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Dietary species richness provides a comparable marker for better nutrition and health across contexts

Abstract

Ecological diversity indices such as Hill numbers have been developed to estimate effective species numbers, yet the ability of Hill numbers to compare food biodiversity across contexts is unclear. Here we computed the between- and within-country variability of similarity-insensitive Hill numbers using dietary intake collected from prospective cohorts in nine European countries and cross-sectional studies in five low- and middle-income countries. We also assessed the relationships between more biodiverse diets, mortality rates and micronutrient adequacy. Only Hill0, better known as dietary species richness (DSR), showed strong heterogeneity between countries and individuals within countries. Higher DSR was most strongly associated with lower mortality rates in Europe as compared to Hill1, Hill2 and Hill, whereas relationships with micronutrient adequacy were comparable across Hill numbers in the global south. DSR can be used to assess progress towards more biodiverse diets, while also serving as a marker for the deleterious nutrition and health impacts associated with non-diverse diets.

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Fig. 1: Comparison of similarity-insensitive diversity indices for a hypothetical diet.
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Fig. 2: Distribution of Hill numbers in the EPIC and LMIC studies, by country.
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Fig. 3: Heatscatters and correlations among Hill numbers in the EPIC and LMIC studies.
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Fig. 4: Associations between higher quintiles of Hill numbers and all-cause mortality rate in the EPIC study.
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Fig. 5: Associations between higher quartiles of Hill numbers and micronutrient adequacy in the LMIC study.
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Data availability

EPIC data and biospecimens are available to investigators in the context of research projects that are consistent with the legal and ethical standard practices of IARC/WHO and the EPIC Centers. The use of a random sample of anonymized data from the EPIC study can be requested by contacting epic@iarc.fr. Information on the EPIC data-access policy and on how to submit an application for gaining access to EPIC data and/or biospecimens is available at http://epic.iarc.fr/access/index.php. The cross-sectional studies from the Democratic Republic of Congo, Ecuador, Kenya and Viet Nam were approved by an ethics committee, while in Sri Lanka, the protocol was exempted from clearance. The anonymized individual-level data and their protocols are available at https://dataverse.harvard.edu/dataverse/DietarySpeciesRichness. Source data are provided with this paper.

Code availability

Analytical code is available via Zenodo at https://doi.org/10.5281/zenodo.14730448 (ref. 51).

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Acknowledgements

We are thankful for the EPIC-Ragusa data provided by the Hyblean Association for Epidemiology Research (AIRE-ONLUS). The coordination of EPIC is financially supported by the International Agency for Research on Cancer (IARC) and also by the Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, which has additional infrastructure support provided by the NIHR Imperial Biomedical Research Centre (BRC). The national cohorts are supported by the Danish Cancer Society (Denmark); Ligue Nationale Contre le Cancer, Institut Gustave Roussy, Mutuelle Générale de l’Education Nationale (MGEN), Institut National de la Santé et de la Recherche Médicale (INSERM), French National Research Agency (ANR, reference ANR-10-COHO-0006), French Ministry for Higher Education (subsidies 2102918823, 2103236497 and 2103586016) (France); German Cancer Aid, German Cancer Research Center (DKFZ), German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE) and Federal Ministry of Education and Research (BMBF) (Germany); Associazione Italiana per la Ricerca sul Cancro (AIRC), Compagnia di SanPaolo, and National Research Council (Italy); Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF) and Statistics Netherlands (The Netherlands); Health Research Fund (FIS)–Instituto de Salud Carlos III (ISCIII), Regional Governments of Andalucía, Asturias, Basque Country, Murcia and Navarra and the Catalan Institute of Oncology (ICO) (Spain); Swedish Cancer Society, Swedish Research Council and County Councils of Skåne and Västerbotten (Sweden); Cancer Research UK (C864/A14136 to EPIC-Norfolk; C8221/A29017 to EPIC-Oxford) and Medical Research Council (MR/N003284/1, MC-UU_12015/1 and MC_UU_00006/1 to EPIC-Norfolk; MR/M012190/1 to EPIC-Oxford) (United Kingdom). The cross-sectional studies in Africa, Asia and South America were supported by the Flemish Interuniversity Council (Ecuador); Flemish Interuniversity Council, Leopold III fund for Nature Exploration and Conservation and Stichting Roeping (Democratic Republic of Congo); Global Environment Facility, United Nations Environmental Programme, Food and Agriculture Organization of the United Nations and Bioversity International (Sri Lanka); and Humidtropics and A4NH (Kenya and Viet Nam). Funding for grant number IIG_FULL_2020_034 was obtained from Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme (principal investigator: I.H.; co-investigators: G.T.H.-C., P.V., K.A.M., M.D.-T., E.K.-G., M.T. and C.L.). D.B.I. was supported by a grant from the Independent Research Fund Denmark (1057-00016B) and the Danish Diabetes Association. P.V. was supported by the NIHR Global Health Research Centres on non-communicable diseases and Environmental Change (NIHR203247). Researchers were independent from the funders. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Where authors are identified as personnel of IARC/World Health Organization (WHO), the authors alone are responsible for the views expressed in this article, and they do not necessarily represent the decisions, policy or views of IARC/WHO.

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G.T.H.-C., A.J.D. and C.L. designed the study; G.T.H.-C., J.D., J. Berden and I.H. conducted the research; J.D., J. Berden and G.T.H.-C. analysed data and performed statistical analysis; G.T.H.-C. provided support for the statistical analysis; G.T.H.-C. and J.D. developed the first draft and revised the manuscript: A.J.D., J. Berden, R.R., C.T., D.B.I., J. Baudry, P.V.D., E.K.-G., I.H. and C.L. critically reviewed the manuscript; and P.V., M.B.S., K.T.H., M.D.-T., A.H., C.C.D., Y.v.d.S., G.S., M.G., L.M., D.P., J.E.R., F.O.O., D.H., D.R., K.A.M. and M.T. read and approved the final manuscript.

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Correspondence to Giles T. Hanley-Cook or Carl Lachat.

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Nature Food thanks Sebastian Heilpern, Fernanda Helena Marrocos Leite, Michelle Cristine Medeiros Jacob and Jörg Müller for their contribution to the peer review of this work.

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Hill numbers for hypothetical abundance vector.

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Hanley-Cook, G.T., Deygers, J., Daly, A.J. et al. Dietary species richness provides a comparable marker for better nutrition and health across contexts. Nat Food 6, 577–586 (2025). https://doi.org/10.1038/s43016-025-01147-6

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