{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:13:39Z","timestamp":1791947619936,"version":"4.3.4"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T00:00:00Z","timestamp":1739577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T00:00:00Z","timestamp":1739577600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"RISE Research Institutes of Sweden"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Nutr"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>The risk of inadequate micronutrient intake is a concern of low-climate impact diets. This study analyzes the prevalence of iron deficiency (ID) among adolescents with varying dietary climate impact, with special reference to different types and dietary sources of iron.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Data on dietary intake (<jats:italic>n<\/jats:italic>\u2009=\u20093099) and plasma ferritin (<jats:italic>n<\/jats:italic>\u2009=\u20091030) were from Riksmaten Adolescents 2016\u20132017 survey of Swedish girls and boys aged 11\u201318 years. Dietary climate impact was estimated with life cycle assessment data. Linear and logistic regression models assessed associations between dietary climate impact, intakes of iron and food groups, and ID.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Higher total iron and heme, but not non-heme, iron intake, was linearly associated with higher dietary climate impact. Compared to girls, boys had higher climate impact and low prevalence of ID. Girls in the highest climate impact quartile had 56% lower odds of ID (OR 0.44, 95% CI 0.24\u20130.81) compared to the lowest quartile, whereas no association was found in boys. Lower intake of red meat and heme iron was associated with ID in girls, while higher intake of dairy was associated with ID in boys. Menstruating girls and adolescents born outside of Sweden were identified risk groups for ID.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Girls with a more climate-friendly diet and lower intake of red meat\/heme iron may be at higher risk of ID compared to girls with higher dietary climate impact. These results highlight the importance of considering risk groups of ID, such as menstruating girls, in the transition to more plant-based diets with lower climate impact.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00394-024-03572-y","type":"journal-article","created":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T12:28:20Z","timestamp":1739622500000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Iron intake and iron status of Swedish adolescents with diets of varying climate impact"],"prefix":"10.1007","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0522-3591","authenticated-orcid":false,"given":"Elinor","family":"Hallstr\u00f6m","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0099-969X","authenticated-orcid":false,"given":"Josefin Edwall","family":"L\u00f6fvenborg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5479-4948","authenticated-orcid":false,"given":"Lotta","family":"Moreaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8424-2864","authenticated-orcid":false,"given":"Agneta","family":"Sj\u00f6berg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9122-7240","authenticated-orcid":false,"given":"Anna","family":"Winkvist","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4748-4300","authenticated-orcid":false,"given":"Anna Karin","family":"Lindroos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,15]]},"reference":[{"key":"3572_CR1","doi-asserted-by":"publisher","first-page":"133949","DOI":"10.1016\/j.jclepro.2022.133949","volume":"373","author":"E Hallstr\u00f6m","year":"2022","unstructured":"Hallstr\u00f6m E, Davis J, H\u00e5kansson N, Ahlgren S, \u00c5kesson A, Wolk A et al (2022) Dietary environmental impacts relative to planetary boundaries for six environmental indicators\u2013A population-based study. J Clean Prod 373:133949","journal-title":"J Clean Prod"},{"key":"3572_CR2","doi-asserted-by":"publisher","first-page":"1407","DOI":"10.3390\/su12041407","volume":"12","author":"E Moberg","year":"2020","unstructured":"Moberg E, Karlsson Potter H, Wood A, Hansson PA, R\u00f6\u00f6s E (2020) Benchmarking the Swedish Diet relative to