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PERSPECTIVES ON ANIMAL BIOSCIENCES (Open Access)

Nutritionism in a food policy context: the case of ‘animal protein’

Frédéric Leroy https://orcid.org/0000-0001-8682-9626 A * , Ty Beal B C , Pablo Gregorini D , Graham A. McAuliffe E and Stephan van Vliet F
+ Author Affiliations
- Author Affiliations

A Industrial Microbiology and Food Biotechnology (IMDO), Faculty of Sciences and Bioengineering Sciences, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium.

B Global Alliance for Improved Nutrition (GAIN), Washington, DC 20036, USA.

C Department of Environmental Science and Policy, University of California, Davis, CA 95616, USA.

D Department of Agricultural Sciences, Faculty of Agricultural and Life Sciences, Lincoln University, PO Box 85084, Lincoln 7647 Christchurch, New Zealand.

E Sustainable Agriculture Sciences, Rothamsted Research, North Wyke, Okehampton, EX20 2SB, UK.

F Department of Nutrition, Dietetics, and Food Sciences, Utah State University, Logan, UT 84322, USA.




Frédéric Leroy graduated as a Bioengineer (Ghent University, 1998) and obtained a PhD in Applied Biological Sciences at the Vrije Universiteit Brussel (VUB, 2002), Belgium, where he now holds a professorship in food science and (bio)technology. His research deals with the production, technology, microbiology, and nutritional aspects of various foods, with a particular focus on animal-source foods. He is also involved in interdisciplinary research and cultural food studies.



Ty Beal is a Research Advisor on the Knowledge Leadership team at the Global Alliance for Improved Nutrition (GAIN), where he generates evidence to guide programs and mobilise knowledge related to global nutrition and food systems. His research seeks to understand what people eat, why, how it impacts their health, and how to sustainably improve diets and human health. He holds a PhD from the University of California, Davis, where he was a National Science Foundation Graduate Research Fellow.



Pablo Gregorini is Professor of Livestock Production at Lincoln University, Director of the Lincoln University Pastoral Livestock Production Lab, and Head of the Lincoln University Centre of Excellence for Designing Future Productive Landscapes. Internationally, he chairs the International Scientific Advisory Committee for the Symposium of Nutrition of Herbivores, and serve in the International Scientific Committee for farm systems design. His research focus is on nutrition, foraging ecology and grazing management of ruminants in different grasslands and rangelands of the world, as well as how phytochemistry and culture once linked the palates of humans and herbivores with soil, plants and landscapes.



Graham A. McAuliffe is an Environmental Scientist with a background in Life Cycle Assessment (LCA) and Systems Thinking. His career focus to date has largely centred on methodological improvements to LCA, including the quantification of uncertainties and the consideration of foods’ nutritional composition and quality within the burgeoning field of nutritional LCA (or nLCA). His experience pertaining to nLCA, which is arguably still in its infancy, has resulted in being invited to consult on a number of national and international projects and ventures. Most recently, he was involved in an international report on nLCA commissioned by UNs’ FAO.



S. van Vliet is an Assistant Professor in the Center for Human Nutrition Studies at Utah State University. Dr Stephan van Vliet earned his PhD in Kinesiology as an ESPEN Fellow from the University of Illinois at Urbana-Champaign, and received training at Washington University in St Louis School of Medicine and Duke University School of Medicine. Dr van Vliet's research is performed at the nexus of agricultural and human health. He routinely collaborates with farmers, ecologists, and agricultural scientists to study critical linkages between agricultural production methods, the nutrient density of food, and human health.

* Correspondence to: frederic.leroy@vub.be

Handling Editor: James Hills

Animal Production Science 62(8) 712-720 https://doi.org/10.1071/AN21237
Submitted: 30 April 2021  Accepted: 10 December 2021   Published: 21 February 2022

© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Reductionist approaches to food focus on isolated nutritional criteria, ignoring the broader physiological and societal benefits and trade-offs involved. They can lead to the inadvertent or, potentially, intentional labelling of foods as good or bad. Both can be considered worrisome. Among our present-day array of issues is the disproportionate stigmatisation of animal-source foods as harmful for human and planetary health. The case for a protein transition reinforces this trend, overemphasising one particular nutritional constituent (even if an important one). In its strongest formulation, animal-source foods (reduced to the notion of ‘animal protein’) are represented as an intrinsically harmful food category that needs to be minimised, thereby falsely assuming that ‘proteins’ are nutritionally interchangeable. We caution against using the word ‘protein’ in food policy-making to describe a heterogenous set of foods. Rather, we suggest referring to said foods as ‘protein-rich foods’, while acknowledging the expanded pool of non-protein nutrients that they provide and their unique capabilities to support a much broader range of bodily functions. Several essential or otherwise beneficial nutrients are generally more bioavailable in animal-source foods than in plant-source foods. A similar complementarity exists in reverse. Nutritional and environmental metrics should be carefully interpreted, as considerable contextuality is involved. This needs to be undertaken, for instance, with respect to the biochemistry of food and in light of individual and genetically inherited human physiology. Also, the assessments of the environmental impact need a fine-grained approach, especially when examining a product at the system scale. Harms and benefits are multiple, multi-dimensional, and difficult to measure on the basis of the narrow sets of descriptive metrics that are often used (e.g. CO2-eq/kg). A more appropriate way forward would consist of combining and integrating the best of animal and plant solutions to reconnect with wholesome and nourishing diets that are rooted in undervalued benefits such as conviviality and shared traditions, thus steering away from a nutrient-centric dogma. Humans do not consume isolated nutrients, they consume foods, and they do so as part of culturally complex dietary patterns that, despite their complexity, need to be carefully considered in food policy making.

Keywords: dairy, eggs, livestock, meat, plant-based, poultry, vegan, vegetarian.


References

Bauer J, Biolo G, Cederholm T, Cesari M, Cruz-Jentoft AJ, Morley JE, Phillips S, Sieber C, Stehle P, Teta D, Visvanathan R, Volpi E, Boirie Y (2013) Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. Journal of the American Medical Directors Association 14, 542–559.
Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group.Crossref | GoogleScholarGoogle Scholar | 23867520PubMed |

Beal T, Massiot E, Arsenault JE, Smith MR, Hijmans RJ (2017) Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes. PLoS ONE 12, e0175554
Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes.Crossref | GoogleScholarGoogle Scholar | 28399168PubMed |

Beal T, White JM, Arsenault JE, Okronipa H, Hinnouho G-M, Murira Z, et al. (2021) Micronutrient gaps during the complementary feeding period in South Asia: a comprehensive nutrient gap assessment. Nutrition Reviews 79, 26–34.
Micronutrient gaps during the complementary feeding period in South Asia: a comprehensive nutrient gap assessment.Crossref | GoogleScholarGoogle Scholar | 33693912PubMed |

Binnie MA, Barlow K, Johnson V, Harrison C (2014) Red meats: time for a paradigm shift in dietary advice. Meat Science 98, 445–451.
Red meats: time for a paradigm shift in dietary advice.Crossref | GoogleScholarGoogle Scholar | 25041653PubMed |

Carstairs C (2014) ‘Our sickness record is a national disgrace’: Adelle Davis, nutritional determinism, and the anxious 1970s. Journal of the History of Medicine and Allied Sciences 69, 461–491.
‘Our sickness record is a national disgrace’: Adelle Davis, nutritional determinism, and the anxious 1970s.Crossref | GoogleScholarGoogle Scholar | 23011464PubMed |

Chung S, Chung M-Y, Choi H-K, Park JH, Hwang J-T, Joung H (2020) Animal protein intake is positively associated with metabolic syndrome risk factors in middle-aged Korean men. Nutrients 12, 3415
Animal protein intake is positively associated with metabolic syndrome risk factors in middle-aged Korean men.Crossref | GoogleScholarGoogle Scholar |

Collins J, Robinson C, Danhof H, Knetsch CW, van Leeuwen HC, Lawley TD, Auchtung JM, Britton RA (2018) Dietary trehalose enhances virulence of epidemic Clostridium difficile. Nature 553, 291–294.
Dietary trehalose enhances virulence of epidemic Clostridium difficile.Crossref | GoogleScholarGoogle Scholar | 29310122PubMed |

Costa de Miranda R, Rauber F, Levy RB (2021) Impact of ultra-processed food consumption on metabolic health. Current Opinion in Lipidology 32, 24–37.
Impact of ultra-processed food consumption on metabolic health.Crossref | GoogleScholarGoogle Scholar | 33315618PubMed |

Drewnowski A, Rehm CD, Martin A, Verger EO, Voinnesson M, Imbert P (2015) Energy and nutrient density of foods in relation to their carbon footprint. The American Journal of Clinical Nutrition 101, 184–191.
Energy and nutrient density of foods in relation to their carbon footprint.Crossref | GoogleScholarGoogle Scholar | 25527762PubMed |

Drewnowski A, Mognard E, Gupta S, Ismail MN, Karim NA, Tibère L, Laporte C, Alem Y, Khusun H, Februhartanty J, Anggraini R, Poulain J-P (2020) Socio-cultural and economic drivers of plant and animal protein consumption in Malaysia: the SCRiPT study. Nutrients 12, 1530
Socio-cultural and economic drivers of plant and animal protein consumption in Malaysia: the SCRiPT study.Crossref | GoogleScholarGoogle Scholar |

