The adoption of healthy diets with low environmental impact has been widely promoted as an important climate change mitigation strategy. Typically, these diets are high in plant-sourced and low in animal-sourced and processed foods. Despite the fact that their environmental impacts vary, they are often referred to as 'sustainable diets'. Here we systematically review the available published evidence on the effect of 'sustainable diets' on environmental footprints and human health. Eight databases (OvidSP-Medline, OvidSP-Embase, EBSCO-GreenFILE, Web of Science Core Collection, Scopus, OvidSP-CAB-Abstracts, OvidSP-AGRIS, and OvidSP-Global Health) were searched to identify literature (published 1999–2019) reporting health effects and environmental footprints of 'sustainable diets'. Available evidence was mapped and pooled analysis was conducted by unique combinations of diet pattern, health and environmental outcome. Eighteen studies (412 measurements) met our inclusion criteria, distinguishing twelve non-mutually exclusive sustainable diet patterns, six environmental outcomes, and seven health outcomes. In 87% of measurements (n = 151) positive health outcomes were reported from 'sustainable diets' (average relative health improvement: 4.09% [95% CI −0.10–8.29]) when comparing 'sustainable diets' to current/baseline consumption patterns. Greenhouse gas emissions associated with 'sustainable diets' were on average 25.8%[95%CI −27.0 to −14.6] lower than current/baseline consumption patterns, with vegan diets reporting the largest reduction in GHG-emissions (−70.3% [95% CI: −90.2 to −50.4]), however, water use was frequently reported to be higher than current/baseline diets. Multiple benefits for both health and the environment were reported in the majority (n = 315[76%]) of measurements. We identified consistent evidence of both positive health effects and reduced environmental footprints accruing from 'sustainable diets'. The notable exception of increased water use associated with 'sustainable diets' identifies that co-benefits are not universal and some trade-offs are likely. When carefully designed, evidence-based, and adapted to contextual factors, dietary change could play a pivotal role in climate change mitigation, sustainable food systems, and future population health.
Focus on Evidence Synthesis for Climate Solutions
Guest Editors
- Jan Minx, University of Leeds
- Lea Berrang Ford, University of Leeds
- James Ford, University of Leeds
- Neal Haddaway, Stockholm Environmental Institute
- Felix Creutzig, Technical University Berlin
- Robbert Biesbroek, Wageningen University
- Biljana Macura, Stockholm Environment Institute

Background
With the establishment of the Paris Agreement on climate change the world has entered a new era of climate solutions. Political battlegrounds have shifted from debates around the existence and relevance of anthropogenic climate change to how to solve the problem. Yet, our scientific understanding of solutions remains patchy. While climate change assessments as undertaken by the Intergovernmental Panel on Climate Change (IPCC) have been successful in understanding the physical science basis of anthropogenic climate change, learning on climate solutions has remained limited over the last three decades. We still do not really know what climate policies work well under what conditions and why (Minx et al 2017, Berrang-Ford et al 2015) and how to track progress over time and across contexts (Ford et al 2015, Lesnikowski et al 2016).
This is caused by the different structure, organization and scientific practices across the social sciences and humanities that prohibit systematic learning (Ringquist 2013). Above all, there is a lack of a synthetic research culture understood as formal research on research results, including meta-analyses and systematic reviews. Consequently, research results are not accumulated into discrete bodies of knowledge. IPCC authors are confronted with scattered evidence across publications and fields. In fact, for AR6 we expect at least about 300,000 new publications only in the peer-reviewed literature covered by the Web of Science (Minx et al 2017, Minx 2018). In the absence synthetic evidence on mitigation and adaptation options they lack adequate building blocks for their assessment and systematic learning over time. Performing systematic review work is also crucial in times of big literature where the body of scientific publications on climate change is vast and fast growing as selection bias in scientific assessment becomes a growing concern (Sutherland and Wordley 2018, Donnelly 2018, Minx 2018, Haddaway and Macura 2018).
Find out more at the Learning on Climate Solutions workshop being held from October 15 - 17, 2018 in Berlin.
Scope
This focus collection intends to catalyze synthetic evidence on climate solutions for key topics relevant for IPCC AR6. It aims to commission a whole series of reviews using systematic methods for an enhanced understanding of mitigation and adaptation options, i.e. what mitigation and adaptation policies and measures work well under what conditions and why. Submissions should focus on key topic areas from the AR6 outlines of Working Group 2 and Working Group 3 including:
- Energy demand reductions and lifestyle change
- Climate and non-climate policies at different scales and their political economy
- Innovation and technological breakthroughs
- Long-lived infrastructures and committed carbon
- Climate finance
- Tracking adaptation and mitigation progress
Here, "systematic review" refers to a whole suite of formal methods to aggregate evidence into discrete bodies of knowledge by reconciling evidence and understanding sources of variation in a rigorous way. Guided by the principles of reproducibility and transparency they include formal quantitative methods for aggregating statistical and experimental research (such as meta-analysis), methods to review qualitative theory and evidence (such as meta-ethnographies), as well as methods to compile mixed quantitative and qualitative evidence (such as realist reviews). Yet, all approaches share the feature that they follow a clear methodological protocol that involves the following steps: 1) clearly defining the research question; 2) systematically searching defined literature databases for a defined time period; 3) justifying and making transparent sources and selection of the literature; 4) systematically assessing the quality of the selected evidence; 5) justifying and making transparent methods used to synthesize the evidence based; and 6) appraising confidence in the results (Berrang-Ford et al 2015).
References
Berrang-Ford L, Pearce T and Ford J D 2015 Systematic review approaches for climate change adaptation research Reg. Environ. Chang.
Donnelly C A 2018 Four principles for synthesizing evidence Nature 558, 361–4
Ford J D, Berrang-Ford L, Biesbroek R, Araos M, Austin S E and Lesnikowski A 2015 Adaptation tracking for a post-2015 climate agreement Nat. Clim. Chang.
Haddaway N R and Macura B 2018 The role of reporting standards in producing robust literature reviews Nat. Clim. Chang.
Lesnikowski A, Ford J, Biesbroek R, Berrang-Ford L and Heymann S J National level progress on adaptation 2016 Nat. Clim. Change
Minx J C 2018 A How can climate policy stay on top of a growing mountain of data? The Guardian Guard. Online
Minx J C J C, Callaghan M, Lamb W F W F, Garard J and Edenhofer O 2017 Learning about climate change solutions in the IPCC and beyond Environ. Sci. Policy 77 252–9
Ringquist E 2013 Meta-Analysis for Public Management and Policy (John Wiley & Sons Inc.)
Sutherland W J and Wordley C F R 2018 A fresh approach to evidence synthesis Nature 558, 364–5