Context: The dairy production system fills an important role by providing nutrient-dense foods in Swedish diets, however, future efforts to improve its sustainability necessitate structural changes. Objective: We present an innovative study which assesses the effects of these future changes in the dairy system in northern Sweden, the Norrland region, which has a subarctic climate. Methods: Four scenarios were developed: 1) Food as Industry: Food is a commodity, and its production is an industry that can be invested in to benefit society. 2) Food as Technology: New technologies, such as nutrient density trackers and microbiome mapping, are used for personalized dietary plans. Additionally, novel foods from microbial cultures are produced. 3) Food as Culture: More locally produced food and diverse food products are consumed. 4) Food Forgotten: Land previously used for food and feed is converted to bioenergy production, climate mitigation, and adaptation infrastructure. These scenarios were compared to the baseline i.e. present dairy system for dairy production capacity, carbon flow and carbon footprint. Results and conclusions: Food as industry resulted in increased dairy production capacity with decreased carbon footprint but increased carbon imports. Food as technology provided decreased dairy production capacity and increased carbon footprint but with decreased carbon imports. Food as culture, maintained dairy production capacity with a decreased carbon footprint and carbon imports. Food forgotten resulted in decreased dairy production capacity and increased carbon imports but with decreased carbon footprint. Food as culture benefits all - specifically dairy production capacity, carbon footprint and carbon imports. However, further research is required to explore implications on soil organic carbon stocks over time in Norrland. Significance: Our study sheds light on the potential impacts of future dairy production in a subarctic climate and aims to help in decision making.

The global food sector is one of the most impactful sectors in the world, necessitating an urgent shift towards more sustainable practices. Sweden has made great progress in putting sustainability on the agenda as a strategic component of its national development strategy. Still, understanding how a full-scale sustainable food system can be achieved in practice and the drivers of such a transition remain unclear. In this study, we first empirically explore these drivers, their interdependencies and how these affect the Swedish food system’s progress towards its sustainability objectives. Then, we assess which scenarios for the future food system in Sweden perform better with regard to sustainability considerations. For the first objective, we utilised the DEMATEL technique to identify and quantify the cause-and-effect relationships among these drivers. The results showed that revenue and the use of toxic materials are key drivers for food systems’ sustainability in Sweden, suggesting a path for system improvement focus areas in the future. For the second objective, we applied TOPSIS as a decision-making method for assessing the sustainability of four different future scenarios for the Swedish food system. The outcomes suggest that food tech is the most sustainable scenario among the ones considered. The findings of this study will collectively aid in promoting sustainable consumption, encouraging a shift towards a more sustainable agrifood system in Sweden, a leading nation in sustainability efforts. 

Background: There is a concern that pesticide residues, regularly detected in foods, might pose a health risk to the consumer, but epidemiological evidence is limited. We assessed the associations between dietary exposure to a mixture of pesticide residues and mortality. Methods: Food consumption was assessed in 68,844 participants from the Swedish Mammography Cohort and the Cohort of Swedish Men, 45–83 years at baseline (1997). Concentrations of pesticide residues detected in foods on the Swedish market (1996–1998), mainly fruits and vegetables, were obtained via monitoring programs. To assess mixture effects, we summed per food item the ratios of each single pesticide mean residue concentration divided by its acceptable daily intake to create for each participant a Dietary Pesticide Hazard Index (adjusted for energy intake and expressed per kilogram of body weight). Multivariable-adjusted Cox proportional hazards models were used to estimate hazard ratios (HR) and 95 % confidence intervals (95 %CI). Results: During 15 years of follow-up (1998–2014), a total of 16,527 deaths occurred, of which 6,238 were caused by cardiovascular disease (CVD) and 5,364 by cancer. Comparing extreme quintiles of Dietary Pesticide Hazard Index, the highest category was inversely associated with CVD mortality HR, 0.82 (95 % CI, 0.75–0.90) and with cancer mortality HR 0.82 (95 % CI 0.75–0.91). In analyses stratified by high/low Dietary Pesticide Hazard Index, similar inverse associations were observed by increasing fruit and vegetable consumption. Conclusions: We observed no indications that dietary exposure to pesticide residue mixtures was associated with increased mortality, nor any clear indications that the benefits of fruit and vegetable consumption on mortality was compromised. Yet, our results need to be interpreted with caution. © 2023 The Author(s)