Eilert SJ (2020) The future of animal protein: feeding a hungry world. Animal Frontiers 10, 5–6.
The future of animal protein: feeding a hungry world.Crossref | GoogleScholarGoogle Scholar | 33150005PubMed |

Ertl P, Knaus W, Zollitsch W (2016) An approach to including protein quality when assessing the net contribution of livestock to human food supply. Animal 10, 1883–1889.
An approach to including protein quality when assessing the net contribution of livestock to human food supply.Crossref | GoogleScholarGoogle Scholar | 27160573PubMed |

Fardet A, Rock E (2020) Ultra-processed foods and food system sustainability: what are the links? Sustainability 12, 6280
Ultra-processed foods and food system sustainability: what are the links?Crossref | GoogleScholarGoogle Scholar |

Fenster TLD, LaCanne CE, Pecenka JR, Schmid RB, Bredeson MM, Busenitz KM, et al. (2021) Defining and validating regenerative farm systems using a composite of ranked agricultural practices [version 1; peer review: 2 approved]. Food1000Research 10, 115
Defining and validating regenerative farm systems using a composite of ranked agricultural practices [version 1; peer review: 2 approved].Crossref | GoogleScholarGoogle Scholar |

Fontana L, Partridge L (2015) Promoting health and longevity through diet: from model organisms to humans. Cell 161, 106–118.
Promoting health and longevity through diet: from model organisms to humans.Crossref | GoogleScholarGoogle Scholar | 25815989PubMed |

Gardner CD, Messina M, Kiazand A, Morris JL, Franke AA (2007) Effect of two types of soy milk and dairy milk on plasma lipids in hypercholesterolemic adults: a randomized trial. Journal of the American College of Nutrition 26, 669–677.
Effect of two types of soy milk and dairy milk on plasma lipids in hypercholesterolemic adults: a randomized trial.Crossref | GoogleScholarGoogle Scholar | 18187432PubMed |

Gershuni VM (2018) Saturated fat: part of a healthy diet. Current Nutrition Reports 7, 85–96.
Saturated fat: part of a healthy diet.Crossref | GoogleScholarGoogle Scholar | 30084105PubMed |

Gibson RS, Perlas L, Hotz C (2006) Improving the bioavailability of nutrients in plant foods at the household level. Proceedings of the Nutrition Society 65, 160–168.
Improving the bioavailability of nutrients in plant foods at the household level.Crossref | GoogleScholarGoogle Scholar |

Gibson RS, Raboy V, King JC (2018) Implications of phytate in plant-based foods for iron and zinc bioavailability, setting dietary requirements, and formulating programs and policies. Nutrition Reviews 76, 793–804.
Implications of phytate in plant-based foods for iron and zinc bioavailability, setting dietary requirements, and formulating programs and policies.Crossref | GoogleScholarGoogle Scholar | 30010865PubMed |

Gilani GS, Wu Xiao C, Cockell KA (2012) Impact of antinutritional factors in food proteins on the digestibility of protein and the bioavailability of amino acids and on protein quality. British Journal of Nutrition 108, S315–S332.
Impact of antinutritional factors in food proteins on the digestibility of protein and the bioavailability of amino acids and on protein quality.Crossref | GoogleScholarGoogle Scholar |

Gorissen SHM, Horstman AMH, Franssen R, Crombag JJR, Langer H, Bierau J, Respondek F, van Loon LJC (2016) Ingestion of wheat protein increases in vivo muscle protein synthesis rates in healthy older men in a randomized trial. The Journal of Nutrition 146, 1651–1659.
Ingestion of wheat protein increases in vivo muscle protein synthesis rates in healthy older men in a randomized trial.Crossref | GoogleScholarGoogle Scholar |

Groenendijk I, den Boeft L, van Loon LJC, de Groot LCPGM (2019) High versus low dietary protein intake and bone health in older adults: a systematic review and meta-analysis. Computational and Structural Biotechnology Journal 17, 1101–1112.
High versus low dietary protein intake and bone health in older adults: a systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar | 31462966PubMed |

Grundy SM (1994) Influence of stearic acid on cholesterol metabolism relative to other long-chain fatty acids. The American Journal of Clinical Nutrition 60, 986S–990S.
Influence of stearic acid on cholesterol metabolism relative to other long-chain fatty acids.Crossref | GoogleScholarGoogle Scholar | 7977157PubMed |