global and national environmental targets\u2014identification of Indicator limitations and data gaps. Sustainability 12:1407","journal-title":"Sustainability"},{"key":"3572_CR3","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1093\/eurpub\/ckad160.343","volume":"33","author":"A Knudsen","year":"2023","unstructured":"Knudsen A, Clarsen B, Blomhoff R, Baravelli C (2023) The burden of dietary risk factors in the nordic and baltic countries. Eur J Publ Health 33:160\u2013343","journal-title":"Eur J Publ Health"},{"key":"3572_CR4","doi-asserted-by":"publisher","first-page":"123014","DOI":"10.1088\/1748-9326\/abc2f7","volume":"15","author":"S Jarmul","year":"2020","unstructured":"Jarmul S, Dangour AD, Green R, Liew Z, Haines A, Scheelbeek PF (2020) Climate change mitigation through dietary change: a systematic review of empirical and modelling studies on the environmental footprints and health effects of \u2018sustainable diets\u2019. Environ Res Lett 15:123014","journal-title":"Environ Res Lett"},{"key":"3572_CR5","doi-asserted-by":"publisher","first-page":"2654","DOI":"10.1017\/S1368980016000495","volume":"19","author":"CL Payne","year":"2016","unstructured":"Payne CL, Scarborough P, Cobiac L (2016) Do low-carbon-emission diets lead to higher nutritional quality and positive health outcomes? A systematic review of the literature. Publ Health Nutr 19:2654\u20132661","journal-title":"Publ Health Nutr"},{"key":"3572_CR6","doi-asserted-by":"publisher","DOI":"10.6027\/nord2023-003","volume-title":"Nordic Nutrition recommendations 2023","author":"R Blomhoff","year":"2023","unstructured":"Blomhoff R, Andersen R, Arnesen EK, Christensen JJ, Eneroth H, Erkkola M et al (2023) Nordic Nutrition recommendations 2023. Nordic Council of Ministers, Copenhagen"},{"key":"3572_CR7","doi-asserted-by":"publisher","first-page":"e233","DOI":"10.1016\/S2542-5196(23)00006-2","volume":"7","author":"T Beal","year":"2023","unstructured":"Beal T, Ortenzi F, Fanzo J (2023) Estimated micronutrient shortfalls of the EAT\u2013Lancet planetary health diet. Lancet Planet Health 7:e233\u2013e7","journal-title":"Lancet Planet Health"},{"key":"3572_CR8","doi-asserted-by":"publisher","first-page":"10451","DOI":"10.29219\/fnr.v68.10451","volume":"68","author":"M Domell\u00f6f","year":"2024","unstructured":"Domell\u00f6f M, Sj\u00f6berg A (2024) Iron - a background article for the Nordic Nutrition recommendations 2023. Food Nutr Res 68:10451","journal-title":"Food Nutr Res"},{"key":"3572_CR9","volume-title":"Accelerating anaemia reduction: a comprehensive framework for action","author":"WHO","year":"2023","unstructured":"WHO (2023) Accelerating anaemia reduction: a comprehensive framework for action. World Health Organization, Geneva"},{"key":"3572_CR10","volume-title":"WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations","author":"WHO","year":"2020","unstructured":"WHO (2020) WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. World Health Organization, Geneva"},{"key":"3572_CR11","doi-asserted-by":"crossref","unstructured":"Gau G, Li J, Zhang YZ (2019) Cellular iron metabolism and regulation. Brain iron metab CNS dis.21\u201332","DOI":"10.1007\/978-981-13-9589-5_2"},{"key":"3572_CR12","doi-asserted-by":"publisher","first-page":"20441","DOI":"10.1021\/acsomega.2c01833","volume":"7","author":"E Piskin","year":"2022","unstructured":"Piskin E, Cianciosi D, Gulec S, Tomas M, Capanoglu E (2022) Iron absorption: factors, limitations, and improvement methods. ACS Omega 7:20441\u201320456","journal-title":"ACS Omega"},{"key":"3572_CR13","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1016\/j.ajcnut.2024.01.014","volume":"119","author":"UM Leonard","year":"2024","unstructured":"Leonard UM, Leydon CL, Arranz E, Kiely ME (2024) Impact of consuming an environmentally protective diet on micronutrients: a systematic literature review. Am J Clin Nutr 119:927\u2013948","journal-title":"Am J Clin Nutr"},{"key":"3572_CR14","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1111\/anae.15405","volume":"76","author":"C Benson","year":"2021","unstructured":"Benson C, Shah A, Stanworth S, Frise C, Spiby H, Lax S et al (2021) The effect of iron deficiency and anaemia on women\u2019s health. Anaesthesia 