The environmental impact of Swedish diets was assessed for six indicators (greenhouse gas [GHG] emissions, cropland use, nitrogen application, phosphorus application, consumptive water use and extinction rate), using self-reported food intake within two population-based cohorts of men and women, 56–96 years of age. The dietary environmental impact was assessed in relation to per capita planetary boundaries, overall and by population subgroups, addressing the relative importance of specific foods and food groups. The total average dietary impact exceeded the planetary boundaries by 1.6 to 4-fold for five of the six environmental indicators; consumptive water use did not exceed the boundaries. Comparing the highest with lowest quintiles of the population impact showed >2.5-fold differences across all environmental indicators. Of the diet's total average environmental impact, animal-based, plant-based and discretionary foods accounted for 28–83%, 8–40% and 9–37%, respectively, across the six indicators. Animal-based foods dominated the impact on GHG emissions, cropland use and nitrogen and phosphorus application, while plant-based and discretionary foods contributed more to consumptive water use and extinction rate. Environmental impact was driven predominantly by consumption of red meat, dairy, fresh fruit and coffee. The findings show major challenges in affluent countries that have to be addressed to achieving sustainable food production systems and diets. They provide guidance on critical food groups, environmental indicators and population subgroups to prioritize in future efforts to reduce the environmental impact. © 2022 The Authors

Beef and lamb meat production is associated with important cultural, economic and environmental impacts in most countries worldwide. However, it is also related with sustainability challenges. To enable cattle and sheep farming to develop in line with sustainability, existing knowledge need to be implemented and identified knowledge gaps filled. The purpose of this article was to systematically map the scientific literature on environmental, economic and social sustainability at farm-level beef and lamb meat production to identify knowledge gaps and to point to important future actions and areas of research. Papers published January 2000–August 2020 with a geographical origin in Europe, Northern America, and Australia-New Zealand were included. The systematic literature search resulted in a total of 1355 hits; however, after removing papers which were considered out of the scope of the study, and duplicate papers, only 22 and 11 papers related to beef and sheep farming, respectively were retained for further analysis. Of these, only 11 in total included all three sustainability dimensions. Several papers only mentioned one or two of the sustainability dimensions or put them in relation to that/those main dimension covered, thus limiting the extent to which possible synergies or tradeoffs between different sustainability aspects actually can be studied. This indicates a need for a more comprehensive approach when studying farm-level sustainability. Future research would benefit from a more holistic approach and include all dimensions of sustainability within the same study. Further, focus should also be on how to measure and assess sustainability aspects in a standardized way. © 2021 by the authors.

Dietary climate impact in a Swedish population (56–95 years old) was estimated based on self-reported food intake from 50 000 men and women within two population-based cohorts and on climate data, covering emissions from farm to fork, for 600 foods representative for the Swedish market. Aims were to assess variation in dietary climate impact between population groups and between food categories. Mean dietary climate impact was 2.0 tons of CO2e/person/year, with about a threefold variation between high and low impact individuals. Food loss and waste accounted for 18%. Older individuals and women on average had lower total dietary climate impact per year, while differences between gender were smaller per 1000 kcal. Climate impact was greatly affected by dietary composition and especially by the content of animal-based and discretionary foods, responsible for 71% and 12% of total climate impact, respectively. Results indicate a large potential for reduced climate impact by adopting realistic dietary patterns. Suggested strategies to reach climate goals include reduction of red meat and prioritising lower impact foods within meat, dairy and seafood categories, limited consumption of discretionary foods and decreased over-consumption of total calories, combined with improvements in production including reduction of food loss and waste.

Dietary climate impact in a Swedish population (56–95 years old) was estimated based on self-reported food intake from 50 000 men and women within two population-based cohorts and on climate data, covering emissions from farm to fork, for 600 foods representative for the Swedish market. Aims were to assess variation in dietary climate impact between population groups and between food categories. Mean dietary climate impact was 2.0 tons of CO2e/person/year, with about a threefold variation between high and low impact individuals. Food loss and waste accounted for 18%. Older individuals and women on average had lower total dietary climate impact per year, while differences between gender were smaller per 1000 kcal. Climate impact was greatly affected by dietary composition and especially by the content of animal-based and discretionary foods, responsible for 71% and 12% of total climate impact, respectively. Results indicate a large potential for reduced climate impact by adopting realistic dietary patterns. Suggested strategies to reach climate goals include reduction of red meat and prioritising lower impact foods within meat, dairy and seafood categories, limited consumption of discretionary foods and decreased over-consumption of total calories, combined with improvements in production including reduction of food loss and waste.

