Development, implementation, and evaluation of a Planetary Health menu in a Canadian hospital: an experimental study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Development, implementation, and evaluation of a Planetary Health menu in a Canadian hospital: an experimental study.
Συγγραφείς: Lalande A; Institute for Resources, Environment and Sustainability, University of British Columbia, Vancouver, BC, Canada; Department of Surgery, University of British Columbia, Vancouver, BC, Canada., Eppler E; Vancouver Coastal Health, Vancouver, BC, Canada., Chiang T; Vancouver Coastal Health, Vancouver, BC, Canada., Pow L; Vancouver Coastal Health, Vancouver, BC, Canada., Deng Y; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada., Gadhari N; Vancouver Coastal Health, Vancouver, BC, Canada., Zhao J; Institute for Resources, Environment and Sustainability, University of British Columbia, Vancouver, BC, Canada; Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada., MacNeill AJ; Department of Surgery, University of British Columbia, Vancouver, BC, Canada; Vancouver Coastal Health, Vancouver, BC, Canada. Electronic address: Andrea.macneill@ubc.ca.
Πηγή: The Lancet. Planetary health [Lancet Planet Health] 2026 Aug; Vol. 10 (8), pp. 101483. Date of Electronic Publication: 2026 Aug 26.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101704339 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2542-5196 (Electronic) Linking ISSN: 25425196 NLM ISO Abbreviation: Lancet Planet Health Subsets: MEDLINE
Imprint Name(s): Original Publication: [Amsterdam] : Elsevier B.V., [2017]-
Ιατρικοί όροι (MeSH): Food Service, Hospital* , Menu Planning*, Humans ; Canada ; Food Loss and Waste ; Diet, Plant-Based ; Patient Satisfaction ; Greenhouse Gases
Περίληψη: Background: Widespread adoption of plant-rich diets, such as the EAT-Lancet Planetary Health Diet (PHD), could mitigate climate change while providing health and societal benefits. In this study, we develop and implement a plant-rich menu for hospital inpatients, meeting the nutritional needs and constraints of an acute care setting, and we evaluate this menu's acceptability to patients.
Methods: A Planetary Health (PH) menu was created by replacing greenhouse gas emission-intensive dishes with novel, low-emission dishes at lunch and dinner times. The PH menu was compared with the original hospital menu based on protein characteristics, nutritional adequacy, alignment with the PHD, and environmental impacts. The PH menu was then offered hospital-wide, and its acceptability was evaluated based on service frequency, patient satisfaction, and food waste.
Findings: 18 novel dishes were integrated into a PH menu that was nutritionally adequate and more culturally diverse than the original menu. The proportion of lunch and dinner offerings containing exclusively plant-sourced foods increased from zero in the original menu to 11 (39%) of 28 dishes. The PH menu was associated with 39% lower greenhouse gas emissions (mean, from 4·82 kg CO2 equivalent to 2·93 kg CO2 equivalent) and a 51% reduction in land use (mean, from 10·42 m2 to 5·19 m2). The PH menu improved the alignment with the PHD by 32% (score, from 61·2 points to 81·0 points). On average, novel dishes were served to 443 (SD 66, 67%) of 661 hospitalised patients, with 84% of patients reporting moderate to high satisfaction. Waste rates for fish, soy, and pulses used in novel dishes were significantly lower than those used in original dishes containing these proteins.
Interpretation: Plant-rich diets can be adapted to an inpatient health-care setting to meet patient preferences and nutritional requirements while achieving considerable environmental benefits.
Funding: Vancouver Coastal Health Research Institute grant.
(Copyright © 2026 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Competing Interests: Declaration of interests AL received PhD funding from the Canadian Institute for Health Research (Doctorate Scholarship), Killam, and the University of British Columbia Clinician Investigator Program and received support to attend conferences from the Canadian Nutrition Society and Nourish Leadership. TC received operational funds (implementation) from Vancouver Coastal Health and the VGH & UBC Hospital Foundation–Boehringer Ingelheim partnership. AJM received operational funds (research) for this project from the Vancouver Coastal Health Research Institute. EE, LP, YD, NG, and JZ declare no competing interests.
Substance Nomenclature: 0 (Food Loss and Waste)
0 (Greenhouse Gases)
Entry Date(s): Date Created: 20260826 Date Completed: 20260930 Latest Revision: 20260930
Update Code: 20261001
DOI: 10.1016/j.lanplh.2026.101483
PMID: 42648298
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:2542-5196
DOI:10.1016/j.lanplh.2026.101483