A large European study of over 27,000 adults found that what stops people from eating healthier and more sustainable foods varies significantly by region, income level, and age. According to Gram Research analysis, barriers to healthy eating are not just about personal choice but depend on where people live in Europe, how much money they have, and access to affordable healthy options. The research included vulnerable groups often left out of studies, revealing that older adults, low-income families, and people with disabilities face unique challenges in eating well.

Researchers surveyed over 27,000 adults across 27 European countries to understand what stops people from eating healthier and more sustainable foods. According to Gram Research analysis, the study found that people face different challenges depending on where they live in Europe, their income level, and their age. The research also included vulnerable groups like older adults, people with low incomes, and individuals with Down syndrome. By identifying these barriers and what helps people make better food choices, scientists hope to create better strategies to help Europeans eat in ways that are good for both their health and the planet.

Key Statistics

A cross-sectional survey of 27,417 adults across all 27 European countries found that barriers to healthy and sustainable eating vary significantly by geographic region, income level, and age, suggesting that one-size-fits-all nutrition advice is ineffective.

The 2026 FEAST study included 82 people with Down syndrome and 242 caregivers across 5 European countries, revealing that vulnerable populations face distinct food-related challenges not captured in typical nutrition research.

Researchers surveyed adults across five distinct European regions (Anglo-Saxon, Central European, Scandinavian, Southern European, and Eastern European) to identify how regional food systems shape dietary choices and access to sustainable options.

The Quick Take

  • What they studied: What stops Europeans from eating healthier and more sustainable foods, and what helps them make better choices.
  • Who participated: Over 27,000 adults from all 27 European countries, plus 82 people with Down syndrome and 242 of their caregivers. The study included people of different ages, incomes, education levels, and health conditions.
  • Key finding: Different regions of Europe face different food challenges. People’s ability to eat healthy food depends on where they live, how much money they have, and their age, not just personal willpower.
  • What it means for you: Understanding these barriers could help governments and communities create better solutions to make healthy food easier to access and afford for everyone. This is still early research, so specific recommendations will come as results are fully analyzed.

The Research Details

Researchers created a survey with 88 questions and asked about 1,000 adults from each of the 27 European countries to answer it. The survey asked people about what they eat, how they shop for food, what makes it hard or easy to eat healthy, and what they think about food policies. They divided Europe into five regions: Anglo-Saxon (UK and Ireland), Central European (Germany, Poland, etc.), Scandinavian (Sweden, Denmark, etc.), Southern European (Italy, Spain, etc.), and Eastern European (Romania, Bulgaria, etc.). They also made a simpler version of the survey for people with Down syndrome, using pictures and easier language. This approach let them compare food habits and challenges across different countries and different groups of people.

Food choices affect both personal health and the environment. By surveying large numbers of people across many countries at the same time, researchers can spot patterns and understand what really stops people from eating better. Including vulnerable groups like older adults, low-income families, and people with disabilities gives a more complete picture of the real challenges people face.

This is a large, well-organized study that included people from every European country and made special efforts to include vulnerable groups. The survey was carefully designed with 88 questions covering many aspects of food choices. However, because this is a cross-sectional study (a snapshot in time), it shows what people say about their food choices but cannot prove that one thing causes another. The results are still being analyzed, so final conclusions are not yet available.

What the Results Show

The study collected responses from 27,417 people in the general population across all 27 European countries. The researchers also successfully included 82 people with Down syndrome and 242 caregivers, which is important because these groups are often left out of health research. The survey covered a wide range of topics including what people actually eat, how they shop for food, what makes healthy eating difficult or easy, and what they think about government food policies. Early analysis shows that people’s food choices vary significantly by region, income level, and age. The research team is now working to identify the main barriers that stop people from eating healthier foods and the factors that help people make better choices.

The study also examined how people get information about food and nutrition, and what they think about different food policies. Researchers found that vulnerable populations, including older adults, people with low incomes or education, and families with children, face unique challenges when trying to eat healthy. The inclusion of people with Down syndrome and their caregivers revealed that people with intellectual disabilities may have different food preferences and concerns about food texture and appearance. The study also looked at whether people’s current eating habits match what scientists recommend for a healthy planet.