BACKGROUND: Diets combining adequate nutritional quality and low climate impact are highly needed for human and planet health. OBJECTIVES: We aimed to 1) evaluate nutrient density indexes' ability to predict mortality, and 2) assess the effects of diets varying in nutrient density and climate impact on total mortality. METHODS: Dietary data from 49,124 women and 47,651 men aged 35-65 y in the population-based prospective study Västerbotten Intervention Programme (Sweden) were used. Greenhouse gas emissions (GHGEs) were estimated using data from life cycle assessments. Fifteen variants of nutrient density indexes were evaluated and the index that best predicted mortality was used to estimate participants' nutrient density. GHGEs and nutrient density were adjusted for energy intakes. Total mortality risk was estimated by Cox proportional hazards models for 4 groups of women and men, respectively, i.e., higher nutrient density, lower climate impact (HNutr/LClim); higher nutrient density, higher climate impact (HNutr/HClim); lower nutrient density, lower climate impact (LNutr/LClim); and lower nutrient density, higher climate impact (LNutr/HClim-reference group). RESULTS: NRF11.3, a Sweden-adapted variant of the Nutrient Rich Foods index, was identified to have the best ability to predict mortality in the study population. Median follow-up times for women and men were 16.0 and 14.7 y, respectively. For women a significantly lower mortality risk was found for HNutr/LClim (HR: 0.87; 95% CI: 0.79, 0.96; P = 0.008) and HNutr/HClim (HR: 0.87; 95% CI: 0.78, 0.97; P = 0.011) than for LNutr/HClim. Among men LNutr/LClim had a significantly higher mortality risk (HR: 1.10; 95% CI: 1.01, 1.21; P = 0.033) than LNutr/HClim. CONCLUSIONS: Diets beneficial for both health and climate are feasible and associated with lower mortality risk in women. Further studies are needed to understand how men may transition into diets that are more sustainable from a combined health and climate perspective.

New methods for combined evaluation of nutritional and environmental aspects of food products are needed to enable a transformation of dietary guidelines integrating both health and environmental perspectives. We evaluated two sustainability aspects; nutrition and climate im-pact, of foods commonly consumed in Sweden and the implications of using parallel or integrated assessments of these two aspects, also discussing the usability and suitability of these food sustain-ability indicators in relation to Swedish dietary guidelines, industry food product development, and consumer communication. There were large differences in both nutrient density and climate impact among the different foods. The parallel assessment easily visualized synergies and trade-offs between these two sustainability aspects for the different foods. Coherence with dietary guidelines was good, and suitability and usability deemed satisfying. The integrated indicator showed better coherence with dietary guidelines than indicators based solely on nutrient density or climate impact; however, the difficulty to interpret the score limits its usability in product development and consumer communication. With both methods, advantageous as well as less advantageous plant-based and animal-based food alternatives were suggested. The two alternative methods evaluated could serve as useful tools to drive individual and societal development towards more sustainable food production and consumption. © 2021 by the authors.

We systematically mapped the scientific literature on the sustainability of pig production at farm-level. Sustainability was considered holistically, covering its economic, environmental, and social dimensions, each consisting of a broad range of different aspects that may contradict or reinforce each other. Literature published between January 2000 and March 2020 with a geographical focus on Europe, North America, Australia, and New Zealand was included. A standard template with predefined keywords was used to summarise aspects of each sustainability dimension covered in identified papers. We found that papers analysing environmental sustainability were more frequent than papers analysing economic or social sustainability. However, there are many different aspects within each dimension of sustainability, hampering comparisons between studies. In addition, each dimension of sustainability has many sides, making it difficult to compare different studies, and different dimensions and aspects may have complex interrelations. Our systematic literature review revealed that these interrelations are not well understood and that possible trade-offs or synergies between different aspects of sustainability dimensions remain unidentified. This systematic mapping of the current literature on farm-level sustainability in pig production can support a more informed discussion on knowledge gaps and help prioritise future research at farm-level to enhance sustainability in pig production. © 2020 by the authors.