# Reusable multicriteria decision model to evaluate the integrated sustainability impacts of different alternatives of dietary substitutions

**Authors:** Sara M. Pires, João Fiéis de Melo, Hernan Gomez Redondo, Ricardo Assunção, Géraldine Boué, Beatrice Biasini, Elena Cozzi, Olivier Jolliet, Davide Menozzi, Ana C.L. Vieira

PMC · DOI: 10.1371/journal.pone.0339454 · PLOS One · 2026-02-25

## TL;DR

This paper presents a model to evaluate the health, environmental, and social impacts of replacing beef with pulses in diets, showing benefits for sustainability and health.

## Contribution

A reusable multicriteria decision model for assessing dietary substitutions' sustainability impacts is developed and tested.

## Key findings

- Replacing beef with pulses showed positive impacts in both Portuguese and Danish diets.
- Benefits increased with higher substitution levels of beef with pulses.
- The model is adaptable for use in different populations and contexts.

## Abstract

Policies promoting shifts towards sustainable diets must consider the health, environmental, and socioeconomic impacts of changes and the trade-offs among these impacts across options. Comprehensive assessments are challenged by data uncertainties, diverse metrics, and conflicting interests of stakeholders. The aim of this study was to build a reusable multicriteria model to evaluate the integrated impacts of food substitutions. We applied a multicriteria decision analysis (MCDA) approach that combined input from eight multi-disciplinary experts with evidence collected from scientific literature and public databases across four dimensions: health, environment, economics and social implications of food systems. We tested the approach by assessing the impact of substituting beef with equivalent amounts of pulses in the Portuguese and Danish diets in four scenarios. Results demonstrated an overall positive impact of replacing beef with pulses in both populations, with benefits increasing incrementally with greater levels of substitution. This multicriteria model is adaptable to other contexts and populations, thereby assisting in the development of food policies that consider both health and sustainability concerns.

## Full-text entities

- **Diseases:** Disease (MESH:D004194), -related health impacts (MESH:D004834), ischemic heart disease (MESH:D017202), colon cancer (MESH:D015179), deaths (MESH:D003643), type II diabetes (MESH:D003924)
- **Chemicals:** water (MESH:D014867), iron (MESH:D007501), CO2eq (-)
- **Species:** Cicer arietinum (chickpea, species) [taxon 3827], Lens culinaris (lentil, species) [taxon 3864], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

73 references — full list in the complete paper: https://tomesphere.com/paper/PMC12935239/full.md

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Source: https://tomesphere.com/paper/PMC12935239