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Food intake and MD adherence were determined using validated questionnaires. The environmental impact was evaluated with the EAT-Lancet Commission tables, and the link between MD adherence and environmental impact was calculated using adjusted multivariate linear regression models.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Higher adherence (high vs. low) to the MD was associated with lower environmental impact in terms of land use (7.8 vs. 8.5 m<jats:sup>2<\/jats:sup>, p\u2009=\u20090.002), potential acidification (57.8 vs. 62.4\u00a0g SO2-eq, p\u2009=\u20090.001) and eutrophication (21.7 vs. 23.5\u00a0g PO4-eq, p\u2009&lt;\u20090.001). Energy use decreased only in the calorie-adjusted model (9689.5 vs. 10,265.9\u00a0kJ, p\u2009&lt;\u20090.001), and GHG emissions were reduced only in a complementary model where fish consumption was eliminated (3035.3 vs. 3281.2\u00a0g CO2-eq, p\u2009&lt;\u20090.001). Meat products had the greatest environmental impact for all five environmental factors analysed: 35.7% in GHG emissions, 60.9% in energy use, 72.8% in land use, 70% in acidification and 61.8% in eutrophication.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Higher adherence to the MD is associated with lower environmental impact, particularly in terms of acidification, eutrophication, and land use. Reducing meat consumption can contribute to greater environmental sustainability.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00394-024-03396-w","type":"journal-article","created":{"date-parts":[[2024,5,19]],"date-time":"2024-05-19T16:01:21Z","timestamp":1716134481000},"page":"2307-2315","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Environmental impact of the diet of young Portuguese and its relationship with adherence to the Mediterranean Diet"],"prefix":"10.1007","volume":"63","author":[{"given":"Laura","family":"\u00c1lvarez-\u00c1lvarez","sequence":"first","affiliation":[]},{"given":"Facundo","family":"Vitelli-Storelli","sequence":"additional","affiliation":[]},{"given":"Mar\u00eda","family":"Rub\u00edn-Garc\u00eda","sequence":"additional","affiliation":[]},{"given":"Vicente","family":"Mart\u00edn-S\u00e1nchez","sequence":"additional","affiliation":[]},{"given":"Camino","family":"Garc\u00eda Fern\u00e1ndez","sequence":"additional","affiliation":[]},{"given":"Catarina","family":"Carvalho","sequence":"additional","affiliation":[]},{"given":"Joana","family":"Ara\u00fajo","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7146-3457","authenticated-orcid":false,"given":"Elisabete","family":"Ramos","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2024,5,19]]},"reference":[{"key":"3396_CR1","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1177\/1403494818785056","volume":"47","author":"HB Bj\u00f8rnar\u00e5","year":"2019","unstructured":"Bj\u00f8rnar\u00e5 HB, Torstveit MK, Bere E (2019) Healthy and sustainable diet and physical activity: the rationale for and experiences from developing a combined summary score. 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