Objectives: A growing number of Western studies have been exploring sustainable and healthy dietary patterns that target to reduce diet-related greenhouse gas emissions (GHGE) and to achieve nutritional needs. However, research is limited among Asian populations, where food sources for diet-related GHGE differ from those in Western populations. This study aimed to investigate associations between diet-related GHGE and the prevalence of inadequate nutritional intake.
Methods: A cross-sectional study was carried out among 392 healthy Japanese volunteers aged 20-69 years. Dietary intake was assessed by four-non-consecutive day diet record. Diet-related GHGE was estimated using the Global Link Input-Output model and adjusted for energy intake by residual method. Prevalence of inadequacy was defined as a percentage of participants with nutrient intake outside the Tentative Dietary Goal for Preventing Lifestyle-Related Disease or below the Estimated Average Requirement defined by the Dietary Reference Intakes (DRIs) for Japanese. The association between diet-related GHGE and the prevalence of inadequacy of the usual intake of each nutrient was examined using logistic regression models.
Results: Participants with higher diet-related GHGE had overall better adherence to the DRIs. Intakes of all selected nutrients were positively associated with diet-related GHGE, except for carbohydrate, total fat, and saturated fat. With increasing quartile of diet-related GHGE, the prevalence of inadequacy decreased for protein, dietary fiber, potassium, vitamins A, B-6, and C, thiamin, riboflavin, calcium, magnesium, iron, and zinc, while that for sodium increased.
Conclusions: Diets with lower diet-related GHGE did not have better adherence to the DRIs compared to diets with higher diet-related GHGE among Japanese adults. Drastic dietary change or other strategies such as improving the food system would be needed to achieve a sustainable and healthy diet among Japanese.