Hall KD, Ayuketah A, Brychta R, Cai H, Cassimatis T, Chen KY, et al. (2019) Ultra-processed diets cause excess calorie intake and weight gain: an inpatient randomized controlled trial of ad libitum food intake. Cell Metabolism 30, 67–77.e3.
Ultra-processed diets cause excess calorie intake and weight gain: an inpatient randomized controlled trial of ad libitum food intake.Crossref | GoogleScholarGoogle Scholar | 31105044PubMed |

Halmos EP, Mack A, Gibson PR (2019) Review article: emulsifiers in the food supply and implications for gastrointestinal disease. Alimentary Pharmacology & Therapeutics 49, 41–50.
Review article: emulsifiers in the food supply and implications for gastrointestinal disease.Crossref | GoogleScholarGoogle Scholar |

Hevia-Larraín V, Gualano B, Longobardi I, Gil S, Fernandes AL, Costa LAR, et al. (2021) High-protein plant-based diet versus a protein-matched omnivorous diet to support resistance training adaptations: a comparison between habitual vegans and omnivores. Sports Medicine 51, 1317–1330.
High-protein plant-based diet versus a protein-matched omnivorous diet to support resistance training adaptations: a comparison between habitual vegans and omnivores.Crossref | GoogleScholarGoogle Scholar | 33599941PubMed |

Horrocks CA, Dungait JAJ, Cardenas LM, Heal KV (2014) Does extensification lead to enhanced provision of ecosystems services from soils in UK agriculture? Land Use Policy 38, 123–128.
Does extensification lead to enhanced provision of ecosystems services from soils in UK agriculture?Crossref | GoogleScholarGoogle Scholar |

Hu FB, Otis BO, McCarthy G (2019) Can plant-based meat alternatives be part of a healthy and sustainable diet? JAMA 322, 1547–1548.
Can plant-based meat alternatives be part of a healthy and sustainable diet?Crossref | GoogleScholarGoogle Scholar | 31449288PubMed |

Huang J, Liao LM, Weinstein SJ, Sinha R, Graubard BI, Albanes D (2020) Association between plant and animal protein intake and overall and cause-specific mortality. JAMA Internal Medicine 180, 1173–1184.
Association between plant and animal protein intake and overall and cause-specific mortality.Crossref | GoogleScholarGoogle Scholar | 32658243PubMed |

Imai E, Tsubota-Utsugi M, Kikuya M, Satoh M, Inoue R, Hosaka M, Metoki H, Fukushima N, Kurimoto A, Hirose T, Asayama K, Imai Y, Ohkubo T (2014) Animal protein intake is associated with higher-level functional capacity in elderly adults: the Ohasama study. Journal of the American Geriatrics Society 62, 426–434.
Animal protein intake is associated with higher-level functional capacity in elderly adults: the Ohasama study.Crossref | GoogleScholarGoogle Scholar | 24576149PubMed |

Institute of Medicine (2002) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. (The National Academies of Sciences, Engineering, and Medicine). Available at https://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=s10490

Jacobs DR, Orlich MJ (2014) Diet pattern and longevity: do simple rules suffice? A commentary. The American Journal of Clinical Nutrition 100, 313S–319S.
Diet pattern and longevity: do simple rules suffice? A commentary.Crossref | GoogleScholarGoogle Scholar | 24871470PubMed |

Kraak VI (2021) Perspective: Unpacking the wicked challenges for alternative proteins in the United States: can highly processed plant-based and cell-cultured food and beverage products support healthy and sustainable diets and food systems? Advances in Nutrition nmab113
Perspective: Unpacking the wicked challenges for alternative proteins in the United States: can highly processed plant-based and cell-cultured food and beverage products support healthy and sustainable diets and food systems?Crossref | GoogleScholarGoogle Scholar |

Kremen C, Miles A (2012) Ecosystem services in biologically diversified versus conventional farming systems: benefits, externalities, and trade-offs. Ecology and Society 17, 40
Ecosystem services in biologically diversified versus conventional farming systems: benefits, externalities, and trade-offs.Crossref | GoogleScholarGoogle Scholar |

Kronberg SL, Provenza FD, van Vliet S, Young SN (2021) Review: closing nutrient cycles for animal production – current and future agroecological and socio-economic issues. Animal 15, 100285
Review: closing nutrient cycles for animal production – current and future agroecological and socio-economic issues.Crossref | GoogleScholarGoogle Scholar | 34312093PubMed |

LaCanne CE, Lundgren JG (2018) Regenerative agriculture: merging farming and natural resource conservation profitably. PeerJ 6, e4428
Regenerative agriculture: merging farming and natural resource conservation profitably.Crossref | GoogleScholarGoogle Scholar | 29503771PubMed |

Layman DK (2009) Dietary Guidelines should reflect new understandings about adult protein needs. Nutrition & Metabolism 6, 12
Dietary Guidelines should reflect new understandings about adult protein needs.Crossref | GoogleScholarGoogle Scholar |

