Water use and agricultural practices in the Mediterranean area are unsustainable. The situation is worsened by the increased frequency of droughts and floods, as well as desertification and soil depletion, associated with climate change. The aim of Partnership for Research and Innovation in the Mediterranean Area (PRIMA) is to foster an integrated programme of sustainable food production and water provision in the framework of the water-energy-food nexus. A monitoring tool developed under PRIMA is based on the Sustainable Development Goals, two of which are specifically dedicated to food security (SDG 2) and sustainable management of water (SDG 6).The 12 indicators that have been chosen to be monitored in the Mediterranean area are: Multidimensional Poverty Index (MPI); population overweight (%); land use (%); GHG emissions (total and AFOLU)(tCO₂ₑ); cereal yield (kg/ha); agriculture value added (US$/worker); fertilizer consumption (kg/haₐᵣₐbₗₑ ₗₐₙd); crop water productivity (kg/m³); annual freshwater withdrawal for agriculture (%); population served using with safely managed water service (rural, %); population served using with safely managed sanitation (rural, %); amount of agricultural residues used for energy purposes (t). Datasets for these indicators are collected by international bodies such as the World Bank, WHO, FAO and UNFCCC; recent series are available for almost all Mediterranean countries and are constantly updated. The aim of the proposed monitoring tool is to keep track of the impact generated in by PRIMA research and innovation projects Mediterranean countries.

Increasing water intake is often purported to reduce energy intake, and is recommended as a weight loss strategy. The few experimental studies that have been conducted to verify these claims have examined the impact of a single pre-load of water before a meal. Although correlational data indicate a relationship between hydration, energy intake, and weight status, there is very little experimental research in this area. The current studies examined the hypothesis that elevated hydration, through increased water intake, would suppress energy intake. In Experiment 1, participants (n = 49) were asked to consume either one, two, or three 500 ml bottles of water throughout the morning before a lunch buffet in the laboratory. When participants categorized as normal weight drank three bottles of water they consumed less energy at lunch, but there was no effect on participants categorized as overweight or obese. In addition, increased water intake suppressed liking of food items in all participants and hunger in females. A follow-up study (n = 45) was conducted to test if four bottles of water throughout the morning would result in a similar energy suppression in participants categorized as overweight or obese. Surprisingly, in the second experiment, there was no effect of water intake on energy intake at lunch in any of the conditions. There was, however, a similar suppression of hunger and food liking. In conclusion, increasing water intake throughout the morning only suppressed energy intake in individuals categorized as normal weight under certain circumstances, and had no effect on individuals categorized as overweight/obese.

It is the position of the Academy of Nutrition and Dietetics that all people should have consistent access to an appropriately nutritious diet of food and water, coupled with a sanitary environment, adequate health services, and care that ensure a healthy and active life for all household members. The Academy supports policies, systems, programs, and practices that work with developing nations to achieve nutrition security and self-sufficiency while being environmentally and economically sustainable. For nations to achieve nutrition security, all people must have access to a variety of nutritious foods and potable drinking water; knowledge, resources, and skills for healthy living; prevention, treatment, and care for diseases affecting nutrition status; and safety-net systems during crisis situations, such as natural disasters or deleterious social and political systems. More than 2 billion people are micronutrient deficient; 1.5 billion people are overweight or obese; 870 million people have inadequate food energy intake; and 783 million people lack potable drinking water. Adequate nutrient intake is a concern, independent of weight status. Although this article focuses on nutritional deficiencies in developing nations, global solutions for excesses and deficiencies need to be addressed. In an effort to achieve nutrition security, lifestyles, policies, and systems (eg, food, water, health, energy, education/knowledge, and economic) contributing to sustainable resource use, environmental management, health promotion, economic stability, and positive social environments are required. Food and nutrition practitioners can get involved in promoting and implementing effective and sustainable policies, systems, programs, and practices that support individual, community, and national efforts.

Background: Measurements of dietary intake in obese and overweight populations are often inaccurate because food intakes are underestimated. Objective: The purpose of this study was to evaluate the validity of the combined use of observer-recorded weighed-food records and 24-h snack recalls in estimating energy intakes in overweight and obese individuals. Design: Subjects were 32 healthy women and 22 healthy men with mean body mass indexes (in kg/m2) of 29.5 and 30.3, respectively. Energy intake (EI) was measured over 2 wk in a university cafeteria. No restrictions were made on meal frequency or EI. To document food consumed outside the cafeteria, 24-h snack recalls were conducted before meals. Energy expenditure (EE) was measured with the doubly labeled water (DLW) method (EEDLW). Energy balance was determined by measuring body weight at the beginning and end of the 2-wk period. Results: The mean EI in the women (10.40 +/- 1.94 MJ/d) and men (14.37 +/- 3.21 MJ/d) was not significantly lower than the EEDLW in the women (10.86 +/- 1.76 MJ/d) and men (14.14 +/- 2.83 MJ/d). The mean EI represented 96.9 +/- 17.0% and 103 +/- 18.9% of the measured EE for women and men, respectively. There were no significant changes in weight in the group as a whole or by sex at the end of the testing period; the men lost 0.23 +/- 1.58 kg and the women lost 0.25 +/- 1.09 kg. Conclusion: The combination of observer-recorded food records and 24-h snack recalls is a valid method for measuring EI in overweight and obese individuals.