76:84\u201395","journal-title":"Anaesthesia"},{"key":"3572_CR15","unstructured":"Warensj\u00f6 Lemming E, Moraeus L, Petrelius Sipinen J, Lindroos AK (2018) S\u00e5 \u00e4ter ungdomar i sverige. N\u00e4ringsintag och n\u00e4ringsstatus bland ungdomar i \u00e5k 5, \u00e5k 8 och \u00e5k 2 p\u00e5 gymnaiet. Swedish Food Agency. Report No 23"},{"key":"3572_CR16","doi-asserted-by":"publisher","first-page":"956965","DOI":"10.1016\/j.ajcnut.2023.09.001","volume":"118","author":"AK Lindroos","year":"2023","unstructured":"Lindroos AK, Hallstr\u00f6m E, Moraeus L, Strid A, Winkvist A (2023) Dietary Greenhouse Gas emissions and Diet Quality in a cross-sectional study of Swedish adolescents. Am J Clin Nutr 118:956965","journal-title":"Am J Clin Nutr"},{"key":"3572_CR17","doi-asserted-by":"crossref","unstructured":"Moraeus L, Lemming EW, Hursti UKK, Arnemo M, Sipinen JP, Lindroos AK (2018) Riksmaten adolescents 2016\u201317: a national dietary survey in Sweden\u2013design, methods, and participation. Food Nutr Res 62","DOI":"10.29219\/fnr.v62.1381"},{"key":"3572_CR18","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1038\/ejcn.2010.279","volume":"65","author":"M Ferrari","year":"2011","unstructured":"Ferrari M, Mistura L, Patterson E, Sj\u00f6str\u00f6m M, Diaz LE, Gonzalez-Gross M et al (2011) Evaluation of iron status in European adolescents through biochemical iron indicators: the HELENA Study. Eur J Clin Nutr 65:340\u2013349","journal-title":"Eur J Clin Nutr"},{"key":"3572_CR19","doi-asserted-by":"publisher","first-page":"e12572","DOI":"10.2196\/12572","volume":"21","author":"AK Lindroos","year":"2019","unstructured":"Lindroos AK, Petrelius Sipinen J, Axelsson C, Nyberg G, Landberg R, Leanderson P et al (2019) Use of a web-based dietary assessment tool (RiksmatenFlex) in Swedish adolescents: comparison and validation study. J Med Internet Res 21:e12572","journal-title":"J Med Internet Res"},{"key":"3572_CR20","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1158\/1055-9965.EPI-05-0772","volume":"15","author":"HF Balder","year":"2006","unstructured":"Balder HF, Vogel J, Jansen MC, Weijenberg MP, van den Brandt PA, Westenbrink S et al (2006) Heme and chlorophyll intake and risk of colorectal cancer in the Netherlands cohort study. Cancer Epidemiol Biomark Prev 15:717\u2013725","journal-title":"Cancer Epidemiol Biomark Prev"},{"key":"3572_CR21","unstructured":"NEVO (2013) The dutch food composition database NEVO 2013\/4.0. Bilthoven, The Netherlands"},{"key":"3572_CR22","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1006\/jfca.2002.1080","volume":"15","author":"R Kongkachuichai","year":"2002","unstructured":"Kongkachuichai R, Napatthalung P, Charoensiri R (2002) Heme and nonheme iron content of animal products commonly consumed in Thailand. J Food Compos Anal 15:389\u2013398","journal-title":"J Food Compos Anal"},{"key":"3572_CR23","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1093\/ajcn\/53.1.112","volume":"53","author":"L Hallberg","year":"1991","unstructured":"Hallberg L, Brune M, Erlandsson M, Sandberg A-S, Rossander-Hulten L (1991) Calcium: effect of different amounts on nonheme-and heme-iron absorption in humans. Am J Clin Nutr 53:112\u2013119","journal-title":"Am J Clin Nutr"},{"key":"3572_CR24","volume-title":"Serum ferritin concentrations for the assessment of iron status in individuals and populations: technical brief","author":"WHO","year":"2020","unstructured":"WHO (2020) Serum ferritin concentrations for the assessment of iron status in individuals and populations: technical brief. World Health Organization, Geneva"},{"key":"3572_CR25","volume-title":"RISE climate food database 2.03","author":"Research Insitutes of Sweden","year":"2022","unstructured":"Research Insitutes of Sweden (2022) RISE climate food database 2.03. Gothenburg, Sweden"},{"key":"3572_CR26","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1111\/j.2047-6310.2012.00064.x","volume":"7","author":"TJ Cole","year":"2012","unstructured":"Cole TJ, Lobstein T (2012) Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr obes 7:284\u2013294","journal-title":"Pediatr obes"},{"key":"3572_CR27","doi-asserted-by":"publisher","first-page":"S87","DOI":"10.1038\/ejcn.2011.92","volume":"65","author":"U