2017) Shrinking the food-print: a qualitative study into consumer perceptions, experiences and attitudes towards healthy and environmentally friendly food behaviours. Appetite 108, 117131.CrossRefGoogle ScholarPubMed
Horgan, GW, Perrin, A, Whybrow, S and Macdiarmid, JI (2016) Achieving dietary recommendations and reducing greenhouse gas emissions: modelling diets to minimise the change from current intakes. International Journal of Behavioral Nutrition and Physical Activity 13, 46.CrossRefGoogle ScholarPubMed
Lan, TS, Lan, YH, Chen, PC and Lo, WC (2017) A study of investigating adolescents’ eating out behavior by using analytic hierarchy process. Eurasia Journal of Mathematics Science and Technology Education 13, 32273234.Google Scholar
Lang, T, Barling, D and Caraher, M (2009) Food Policy: Integrating Health, Environment and Society. Oxford: OUP.CrossRefGoogle Scholar
Macdiarmid, JI, Kyle, J, Horgan, GW, Loe, J, Fyfe, C, Johnstone, A and McNeill, G (2012) Sustainable diets for the future: can we contribute to reducing greenhouse gas emissions by eating a healthy diet? The American Journal of Clinical Nutrition 96, 632639.CrossRefGoogle ScholarPubMed
Moragues-Faus, A (2017) Urban food policy alliances as paths to food sovereignty insights from sustainable food cities in the UK. In Desmarais, AA, Claeys, P and Trauger, A (eds), Routledge Studies in Food, Society and the Environment. London and New York: Routledge, pp. 147163.Google Scholar
Moragues-Faus, A and Morgan, K (2015) Reframing the foodscape: the emergent world of urban food policy. Environment and Planning A: Economy and Space 47, 15581573.CrossRefGoogle Scholar
Morgan, K (2009) Feeding the city: the challenge of urban food planning. International Planning Studies 14, 341348.CrossRefGoogle Scholar
Niles, MT, et al. (2018) Climate change mitigation beyond agriculture: a review of food system opportunities and implications. Renewable Agriculture and Food Systems 33, 297308.CrossRefGoogle Scholar
Padilla, M, Capone, R and Palma, G (2012) Sustainability of the food chain from field to plate: the case of the Mediterranean diet. In Sustainable Diets and Biodiversity-Directions, Solutions for Policy, Research and Action. Rome: FAO, pp. 230240.Google Scholar
Patel, R (2009) Food sovereignty. The Journal of Peasant Studies 36, 663706.CrossRefGoogle Scholar
Pradhan, P, Reusser, DE and Kropp, JP (2013) Embodied greenhouse gas emissions in diets. PLoS ONE 8, e62228.CrossRefGoogle ScholarPubMed
Prové, C, de Krom, MP and Dessein, J (2019) Politics of scale in urban agriculture governance: a transatlantic comparison of food policy councils. Journal of Rural Studies 68, 171181.CrossRefGoogle Scholar
Ribal, J, Fenollosa, ML, García-Segovia, P, Clemente, G, Escobar, N and Sanjuán, N (2016) Designing healthy, climate friendly and affordable school lunches. The International Journal of Life Cycle Assessment 21, 631645.CrossRefGoogle Scholar
Röös, E, Carlsson, G, Ferawati, F, Hefni, M, Stephan, A, Tidåker, P and Witthöft, C (2018) Less meat, more legumes: prospects and challenges in the transition toward sustainable diets in Sweden. Renewable Agriculture and Food Systems, 114.Google Scholar
Saaty, TL (2005) Theory and Applications of the Analytic Network Process: Decision Making with Benefits, Opportunities, Costs, and Risks. Pittsburgh, PA: RWS publications.Google Scholar
Saaty, TL (2013) Analytic hierarchy process. In Gass, SI and Harris, CM (eds.). Encyclopaedia of Operations Research and Management Science. Boston, MA: Springer, pp. 5264.CrossRefGoogle Scholar