Leroy F, Hite AH (2020) The place of meat in dietary policy: an exploration of the animal/plant divide. Meat and Muscle Biology 4, 2
The place of meat in dietary policy: an exploration of the animal/plant divide.Crossref | GoogleScholarGoogle Scholar |

Leroy F, Praet I (2015) Meat traditions. The co-evolution of humans and meat. Appetite 90, 200–211.
Meat traditions. The co-evolution of humans and meat.Crossref | GoogleScholarGoogle Scholar | 25794684PubMed |

Leroy F, Hite AH, Gregorini P (2020) Livestock in evolving foodscapes and thoughtscapes. Frontiers in Sustainable Food Systems 4, 105
Livestock in evolving foodscapes and thoughtscapes.Crossref | GoogleScholarGoogle Scholar |

Longo VD, Antebi A, Bartke A, Barzilai N, Brown-Borg HM, Caruso C, et al. (2015) Interventions to slow aging in humans: are we ready? Aging Cell 14, 497–510.
Interventions to slow aging in humans: are we ready?Crossref | GoogleScholarGoogle Scholar | 25902704PubMed |

Marinangeli CPF, House JD (2017) Potential impact of the digestible indispensable amino acid score as a measure of protein quality on dietary regulations and health. Nutrition Reviews 75, 658–667.
Potential impact of the digestible indispensable amino acid score as a measure of protein quality on dietary regulations and health.Crossref | GoogleScholarGoogle Scholar | 28969364PubMed |

Mayes CR, Thompson DB (2015) What should we eat? Biopolitics, ethics, and nutritional scientism. Journal of Bioethical Inquiry 12, 587–599.
What should we eat? Biopolitics, ethics, and nutritional scientism.Crossref | GoogleScholarGoogle Scholar | 26659866PubMed |

McAuliffe GA, Takahashi T, Lee MRF (2018) Framework for life cycle assessment of livestock production systems to account for the nutritional quality of final products. Food and Energy Security 7, e00143
Framework for life cycle assessment of livestock production systems to account for the nutritional quality of final products.Crossref | GoogleScholarGoogle Scholar | 30197782PubMed |

McAuliffe GA, Takahashi T, Lee MRF (2020) Applications of nutritional functional units in commodity-level life cycle assessment (LCA) of agri-food systems. The International Journal of Life Cycle Assessment 25, 208–221.
Applications of nutritional functional units in commodity-level life cycle assessment (LCA) of agri-food systems.Crossref | GoogleScholarGoogle Scholar | 32063684PubMed |

Meroño T, Zamora-Ros R, Hidalgo-Liberona N, Rabassa M, Bandinelli S, Ferrucci L, et al. (2021) Animal protein intake is inversely associated with mortality in older adults: the InCHIANTI study. The Journals of Gerontology: Series A glab334
Animal protein intake is inversely associated with mortality in older adults: the InCHIANTI study.Crossref | GoogleScholarGoogle Scholar |

Micha R, Mozaffarian D (2010) Saturated fat and cardiometabolic risk factors, coronary heart disease, stroke, and diabetes: a fresh look at the evidence. Lipids 45, 893–905.
Saturated fat and cardiometabolic risk factors, coronary heart disease, stroke, and diabetes: a fresh look at the evidence.Crossref | GoogleScholarGoogle Scholar | 20354806PubMed |

Monteiro CA, Cannon G, Moubarac J-C, Levy RB, Louzada MLC, Jaime PC (2018) The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutrition 21, 5–17.
The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing.Crossref | GoogleScholarGoogle Scholar | 28322183PubMed |

Moughan PJ (2021) Population protein intakes and food sustainability indices: the metrics matter. Global Food Security 29, 100548
Population protein intakes and food sustainability indices: the metrics matter.Crossref | GoogleScholarGoogle Scholar |

Ostfeld RJ, Allen KE (2021) Ultra-processed foods and cardiovascular disease: where do we go from here? Journal of the American College of Cardiology 77, 1532–1534.
Ultra-processed foods and cardiovascular disease: where do we go from here?Crossref | GoogleScholarGoogle Scholar | 33766259PubMed |

Päivärinta E, Itkonen ST, Pellinen T, Lehtovirta M, Erkkola M, Pajari A-M (2020) Replacing animal-based proteins with plant-based proteins changes the composition of a whole Nordic diet: a randomised clinical trial in healthy Finnish adults. Nutrients 12, 943
Replacing animal-based proteins with plant-based proteins changes the composition of a whole Nordic diet: a randomised clinical trial in healthy Finnish adults.Crossref | GoogleScholarGoogle Scholar |

