In this special issue on collecting the major papers regarding the VIII International Congress of the Mediterranean Diet, organised in Barcelona in 2010, special emphasis is placed on issues concerning the sustainability of food and how the production and transportation of food contributes to enhancing the consequences of climate change.

Climate change is a reality that is already on the political agenda of international organisations and governments. In general, politicians often focus on the energy sector to mitigate this change, whereas agriculture and livestock receive little attention. However, they represent approximately 20 % of greenhouse gas emissions and 80 % of the land surface used by humans⁽Reference Serra-Majem¹⁾.

From a nutritional standpoint, we know that there is a need to moderate the consumption of red meat for strictly health reasons⁽Reference Willett²⁾. In addition, we know that there are climatic reasons supporting this recommendation. Reducing meat consumption by 50 %, for example, would have important implications in: (i) decreasing land devoted to pastures and crops, with the consequent generation of carbon from vegetation; (ii) reducing deforestation intended to obtain crops such as soyabeans and other vegetables for animal feed; and (iii) reducing methane and nitrogen dioxide emissions substantially (9–10 %)⁽Reference Smil^3, Reference Stehfest, Bouwman and van Vuuren⁴⁾.

The changes in diet can therefore not only produce benefits in human health and the overall use of land, but can also play a decisive role in the policies to mitigate climate change⁽Reference Stehfest, Bouwman and van Vuuren⁴⁾.

In an interesting prediction model, Stehfest et al.⁽Reference Stehfest, Bouwman and van Vuuren⁴⁾, using four variants of food types (low total meat, low beef and ruminant, low in animal products, healthy or rich in vegetables), analyse the impact between the years 2000 and 2050 of these dietary patterns on some climate change indicators such as livestock production, land use and methane and nitrous oxide emission. The authors conclude on the need to promote some dietary changes within the policies of mitigating climate change. Carlsson-Kanyana and Gonzalez⁽Reference Carlsson-Kanyama and González⁵⁾ have analysed the greenhouse gas emissions (mainly carbon dioxide and methane) resulting from the production of various food items, also taking into account the environmental costs of transport distance from the place of production to the point of consumption.

The Mediterranean diet (MD) understood not only as a set of food items but also as a culture on ways of producing and elaborating food is an example of sustainability⁽Reference Gussow⁶⁾. There are examples on how the abandonment of traditional farming practices, livestock and fisheries affects the very sustainability of the MD and its survival. Hence, the importance of it being included on UNESCO's Intangible Cultural Heritage of Humanity list⁽⁷⁾. Its cultural aspects need to be preserved to ensure its own sustainability as well as the cultivation and harvesting methods⁽Reference Duarte, Jones and Fleskens⁸⁾, and hence the landscapes.

In the first paper in the special issue⁽Reference Bach-Faig, Berry and Lairon⁹⁾, an expert committee from the Mediterranean Diet Foundation (MDF) in collaboration with other institutions presents the new graphic representation of the MD pyramid, conceived as a simplified main frame to be adapted to the different contexts of the Mediterranean region. Its semiquantitative representation incorporates relative proportions and frequency of the MD pattern food groups, as well as the concepts of seasonality and local products, physical activity, socialisation and so on. Since the recognition of the MD as an Intangible Cultural Heritage of Humanity by UNESCO in 2010 and for its contribution to health and general well-being, we hope to contribute to much better adherence and to its preservation with this new graphic representation.

In a second paper, Burlingame and Dernini⁽Reference Burlingame and Dernini¹⁰⁾ emphasise that the acknowledgement of the MD as a sustainable diet needs the development of new cross-cutting intersectorial case studies to demonstrate further the synergies among nutrition, biodiversity and sustainability expressed by the MD for the benefit of present and future generations. Berry et al.⁽Reference Berry, Arnoni and Aviram¹¹⁾ describe in their paper how the biblical traditional diet, including the seven species (whole grains, fish, wine, pomegranates, figs, walnuts and extra virgin olive oil) and additional Mediterranean fruits, has great health advantages, especially for CVD. In addition to the diet, lifestyle adaptation that involves increasing physical activity and organised meals, together with healthy food choices, is consistent with the traditional MD. Casas-Agustench et al.⁽Reference Casas-Agustench, Salas-Huetos and Salas-Salvadó¹²⁾ explain that, like other foods, nuts have a wide variety of cultural connections to the areas where they grow and to the people who live there or eat them. History, symbolism and legends reveal the ancient tradition of nuts and how they are related to the lives of our ancestors.

