Adherence of the Turkish Population's Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations

Merve Esra Çıtar Dazıroğlu

doi:10.59124/guhes.1982900

Adherence of the Turkish Population's Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations

Abstract

The EAT-Lancet Planetary Health Diet (PHD) has emerged as a global dietary model that supports both human health and environmental sustainability within sustainable food systems. However, the evidence regarding adherence of the Turkish population to the PHD remains limited. This study evaluated adherence to the EAT-Lancet PHD among the Turkish population using the data from the Türkiye Nutrition and Health Survey (TNHS)-2017. EAT-Lancet reference values were adjusted according to the mean daily energy intake of each age and sex group. Mean daily food group intakes were compared with these adjusted values to calculate adherence percentages. Adherence to vegetables and fruits ranged from 82.4–148.3% and 70.2–164.1%, respectively, whereas legumes (24.8–30.9%) and nuts (13.0–28.1%) remained well below the recommended levels in all groups. Fish intake was also below the recommended level in all groups (27.1–64.5%), with particularly lower adherence among individuals aged 15–18 years. Egg (189.5–285.7%) and red meat (262.3–371.4%) consumption exceeded not only the reference values but also the recommended maximum intake levels in all groups. Adherence to poultry and milk and dairy products ranged from 65.1–140.2% and 88.0–119.8%, respectively, with lower poultry adherence observed among individuals aged ≥65 years. Overall, the dietary pattern of the Turkish population demonstrated limited adherence to the EAT-Lancet PHD, characterized by excessive red meat and egg consumption and insufficient legume, nut, and fish consumption. This study provides the first nationally representative evidence on adherence to the EAT-Lancet PHD in Türkiye.

Keywords

References

Amoah, I., Ascione, A., Muthanna, F. M., Feraco, A., Camajani, E., Gorini, S., Armani, A., Caprio, M., & Lombardo, M. (2023). Sustainable strategies for increasing legume consumption: culinary and educational approaches. Foods, 12(11), 2265.
Ayfer, T. Country Report on the State of Plant Genetic Resources for Food and Agriculture. (2009). URL: https://www.fao.org/4/i1500e/Turkey.pdf?utm_source.
Carvalho, C., Correia, D., Lopes, C., & Torres, D. (2025). Adherence to the EAT-Lancet Planetary Health Diet in Portugal and its associations with socioeconomic and lifestyle factors. European Journal of Nutrition, 64(4), 152.
FAO, W. (2019). Sustainable healthy diets–Guiding principles. Rome: Food and Agriculture Organization of the United Nations. World Health Organization,. Rome, Italy,: Food and Agriculture Organization of the United Nations/World Health Organization.
Grant, F., Aureli, V., Di Veroli, J. N., & Rossi, L. (2025). Mapping of the adherence to the planetary health diet in 11 European countries: Comparison of different diet quality indices as a result of the PLAN’EAT project. Frontiers in Nutrition, 12, 1645824.
Güldemir, H. H., Yousefirad, N., Akman, C., Sezer, F. E., Ilktac, H. Y., Garipagaoglu, M., & Ersoy, G. (2020). Consumption and preferences of fruits and vegetables in turkish adults. Proceedings of the Nutrition Society, 79(OCE2), E604.
Hughes, J., Pearson, E., & Grafenauer, S. (2022). Legumes—a comprehensive exploration of global food-based dietary guidelines and consumption. Nutrients, 14(15), 3080.
Kemaloğlu, M., Yılmaz, M., & Kemaloğlu, E. (2026). Planetary health diet adherence, nutritional adequacy, and environmental footprints: a cross-sectional study in Turkish adults. Frontiers in Nutrition, 13, 1767066.