Harttig","year":"2011","unstructured":"Harttig U, Haubrock J, Kn\u00fcppel S, Boeing H (2011) The MSM program: web-based statistics package for estimating usual dietary intake using the multiple source method. Eur J Clin Nutr 65:S87\u2013S91","journal-title":"Eur J Clin Nutr"},{"key":"3572_CR28","doi-asserted-by":"crossref","unstructured":"Haubrock J, N\u00f6thlings U, Volatier J-L, Dekkers A, Ock\u00e9 M, Hartig U et al (2011) Estimating Usual Food Intake distributions by using the multiple source method in the EPIC-Potsdam calibration Study1\u20133. J Nutr141:914\u2013\u200920","DOI":"10.3945\/jn.109.120394"},{"key":"3572_CR29","doi-asserted-by":"publisher","first-page":"2842","DOI":"10.1111\/apa.16016","volume":"110","author":"N Stabell","year":"2021","unstructured":"Stabell N, Averina M, Fl\u00e6gstad T (2021) Chronic iron deficiency and anaemia were highly prevalent in a population-based longitudinal study among adolescent girls. Acta Paediatr 110:2842\u20132849","journal-title":"Acta Paediatr"},{"key":"3572_CR30","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1007\/s00394-021-02729-3","volume":"61","author":"T Pellinen","year":"2022","unstructured":"Pellinen T, P\u00e4iv\u00e4rinta E, Isotalo J, Lehtovirta M, Itkonen S, Korkalo L et al (2022) Replacing dietary animal-source proteins with plant-source proteins changes dietary intake and status of vitamins and minerals in healthy adults: a 12-week randomized controlled trial. Eur J Nutr 61:1391\u20131404","journal-title":"Eur J Nutr"},{"key":"3572_CR31","doi-asserted-by":"publisher","first-page":"1359","DOI":"10.1080\/10408398.2016.1259210","volume":"58","author":"LM Haider","year":"2018","unstructured":"Haider LM, Schwingshackl L, Hoffmann G, Ekmekcioglu C (2018) The effect of vegetarian diets on iron status in adults: a systematic review and meta-analysis. Crit Rev Food Sci Nutr 58:1359\u20131374","journal-title":"Crit Rev Food Sci Nutr"},{"key":"3572_CR32","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1038\/ejcn.2013.100","volume":"67","author":"S Vandevijvere","year":"2013","unstructured":"Vandevijvere S, Michels N, Verstraete S, Ferrari M, Leclercq C, Cuenca-Garcia M et al (2013) Intake and dietary sources of haem and non-haem iron among European adolescents and their association with iron status and different lifestyle and socio-economic factors. Eur J Clin Nutr 67:765\u2013772","journal-title":"Eur J Clin Nutr"},{"key":"3572_CR33","doi-asserted-by":"publisher","first-page":"652","DOI":"10.3945\/an.117.015941","volume":"8","author":"A H\u00f6rnell","year":"2017","unstructured":"H\u00f6rnell A, Berg C, Forsum E, Larsson C, Sonestedt E, \u00c5kesson A et al (2017) Perspective: an extension of the STROBE Statement for Observational studies in Nutritional Epidemiology (STROBE-nut): explanation and elaboration. Adv Nutr 8:652\u2013678","journal-title":"Adv Nutr"},{"key":"3572_CR34","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.jclepro.2016.06.071","volume":"140","author":"B Notarnicola","year":"2017","unstructured":"Notarnicola B, Sala S, Anton A, McLaren SJ, Saouter E, Sonesson U (2017) The role of life cycle assessment in supporting sustainable agri-food systems: a review of the challenges. J Clean Prod 140:399\u2013409","journal-title":"J Clean Prod"}],"container-title":["European Journal of Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00394-024-03572-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00394-024-03572-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00394-024-03572-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T17:18:37Z","timestamp":1742231917000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00394-024-03572-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,15]]},"references-count":34,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["3572"],"URL":"https:\/\/doi.org\/10.1007\/s00394-024-03572-y","relation":{},"ISSN":["1436-6207","1436-6215"],"issn-type":[{"value":"1436-6207","type":"print"},{"value":"1436-6215","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,15]]},"assertion":[{"value":"19 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 February 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"93"}}