How to meet nutritional recommendations and reduce diet environmental impact in the Mediterranean region? An optimization study to identify more sustainable diets in Tunisia

Tunisia is a typical country of the Mediterranean region where high prevalence of overweight, obesity and non-communicable diseases co-exist with some micronutrient deficiencies, and diet-related environmental issues must be addressed. Individual food choices may influence both health and environment. The aim of this study was to identify diets that are nutritionally adequate, culturally acceptable, and with low environmental impact for Tunisian adults.