RT Journal Article T1 Efficiency assessment of diets in the Spanish regions: A multi-criteria cross-cutting approach A1 Esteve Llorens, Xavier A1 Martín Gamboa, Mario A1 Iribarren Lorenzo, Diego A1 Moreira Vilar, María Teresa A1 Feijoo Costa, Gumersindo K1 Carbon footprint K1 Data envelopment analysis K1 Dietary habits K1 Efficiency K1 Food K1 Nutritional quality AB Food systems are one of the main drivers of the global greenhouse gases emissions from anthropogenic sources, which could be aggravated by the projected increase in world population. Hence, the adoption of sustainable diets that guarantee good and accessible nutrition and a low environmental impact is an increasingly important need. This goal is, by nature, a multi-dimensional and multi-criteria challenge that should take into account nutritional, environmental and socio-economic aspects. In this sense, this work proposes a novel methodological framework that involves the use of Data Envelopment Analysis for the efficiency assessment of dietary patterns integrating nutritional (Nutrient Rich Diet 9.3 index), environmental (carbon footprint) and socio-economic criteria (number of deaths due to tumours of the digestive system, obesity-related health expenditure, and number of persons with food shortages). The applicability of this methodology is proven through the case study of the dietary patterns of the 17 Spanish autonomous regions. The analysis reveals the existence of seven autonomous regions with sustainable dietary patterns. Furthermore, most regions have multi-criteria efficiency scores above 0.60, which suggests the presence of relatively good dietary habits in Spain. Overall, it is concluded that the proposed methodology is a viable and valuable tool for benchmarking dietary patterns under multiple cross-cutting criteria PB Elsevier SN 0959-6526 YR 2020 FD 2020-01 LK http://hdl.handle.net/10347/20388 UL http://hdl.handle.net/10347/20388 LA eng NO Esteve-Llorens, X., Martín-Gamboa, M., Iribarren, D., Moreira, M., Feijoo, G., & González-García, S. (2020). Efficiency assessment of diets in the Spanish regions: A multi-criteria cross-cutting approach. Journal Of Cleaner Production, 242, 118491. doi: 10.1016/j.jclepro.2019.118491 NO This research has been supported by a project granted by Xunta de Galicia (project ref. ED431F 2016/001). Dr. S.G-G. would like to express her gratitude to the Spanish Ministry of Economy and Competitiveness for financial support (Grant reference RYC-2014-14984). The authors X. E-L. & S.G-G. belong to the Galician Competitive Research Group GRC 2013-032 as well as to CRETUS (AGRUP2015/02), co-funded by Xunta de Galicia and FEDER (EU). Dr. D.I. would like to thank the Spanish Ministry of Economy, Industry and Competitiveness for financial support (ENE2015-74607-JIN AEI/FEDER/UE). Dr. M.M-G. states that thanks are due for the financial support to CESAM (UID/AMB/50017/2019), to FCT/MEC through national funds, and the co-funding by the FEDER, within the PT2020 Partnership Agreement and Compete 2020. This research was partially supported by the Spanish Government (CTQ2016-75136-P) DS Minerva RD 28 abr 2026