Lee, S.-J., & Hwang, J.-Y. (2025). Planetary Health Diet Adherence in Korean Adults: Association with the Korean Healthy Eating Index. Nutrients, 17(19), 3060.
Lindgren, E., Harris, F., Dangour, A. D., Gasparatos, A., Hiramatsu, M., Javadi, F., Loken, B., Murakami, T., Scheelbeek, P., & Haines, A. (2018). Sustainable food systems—a health perspective. Sustainability science, 13(6), 1505-1517.
Mao, Q., Tian, X., Wang, X., Xu, H., Zhang, Y., & Kong, Y. (2025). Global burden of cardiovascular diseases attributable to diet low in seafood omega-3 fatty acids from 1990~ 2021 and forecasting the future trends: A population-based study. PloS one, 20(2), e0316767.
Miranda, A. R., Meunier, J. M., Romagosa Vilarnau, S., Jani, A., & Verger, E. O. (2026). Are European diets healthy and sustainable? Evidence from nine countries using the planetary health diet framework. European Journal of Nutrition, 65(3), 82.
Neale, E. P., Tran, G., & Brown, R. C. (2020). Barriers and facilitators to nut consumption: a narrative review. International Journal of Environmental Research and Public Health, 17(23), 9127.
Nomura, M., Yamaguchi, M., Inada, Y., & Nishi, N. (2023). Current dietary intake of the Japanese population in reference to the planetary health diet-preliminary assessment. Frontiers in Nutrition, 10, 1116105.
Ordner, J. B., Margerison, C., Atkins, L. A., & Szymlek-Gay, E. A. (2026). Associations Between Adherence to the EAT-Lancet Planetary Health Diet and Nutritional Adequacy, and Sociodemographic Factors Among Australian Adults. Nutrients, 18(2), 340.
Poore, J., & Nemecek, T. (2018). Reducing food’s environmental impacts through producers and consumers. Science, 360(6392), 987-992.
Puglisi, M. J., & Fernandez, M. L. (2022). The health benefits of egg protein. Nutrients, 14(14), 2904.
Reedy, J., Cudhea, F., Miller, V., Zhang, J., Shi, P., Puklin, L., Coates, J., Micha, R., & Mozaffarian, D. (2020). Global dietary intake in relation to the EAT Lancet Commission’s scientific targets; results from the Global Dietary Database 2015. Current Developments in Nutrition, 4, nzaa053_100.
Rockström, J., Thilsted, S. H., Willett, W. C., Gordon, L. J., Herrero, M., Hicks, C. C., Mason-D'Croz, D., Rao, N., Springmann, M., & Wright, E. C. (2025). The EAT–Lancet Commission on healthy, sustainable, and just food systems. The lancet, 406(10512), 1625-1700.
Silvenius, F., Silvennoinen, K., Setälä, J., Keskinen, T., Kankainen, M., Saarni, K., Niukko, J., Raitaniemi, J., & Leinonen, I. (2025). The greenhouse gas emissions of the most remarkable Finnish fish product chains. Scientific Reports, 15(1), 36813.
Springmann, M., Wiebe, K., Mason-D'Croz, D., Sulser, T. B., Rayner, M., & Scarborough, P. (2018). Health and nutritional aspects of sustainable diet strategies and their association with environmental impacts: a global modelling analysis with country-level detail. The Lancet Planetary Health, 2(10), e451-e461.
Stanton, A. V. (2024). Unacceptable use of substandard metrics in policy decisions which mandate large reductions in animal-source foods. npj Science of Food, 8(1), 10.
Türkiye Nutrition and Health Research (TNHS), T.R. Ministry of Health General Directorate of Public Health, Publication No: 1132, Ankara 2019.
Wells, J. C., Sawaya, A. L., Wibaek, R., Mwangome, M., Poullas, M. S., Yajnik, C. S., & Demaio, A. (2020). The double burden of malnutrition: aetiological pathways and consequences for health. The lancet, 395(10217), 75-88.
Willett, W., Rockström, J., Loken, B., Springmann, M., Lang, T., Vermeulen, S., Garnett, T., Tilman, D., DeClerck, F., & Wood, A. (2019). Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems. The lancet, 393(10170), 447-492.
Yalvac, O., Keskin, N., Terin, M., Hajizadeh, H. S., & Kaya, O. (2025). Socio-demographic and attitudinal factors influencing household fruit and vegetable purchasing frequency in Eastern Türkiye. Journal of Health, Population and Nutrition, 44(1), 202.

Details

Primary Language

English

Subjects

Clinical Sciences (Other)

Journal Section

Research Article

Authors

Merve Esra Çıtar Dazıroğlu ^*
0000-0002-7060-6265
Türkiye

Publication Date

August 30, 2026

Submission Date

June 30, 2026

Acceptance Date

August 7, 2026

Published in Issue

Year 2026 Volume: 8 Number: 2

DOI

https://doi.org/10.59124/guhes.1982900

IZ

https://izlik.org/JA85BY55UT

Cite

RIS / Bibtex

APA

Çıtar Dazıroğlu, M. E. (2026). Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations. Journal of Gazi University Health Sciences Institute, 8(2), 67-77. https://doi.org/10.59124/guhes.1982900

AMA

1.Çıtar Dazıroğlu ME. Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations. GUHES. 2026;8(2):67-77. doi:10.59124/guhes.1982900

Chicago

Çıtar Dazıroğlu, Merve Esra. 2026. “Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations”. Journal of Gazi University Health Sciences Institute 8 (2): 67-77. https://doi.org/10.59124/guhes.1982900.

EndNote

Çıtar Dazıroğlu ME (August 1, 2026) Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations. Journal of Gazi University Health Sciences Institute 8 2 67–77.

IEEE

[1]M. E. Çıtar Dazıroğlu, “Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations”, GUHES, vol. 8, no. 2, pp. 67–77, Aug. 2026, doi: 10.59124/guhes.1982900.

ISNAD

Çıtar Dazıroğlu, Merve Esra. “Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations”. Journal of Gazi University Health Sciences Institute 8/2 (August 1, 2026): 67-77. https://doi.org/10.59124/guhes.1982900.

JAMA

1.Çıtar Dazıroğlu ME. Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations. GUHES. 2026;8:67–77.

MLA

Çıtar Dazıroğlu, Merve Esra. “Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations”. Journal of Gazi University Health Sciences Institute, vol. 8, no. 2, Aug. 2026, pp. 67-77, doi:10.59124/guhes.1982900.

Vancouver

1.Merve Esra Çıtar Dazıroğlu. Adherence of the Turkish Population’s Dietary Pattern to the EAT-Lancet Planetary Health Diet Recommendations. GUHES. 2026 Aug. 1;8(2):67-7. doi:10.59124/guhes.1982900