Park S, Church DD, Schutzler SE, Azhar G, Kim I-Y, Ferrando AA, Wolfe RR (2021) Metabolic evaluation of the dietary guidelines’ ounce equivalents of protein food sources in young adults: a randomized controlled trial. The Journal of Nutrition 151, 1190–1196.
Metabolic evaluation of the dietary guidelines’ ounce equivalents of protein food sources in young adults: a randomized controlled trial.Crossref | GoogleScholarGoogle Scholar | 33693735PubMed |

Petersen-Rockney M, Baur P, Guzman A, Bender SF, Calo A, Castillo F, et al. (2021) Narrow and brittle or broad and nimble? Comparing adaptive capacity in simplifying and diversifying farming systems. Frontiers in Sustainable Food Systems 5, 56
Narrow and brittle or broad and nimble? Comparing adaptive capacity in simplifying and diversifying farming systems.Crossref | GoogleScholarGoogle Scholar |

Phillips SM (2012) Nutrient-rich meat proteins in offsetting age-related muscle loss. Meat Science 92, 174–178.
Nutrient-rich meat proteins in offsetting age-related muscle loss.Crossref | GoogleScholarGoogle Scholar | 22632883PubMed |

Phillips SM, Paddon-Jones D, Layman DK (2020) Optimizing adult protein intake during catabolic health conditions. Advances in Nutrition 11, S1058–S1069.
Optimizing adult protein intake during catabolic health conditions.Crossref | GoogleScholarGoogle Scholar | 32666115PubMed |

Provenza FD, Anderson C, Gregorini P (2021) We are the Earth and the Earth is us: how palates link foodscapes, landscapes, heartscapes, and thoughtscapes. Frontiers in Sustainable Food Systems 5, 547822
We are the Earth and the Earth is us: how palates link foodscapes, landscapes, heartscapes, and thoughtscapes.Crossref | GoogleScholarGoogle Scholar |

Rasmussen B, Ennis M, Pencharz P, Ball R, Courtney-Martin G, Elango R (2020) Protein requirements of healthy lactating women are higher than the current recommendations. Current Developments in Nutrition 4, 653
Protein requirements of healthy lactating women are higher than the current recommendations.Crossref | GoogleScholarGoogle Scholar |

Reidy PT, Walker DK, Dickinson JM, Gundermann DM, Drummond MJ, Timmerman KL, et al. (2013) Protein blend ingestion following resistance exercise promotes human muscle protein synthesis. The Journal of Nutrition 143, 410–416.
Protein blend ingestion following resistance exercise promotes human muscle protein synthesis.Crossref | GoogleScholarGoogle Scholar | 23343671PubMed |

Richter CK, Skulas-Ray AC, Champagne CM, Kris-Etherton PM (2015) Plant protein and animal proteins: do they differentially affect cardiovascular disease risk? Advances in Nutrition 6, 712–728.
Plant protein and animal proteins: do they differentially affect cardiovascular disease risk?Crossref | GoogleScholarGoogle Scholar | 26567196PubMed |

Rutherfurd SM, Fanning AC, Miller BJ, Moughan PJ (2015) Protein digestibility-corrected amino acid scores and digestible indispensable amino acid scores differentially describe protein quality in growing male rats. The Journal of Nutrition 145, 372–379.
Protein digestibility-corrected amino acid scores and digestible indispensable amino acid scores differentially describe protein quality in growing male rats.Crossref | GoogleScholarGoogle Scholar | 25644361PubMed |

Sá AGA, Moreno YMF, Carciofi BAM (2020) Food processing for the improvement of plant proteins digestibility. Critical Reviews in Food Science and Nutrition 60, 3367–3386.
Food processing for the improvement of plant proteins digestibility.Crossref | GoogleScholarGoogle Scholar | 31760758PubMed |

Sabaté J, Sranacharoenpong K, Harwatt H, Wien M, Soret S (2015) The environmental cost of protein food choices. Public Health Nutrition 18, 2067–2073.
The environmental cost of protein food choices.Crossref | GoogleScholarGoogle Scholar | 25374332PubMed |

Satija A, Bhupathiraju SN, Spiegelman D, Chiuve SE, Manson JE, Willett W, et al. (2017) Healthful and unhealthful plant-based diets and the risk of coronary heart disease in US adults. Journal of the American College of Cardiology 70, 411–422.
Healthful and unhealthful plant-based diets and the risk of coronary heart disease in US adults.Crossref | GoogleScholarGoogle Scholar | 28728684PubMed |

Seferidi P, Scrinis G, Huybrechts I, Woods J, Vineis P, Millett C (2020) The neglected environmental impacts of ultra-processed foods. The Lancet Planetary Health 4, e437–e438.
The neglected environmental impacts of ultra-processed foods.Crossref | GoogleScholarGoogle Scholar | 33038314PubMed |