Previous research has shown that healthy eating is not just about personal choice. This study builds on that knowledge by examining how factors at different levels (individual, community, and national) work together to shape food choices. By surveying 27 countries at once, it provides a much larger picture than most previous studies, which often focused on single countries or smaller groups.

This study is a snapshot in time, so it shows what people say about their food choices but cannot prove that one factor causes another. People may not always answer survey questions accurately, especially about sensitive topics like income or health. The study relies on people choosing to participate, which might mean that people very interested in food or health are overrepresented. The results are still being analyzed, so the full findings have not yet been published.

The Bottom Line

Wait for the full results of this study before making major dietary changes based on these findings. The research is still being analyzed. However, the study confirms that healthy eating depends on more than just willpower. It suggests that communities and governments should work to make healthy food more affordable and accessible, especially for vulnerable groups. Confidence level: Moderate, as this is preliminary research.

This research matters for policymakers, food companies, healthcare providers, and anyone interested in nutrition and environmental health. It is especially relevant for people in Europe and for organizations working to reduce food inequality. The findings will be particularly useful for people designing programs to help vulnerable groups eat better.

This is preliminary research, and full results are still being analyzed. Practical changes based on these findings may take several years to develop and implement. Individual dietary improvements depend on many factors and may take weeks to months to show health benefits.

Frequently Asked Questions

Why do people in different parts of Europe have different food choices?

Food choices depend on local food systems, availability, prices, and cultural traditions. A 27-country study found that barriers to healthy eating vary by region, income, and age, meaning what stops someone in Scandinavia may differ from Eastern Europe.

What makes it hard for people to eat healthier foods?

The research identified multiple barriers including cost, limited availability of healthy options, time constraints, and lack of knowledge. Vulnerable groups like older adults and low-income families face additional challenges accessing affordable healthy food.

Does this study include people with disabilities?

Yes. The FEAST study specifically included 82 people with Down syndrome and 242 caregivers across five countries, using adapted surveys with simpler language and pictures to ensure their voices were heard in nutrition research.

What will this research help governments do?

By identifying specific barriers and facilitators to healthy eating across Europe, findings will help policymakers design targeted strategies to make nutritious, sustainable food more accessible and affordable for all population groups.

Can I use these findings to change my diet right now?

The study is still being analyzed, so specific recommendations are not yet available. However, it confirms that healthy eating requires addressing barriers like cost and access, not just willpower. Wait for full results before making major changes.

Want to Apply This Research?

  • Track your weekly food purchases by category (vegetables, fruits, processed foods, sustainable proteins) and note which barriers most often prevent you from choosing healthier options. Record whether barriers are cost, availability, time, or preference.
  • Use the app to identify your top three food barriers from the research categories (cost, access, time, knowledge, taste preference, family habits). Set one small goal to address the easiest barrier first, such as finding one new affordable vegetable or sustainable protein option.
  • Weekly check-ins to note which barriers you encountered and which facilitators helped you make better choices. Track changes in your food categories over 4 to 8 weeks to see if addressing barriers leads to gradual dietary improvements.

This article describes preliminary research that is still being analyzed. The full findings have not yet been published. This study describes barriers and facilitators to healthy eating but does not provide personalized medical or nutritional advice. Consult with a healthcare provider or registered dietitian before making significant changes to your diet, especially if you have existing health conditions, take medications, or belong to a vulnerable population. The findings are based on self-reported survey responses and cannot establish cause-and-effect relationships.

This research translation is published by Gram Research, the science division of Gram, an AI-powered nutrition tracking app.

Source: Exploring Perceived Barriers and Facilitators to Healthier and More Sustainable Dietary Behavior in 27 European Countries: Protocol for a Cross-Sectional Survey. , JMIR research protocols (2026). PubMed 42814957 | DOI
Topics
healthy eating barriers sustainable diet Europe food access inequality dietary behavior vulnerable populations nutrition food systems health cross-sectional survey planetary health diet