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The Double Pyramid: bridging nutrition and sustainability recommendations with traditional ways of eating

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Fig. 1: The Double Health and Climate Pyramid illustrates how foods recommended for our health are generally also those with a low climate impact.

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Data described in the manuscript are available from the corresponding author on reasonable request.


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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.

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All authors contributed to acquiring data and interpreting results, drafted and revised the manuscript and approved the final version. All authors ensure any questions related to accuracy and integrity are appropriately investigated and resolved.

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Correspondence to Katarzyna Dembska.

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KD, MA, AG, IC, OV declare no competing interests.

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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).

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