Scrinis G (2013) ‘Nutritionism: the science and politics of dietary advice.’ (Colombia University Press: New York, NY, USA)

Semba RD, Shardell M, Sakr Ashour FA, Moaddel R, Trehan I, Maleta KM, et al. (2016) Child stunting is associated with low circulating essential amino acids. EBioMedicine 6, 246–252.
Child stunting is associated with low circulating essential amino acids.Crossref | GoogleScholarGoogle Scholar | 27211567PubMed |

Smedman A, Månsson HL, Drewnowski A, Edman A-KM (2010) Nutrient density of beverages in relation to climate impact. Food & Nutrition Research 54, 5170
Nutrient density of beverages in relation to climate impact.Crossref | GoogleScholarGoogle Scholar |

Smith NW, Fletcher AJ, Hill JP, McNabb WC (2021) Animal and plant-sourced nutrition: complementary not competitive. Animal Production Science
Animal and plant-sourced nutrition: complementary not competitive.Crossref | GoogleScholarGoogle Scholar |

Sonesson U, Davis J, Flysjö A, Gustavsson J, Witthöft C (2017) Protein quality as functional unit: a methodological framework for inclusion in life cycle assessment of food. Journal of Cleaner Production 140, 470–478.
Protein quality as functional unit: a methodological framework for inclusion in life cycle assessment of food.Crossref | GoogleScholarGoogle Scholar |

Suez J, Korem T, Zeevi D, Zilberman-Schapira G, Thaiss CA, Maza O, Israeli D, Zmora N, Gilad S, Weinberger A, Kuperman Y, Harmelin A, Kolodkin-Gal I, Shapiro H, Halpern Z, Segal E, Elinav E (2014) Artificial sweeteners induce glucose intolerance by altering the gut microbiota. Nature 514, 181–186.
Artificial sweeteners induce glucose intolerance by altering the gut microbiota.Crossref | GoogleScholarGoogle Scholar | 25231862PubMed |

Tagawa R, Watanabe D, Ito K, Ueda K, Nakayama K, Sanbongi C, Miyachi M (2021) Dose–response relationship between protein intake and muscle mass increase: a systematic review and meta-analysis of randomized controlled trials. Nutrition Reviews 79, 66–75.
Dose–response relationship between protein intake and muscle mass increase: a systematic review and meta-analysis of randomized controlled trials.Crossref | GoogleScholarGoogle Scholar |

Tessari P, Lante A, Mosca G (2016) Essential amino acids: master regulators of nutrition and environmental footprint? Scientific Reports 6, 26074
Essential amino acids: master regulators of nutrition and environmental footprint?Crossref | GoogleScholarGoogle Scholar | 27221394PubMed |

Tharrey M, Mariotti F, Mashchak A, Barbillon P, Delattre M, Fraser GE (2018) Patterns of plant and animal protein intake are strongly associated with cardiovascular mortality: the Adventist Health Study-2 cohort. International Journal of Epidemiology 47, 1603–1612.
Patterns of plant and animal protein intake are strongly associated with cardiovascular mortality: the Adventist Health Study-2 cohort.Crossref | GoogleScholarGoogle Scholar | 29618018PubMed |

Thorisdottir B, Gunnarsdottir I, Palsson GI, Halldorsson TI, Thorsdottir I (2014) Animal protein intake at 12 months is associated with growth factors at the age of six. Acta Paediatrica 103, 512–517.
Animal protein intake at 12 months is associated with growth factors at the age of six.Crossref | GoogleScholarGoogle Scholar | 24471761PubMed |

Toribio-Mateas MA, Bester A, Klimenko N (2021) Impact of plant-based meat alternatives on the gut microbiota of consumers: a real-world study. Foods 10, 2040
Impact of plant-based meat alternatives on the gut microbiota of consumers: a real-world study.Crossref | GoogleScholarGoogle Scholar | 34574149PubMed |

Traylor DA, Gorissen SHM, Phillips SM (2018) Perspective: protein requirements and optimal intakes in aging: are we ready to recommend more than the recommended daily allowance? Advances in Nutrition 9, 171–182.
Perspective: protein requirements and optimal intakes in aging: are we ready to recommend more than the recommended daily allowance?Crossref | GoogleScholarGoogle Scholar | 29635313PubMed |

van Vliet S, Burd NA, van Loon LJC (2015) The skeletal muscle anabolic response to plant- versus animal-based protein consumption. The Journal of Nutrition 145, 1981–1991.
The skeletal muscle anabolic response to plant- versus animal-based protein consumption.Crossref | GoogleScholarGoogle Scholar | 26224750PubMed |