In an interesting paper by Defoort et al.⁽Reference Defoort, Vincent-Baudry and Lairon¹³⁾, MD appears efficient in improving postprandial lipemia (TAG and ApoB48, a marker of intestinally derived chylomicrons), a recently acknowledged CVD risk, in men and women with moderate cardiovascular risk. In addition, Martinez-Gonzalez et al.⁽Reference Martinez-Gonzalez, de la Fuente-Arrillaga and Lopez-del Burgo¹⁴⁾ review the evidence on the association between fruit and vegetable (F&V) consumption and risk of major chronic disease and assess trends in the prevalence of low F&V consumption in a cohort of university graduates. Gil et al. empathise the benefits of wholegrain cereals and bread for many non-communicable diseases⁽Reference Gil, Ortega and Maldonado¹⁵⁾. In addition, Escrich et al.⁽Reference Escrich, Moral and Solanas¹⁶⁾ pooling data from sixteen animal experimental series analysing the effects of dietary lipids on mammary carcinogenesis concluded that consumption of extra virgin olive oil in moderate quantities and throughout the lifetime appears to be a healthy choice and may favourably influence a reduction of breast cancer risk. De Lorgeril and Salen⁽Reference De Lorgeril and Salen¹⁷⁾ recognise that there is now a consensus about recommending the MD pattern for secondary prevention of CHD because no other dietary pattern has been successfully tested so far in these patients. The most important aspect, in contrast with the pharmacological prevention of CHD (including lowering of cholesterol), is that the MD results in a striking effect on survival. They also conclude that the traditional MD is effective in reducing both coronary atherosclerosis/thrombosis and the risk of fatal complications such as sudden cardiac death and chronic heart failure. Both De Lorgeril and Renaud⁽Reference De Lorgeril, Renaud and Mamelle¹⁸⁾ were the scientists responsible for the Lyon Heart Study and for the important experiment that represents a key landmark for the recognition of the MD, and for their outstanding careers, they were recognised with the MDF's VIII Grande Covian Award (Jury: Antonia Trichopoulou, Denis Lairon, Leda Chatzi, Jordi Salas-Salvadó, Carlo La Vecchia, Silvia Franceschi, Walter C Willet, Miguel Angel Martínez and Lluís Serra-Majem (Chairman)). Figure 1 illustrates the historical moment when these researchers shared the common prestigious recognition in Barcelona, 25 March 2010.

Fig. 1

(colour online) Professors Serge Renaud, Lluis Serra-Majem and Michel de Lorgeril after the VIII Grande Covian Award Ceremony held in Barcelona on 25 March 2010

Milà-Villarroel et al.⁽Reference Milà-Villarroel, Bach-Faig and Puig¹⁹⁾ in their paper comparing and evaluating the reliability of different indexes of adherence to the MD conclude that indexes perform quite well in measuring the adherence to MD. However, the lack of high correlation among some of them indicates the need for better agreement on the components involved in the MD pattern.

Finally, Medina⁽Reference Medina²⁰⁾ ends the special issue with a paper that dissects Mediterranean food and diet as a proximity model of consumption that can be, from a local Mediterranean point of view, a sustainable resource for the Mediterranean area.

This collection of selected papers updates once again the trends and developments around the MD, and with that, the MDF aims to contribute to improving its outreach, increasing awareness among health and nutrition professionals and ultimately improving compliance and projection at the population level in a coherent and sustainable way.