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. 2023 Jul 6;44(28):2560–2579. doi: 10.1093/eurheartj/ehad269

Box.

The PURE Healthy Diet score translated into a healthy eating pattern

Eat More Amount a,b What counts as a serving?
Fruits and vegetables 4 to 5 servings daily 1 medium apple, banana, pear; 1 cup leafy vegs; 1/2 cup other vegs
Legumes 3 to 4 servings weekly 1/2 cup beans or lentils
Nuts 7 servings weekly 1 oz., tree nuts or peanuts
Fish 2 to 3 servings weekly 3 oz. cooked (pack of cards size)
Dairy 14 servings weekly 1 cup milk or yogurt; 1 ½ oz cheese
Whole grainsc Moderate amounts (e.g. 1 serving daily) can be part of a healthy diet 1 slice (40 g) bread; ½ medium (40 g) flat bread; ½ cup (75–120 g) cooked rice, barley, buckwheat, semolina, polenta, bulgur or quinoa
Unprocessed meatsc Moderate amounts (e.g. 1 serving daily) can be part of a healthy diet 3 oz. cooked red meat or poultry

Amounts shown are based on intakes among people in the upper quintile category of the PURE Healthy Diet score (i.e. a diet score of 5 or higher).

Median daily intake values of food components in the overall PURE cohort are: Fruit, 145 g; vegetables, 250 g; legumes, 38 g; nuts, 9 g; fish, 12 g; dairy, 113 g; whole grains, 35 g; and unprocessed red meat or poultry, 58 g.

When red meat or whole grains are included in the diet score in a sensitivity analysis, the findings were similar (neither stronger nor weaker) (Appendix 9), indicating that a moderate amount of whole grains or unprocessed meats can be part of a healthy diet. To this end, a healthy diet can be achieved in a number of ways which does not necessarily require either including or excluding any specific food category.