WBCSD (2020) Food and Agriculture Roadmap. Chapter: healthy and sustainable diets. (World Business Council for Sustainable Development) Available at https://www.wbcsd.org/Programs/Food-and-Nature/Food-Land-Use/FReSH/Resources/Food-Agriculture-Roadmap-Chapter-on-Healthy-and-Sustainable-Diets

White JM, Beal T, Arsenault JE, Okronipa H, Hinnouho G-M, Chimanya K, et al. (2021) Micronutrient gaps during the complementary feeding period in 6 countries in eastern and southern Africa: a comprehensive nutrient gap assessment. Nutrition Reviews 79, 16–25.
Micronutrient gaps during the complementary feeding period in 6 countries in eastern and southern Africa: a comprehensive nutrient gap assessment.Crossref | GoogleScholarGoogle Scholar | 33693910PubMed |

Wilkinson SB, Tarnopolsky MA, MacDonald MJ, MacDonald JR, Armstrong D, Phillips SM (2007) Consumption of fluid skim milk promotes greater muscle protein accretion after resistance exercise than does consumption of an isonitrogenous and isoenergetic soy-protein beverage. The American Journal of Clinical Nutrition 85, 1031–1040.
Consumption of fluid skim milk promotes greater muscle protein accretion after resistance exercise than does consumption of an isonitrogenous and isoenergetic soy-protein beverage.Crossref | GoogleScholarGoogle Scholar | 17413102PubMed |

Willett W, Rockström J, Loken B, Springmann M, Lang T, Vermeulen S, et al. (2019) Food in the Anthropocene: the EAT-Lancet Commission on healthy diets from sustainable food systems. The Lancet 393, 447–492.
Food in the Anthropocene: the EAT-Lancet Commission on healthy diets from sustainable food systems.Crossref | GoogleScholarGoogle Scholar |

Wolfe R.R, Baum JI, Starck C, Moughan PJ (2018) Factors contributing to the selection of dietary protein food sources. Clinical Nutrition 37, 130–138.
Factors contributing to the selection of dietary protein food sources.Crossref | GoogleScholarGoogle Scholar | 29233589PubMed |

Wu G, Fanzo J, Miller DD, Pingali P, Post M, Steiner JL, Thalacker-Mercer AE (2014) Production and supply of high-quality food protein for human consumption: sustainability, challenges, and innovations. Annals of the New York Academy of Sciences 1321, 1–19.
Production and supply of high-quality food protein for human consumption: sustainability, challenges, and innovations.Crossref | GoogleScholarGoogle Scholar | 25123207PubMed |

Yang Y, Churchward-Venne TA, Burd NA, Breen L, Tarnopolsky MA, Phillips SM (2012) Myofibrillar protein synthesis following ingestion of soy protein isolate at rest and after resistance exercise in elderly men. Nutrition & Metabolism 9, 57
Myofibrillar protein synthesis following ingestion of soy protein isolate at rest and after resistance exercise in elderly men.Crossref | GoogleScholarGoogle Scholar |

Yuan M, Pickering RT, Bradlee ML, Mustafa J, Singer MR, Moore LL (2021) Animal protein intake reduces risk of functional impairment and strength loss in older adults. Clinical Nutrition 40, 919–927.
Animal protein intake reduces risk of functional impairment and strength loss in older adults.Crossref | GoogleScholarGoogle Scholar | 32753351PubMed |

Zhang Z, Jackson SL, Martinez E, Gillespie C, Yang Q (2021) Association between ultraprocessed food intake and cardiovascular health in US adults: a cross-sectional analysis of the NHANES 2011–2016. The American Journal of Clinical Nutrition 113, 428–436.
Association between ultraprocessed food intake and cardiovascular health in US adults: a cross-sectional analysis of the NHANES 2011–2016.Crossref | GoogleScholarGoogle Scholar | 33021623PubMed |

Zhao H, Song A, Zheng C, Wang M, Song G (2020) Effects of plant protein and animal protein on lipid profile, body weight and body mass index on patients with hypercholesterolemia: a systematic review and meta-analysis. Acta Diabetologica 57, 1169–1180.
Effects of plant protein and animal protein on lipid profile, body weight and body mass index on patients with hypercholesterolemia: a systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar | 32314018PubMed |

Zhu F, Du B, Xu B (2018) Anti-inflammatory effects of phytochemicals from fruits, vegetables, and food legumes: a review. Critical Reviews in Food Science and Nutrition 58, 1260–1270.
Anti-inflammatory effects of phytochemicals from fruits, vegetables, and food legumes: a review.Crossref | GoogleScholarGoogle Scholar | 28605204PubMed |