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Data described in the manuscript are available from the corresponding author on reasonable request.
Bonaccio M, Iacoviello L, Donati M, de Gaetano G. The tenth anniversary as a UNESCO world cultural heritage: an unmissable opportunity to get back to the cultural roots of the Mediterranean diet. Eur J Clin Nutr. 2021;76:179–83.
UN General Assembly. Transforming our world: the 2030 Agenda for Sustainable Development A/RES/70/1. 2015. https://www.refworld.org/docid/57b6e3e44.html.
FAO. How to Feed the World in 2050. 2019. http://www.fao.org/fileadmin/templates/wsfs/docs/expert_paper/How_to_Feed_the_World_in_2050.pdf.
Afshin A, Sur P, Fay K, Cornaby L, Ferrara G, Salama J, et al. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019;393:1958–72.
Stanaway J, Afshin A, Gakidou E, Lim S, Abate D, Abate K, et al. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:1923–94.
IPCC. Summary for Policymakers. In: Shukla PR, Skea J, Calvo Buendia E, Masson-Delmotte V, Pörtner H-O, Roberts DC, et al. editors. Climate Change and Land: an IPCC special report on climate change, desertification, land degradation, sustainable land management, food security, and greenhouse gas fluxes in terrestrial ecosystems. IPCC;2019. https://www.ipcc.ch/srccl/chapter/summary-for-policymakers/
Xu X, Sharma P, Shu S, Lin T, Ciais P, Tubiello F, et al. Global greenhouse gas emissions from animal-based foods are twice those of plant-based foods. Nat Food. 2021;2:724–32.
Barilla Foundation. Double Pyramid. 2022. https://www.fondazionebarilla.com/en/double-pyramid/. 2022.
Riccardi G, Giosuè A, Calabrese I, Vaccaro O. Dietary recommendations for prevention of atherosclerosis. Cardiovasc Res. 2022;118:1188–204. https://doi.org/10.1093/cvr/cvab173.
Nicholls J, Drewnowski A. Toward sociocultural indicators of sustainable healthy diets. Sustainability. 2021;13:7226.
FAO and WHO. Sustainable healthy diets – Guiding principles. Rome: FAO and WHO;2019.
GR is member of the Barilla Health and Well-being Advisory Board, of the Nutrition Foundation of Italy and of ‘Istituto Nutrizionale Carapelli’. The “Barilla Foundation” supported the Double Pyramid with a grant aimed at the development of an evidence-based reformulation of the Food Pyramid for the prevention of cardiovascular disease for the University of Naples Federico II. The funder had no role in the study design, collection, analysis, and interpretation of data. MA is a consultant of the Barilla Foundation.
KD, MA, AG, IC, OV declare no competing interests.
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Dembska, K., Antonelli, M., Giosuè, A. et al. The Double Pyramid: bridging nutrition and sustainability recommendations with traditional ways of eating. Eur J Clin Nutr (2023). https://doi.org/10.1038/s41430-023-01278-8