Sáez-Almendros, S, Obrador, B, Bach-Faig, A and Serra-Majem, L (2013) Environmental footprints of Mediterranean versus Western dietary patterns: beyond the health benefits of the Mediterranean diet. Environmental Health 12, 118.CrossRefGoogle ScholarPubMed
Scholl, A, Manthey, L, Helm, R and Steiner, M (2005) Solving multiattribute design problems with analytic hierarchy process and conjoint analysis: an empirical comparison. European Journal of Operational Research 164, 760777.CrossRefGoogle Scholar
Seto, KC and Ramankutty, N (2016) Hidden linkages between urbanization and food systems. Science 352, 943945.CrossRefGoogle ScholarPubMed
Sofi, F, Abbate, R, Gensini, GF and Casini, A (2010) Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. The American Journal of Clinical Nutrition 92, 11891196.CrossRefGoogle ScholarPubMed
Springmann, M, Clark, M, Mason-D'Croz, D, Wiebe, K, Bodirsky, BL, Lassaletta, L and Jonell, M (2018) Options for keeping the food system within environmental limits. Nature 562, 519.CrossRefGoogle ScholarPubMed
Sylvie, AK, Jiang, Q and Cohen, N (2013) Identification of environmental supports for healthy eating in older adults. Journal of Nutrition in Gerontology and Geriatrics 32, 161174.CrossRefGoogle ScholarPubMed
Tarne, P, Lehmann, A and Finkbeiner, M (2019) Introducing weights to life cycle sustainability assessment—how do decision-makers weight sustainability dimensions? The International Journal of Life Cycle Assessment 24, 530542.CrossRefGoogle Scholar
Triantaphyllou, E (2013) Multi-Criteria Decision Making Methods: A Comparative Study, vol. 44. Boston, MA: Springer Science & Business Media.Google Scholar
Van Dooren, C, Tyszle, M, Kramer, G and Aiking, H (2015) Combining low price, low climate impact and high nutritional value in one shopping basket through diet optimization by linear programming. Sustainability 7, 1283712855.CrossRefGoogle Scholar
Vanham, D, Del Pozo, S, Pekcan, AG, Keinan-Boker, L, Trichopoulou, A and Gawlik, BM (2016) Water consumption related to different diets in Mediterranean cities. Science of the Total Environment 573, 96105.CrossRefGoogle ScholarPubMed
Vareiro, D, Bach-Faig, A, Quintana, BR, Bertomeu, I, Buckland, G, de Almeida, MDV and Serra-Majem, L (2009) Availability of Mediterranean and non-Mediterranean foods during the last four decades: comparison of several geographical areas. Public Health Nutrition 12, 16671675.CrossRefGoogle ScholarPubMed
Veeramani, A, Dias, GM and Kirkpatrick, SI (2017) Carbon footprint of dietary patterns in Ontario, Canada: a case study based on actual food consumption. Journal of Cleaner Production 162, 13981406.CrossRefGoogle Scholar
Velasquez, M and Hester, P (2013) An analysis of multi-criteria decision making methods. International Journal of Operations Research 10, 5666.Google Scholar
WHO (2015) Q&A on the Carcinogenicity of the Consumption of Red Meat and Processed Meat. Geneva: World Health Organization. Available at http://www.who.int/features/qa/cancer-red-meat/en/ (Accessed 4 April 2017).Google Scholar
Willett, W, Rockström, J, Loken, B, Springmann, M, Lang, T, Vermeulen, S and Jonell, M (2019) Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems. The Lancet 393, 447492.CrossRefGoogle ScholarPubMed
Supplementary material: File

Garcia-Alvarez-Coque et al. supplementary material

Garcia-Alvarez-Coque et al. supplementary material 1

Download Garcia-Alvarez-Coque et al. supplementary material(File)
File 206.4 KB
Supplementary material: File

Garcia-Alvarez-Coque et al. supplementary material

Garcia-Alvarez-Coque et al. supplementary material 2

Download Garcia-Alvarez-Coque et al. supplementary material(File)
File 196.8 KB