Adherence to dietary recommendations for Swedish adults across categories of greenhouse gas emissions from food

<jats:title>Abstract</jats:title><jats:sec id="S1368980017002300_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>To explore associations between diet-related greenhouse gas emissions (GHGE), nutrient intakes and adherence to the Nordic Nutrition Recommendations among Swedish adults.</jats:p></jats:sec><jats:sec id="S1368980017002300_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Diet was assessed by 4d food records in the Swedish National Dietary Survey. GHGE was estimated by linking all foods to carbon dioxide equivalents, using data from life cycle assessment studies. Participants were categorized into quartiles of energy-adjusted GHGE and differences between GHGE groups regarding nutrient intakes and adherence to nutrient recommendations were explored.</jats:p></jats:sec><jats:sec id="S1368980017002300_abs3" sec-type="general"><jats:title>Setting</jats:title><jats:p>Sweden.</jats:p></jats:sec><jats:sec id="S1368980017002300_abs4" sec-type="subjects"><jats:title>Subjects</jats:title><jats:p>Women (<jats:italic>n</jats:italic>840) and men (<jats:italic>n</jats:italic>627) aged 18–80 years.</jats:p></jats:sec><jats:sec id="S1368980017002300_abs5" sec-type="results"><jats:title>Results</jats:title><jats:p>Differences in nutrient intakes and adherence to nutrient recommendations between GHGE groups were generally small. The dietary intake of participants with the lowest emissions was more in line with recommendations regarding protein, carbohydrates, dietary fibre and vitamin D, but further from recommendations regarding added sugar, compared with the highest GHGE group. The overall adherence to recommendations was found to be better among participants with lower emissions compared with higher emissions. Among women, 27 % in the lowest GHGE group adhered to at least twenty-three recommendations compared with only 12 % in the highest emission group. For men, the corresponding figures were 17 and 10 %, respectively.</jats:p></jats:sec><jats:sec id="S1368980017002300_abs6" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>The study compared nutrient intakes as well as adherence to dietary recommendations for diets with different levels of GHGE from a national dietary survey. We found that participants with low-emission diets, despite higher intake of added sugar, adhered to a larger number of dietary recommendations than those with high emissions.</jats:p></jats:sec>